CARE HOMES FOR OLDER PEOPLE
Daneside Court Nursing Home Chester Way Northwich Cheshire CW9 5JA Lead Inspector
Helena Dennett 17 & 18
th th Unannounced Inspection October 2006 09:30 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 Daneside Court Nursing Home DS0000018768.V310166.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. Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Daneside Court Nursing Home Address Chester Way Northwich Cheshire CW9 5JA 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) 01606 40700 01606 40621 www.schealthcare.co.uk Southern Cross Healthcare Services Limited Care Home 64 Category(ies) of Old age, not falling within any other category registration, with number (64) of places Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. This home is registered for a maximum of 64 service users in the category of OP (old age not falling within any other category). The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 18th May 2006 3. Date of last inspection Brief Description of the Service: Daneside Court is a purpose built care home, built in the 1990s, which provides both personal and nursing care for up to 64 older people. It is owned by Southern Cross Healthcare, a company which operates care homes throughout the country. The home provides single room accommodation on the ground and first floors. There are four lounges for residents to use. There is access into the garden, which has seating and tables. The home is situated in the centre of Northwich within walking distance of local shopping facilities, public houses, bus stops and open park areas. It is well established within the local community. The current range of fees is £343.34 - £574.02 per week. Additional charges are made for the hairdresser, chiropodist, optician, dentist and newspapers. Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people whose knowledge about social care services comes directly from using them. This key unannounced inspection took place over 11 hours. Before the site visit the manager was invited to provide evidence as part of this inspection process. Mr Walter Park, an expert by experience visited the home also. The Inspector spoke to the manager, several staff members, residents and relatives. The expert by experience was shown around the building by a member of staff, spoke to several residents in the lounge and dining room and had lunch with residents. Three residents’ records were examined as part of the inspection process, in respect of the care they receive. Records of medication, care plans staffing rotas and training were also examined. Examination of the homes documentation, policies and procedures formed the basis of the visit. After the last inspection Southern Cross Health Care were required to submit an improvement plan to identify how they intended to meet the large number of requirements made at that time. A meeting took place at the Commission for Social Care Inspection’s office with senior managers from the company. The improvement plan was discussed in detail and the company gave assurances of their intention to improve services at Daneside Court Nursing Home. What the service does well:
All residents are assessed before coming into the home so that they know staff at Daneside Court Nursing Home will meet their needs. Staff respect the privacy and dignity of residents. Good relationships exist and staff were seen to engage residents in lively conversation throughout the day. Residents bedrooms looked homely with several containing residents own possessions. Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection?
There have been a number of improvements made since the last inspection. After the last inspection a temporary manager was brought into the home to try and address the issues raised at the last inspection. A new manager who is a Registered General Nurse has now been employed to manage the home. Both managers have introduced changes, which have benefited the residents living at the home. The new manager has changed the routines of staff so that residents are now getting their breakfast at a reasonable time, instead of mid to late morning. This means that the residents have time to digest their breakfast before lunch is served mid-day. Residents and relatives have noticed the improvements. The following comments were made by residents and relatives: ‘good staff could do with more’ ‘the trips out have improved recently’ ‘lots of improvements recently’ ‘much better management’ ‘staff are a lot better’ Care planning practices have improved since the last inspection. There were care plans in place to identify residents needs and these were updated as needs changed. This meant that all staff are aware of a residents changing needs so that the most appropriate care will be given. The company have bought three new beds which can be adapted for the needs of the residents and three specialised chairs which means that most residents can now choose when they wish to sit out. The reception area has improved since the last inspection. A copy of the last inspection report is displayed along with information on activities and information on Southern Cross Company. This means that visitors and residents are aware of the activities on offer at the home. The staff room downstairs has been converted into a residents smoking area. This contains easy chairs and tables. The position of the room is such that the smell of the smoke does not affect other non-smoking residents in the building. Several new sheets, pillows and duvet covers have been bought since the last inspection. This means that residents can be confident that they will be comfortable in bed thus helping them sleep. The cleanliness of the home has also improved since the last inspection giving residents a more pleasant environment in which to live in.
Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 7 Relatives and residents said that the staff at the home has improved since the last inspection. Because the manager has built up a ‘bank’ of staff who can be called on in an emergency, residents know who will be looking after them and so aids continuity of care. The residents are relatives felt this was very positive. Quality assurance systems have been introduced, such as residents/relatives meetings, to get their views on the running of the home. Audits are carried out so the manager can identify any issues with quality of care and address them so that the home is run in the best interests of the residents. 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. Daneside Court Nursing Home DS0000018768.V310166.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 Daneside Court Nursing Home DS0000018768.V310166.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of people’s care needs are carried out before they move into the home so they can be confident that their needs will be met at Daneside Court Nursing Home. EVIDENCE: The manager of the home or a senior member of staff visits prospective residents before they move into the home. This is to make sure that staff at the home will be able to meet the resident’s needs. A record of the assessment is kept so that all staff are aware of the residents care needs. The home does not provide intermediate care so standard 6 does not apply. Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care records were generally well maintained but there were some problems with the monitoring of a residents condition and the management of medicines that could put residents at risk. EVIDENCE: Three residents records were looked at during the site visit. These contained most of the information required to ensure that staff knew what care the resident needed. The records contained an assessment of health and personal care needs completed by a member of staff on admission to the home. From this assessment a care plan was developed which outlined the nursing and care needs of the resident. The care plans that were looked at identified the main needs of the residents. Most of the care plan were changed when residents needs changed.
Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 11 Risk assessments had been completed and contained information on how to minimise the risk for the resident. However, the risk assessment for the use of bed side rails did not identify the action staff should take if a significant risk was identified. This could mean that bedside rails in use could be a risk to residents. The outcome of the bed side rails risk assessment was not always recorded so it was difficult to determine how the assessor came to the conclusion to use the rails. Daily progress notes are written by senior members of staff. These should record the health and well being of the resident. These were not always informative and so any changes to residents care could be missed. Most of the residents spoken with said that staff at the home are meeting their health and personal care needs. One resident said she thought that things had ‘much improved’ at the home. She said that the staff ‘are a lot better’, and ‘ I know the staff now’ In a comment card received back, one relative felt that it was dependent on the staff on duty whether residents’ health care needs were met. She stated she had to remind some staff on more than one occasion. In one resident’s care plan it was identified that following a visit by the dietician staff should record the residents blood sugar daily. This had not been done and staff continued to record the blood sugar weekly. This means that any changes in the resident’s condition might not be identified and action taken as necessary. The member of staff said that the home had run out of equipment to monitor the blood sugar and they were waiting for a supply to come in. The manager agreed this was not acceptable and at the end of the inspection said she had purchased new equipment to ensure that the resident’s blood sugars will be taken according to dieticians request. Members of staff said they felt the care had improved recently. They said that the manager had looked at some of their routines and has changed them as a result. For example: medicines are started a little later in the morning, so all staff assist residents to sit up or get out of bed for breakfast. They then have a bath or a wash after breakfast according to their wishes. This means that residents are now getting their breakfast at a reasonable hour and not at 11am. This gives them plenty of time to digest their breakfast before having lunch. Three additional specialised chairs have been bought since the last inspection. This means that some residents previously staying in bed all day can now sit out for short periods of time. However, two residents are sharing one chair, which means that they cannot always get out of bed when they wish. The manager agreed to address this issue. Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 12 The management of medicines on the first floor (mainly accommodating people who require nursing care only) had improved since the last inspection. The member of staff giving out the medicines wears a red tabards to indicate that they must not be disturbed. This is to ensure that staff can concentrate on the administration of medicines so that mistakes are not made which could have an impact on a resident’s health. The medicines were stored appropriately and were given according to the prescription. On the ground floor (mainly accommodating people who need personal care only) a sample of medicine records were looked at. There were a few incidents where medicines had not been given according to the resident’s prescription. It was identified on the Medicine Record Sheet that the resident was asleep at the time, however there was no evidence that staff had gone to the General Practitioner or sought advice about giving the medicines at a different time. Therefore the resident did not receive their prescribed medication which could have an impact on their health and well being. Although the room storing the medicine trolley was locked, the cupboards containing the medicines were not locked and so compromised their security. Daneside Court Nursing Home DS0000018768.V310166.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although activities are provided by the home these do not always cover the diverse needs of the residents and so some residents may be lacking stimulation and exercise. EVIDENCE: The range of activities for residents to take part in has improved since the last inspection. A full time activities co-ordinator is now employed and she is working hard to meet the needs of all of the residents in the home. The expert by experience spoke with the activity co-ordinator. He was told that bingo and carpet bowls are provided for the residents and, also, that they had recently organized outings to Southport and Blackpool Illuminations. Local shopping trips are organized on a one-to-one basis so that each resident is accompanied either by a member of the care staff or a friend or relatives. A charge of £1.00 is made for bingo. The carer spoken with said that this is put towards prizes. However the records identifying income and expenditure need to be formalised.
Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 14 Residents and relatives also said that activities have improved. One comment received before the inspection stated ‘ could do more but social activities organiser left so on-one was available. Then when one came for a few weeks she was all right but left to be a carer. Now a new one who seems to be very good and getting things done at last.’ One resident said ‘Activities are available and I enjoyed the trips out to Southport and Blackpool’. Another resident and their relative said that ‘things have improved’ ‘there are more activities available now.’ A comment card received back form a social worker said there was ‘poor social stimulation’. The activity organiser has introduced a ‘diners club’. Residents, friends and their families can have a special meal together with a waiter service at a cost of about £25 per table of four. The residents who took part said they enjoyed the experience and look forward to the next sitting. One comment received back before the inspection said ‘ people s disabilities e.g loss of hearing or sight loss need to be remembered when arranging events. The expert by experience had lunch with some of the residents in the dining room. New hard flooring has been provided in the dining areas on both floors. The dining tables were nicely set out. The tables were set with clean linen and cutlery, but no teaspoons, the expert by experience saw residents using their dessertspoons to stir their tea. The service in the dining room was very slow. The expert by experience sat with three ladies, one of whom was very withdrawn and didn’t touch her food. The staff made no attempt to help her. Once this had been pointed out to the carers an effort was made to encourage her to eat and also to help her feed, however she ate very little and told the carers she was not hungry. The following comment was made on a residents survey form: ‘meals could be better sometimes presentation doesn’t help and could be improved’. Daneside Court Nursing Home DS0000018768.V310166.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and acted upon so residents can be confident that they are listened to and they are protected from injury or harm. EVIDENCE: Residents and relatives spoken with said they knew who to approach should they have any complaints. The manager logs all complaints received. The manager confirmed that any complaints received will be investigated within 28 days. The home has an adult protection procedure which all staff are aware of. There have been some issues relating to adult protection and advice has been sought from social services. The following comment was made by a health and social care professional: ‘There seems to be a lot of trigger forms re-staff training issues and I ‘m left wondering now how much training they need to stop incidents that lead to triggers’. Since the last inspection staff have been provided with adult protection training. Further training has also been organised to make sure that all staff are aware of how to care for residents appropriately.
Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 16 Members of staff spoken with knew the adult protection procedures and the correct action to take should an issue arise. Daneside Court Nursing Home DS0000018768.V310166.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23, 25 & 26 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The outside of the home is not well maintained and so some residents cannot access all of the garden areas. EVIDENCE: The outside of the building is now showing signs of wear and tear and needs attention. Several of the window frames need to be varnished or painted and some will need to be replaced in the near future. Several window panes have been replaced since the last inspection. A security issue was noted by the inspector and this was discussed with the manager who agreed to address it. The home does not employ a gardener and it is part of the maintenance man’s job to attend to the gardens. However, some of the shrubs and outside area could do with attention so that residents can access them. One relative said
Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 18 they felt the gardens could do with improvement. People with disabilities would not be able to use all of the grounds safely. The reception area has improved since the last inspection. A copy of the last inspection report is displayed along with information on activities and information on Southern Cross Company. The staff room downstairs has been converted into a residents smoking area. This contains easy chairs and tables. The position of the room is such that the smell of the smoke does not affect other non-smoking residents in the building. Residents lounge areas looked comfortable in the main. However, the room next to the conservatory on the first floor had no furniture in and so residents would not be able to make full use of this room. Residents’ rooms looked homely and contained many of their own possessions. The home was clean and tidy on the day of the inspection. New sheets and pillows have been purchased since the last site visit so residents can be comfortable in bed. Upstairs in the home it was considered to be uncomfortably hot. This has been noted on previous inspections, however this needs to be monitored closely and action taken to rectify it as much as possible. The laundry was well organised on the site visit. All machinery was in working order. One resident said he was particularly pleased with the laundry and showed the inspector clothes he had sent in the morning that came back clean and ironed by lunchtime. Daneside Court Nursing Home DS0000018768.V310166.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff with the right qualifications and experience working at Daneside Court Nursing Home to make sure that the needs of the residents are met. EVIDENCE: Residents were very complimentary about the staff working in the home. Residents and relatves made the following comments: ‘staff are good’, ‘staff come when I ring the call bell’ ‘Staff look mum very well, they are very kind.’ ‘ Mum has dementia but staff are managing her very well. Two comment cards received from relatives indicated that in their opinion there is not always sufficient numbers of staff on duty. One relative spoken with said that they felt there was a more stable staff group at the home now and this has improved the care being delivered to residents. There were enough staff on duty to meet the needs of the residents on the day of the site visit. Members of staff were seen to treat residents with respect. Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 20 Members of staff spoken with said they felt more supported in their role since a manager came into post. They felt the change in routines benefited residents and that they now have a meeting when staff are changing shifts to pass on relevant information to new staff. This improves communication amongst staff and ensures that important information about residents is passed on . There was evidence that staff are being supported in their training to ensure that they can continue to keep up to date in their knowledge and skills. A sample of recruitment files was exampled. All of the necessary checks had been carried out on staff before they were employed at the home to ensure the safety of residents. Daneside Court Nursing Home DS0000018768.V310166.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although the management of the home has improved, the lack of fire safety training for all staff could put residents at risk. EVIDENCE: A new manager has been employed since the last inspection. She is a qualified nurse and has worked for Southern Cross Health Care as a deputy manager of a large care home. She is not yet registered with the Commission for Social Care Inspection and therefore a score of 2 under this standard has been given. The manager said she intends to submit her application to become registered as soon as she has gathered all the information required by CSCI. Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 22 Residents and relatives said that they have noticed a difference since the appointment of a manager to the home. One set of relatives spoken with said they felt they could approach the manager if they had any concerns. The members of staff spoken with said they felt more supported in their role since the appointment of the new manager. Supervision now takes place and all staff are aware of their roles and responsibilities. A quality assurance system is in place. Relatives/residents meetings occur and minutes are taken. Staff meetings are also held regularly, this improves communication within the home to ensure that staff are acting in the best interests of residents at all times. Audits are carried out regularly so that any issues are quickly identified and acted on. The operations manager visits regularly, talks to residents, looks at the environment and samples records. A report is produced every month which identifies any problems and action to be taken as a result. A copy of the report is kept at the home. Some questionnaires have been sent to residents and relatives to get their views on the care provided at Daneside Court Nursing Home. The manager confirmed that she will gather the results of these and action any issues that arise. A system for managing residents monies is in place. Records of transactions are kept. One issue was identified which the manager agreed to investigate. Maintenance records are kept. A sample of these was looked at. There was evidence that bath hoists, lifts and other essential equipment are serviced regularly. Fire alarms and emergency lights are tested regularly. Records of staff training in health and safety were looked at. Most of the staff have now done training and updates on moving and handling issues. A further training session is scheduled in November following which all staff will have had moving and handling training. There was evidence to suggest that not all staff have had fire safety training. This needs to be addressed, as all staff must be aware of the action to take should a fire break out in the home. Daneside Court Nursing Home DS0000018768.V310166.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 2 X X X x 2 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 2 X 3 X 3 X X 2 Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 24 yes 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 OP8 Regulation 12(1) (a) Requirement The registered person must make proper provision for the health and welfare of the residents in the home. Timescale 30/06/06 not met. Timescale for action 22/11/06 2 OP9 13(2) The registered person must 22/11/06 make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Timescale 30/06/06 not met. The registered person must ensure that the outside of the building is maintained in a good condition, that damaged window frames are replaced, and that the gardens are maintained in good order. The registered person must ensure that all staff are provided with fire safety training twice a year 31/03/07 3 OP19 23 (2) (b) 4 OP38 23 (4) (d) 31/12/06 Daneside Court Nursing Home DS0000018768.V310166.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 Refer to Standard OP7 Good Practice Recommendations The registered person should ensure that the daily records reflect the care that has been provided to the resident during that period of time, and that any changes in the resident’s condition are recorded. The activity organiser should review the range of activities provided to ensure that people with different disabilities can take part. The registered person should ensure that a formal record together with receipts in respect of bingo charges are kept. The registered person should review staffing levels and staff practices at meal times to ensure that meals are given out promptly, that correct cutlery is provided and that residents who require assistance are given that assistance without delay. The registered person should provide furniture for residents to use in the small lounge upstairs. The registered person should ensure that the temperature of the upstairs floor is monitored and appropriate action taken as necessary. 2 3 3 OP12 OP12 OP15 4 5 OP20 OP25 Daneside Court Nursing Home DS0000018768.V310166.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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