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Inspection on 09/09/05 for Daneside Court Nursing Home

Also see our care home review for Daneside Court Nursing Home for more information

This inspection was carried out on 9th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Residents and relatives were positive about the staff and their attitudes towards them. Staff were seen to interact positively with residents. The atmosphere on the ground floor was found to be calm and relaxed. The care plans on the ground floor were maintained very well. A new activity organiser has been employed. Residents said that she is in the process of introducing activities to the home to keep them stimulated and active.

What has improved since the last inspection?

Staff have attempted to improve the environment upstairs. Dining tables and chairs are now provided so residents can have their meals in a more pleasant environment.

What the care home could do better:

Several areas of concern were highlighted during this inspection. Residents and relatives said that staffing levels are not adequate to meet the needs of the residents on the nursing unit (first floor).They cited examples of residents having to wait a long period of time up to one hour following ringing the call bell before their needs are met. Staffing rotas for the first floor identified that at times there are not enough staff rostered on duty to meet the needs of the residents. Care planning practices on the nursing unit are in need of improvement. Staff must ensure that there is an individual plan of care in place for every resident and that this plan is revised when the needs of residents change. This is an outstanding requirement from the last inspection. Residents` and relatives` views on food were mixed. Some residents expressed the opinion that the food was good, whilst some relatives felt that the menu offered may not have sufficient nourishment for elderly people. Staff must make sure that residents who are unable to move and access drinks are offered nutritious snacks and drinks on a regular basis. The cleanliness of the home is in need of improvement. Several issues were highlighted in relation to the condition of the carpets and the cleanliness of the kitchenettes on the upstairs floor. The manager of the home informed inspectors of her resignation on the day of the inspection. Subsequent to the inspection the regional manager informed the inspectors of the appointment of a new manager to the home.

