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Inspection on 11/05/06 for Dunollie Care Home

Also see our care home review for Dunollie Care Home for more information

This inspection was carried out on 11th May 2006.

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

The home is presently in the day-to-day control of the deputy manager who has been instrumental in bringing about positive change to the running of the home and to the way in which care is provided to people accommodated. The service provides a well maintained and pleasant environment for younger adults and older people who are is need of general nursing care and/or who because of physical disability require nursing input to promote all aspects of their daily living. Currently the ethos of the home is positive and open and residents and/or their representatives spoken with during this visit said that they are satisfied with the service they receive and they enjoy living at Dunollie. People said that staff are approachable and pleasant, the food provided is good and the environment is of a high quality. It is the conclusion of both Inspectors that although the service has a way to go to achieve overall best practice there is a definite progression toward compliance with all aspects of current legislation.

What has improved since the last inspection?

The service has complied with all requirements of the previous inspection undertaken in December 2005 in a timely manner The ethos of the home has become more open and positive, residents and their representatives, visiting professionals and others are being actively encouraged to participate fully in the service provision to people accommodated. The numbers of concerns raised has dropped and the organisation and the person in charge of the day-to-day control of the home is ensuring that any concerns that are raised are dealt with robustly and quickly. A complaint raised in April 2006 has been dealt with quickly and effectively by the organisation and the complainant has contacted the Commission to advise that she has spoken with the person in charge of the home that the concern has been sorted out and that she is happy with the outcome. As part of the inspection process feedback forms were either given to people visiting on the day of the visit or left with the home for distribution. Inspectors have received a number of replies all of which are positive about the services provided by the organisation.

What the care home could do better:

They could ensure that any need and/or risk identified by initial assessment, regular review or continuing care is translated on to the individuals care plan record. That any risks to people accommodated are managed effectively within a risk assessment framework. That all clinical testing required by individuals is carried out in a timely fashion. That the organisations own recruitment policies and procedures are routinely carried out. At the time of publication the organisation had forwarded to the Commission an action plan that meets the timescale appropriately.

