Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 02/04/07 for Eckington Court Nursing Home

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

This inspection was carried out on 2nd April 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Relatives spoken said that the home always ensured that service users hygiene needs were met and they were `well turned out`. Feedback regarding the laundry staff was that they were `marvellous` There is robust documentation and organisation of routine health and safety checks within the home.

What has improved since the last inspection?

An ongoing redecoration programme is in place and corridors have been redecorated since the last visit. There has been a range of mandatory and additional training completed by staff to ensure they have the skills to meet service users needs.

What the care home could do better:

There were some deficits in the storage and administration of medicines with gaps being evident, a significant spelling error had not been identified and variable dosages were not consistently been recorded. The systems in place for recording and storing monies was poor with no audits evident, interest was accrued on service users monies which had not been proportioned to them and some service users owed money to the service usersaccount to the pooled which meant some service users money had been used by other service users. Staff were not vigilant in ensuring that service users care records and hence their confidentiality were protected as records were observed to have been left in bathrooms, dining rooms and other public areas. Staff recruitment files in general met standards however there was poor documentary evidence of opinion where in house referees had been given.

CARE HOMES FOR OLDER PEOPLE Eckington Court Nursing Home 7 Penny Engine Lane Eckington Sheffield Derbyshire S21 4BF Lead Inspector Bridgette Hill Key Unannounced Inspection 2nd April 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eckington Court Nursing Home DS0000002053.V333364.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. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eckington Court Nursing Home Address 7 Penny Engine Lane Eckington Sheffield Derbyshire S21 4BF 01246 430066 01246 430077 eckingtoncourt@highfield-care.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) Southern Cross Care Management Limited Vacant post Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (2) of places Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Southern Cross Care Management Limited is registered to admit to Eckington Court Nursing Home persons within the following categories: Old Age not falling within any other category (OP) 50 Physical Disability (PD) 2 - persons aged 50 and above The maximum number of persons to be accommodated at Eckington Court Nursing Home is 50 3rd May 2006 2. Date of last inspection Brief Description of the Service: The home is purpose built and located in the village of Eckington, which is on the Derbyshire and Sheffield boundaries. There is a conservatory and combined dining area on to the ground floor, with a further large lounge to the first floor and two separate quiet lounges - one to each floor. The home is registered for 50 places and offers both nursing and personal care in the category of Older persons with 2 of these places also registered to accept service users with a physical disability aged over 50 years. The fees charged at the home range from £330.00 – 550.00 with additional charges made for hairdressing and chiropody week. This information is taken from the Pre Inspection Questionnaire completed by the Acting Manager. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit which focused on assessing compliance to previously listed requirements and on assessing all key standards. As part of the inspection a sample of service users care files and a range of documents were examined. A tour of the building was conducted. During the visit opportunity was taken to have discussions with management, staff, service users and visitors. Some service users did not have the capacity to convey their views verbally. Service user questionnaires were provided for all service users to the home prior to the inspection. 4 of these have been returned and comments considered during the writing of the report. The person in charge at this visit was the Acting Manager Gresh Hardowar. What the service does well: What has improved since the last inspection? What they could do better: There were some deficits in the storage and administration of medicines with gaps being evident, a significant spelling error had not been identified and variable dosages were not consistently been recorded. The systems in place for recording and storing monies was poor with no audits evident, interest was accrued on service users monies which had not been proportioned to them and some service users owed money to the service users Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 6 account to the pooled which meant some service users money had been used by other service users. Staff were not vigilant in ensuring that service users care records and hence their confidentiality were protected as records were observed to have been left in bathrooms, dining rooms and other public areas. Staff recruitment files in general met standards however there was poor documentary evidence of opinion where in house referees had been given. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 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 Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users were routinely assessed prior to admission to ensure that the home was able to meet identified needs. EVIDENCE: The file of a recently admitted service user was examined and the process of admission discussed with the Acting Manager. It was stated that all service users were assessed by staff from the company prior to arranged admissions. Where the service users location was not near to the home where the service user was to be admitted to arrangements had been made for staff from other homes within the company to complete the assessment. Where service user had been assessed by Care Managers or free nursing care assessors this information was observed to be available. A form was available to record the staffs assessment of service user which included a range of screening tools. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 9 General reasons for choosing the home were that it was close to family or friends or that service users or their families knew someone in the home. Opinions given were that the choice they had a made was a good one. This was also the view of someone who had experience of other care homes. One questionnaire indicated that if the admission had not been an emergency the home might not have been one of first choice. Some service users used the home for periodic respite. The most recent inspection report was openly available in the reception as was the Statement of purpose, Service User Guide and a range of other informative leaflets. The home does not offer intermediate care as defined by National Minimum Standards 6. Eckington Court Nursing Home DS0000002053.V333364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for providing personal and healthcare to service users appear to be documented sufficiently in order to meet assessed needs. EVIDENCE: Samples of three service users care files were examined to assess how standards were being met. Some were assessed in part to explore different aspects. A comprehensive format was in place for recording assessed needs. The care plans in place provided sufficient detail as to inform staff on how to deliver care. The basis of a care plan with core needs was in place for a newly admitted service user although this required development to ensure all assessed needs were to be met when these had been fully assessed. There was considered Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 11 sufficient information however to ensure safe delivery of care in the early days of admission. Logs were kept on a shift-by-shift basis to monitor how service users had been. A range of documents to monitor other things such as turns, fluid intake and output and hygiene were also available and were being used by staff. It was observed that staff left these in places where service users confidentiality could be breached such as on dining room tables and in lounges. A range of risk assessments and screening tools were available which were reviewed on a monthly basis. Some of the tools were not being fully used by staff for example the malnutrition assessment tool had scope for calculating body mass index but this was not routinely being completed. Care plans were found to have been reviewed by key workers on a monthly basis. Reviews with relatives were also documented and relatives said they were invited to these. The care files examined included regular documented visits by the visiting chiropodist, doctors and district nurses. Two service users in the home currently had pressure wounds. It was apparent from documents that the Tissue Viability Nurse had visited and been consulted regarding treatment. The advice she had given to measure the wounds had also been completed although it was evident from the wound records that this was not routinely completed although part of the form was available to record this information. The home uses 4 GP surgeries with one surgery regular visiting the home to see service users each Thursday as well as being available on call at other times. The storage and administration of medicines was examined at his visit. Staff spoken to said that the arrangements in place were not to their liking with some medications being stored in different but adjacent rooms. The room where the trolleys were stored was found to be cramped. The cupboards were not particularly well utilised due to poor shelving and internal and external preparations were stored together. A range of items was also found in the drug cupboards including wage slips, keys, raffle tickets and other documents. The Acting Manager said he was going to review storage arrangements. For service users with nursing needs nurses administered medications, for service users with personal care needs Senior Care staff administered medications. Training records indicated that all staff who administered medications had received training. Some gaps on the medication administration records were evident. One series of gaps on one particularly round was evident with occasional ad hoc gaps Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 12 found on a number of medication administration records where it was not known if medication had been given or omitted. One significant spelling error was noted where a single staff member had handwritten a medication administration record. Sometimes handwritten entries had been doubly signed but this did not appear to be a consistent practice and staff had administered a drug which was not recognisable by the spelling as the drug which was prescribed. Correction fluid was on some medication administration records obliterating the original entry. The balances of controlled drugs held correlated and a system was in place for documenting receipts and disposal of drugs. In some files viewed service users post death wishes had been recorded. Logs seen also recorded where service users condition had deteriorated and families had been informed of this. Relatives spoken to said that they were informed of any significant events either by telephone or in person when they visited depending on the urgency and nature of any changes. Relatives spoken said that service users hygiene were always met. Some questionnaires indicated that whilst usually staff were available to meet needs, one considered that there times when they were short staffed and it could be variable and another noted delays in responding to the staff call system. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Positive choices and appropriate stimulating activities were offered to service users. The quality of food offered to service users was good with choices being offered. EVIDENCE: An activities coordinator is employed by the home for 16 hours per week, which is typically spread over 3 days, but some flexibility is applied. A dedicated activities room was available which was used for art and craft work. On the day of the inspection a church service was held in the main lounge and a local minister was said to visit on a regular basis. The activities coordinator said one service user was also taken out on occasions to a local church of their choice. A two weekly rota of planned activities was displayed on the notice board in the entrance hallway. This was noted to be quite high up at the rear of chairs and maybe difficult for some service users particularly wheelchair users to see. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 14 The range of activities offered included bingo, manicures, arts and crafts, regular entertainers also visited the home periodically. The home had access to a company minibus and some outings were arranged particularly during the summer months. Places visited included parks and shopping trips. Clothing companies also visited the home to enable service users to choose their own clothes. Records were kept where service users had been involved in activities and some individual time was spent with service users. Many service users were observed to have painted nails. Relatives spoken to said they were aware that activities were organised and said that they felt the service users were sometimes more settled after participating in whatever was organised. Questionnaires received back indicated that some service users did not like the range of activities on offer or did not consider that they had the capacity to take part. A 4 weekly rolling menu was available and the food served correlated with the planned menu. Choices were routinely offered for each meal and staff were observed serving food and offering a range of options. The dining room was well presented with tablecloths and flowers on the table. This was mainly used for the lunchtime meal with tea being served to many service users in the lounge or in bedrooms. The lunchtime meal was observed and was attractively served by staff wearing aprons. Service users spoken to said they enjoyed the food at the home and a number of empty plates were returned to the kitchen after service users had eaten. Where service users spent time in their bedrooms jugs of squash were observed and where necessary fluid balance charts were being documented. Generally the feedback from the questionnaires was positive regarding the food with only one comment stating that sandwiches for tea everyday, whilst the quality was good, was boring. There appeared to be a high number of visitors to the home during the inspection and relatives spoken to said they were always made welcome. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust policies, procedures and systems were in place to handle any complaints or allegations of abuse that may be raised relating to service users care. EVIDENCE: The Commission for Social Care Inspection had received one complaint since the last inspection on 11th October 2006. This was referred to the Company and concerned staff being on duty for long periods when having to escort service user to hospital during an emergency. The complaints procedure was displayed on a notice board in the entrance hall. This gave details of how to contact relevant persons in the Company and included the address of the Commission for Social Care Inspection. The Pre Inspection Questionnaire indicated that 10 complaints had been received at the home. The information supplied indicated that all complaints had been substantiated. The concerns raised ranged from ones relating to service users being noisy, the number of baths that were functioning, poor response to staff call system and the doorbell, dirty bedding and overhanging trees. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 16 2 Questionnaires received back also indicated that on occasions service users considered there was a slow response to the staff call system. An index of these was available however the details regarding how all of these had been investigated and resolved were not available. Three complaints were in the process of being investigated with written responses being drafted. The Acting Manager said that since commencing post in January 2007 he had held an open day each week where he would make himself available to discuss any issues that relatives or service users may have. Some relatives spoken were not aware of this initiative. There has been one referral made by the home relating to safeguarding adult concerns since the last inspection. This was an allegation that related to concerns outside of the home and did not affect any staff from the home. An adult protection policy was in place for the Company that referred to utilising locally agreed procedures which were also available. Training records indicated that staff had received training on Protection of vulnerable adults. Staff spoken to confirmed they knew of the locally agreed procedures. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was found to be generally well maintained and provided service users a comfortable range of lounges to use. EVIDENCE: A general tour of the environment was undertaken. The main lounge is situated on the first floor, the dining room and an adjacent conservatory being situated on the ground floor. An activities room is available for art and craftwork. The garden was found to be well maintained with a paved area for service users to sit out in the summer months. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 18 The home was found to be decoratively in good order apart from some peeling border in the dining room and was clean. Some staff areas such as drawers in the office/treatment room were found to be untidy. A handyman is employed who undertakes general maintenance, decorating, and ongoing health and safety checks on a range of aspects including checking of the fire safety system, window restrictors, wheelchairs and water temperatures. Annual records books were in place to be completed for all the checks undertaken. Some repairs required to the pot washer and a bath hoist were outstanding and had been for time whilst awaiting external contractors. One complaint had been received regarding the bathing facility. Some redecoration of corridors had taken place. Relatives spoken to had decorated and personalised the bedroom of their relative. Bedrooms viewed were all noted to be different and had personal effects belonging to the service users. Relatives spoken to said they tended to find the home clean and without any odours. Some concerns were raised by relatives regarding the doors to the dining room which had recently being consistently closed. The relatives said the doors were heavy and service users had some difficulty opening them so therefore had restricted movement around the home. There was also concern that some chairs had been removed where some service users used to sit which had caused some restlessness. This was discussed with the Acting Manager. The questionnaires from service users received confirmed a general opinion that the home was always fresh and clean. The laundry area was fitted with two washers and 2 dryers. It was tidily kept and appeared to be organised with hanging rails and a basket system for returning clothes to service users. Relatives spoken said the laundry staff were ‘marvellous’ and the service received was good. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff group at the home were knowledgeable about the service users and were receiving regular training to ensure that they could meet service users assessed needs. EVIDENCE: The occupancy of the home on the day of the visit was 40 service users. 26 service users required nursing care, 14 service users required personal care only. The typical staffing levels at the home were 1 nurse on duty for all shifts with 6 care staff for morning and afternoon shifts. At nights there was one qualified nurse and 3 care staff. Additional staff employed included an administrator, handyman and an activities coordinator. The home has a number of regular bank staff who cover any gaps, occasional staff from agencies have sometimes been used. A team of staff were also employed in the kitchen and for domestic/laundry services. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 20 All staff spoken to appeared to have a positive regard for service users and displayed knowledge of service users assessed needs. There were 24 care staff employed at the home of which 9 held NVQ (National Vocational Qualification) level 2 in care qualifications, less than the National Minimum Standard required of 50 . Discussions with the Acting Manager confirmed that 10 staff had begun NVQ (National Vocational Qualification) courses. A sample of staff personnel files were examined. These contained the required application forms, Criminal Records Bureau checks and records of interviews. Where staff had left the home and returned to recommence employment whist new Criminal Records Bureau were completed the referees given were generally staff from the home including the Manager and Deputy manager in these circumstances there were not written references in place. Training records were held indicated that staff had received a range of training in October/November 2006 this included Basic Food Hygiene, moving and handling, fire safety, nutrition, infection control, health and safety and control of substances hazardous to health. Training had tended to be delivered over a two-month period with scope for staff to attend training at other homes in the Company if staff were unable to attend for any reason. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35,37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are quality assurance processes in place to ensure there is ongoing monitoring of the service provided to service users. Management of service users monies is poor and does not ensure there is protection for service users. EVIDENCE: The Managers post is currently vacant. An Acting Manager has been in post since January 2007 who has yet to submit an application to register with the Commission for Social Care Inspection. Assurances were given that the application would be promptly submitted. The Acting Manager reported that they had recently completed the Registered Managers Award. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 22 Over the past year there has been a number of Managers in post and this affected the continuity and availability of some records for example some details relating to complaints and the known outcomes. The quality assurance systems in place were discussed and examined. Documented visits made on behalf of the Company were available on an approximately monthly basis. These indicated that service user and staff were spoken and a wide range of records examined. Monthly quality assurance audits were also completed which considered all aspects the service from the environment to the number of accidents that had occurred. The findings of this were incorporated into an action plan. The new Acting Manager had held staff meetings this included some departmental meetings for example with domestic staff. A relatives/ service users meeting was scheduled for the evening of the day of the inspection. Details of this were on a notice board in the reception area. A valid public liability certificate was on display this was out of ate at the last visit and meets a previously listed requirement. Records for establishing financial liability were not requested at this visit. Some service users monies were stored safely on behalf of service users. Some of this is held in cash at the home with the majority being held in an interest bearing bank account. Records were found to be poorly audited with staff having no record of how much cash was held at the home. There was no balancing of the accounts to ensure that all monies held were accurate. The records indicated that 22 service users owed money to the account (fellow service users monies). This money has been ‘loaned’ without the express consent of the service users who money is held in the account and will have led to a loss of interest. The interest accrued had not been proportioned to service users and it could not be identified how much interest was actually in the account. Some service users had significant amounts of money in the account that it would probably be in their best interest to be in other interest bearing accounts. The policies relating to service users finances were not being followed in this respect. Individual account records of transaction were recorded and receipts retained. The Pre Inspection Questionnaire completed by the Acting Manager indicated the dates of all service equipment checks which had been appropriately Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 23 completed. A monthly health and safety meeting is held between staff at the home and minutes kept. Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 3 1 x x 3 Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 OP9 Regulation 13(2) Schedule 3 Requirement Medication administration records must accurately record the name of the drug and the actual dosage administered to ensure that service users receive the right drug and maintain a complete record of treatment Medication administration records must be fully completed to ensure it is known that service users have received medication or a reason is known as to why omissions have been made Staff must receive NVQ (National Vocational Qualification) training to ensure that 50 of care staff are qualified to deliver care to service users The Provider must appoint and register a Manager with the Commission for Social Care Inspection The system for storing and recording service users monies must be robust and regularly audited to ensure there is adequate protection for service users Service users personal records DS0000002053.V333364.R01.S.doc Timescale for action 31/05/07 2 OP9 13(2) Schedule 3 31/05/07 3 OP28 18(1)(c) 31/08/07 4 OP31 8 30/05/07 5 OP35 16(2)(l) 31/05/07 6 OP37 17(1)(b) 31/05/07 Page 26 Eckington Court Nursing Home Version 5.2 must be securely stored to prevent unauthorised access at all times Previous timescale unmet 31/10/06 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 OP9 Good Practice Recommendations Where medication administration records are handwritten it is good practice that these should be checked and verified by two staff to ensure service users receive the right medications Where references are accepted from employees within the company these must be fully documented to evidence safe and good practice of staff 2 OP29 Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eckington Court Nursing Home DS0000002053.V333364.R01.S.doc Version 5.2 Page 28 - 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!