CARE HOMES FOR OLDER PEOPLE Daneside Court Nursing Home Chester Way Northwich Cheshire CW9 5JA Lead Inspector Helena Dennett Unannounced 9 September 2005 14:30 th 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 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 F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Daneside Court Nursing Home Address Chester Way Northwich Cheshire CW9 5JA 01606 40700 01606 40621 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Southern Cross Healthcare Services Limited Mrs Susan Clacy Care Home 64 Category(ies) of Old age, not falling within any other category registration, with number (64). of places Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a mximum of 64 service users in the category of OP old age not falling within any other category). 2 The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 14th April 2005 Brief Description of the Service: Daneside Court is a purpose built care home 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 was purpose built in the 1990s and provides single room accommodation on the ground and first floors. 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. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours. Inspectors visited the home at approx 1430 hrs and left at 1930 hrs. The inspectors were Mrs Helena Dennett and Mrs Joan Adam. They spoke with 6 residents and 6 relatives, the manager, deputy manager and three care assistants during the course of the evening. Feedback on the inspection findings was given to Mr. Geoff Edwards, Regional Manager for the company that owns the home. CSCI comment cards/questionnaires were sent to GPs before the inspection. Comment cards for relatives and visitors to the home were left at the home at the end of the inspection. One GP comment card and one resident/relative comment card have been received back. Their comments are incorporated into the body of the report. The first floor accommodates residents requiring nursing care whilst the ground floor accommodates residents requiring personal care only. What the service does well: What has improved since the last inspection? What they could do better: Several areas of concern were highlighted during this inspection. Residents and relatives said that staffing levels are not adequate to meet the needs of the residents on the nursing unit (first floor). Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 6 They cited examples of residents having to wait a long period of time up to one hour following ringing the call bell before their needs are met. Staffing rotas for the first floor identified that at times there are not enough staff rostered on duty to meet the needs of the residents. Care planning practices on the nursing unit are in need of improvement. Staff must ensure that there is an individual plan of care in place for every resident and that this plan is revised when the needs of residents change. This is an outstanding requirement from the last inspection. Residents’ and relatives’ views on food were mixed. Some residents expressed the opinion that the food was good, whilst some relatives felt that the menu offered may not have sufficient nourishment for elderly people. Staff must make sure that residents who are unable to move and access drinks are offered nutritious snacks and drinks on a regular basis. The cleanliness of the home is in need of improvement. Several issues were highlighted in relation to the condition of the carpets and the cleanliness of the kitchenettes on the upstairs floor. The manager of the home informed inspectors of her resignation on the day of the inspection. Subsequent to the inspection the regional manager informed the inspectors of the appointment of a new manager to the home. 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 F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 8 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 standard(s) 3 Assessments of people’s care needs are carried out before they move into the home so there is information to show that their needs can be met at the home. EVIDENCE: Eight care files were looked at as part of the inspection. These contained assessments of residents’ needs, covering all aspects of personal care and any specialised care that might be needed. These had been done before the resident moved into the home so that it was clear that their needs could be met at the home. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 9 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 standard(s) 7,8,9,10 Staff treat residents with respect. Care plans on the residential unit were well maintained so that residents’ needs are met. However, the care planning practices on the nursing unit (first floor) are in need of improvement. There is a risk that residents needs will not be met in full because some of the care plans did not contain accurate information. Risk assessments contained inaccurate information and so may not identify the extent of risk to the residents. EVIDENCE: All of the residents on the nursing unit who were spoken with said that there were not enough staff on duty on the first floor to meet their needs. They said that when they rang the bell for attention staff would come into their room, turn the bell off and then leave, saying they would return shortly. Quite often residents would have to wait between half an hour and one hour before being attended to. Relatives also said that there were not enough staff on to meet the health care needs of the residents on the first floor. They also confirmed that residents had to wait up to one hour before being attended to. The relative/visitor comment card indicated that the home is nearly always short staffed so residents can spend days in bed due to this. See Requirement 1 Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 10 The care plans on the ground floor (residential unit) were found to be very comprehensive, up to date and contained accurate information. Nursing Unit (First Floor) Individual care plans were in place in most of the files that were looked at. However these were not fully completed in one resident’s care file. The company has introduced new documentation on care planning. Staff said that they had not yet received training on the new documentation. See Requirement 2. There were two conflicting care plans in one resident’s file. One of the care plans under the heading mobility recorded that bed side rails were not used as the resident climbs over the bed. However under sleeping/resting the care plan recorded ‘use bed side rails due to the risk of falls’. The risk assessment for bedside rails was incomplete. See Requirement 3. In another resident’s care file the plan of care did not address the fact that the resident was a diabetic. In one resident’s care file the plan of care identifying ‘pressure area care’ states ‘record Waterlow score weekly’; however this was recorded monthly. There is a record in the care file that identifies that this resident has a pressure sore to their right foot. A body chart was completed on 1/6/05; this was graded using the ‘Stirling scale’. There were no Stirling scale charts in the care plans to identify how the grading was carried out. The inspector asked the nursing staff on the unit where the Stirling scale charts are kept to assist them to measure the pressure sore. The member of staff appeared unaware of the location of these charts. See Requirement 4 and Recommendation 1. The inspector spoke to one resident who had restricted mobility. When asked if staff assist her regularly to move her position she indicated that this is only done when she rings for assistance to the bathroom. The care plan did not address this issue and members of staff confirmed that they only attend to this resident when she rings the bell. Requirement 1 applies. The comment card from a GP had a ‘no’ ticked in answer to the question ‘are you satisfied with the overall care provided to service users within the home’. The comment went on to say that there is a variable standard of nursing care provided at the home. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 11 The relative/visitors comment card indicated that residents are not bathed on a regular basis, that it could be 2-3 weeks before they have a bath and this is only after prompting from visitors. One resident on the ground floor said that there was not sufficient moving and handling equipment to meet their needs. Members of staff confirmed that three residents on the ground floor had been assessed as needing to use the Stand-aid hoist to transfer. However this hoist is also used for residents on the first floor and as a consequence residents have to wait before this is available for use. See Requirement 5. Nursing staff were observed giving out medicines during the inspection. This was carried out in accordance with the Nursing and Midwifery guidelines on the administration of medication. Staff were observed treating residents with respect. They knocked on residents’ doors before entering. They were seen to interact with residents in a positive manner. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 12 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 standard(s) 12,13,14,15. A new activities co-ordinator has been employed and is putting into place activities so that residents are kept stimulated and active, and relatives can visit them at any reasonable time. Some residents may not be offered choice of drinks or nutritious snacks in the day and so may be at risk of not having sufficient nutritious food or fluids. EVIDENCE: Residents and relatives said that the new activity co-ordinator has made a difference to the residents at the home by organising several activities for them to take part in. Relatives were seen visiting throughout the afternoon and early evening during the inspection. They confirmed that there were no restrictions placed on visiting times. However, visitors commented that the fire doors on the upstairs floor have been closed as early as 7pm during the summer months and they were informed this was due to fire regulations. As the doors are heavy this could mean that residents who were frail or unsteady when walking may not be able to wander freely around the home. The residents and visitors were aware of the need to close the doors at night due to fire regulations but expressed the opinion that this should be done later when residents have gone to bed. See Requirement 6 Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 13 Two residents said they were happy with the food provided. They felt it was presented well and had a choice of menu. One relative expressed concern on the nutritional content of the food provided. They said fresh vegetables were not offered, that meals such as fish fingers were offered to residents and that there were no nice puddings offered to the residents. See Recommendation 2 One resident said that the dining room was not used and residents were given their meals on trays in the lounge areas or in their own room. The resident went on to say that she would like to eat in the dining room if there were other people at the table she could talk to. Dining tables and chairs were set up in the smaller room upstairs. During the inspection three residents ate at the table. One resident who was at the table said she would like to eat more often in the dining room but only if she was with people she could speak to. Relatives and residents when asked about mealtimes said that residents are not served their meals in the dining room; meals are usually served on trays in the lounge area or in their own rooms. Subsequent to the inspection the regional manager informed inspectors that residents are now encouraged to sit at the dining tables to have their meals. Carers were seen offering tea to residents during the afternoon. A large teapot was place on a trolley, with several cups, milk and sugar. On the bottom of the trolley was one open packet of plain digestive biscuits. The member of staff said that a pot of coffee is not usually taken around but can be made at residents’ request. She also confirmed that the biscuits on the bottom of the trolley were offered to the residents to have with their tea. There was no evidence that a choice of biscuits would be offered or of any fresh fruit being available for residents to eat if they wished. Some of the relatives were not happy with the care provided at the home. Two relatives were concerned that residents who cannot feed themselves were not assisted with drinks often enough. See Requirement 15 and Recommendation 2. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 14 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 standard(s) 16 Information about the complaints process for the home is available so residents and their relatives know how to make complaints and who to make them to. EVIDENCE: Complaints received by the home are acknowledged promptly and investigated in accordance with the complaints procedure. The Commission for Social Care Inspection received a complaint about the staffing levels in the home prior to the inspection. This has been upheld. A further serious concern about staffing levels was received following the inspection. The regional manger has agreed to investigate this issue and supply CSCI with a copy of the findings. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 15 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 standard(s) 19, &26 The cleanliness of some areas of the home is in need of improvement, and detracted from the appearance of the home. The temperature of the upstairs corridor was very hot so could be very uncomfortable for residents and staff. EVIDENCE: Several carpets in the home are very marked and stained and in need of cleaning and replacement. In particular the corridor carpet upstairs has a large watermark outside the bathroom area. Staff were not aware of the cause of this. Other parts of the corridor carpets were heavily stained and in a poor condition. See Requirement 7 One relative said that it had been agreed (six months ago) for the carpet in his relative’s room to be changed due to its poor condition. This has not been actioned by the manager of the home. See Requirement 8 Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 16 Cleaning and domestic systems within the home need to be improved. There were several bowls stained with custard stored in the sink and along the draining board. The member of staff said that the dishwasher was full and needed to be emptied before care staff loaded it up with used plates and bowls. A plastic jug with some milk in place was placed on top of the worktop. The shelf above the worktop was dirty and in need of cleaning. Six pints of milk were stored on top of the domestic fridge, together with several loaves of bread. It was difficult to ascertain where this milk would be stored as the domestic fridge underneath was full. The inspector was informed that another fridge in the kitchenette along the corridor would be used; however this did not have the room to house all the milk. The shelf in this kitchenette was dirty and needed cleaning. The domestic fridge in the main kitchenette on the upstairs floor needed cleaning. A scotch egg was placed open in a packet on the