CARE HOMES FOR OLDER PEOPLE Dunollie Nursing Home Dunollie Nursing Home 31 Filey Road Scarborough North Yorkshire YO11 2TP Lead Inspector Mavis Pickard Key Inspection 11th May 2006 09:00a 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 Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dunollie Nursing Home Address Dunollie Nursing Home 31 Filey Road Scarborough North Yorkshire YO11 2TP 01723 372836 01723 501387 dneuropeancare@aol.com 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) European Care (SW) Ltd *** Post Vacant *** Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49), Physical disability (49), Terminally ill (5) of places Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to include 49 OP, 49 PD and 5 TI up to a maximum of 49 service users. Service Users in the category PD to be aged 40 years plus. Date of last inspection 7th December 2005 Brief Description of the Service: Dunollie Care Home provides nursing care and accommodation for a maximum of 49 people. The maximum numbers may include older people over 65 years who need general nursing care, people who are terminally ill and/or younger adults over the age of 40 who have a physical disability and require nursing care. The current scale of charges are from £378-£620 a week. The home which is owned by European Care (SW) Limited is located in Filey Road, on the southcliffe area of the Scarborough, North Yorkshire, close to the Spar complex, Ramshill shopping area the Italian gardens and about 1 mile from the town centre. The home is set in extensive, well maintained, grounds that afford patio areas with seating for residents and visitors. The accommodation provided is divided between the main house and the garden wing, which is specifically designed for people with a physical disability. There is both single and shared accommodation available. Both wings of the home provide a range of communal space and all the specialist equipment required of the people accommodated. There is a passenger lifts to all floors and ample car parking for visitors and staff. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This ‘site visit’ is the first to be undertaken in this new inspection year 2006/7 and the first to be undertaken under the Commissions new initiative of ‘Inspecting for better Lives’. This initiative is based on a 7-stage cycle of activity rather than a series of one off events. The Inspection, which takes in all activities within a service, starts with the planning includes the ‘site visit’ and is only finished when there is a published report and the inspection record is complete. The overall view of this service during this inspection cycle is that the management and staff are working hard to ensure that previously raised concerns are dealt with robustly and that all requirements made by the inspection in December 2005 have been met. . A manager, who it is expected will apply for registration with the Commission, has been appointed and will take up post in June 2006. What the service does well: What has improved since the last inspection? Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 6 The service has complied with all requirements of the previous inspection undertaken in December 2005 in a timely manner The ethos of the home has become more open and positive, residents and their representatives, visiting professionals and others are being actively encouraged to participate fully in the service provision to people accommodated. The numbers of concerns raised has dropped and the organisation and the person in charge of the day-to-day control of the home is ensuring that any concerns that are raised are dealt with robustly and quickly. A complaint raised in April 2006 has been dealt with quickly and effectively by the organisation and the complainant has contacted the Commission to advise that she has spoken with the person in charge of the home that the concern has been sorted out and that she is happy with the outcome. As part of the inspection process feedback forms were either given to people visiting on the day of the visit or left with the home for distribution. Inspectors have received a number of replies all of which are positive about the services provided by the organisation. 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. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 the following standard(s): 3 and 6 Quality in this outcome area is good; this judgement has been made using available evidence about the service including a site visit. No resident moves in to the home before an assessment of his or her needs is undertaken. Where appropriate care management assessments form part of the continuing assessment process. The home does not provide intermediate care services. EVIDENCE: Records maintained in individual documentation indicate that no person moves into the home without having their needs assessed and having been assured that their needs will be met. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 9 Pre- admission assessments were examined that evidenced that all people ‘case tracked’ during this site visit had received an assessment of their need prior to admission. A system of continual assessment of need continues throughout the resident’s trial period at the home to ensure that an appropriate service continues to be provided. All residents have a plan for their care that is agreed to and signed by them or their representative. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 Quality in this outcome area is poor; this judgement has been made using all available evidence including a site visit to the home. Although Inspectors can report that in general the there has been an improvement in the way care plans are developed and maintained, that people accommodated are treated with respect and that staff have moved forward considerably since previous site visit. Not all identified needs are translated into individual plans of care. People accommodated are not wholly protected in respect to medicines being stored safely. The service does not provide intermediate care. EVIDENCE: Evidence shows that not all identified needs are recognised by care planning and not all identified risks are managed within a written risk assessment Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 11 framework, which could result in residents daily living activities being restricted or leave them vulnerable to unreasonable risk. It was noted from resident’s case files that were tracked during this visit that there are areas of major concern regarding ensuring that all health care and social care needs are met. Examples being that resident who is noted to need regular blood monitoring checks had the frequency of such checks written in separate areas of the documentation at differing frequency. A resident who is noted to be obese and whose records show that they are not interested in weight loss, is gaining weight. The resident’s records do not evidence that they are regularly receiving the services of a dietician, although nursing staff and the home’s cook say that they have in the past taken advice on behalf of the resident. As part of the resident’s continuing health and