Inspection on 02/10/07 for Daisy Bank Nursing Home

This inspection was carried out on 2nd October 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

Daisy Bank Nursing Home 23/12/09

Daisy Bank Nursing Home 22/09/09

Daisy Bank Nursing Home 13/10/06

Daisy Bank Nursing Home 20/12/05

Daisy Bank Nursing Home 02/08/05

Daisy Bank Nursing Home 08/03/05

Daisy Bank Nursing Home 07/09/04

Daisy Bank Nursing Home 10/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

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 2nd October 2007 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Daisy Bank Nursing Home DS0000026944.V347166.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.V347166.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.V347166.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 £377.00 minimum to £475.00 maximum weekly. These are subject to annual review. Daisy Bank Nursing Home DS0000026944.V347166.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 6.5 hours. The Registered Care Manager Mrs Ruth Addison RGN, and the Registered Provider assisted the inspector throughout the inspection. The inspection had been planned with information gathered from the CSCI database, and the Annual Quality Assurance Assessment that had been completed by the provider. At the time of this report there had been no feedback received from the “Have Your Say” feedback documents which were sent to residents at the home, and the comment cards sent to the home’s 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, and the provider, outlining the overall findings of the inspection. Residents and relatives spoken with during the inspection visit were very positive about the care that they and or 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. There had been two complaints made to the home, since the previous inspection, these had been dealt with in a timely way under the home’s complaints procedure by the care manager. One of the two complaints had been upheld, and the 2nd complaint had been partially upheld. Both complaints were amicably resolved. Verbal feedback and comments received during the inspection visit were generally positive, and included, that “staff care always come when they’re called”, and “ My mother is extremely well cared for”. “The staff here are very approachable, and always helpful”. There were no requirements, and 2 recommendations made as a result of this unannounced inspection. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The laundry has become better organised in regard to storage and shelving. Care plans had been signed, either by the resident or their representative, and efforts are being made to improve the recording of arrangements made in the event of terminal illness. There are plans in place to convert an exisiting small bathroom into a level access shower room, which will provide residents with more choice. The registered person is in the process of planning a new information pack, which will form the basis of the information given to potential residents, their relatives, and or their representatives. The entrance to the home and the front lounge has been recently redecorated. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Daisy Bank Nursing Home DS0000026944.V347166.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.V347166.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, 5 and 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective people who use this service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: A random sample of five individual pre-admission assessments and 5 care plans were examined. These formed part of the case tracking process and identified that pre admission assessments are carried out on all individual residents before they are offered a placement at the home. 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 available for the inspector to view. These provided appropriate and clear information about the Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 10 home, and are available to the Commission for Social Care Inspection (CSCI), social workers, prospective residents and their families. The registered person is in the process of planning a new information pack, which will form the basis of the information given to potential residents, their relatives, and or their representatives. The previous inspection report is also available to read at the home. The care manager and relatives spoken with confirmed that prospective residents and their families are welcome to come and visit the home and have a look around before admission. Relatives also said that the home provides a very “homely atmosphere”, and that “the home has a really good reputation”. The care manager confirmed that Intermediate Care is not provided at this home. Daisy Bank Nursing Home DS0000026944.V347166.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. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: A random sampling of 5 care plans was undertaken. In line with case tracking, residents and staff were spoken with. Appropriate and up to date 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 had been signed, and efforts are being made by the care manager to record the arrangements made in the event of a terminally ill resident. Although this is sometimes difficult to do, especially when the resident has just moved into the home. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 12 The GP continues to visit the home by request. Requests for a resident to see 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 were observed during the inspection visit, talking to residents and addressing residents in a respectful and friendly way. Following the case tracking of five 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 some of these residents and/or their relatives, confirmed that they could see a Doctor if they needed to, and that their social and nursing care needs were being met. All of the residents spoken with said that they were very happy with the care they were receiving in the home. Feedback and comment cards had not been received at the time of this report. This may have been due to the recent postal strike, which disrupted postal services for some time. However, verbal feedback received from residents, and their relatives, during the inspection visit was very positive. Staff were observed knocking on resident’s bedroom doors prior to entering, Residents and relatives spoken with confirmed that residents’ dignity and privacy were upheld. Daisy Bank Nursing Home DS0000026944.V347166.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. People who use this service are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Activities within the home were recorded in a daily diary. The home does provide social activities for residents. During the inspection visit the inspector noted that residents were making crafts and painting in the dining area, there were two watercolour pictures on the wall, which had been painted in sections by many of the residents, and were framed and well presented. One was a painting of the home itself, and the other was a copy of a Lowry painting. Other activities include armchair exercises, music and videos. Trips out would be organised dependent upon the weather. Residents meetings are regularly held, and ideas are put forward in relation to the running of the home. Residents have a say in planning their menus, and in what activities are provided. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 14 Residents and visiting relatives spoken with confirmed 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. The inspector noted that visitors freely entered and left the building during the inspection visit. Visitors were able to see a relative in private if they needed to. The local church Minister regularly visits the home, and Ministers to those residents who wish to take part. The care manager confirmed that wherever possible individual requests in regard to spiritual needs would be supported by the home. Residents were able to bring in small items of furniture and bedrooms seen were personalised with residents’ possessions. Residents spoken with said they had their hair done nearly every week, the care manager confirmed that most residents at the home were using the hairdressing 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, if they wished to. 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. Discussion with the cook took place, in relation to the menu. 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. Residents said they particularly enjoyed the home-made cakes, puddings and Birthday cakes that the cook makes. The home is non-smoking, and has a non-smoking policy. Staff needing to smoke would need to exit the building, and use the smoking area provided outside and to the rear of the home. There are currently no residents needing to smoke. Daisy Bank Nursing Home DS0000026944.V347166.