shelf. The shelves were disorganised with several items of foodstuffs placed on them. The windowsills were dirty and required cleaning. A mop was stored head in the bucket in this kitchenette. See Requirement 9 The temperature of the upstairs floor was found to be very hot and uncomfortable to work in. There were no thermometers available to monitor this temperature. See Requirement 10 Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 There are insufficient numbers of staff on duty to meet the needs of residents at most times, so residents may be placed at risk. Although training is provided to staff, a concern was raised that at times staff do not know the needs of the residents on the nursing unit and so the residents are at risk of their needs not being met. EVIDENCE: All of the residents and relatives who spoke with the inspectors said that are not enough staff on duty to meet the needs of the residents. One resident told the inspector that the home had been short by 3 staff on the morning of the inspection. However the manager stated that a member of staff had been moved from the residential unit to the nursing unit to cover the shortage and another carer came in at 9am to cover. Some of the residents said that they have to wait up to one hour for assistance due to the lack of numbers of staff on duty. One comment card received following the inspection stated that the home is nearly always short staffed and as a consequence the resident can stay days in bed due to this. There was concern also that the resident is not assisted to have a bath on a regular basis; it could be two or three weeks before they have a bath and this is usually when the visitor expresses concern to the staff. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 18 Relatives expressed concern on staffing numbers. Four weeks of duty rotas were examined. There was evidence that staffing numbers on duty were not sufficient to meet the needs of residents at times. There are first level registered nurses on duty to meet the nursing needs of residents. However, at times the number of nursing staff on duty is not adequate to meet the nursing needs of residents. One relative expressed concern that at times the nurses on the first floor do not appear to have up to date information on the residents’ condition. Mandatory training is offered to all staff. See Requirement 11. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35,38 Although there is a registered manager in place, she is leaving and at the time of the inspection CSCI had not been informed of the interim management arrangements to make sure that the home is well run to meet the needs of the residents. Supervision is offered to staff, however this is not individualised and so may not be of any benefit to the member of staff. Although audits of accidents take place, there is no record of any action being taken as a result of these so the risk of accidents to residents is reduced. EVIDENCE: The manager of the home informed inspectors that she had resigned her position and was leaving the following week. The CSCI had not been informed of this in writing or of the interim management arrangements. See Requirement 12. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 20 Subsequent to the inspection the regional manager informed the inspector of the appointment of a new manager who is due to take up post shortly. Staff confirmed that they are offered supervision regularly; however on further investigation it was noted that staff supervision is not tailored to meet individual needs. See Requirement 13. There is a system in place to manage residents’ monies. Residents are encouraged to lock their valuables and monies in the safe. There is a lock on the front door and visitors are asked to sign in and out. All downstairs doors leading to the outside are kept locked. Despite these measures some items have gone missing from residents rooms. The home manager had alerted the relevant authorities. Accidents records for the month of July were checked. It was noted that there was a total of 29 accidents recorded. Twenty-four of these were not witnessed by staff and 27 were recorded for falls. There was no indication what action had been taken to address this. See Requirement 14. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 1 15 2 COMPLAINTS AND PROTECTION 2 x x x x x x 1 STAFFING Standard No Score 27 1 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 1 x x x 2 x x 2 Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 8 Regulation 12 Requirement Residents personal and health care needs must be met at all times. Residents must receive the help they need within a reasonable time of them calling for assistance. A written plan of care identifying how a residents needs will be met must be in place for all residents. (previous timescale of 31/5/05 not met) Care plans must be kept up to date and accurate, kept under review and where appropriate in consultation with the resident revised to reflect any changes in the planned care. Residents who are identified as at risk of developing pressure sores must be provided with appropriate care to meet their needs. Adequate moving and handling equipment must be provided to meet the needs of all of the residents in the home. The fire safety officer must be consulted about the time fire doors should be closed at night on the upstairs floor . F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Timescale for action on going. 2. 7 15 9/10/05 3. 7 15 9/10/05 4. 8 12 ongoing 5. 8 13 30/10/05 6. 14 12 31/01/05 Daneside Court Nursing Home Version 1.40 Page 23 7. 19 16 8. 19 16 9. 26 16 10. 25 23 11. 27 18 12. 31 38 13. 14. 36 38 18 13 15. 15 16 Carpets must be cleaned regularly. The condition of the corridor carpets must be monitored and a programme of replacement of these carpets implemented. Residents and relatives must be kept informed of action to be taken in respect of the replacement of carpets in their rooms. Domestic systems in the home must be reviewed to ensure that all parts of the home are kept clean. The temperature of the corridor on the upstairs floor must be monitored and action taken to ensure a suitable temperature for the residents is maintained at all times. The staffing levels provided for residents requiring nursing care in the home must be reviewed and the numbers of staff on duty increased as appropriate to ensure that the needs of the residents can be met at all times. The registered provider must give notice in writing to the Commission of the proposed absence of the registered manager if they are absent for a continuous period of 28 days or more. Staff working at the home must be appropriately supervised. Appropriate action must be taken and recorded to reduce the number of unwitnessed falls of residents. Residents must be offered a choice of nutritious food and drinks at regular intervals. 30/10/05 31/11/05 9/10/05 9/10/05 on-going 9/10/05 on-going on-going on-going Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 15 Good Practice Recommendations Nursing staff should adhere to the Nursing and Midwifery guidelines on records and record keeping. The registered person should obtain the advice of the dietician regarding the nutritional content of the menus. Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 25 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire CW9 7LT National Enquiry Line: 0845 015 0120 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 Daneside Court Nursing Home F51 F01 S18768 Daneside Court V248053 090905 Stage 2.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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