care needs they must be referred to a community dietician regarding this escalating concern and detailed records kept of any action taken. Although the home has a ‘non-smoking’ policy there are people accommodated who smoke. In one case the resident who is noted in their care planning to be unreliable with smoking requisites and who requires that these items be maintained safely by staff, was noted during a visit to their private accommodation to have such items in their own keeping. The carpet in the room had been burned. There was no written risk management document in place. It was noted in a resident’s documentation that they had purchased a mobility scooter some time ago but that they could not be assessed for its use by a physiotherapist because they had purchased it privately. This issue was discussed with several staff and the acting manager none of who knew that the resident had a scooter. The lack of clarity with reference to the above issues does not show that an appropriate service is provided to individuals to meet their assessed and continuing needs. The medication records of 4 people were examined and there were no recording errors noted. However evidence from the home’s internal monthly medication audit showed that for the previous 3 months there had been recording errors in all periods. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 12 1 resident is totally responsible for their own medication and stores the medicines in their private accommodation, the door of which is not locked. The resident does not have a lockable facility in which to keep their medication, although there is a lockable bureau in the bedroom, medication was stored on top of a chest of drawers and staff said that there was probably no key for the bureau. Staff said that other residents may store some of their medication in their bedroom but do not have lockable facilities. Dressing packs the medication room confirmed by staff no longer used by the person named on the label were being maintained by the home. A container in the room labelled as containing a branded food supplement was noted to contain cooking oil. Staff had no explanation for this. Residents, some family members, visitors, a visiting hairdresser and a care manager were spoken to about how they experienced the way in which residents are treated at the home. All said that it was their opinion that all people whether residents or visitors are treated with respect and that resident’s privacy is upheld. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 and 15 Quality in this outcome area is good, this judgement has been made using all available evidence including a site visit to the home. Residents are encouraged to have control over their lives and to lead satisfying lives. The food provided is of a high quality and presented in attractive surroundings. EVIDENCE: Residents spoken with said that “the home is a lovely place to be” that “you couldn’t get better” and that management and staff “goes out of their way” to ensure that they have a pleasant lifestyle. Younger residents who reside in the home’s Garden Wing, designed for people over 40 years of age with a physical disability said that although the home and staff do their best to ensure that they can live as independently as possible systems external to the home do at times work very slowly. A resident who uses a wheelchair said that she had been waiting for an assessment for 5 months and told that the assessment may take up to 12 months, the chair taking a further 6-12 months to be produced. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 14 The home’s staff has been proactive in attempting to get the best outcome for the resident, to no avail. The result is that the resident is in pain from using a wheelchair no longer appropriate and can only use the chair for short period in a day, which severely impacts on her lifestyle and independence. A range of visitors were spoken with during this visit all were complementary in respect to being able to visit their relative whenever they wished and in being welcomed into the home in a pleasant way. The home has an open and positive feel to it and it was noted that during this visit the home was alive with activity. Residents spoken with said that they could get out into the local community either with support of their friends and relatives or in some cases independently. The cook on duty was spoken with, menus examined and meals being served observed. Overall the quality of the food provided and they way it is presented is of a high quality. People who needed assistance to take food were being assisted discreetly and sensitively in a separate dining area from the general dining room. All people spoken with who could say, said the food is very good. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 and 18 Quality in this outcome area is adequate, this judgement has been made using all available evidence including a site visit to the home. The managements approach to complaints and the investigation of complaints is robust. Not all staff understand adult protection procedures. EVIDENCE: Historically the home has had a poor reputation in respect to ensuring relatives and friends were confident that their complaints were listed to and acted upon. However it is clear that in recent months the organisation has been proactive is ensuring that that the person now in day-to-day control of the home implements its complaints investigation policies and procedures robustly. It is usual practice that complaints brought to the attention of the service are investigated by the service and those brought to the attention Commission are referred to the service to be investigated through their complaints procedures. The person currently in charge of the home has recently investigated a complaint raised 12 April. The complainant has contacted the Commission to advise that she is happy with the way the complaint has been dealt with and that she is happy with the outcome. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 16 The organisation has implemented staff training around adult protection issues and some staff has received this training. However although care staff present as having a reasonable understanding of what to do should they suspect that an abusive situation is taking place, nursing staff spoken with said that they had not received the training and when pressed did not have a reasonable understanding of the issues. Considering that nurses are left in charge of the home in the absence of the acting manager this is not reassuring. The organisation’s representative present at this site visit advises that this situation will be rectified very soon and that a comprehensive staff-training matrix that includes opportunities for staff to receive regular updates on such topics as adult protection is about to be implemented. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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): 19,20,21,22,26 Quality in this outcome area is excellent this judgement has been made using all available evidence including a site visit to the home. People live in safe well maintained internal and external environment that meets their assessed needs. EVIDENCE: A full tour of the premises was not undertaken, however during the site visit much of the internal and external parts of the home were seen. The gardens to the home although built into a hillside are exceptional. There is internal or external access for all residents. The gardens, walkways and patios are well maintained. The gardens are particularly important not only to people who can access them but to those people who for one reason or another remain in the building but Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 18 who can view the gardens and vistas from throughout the home. The gardens and the way in which they are maintained are to be commended. The building both internally and externally is well maintained, the main house where older people reside and the Garden Wing that is specifically designed for people over 40 who have a physical disability are in keeping with the home’s purpose and provide a pleasant and supporting environment. The home is nicely furnished, pleasantly decorated and clean. A newly employed domestic said that she had received health and safety and COSHH training from her supervisor and had undertaken fire safety training that was certificated prior to starting her employment. Information provided the pre-inspection questionnaire and the examination of selected health and safety documents show that checks to hot water delivery, electricity, and gas and fire safety equipment are regularly undertaken. Although there are fire safety notices throughout the house and staff understood when asked about what to do in the case of a fire, the person in charge could not produce a current fire risk assessment. This is concerning and needs to be rectified. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 and 30 Quality in this outcome area is adequate; this judgement has been made using all available evidence including a site visit to the home. The home employs sufficient trained qualified and competent staff to meet residents assessed needs. The organisation’s recruitment policies and procedures are not routinely followed. EVIDENCE: Staffing levels that have in the past been considered low are now appropriate. The home now employs 11 staff in the morning. 3 nurses including the acting manager and 8 care staff, 7 in the afternoon including a minimum of 2 nurses including the acting manager and 4 or 5 care staff [dependant on there being 2 or 3 nurses] and at night 5 staff including 1 nurse and 4 carers. This level of staff if maintained is seen as being appropriate. From direct observation and from speaking with staff the competency levels of staff in general present as being appropriate. However there is a very low level of National Vocational Qualifications having been achieved by care staff. Some of the most recently employed staff was spoken with about their induction into the home. Ancillary and care staff present, as having received a comprehensive induction, however nurses induction not so. The management Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 20 team confirmed that nurses receive little or no induction, that it is seen that their qualification is sufficient. It must be considered that anyone newly employed must receive induction commensurate not only to their current knowledge and training but commensurate to the role they will perform in the home. A nurse who is to be left in charge of the home must have induction sufficient to allow that the home, its residents and staff are safe in their hands. The recruitment files of a range of staff were examined where it was found that not all had written references prior to being employed. Otherwise recruitment processes were appropriate. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 and 38 Quality in this outcome area is good; this judgement has been made using all available evidence including a site visit to the home. The residents and staff benefit from the ethos and leadership the acting manager who safeguards residents interests and ensures their safety. EVIDENCE: The organisation has appointed a manager who is to take up post in June 2006 and thereafter apply for registration. Presently the deputy manager is acting up and has progressed the home forward during the few months she has been in post. The ethos of the home is open and positive; residents, relatives/visitors and staff say that the home is a much better place to be and that they can see a positive difference in recent weeks. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 22 Resident’s finances were not checked at this site visit, however information supplied by the pre-inspection questionnaire and historical evidence from previous reports gives evidence that resident’s financial interests are safeguarded. Information provided the pre-inspection questionnaire and the examination of selected health and safety documents show that checks to hot water delivery, electricity, and gas and fire safety equipment are regularly undertaken. There are no concerns about the maintenance and/or safety of the premises. Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 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 X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 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 1 4 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 3 3 1 No Version 5.1 Page 24 Are there any outstanding requirements from the last Dunollie Nursing Home DS0000043116.V294970.R01.S.doc 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 OP7 Regulation 15(1)(2) (b-d) Timescale for action That needs identified at pre- 11/05/06 admission assessment or subsequently are accurately transposed to form a comprehensive plan of care for the individual. That clinical tests necessary for 11/05/06 maintaining the health of residents are routinely carried out as prescribed and that accurate records are maintained in respect to such tests. That individuals following written 30/05/06 assessment as able to selfadminister medication has a lockable space in which to store medication to which suitable trained staff have access with the residents permission. That dressings prescribed for 11/05/06 individuals who no longer require them are returned to the pharmacy. That all staff receives Protection 11/05/06 of Vulnerable Adults [POVA] training within their induction period. That the organisations own 11/05/06 recruitment policy is followed appropriately. That all staff employed receives 11/05/06 DS0000043116.V294970.R01.S.doc Version 5.1 Page 25 Requirement 2 OP8 12(1) 3 OP9 23(2)(m) 4 OP9 13(2) 5 OP18 12(1)(a) 13(6) 21(1) 19(1)(b) (c) 18(1) 6 OP29 7 OP30 Dunollie Nursing Home (c)(i) 8 OP38 13(4)(a) (b) induction appropriate to their role in the home. That all health and safety checks 11/05/06 are carried out routinely and recorded as such in line with the organisation’s own policies and procedures and current legislation. The home must have a written 30/05/06 fire risk assessment 9 OP38 23(4)(a) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Dunollie Nursing Home DS0000043116.V294970.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!