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. People who use this service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: There was a clear and accessible complaints and protection of vulnerable adults procedure in place at the home. There had been two complaints dealt with by the care manager since the previous inspection. The care manager confirmed that she takes all concerns and complaints seriously and addresses them according to the procedure. Complaints were documented and recorded. The inspector discussed the two complaints that had been received by the home, since the previous inspection. One had been upheld, and one partially upheld. However, both complaints had been amicably resolved. Residents and relatives spoken with said that they were more than happy with the service they received. They also confirmed that they would know whom to approach should they have any concerns or complaints. There is a clear Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 16 complaints procedure on view in the entrance to the home. The complaints procedure is also contained within the Statement of Purpose. 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. Protection of Vulnerable Adults (POVA) training has been booked for all staff at the home. This will be undertaken before the end of the year. The care manager and staff spoken with confirmed that staff had undergone appropriate recruitment checks prior to the commencement of their employment at the home. Checks had included POVA, CRB Police checks, as well as the provision of identification, and 2 references. Daisy Bank Nursing Home DS0000026944.V347166.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): 19,20,21,22,23,24,25, and 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The inspector toured the building, spoke with residents, and with visiting relatives. The home was found to be clean and well presented. The main lounge needs decorating. Over a period of time the wallpaper had been scraped by furniture and wheelchairs and it now looks a little shabby. The registered provider confirmed that this was on the list for re-decoration. Bedrooms seen were personalised, well decorated, and had been adapted to suit the needs of the service users. Bumpers for bedrails were all present, and Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 18 wheelchairs seen all had appropriate footplates, which were being used safely by staff when moving and transferring residents. 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. The laundry area had been tidied, making the room look much more organised than at the previous inspection. This room also has adequate shelving for storage of items. There are plans in place to convert an exisiting small bathroom into a level access shower room, which will provide residents with more choice. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Staff rotas were examined, and 4 members of staff were spoken with. Staff Rotas showed that existing staffing levels had been maintained. Discussions with staff were positive, and showed a clear determination that they belong to a committed team. Staff spoken with confirmed that they had received training in Dementia, Prevention of Cross Infection, Skin Care, Fire, Moving and Handling, and First Aid. The care manager confirmed that all staff would be undertaking Protection of Vulnerable Adult training (POVA) before the end of the year. The inspector recommended that an up to date training matrix should be established for all staff. The care manager and staff spoken with confirmed that appropriate security checks had taken place prior to the commencement of their employment at the home. This included POVA, CRB Police checks, the provision of 2 references, and confirmation of identification. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 20 The care manager also confirmed that all qualified staff had now undertaken the appointed persons certificate in First Aid. Staff spoken with and records seen confirmed that care staff are not receiving formal and regular supervision as per the National Minimum Standard. The inspector made suggestions to improve upon the existing system used, and recommended that staff supervision is given as much priority as staff training. The AQAA document which is completed by the registered person, confirmed that out of 18 care staff, 10 had already achieved their NVQ level 2 or above, and a further 5 staff are currently undertaking the award. This means that the target of 50 has been achieved. Daisy Bank Nursing Home DS0000026944.V347166.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): 31,32,33,35,36 and 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: At the time of this report the inspector had not received any of the ‘Have your say’ documents, and comment cards, which the CSCI issue to relatives, social workers and health professionals. This could have been due to the recent postal strike, which had affected the delivery of the mail. However, during the inspection visit there were lots of very positive verbal comments made by residents, and also by relatives visiting the home. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 22 The home’s Statement of Purpose and Service User Guide was available for the inspector to view. Care Plans were signed, and efforts are being made by the care manager to ensure that arrangements made in the event of terminal illness are recorded. Health and safety issues were inspected, and found to be in good order. Bed Bumpers were in place, and wheelchairs seen had appropriate footplates fitted, for the safety of residents. The care manager, and staff spoken with confirmed that all appropriate recruitment checks had taken place prior to their employment at the home. Including POVA, CRB Police checks, 2 references, and proof of identification. Staff spoken with confirmed that they had received training in Dementia, Prevention of Cross Infection, Skin Care, Fire, Moving and Handling, and First Aid. The care manager confirmed that all staff would be undertaking Protection of Vulnerable Adult training (POVA) before the end of the year. The inspector recommended that an up to date training matrix should be established for all staff. The care manager confirmed that all qualified staff had now undertaken the appointed persons certificate in First Aid. Staff spoken with and records seen confirmed that care staff are not receiving regular supervision as per the National Minimum Standard. The inspector made suggestions to improve upon the existing system used, and recommended that staff supervision is given as much priority as staff training. 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 in turn by a deputy manager. The deputy manager has recently achieved the Registered Manager’s Award (RMA). The registered person confirmed in the AQAA document, that records relating to the servicing of equipment in the home has been undertaken. The CSCI continues to receive a monthly report from the home’s registered provider as per Regulation 26 requirements. Staff and service users spoken with during the inspection confirmed that the care manager is very approachable, she has an open management style, which is transparent, and includes the views of staff and service users. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 23 There had been two complaints received by the home since the previous inspection, one complaint had been upheld, and the 2nd complaint had been partially upheld. Both complaints had been amicably resolved, and appropriately documented. 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. A survey is about to be sent out. Daisy Bank Nursing Home DS0000026944.V347166.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 3 X 3 X 3 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 3 3 3 3 3 3 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 3 3 X 3 2 X 3 Daisy Bank Nursing Home DS0000026944.V347166.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. Standard Regulation Requirement Timescale for action 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 OP36 OP36 Good Practice Recommendations There should be an up to date training matrix in place for all staff. Formal and regular supervision should be given to all care staff. Daisy Bank Nursing Home DS0000026944.V347166.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE 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.V347166.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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