Inspection on 31/07/06 for Elizabeth Road Nursing Home

This inspection was carried out on 31st July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Elizabeth Road Nursing Home 10/12/07

Elizabeth Road Nursing Home 17/02/06

Elizabeth Road Nursing Home 27/10/04

Elizabeth Road Nursing Home 02/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Elizabeth Road Nursing Home 45 Elizabeth Road Huyton Liverpool Merseyside L36 0TG Lead Inspector Mrs Janet Marshall Unannounced Inspection 31st July 2006 10:00 Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 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 Elizabeth Road Nursing Home DS0000005456.V296351.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 Adults 18-65. 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. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elizabeth Road Nursing Home Address 45 Elizabeth Road Huyton Liverpool Merseyside L36 0TG 0151 4430732 0151 4430732 elizabethroad@c-i-c.co.uk www.c-i-c.co.uk. Community Integrated Care 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) Miss Geraldine Atkinson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 5 LD Date of last inspection Brief Description of the Service: Elizabeth Road is a bungalow providing accommodation & nursing care for up to 5 adults with a learning disability. The service is provided by Community Integrated Care (CIC), a voluntary organisation and is managed by Ms Geraldine Atkinson, a qualified nurse. The home is located in a residential estate, in Huyton. As a bungalow, all accommodation is located on one level. There is a private garden to the rear of the bungalow. Shops are a short distance by transport, along with leisure and community facilities. Buses and other transport serve the area and Liverpool/Merseyside is accessible. On street parking is available for visitors. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The inspection was unannounced and took place for a total of 6 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified in bold within the main body of the report, were inspected during this inspection. During the site visit the requirements and recommendations from the last inspection report were discussed and checked with the deputy manager. A number of them have been met. Those that have not have been raised again as part of this report as well as a number of requirements identified during this visit. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of resident’s care plans, daily diaries, medical notes, and medication and associated records, staff rotas and certificates of health and safety checks. Two residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live at the home and how that person’s needs are being met. Prior to the site visit the commission sent out to the home a pre - inspection questionnaire. The document was completed in good detail and returned several weeks before the inspection. Information provided has been used as evidence in parts of this report. The housekeeper and two members of staff were interviewed during the site visit. The nature of the disability of the residents is such that it was not always possible to obtain direct views about their experiences, however, non-verbal communication and general observations took place throughout the visit and have been used towards measuring standards for the purpose of this report What the service does well: Resident’s benefit from a home, which was, clean and tidy. There was a warm and friendly atmosphere at the home. Residents who live at the home have very complex needs and find communication difficult. Staff are very aware of the individual, their likes/dislikes, and what behaviour/gestures are communicating about the resident. This comes from an in depth knowledge and skill in being able to communicate with residents where verbal communication is not always possible. Staff were sensitive caring and patient in their approach to residents. Care plans are very detailed, positive & empowering. Pictures are used to help residents be aware of and understand aspects of their care. Detailed advice regarding resident’s gestures/behaviour & what this means is provided for staff. All support staff are in various stages of completing NVQ Levels 2 & 3 in Care. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Policies and procedures are in place, which ensure that prospective residents needs are assessed and can be met by the home. EVIDENCE: There have been no new residents admitted to the home in the last twelve months. Previous inspections have evidenced that a full and proper assessment has been carried out by appropriate people for each person before they were admitted to the home. The Pre – inspection questionnaire shows that a referral and admission policy is in place at the home. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Resident’s needs are reflected in their individual plans of care, however the appropriate support is not always given to enable residents to make decisions. EVIDENCE: A care plan for each person was viewed at the home. The care plans for two residents who were case tracked were looked at in detail. Care plans included a good amount of information about the person. They covered areas such as care and support, home life and privacy, health and personal care and staying safe. Care plans examined showed that they have been reviewed and updated since the last inspection. During interviews staff showed a good awareness and understanding of residents care plans. They said that they are easily accessible and refer to them on a regular basis. Staff are in the process of developing an Essential Lifestyle Plan for each person. A completed Essential Lifestyle Plan was viewed for one resident. The plan, which was well presented, provided very good information about the person. All the residents that live at the home have complex learning and physical disabilities and find verbal communication difficult because of this residents Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 10 were unable to verbally express their views, opinions and experiences about the service. However resident’s responses were obtained in a number of other ways such as through gestures, sounds and body language. General observations took place throughout the visit and have been used towards measuring standards for the purpose of this report. Observation and discussion with carers showed that they have an excellent knowledge of residents likes/dislikes and actively encourages them to have as much choice control as they can, in areas such as food, activities, clothes choices, interaction and communication. These are all recorded in detail. One resident however has had a long-standing issue with not being in control or direct receipt of their benefits. This issue was raised as a requirement as part of the last inspection report. This was discussed with the deputy manager as part of this inspection, he confirmed that the issue has not yet been fully resolved. This means the person continues to have no choice or control over their personal affairs but is led by when she can access funds that a third party chooses to give to the home. This is an infringement of the person’s rights, legally entitled income must be available at the home for the resident to access freely. The risk assessments of the resident’s case tracked were examined. Risk assessments were in place for the resident’s health, well-being, vulnerability, diet, mobility and the environment. These were all detailed & relevant and showed that they have been reviewed and updated since the last inspection. They were also linked to the resident’s Essential Lifestyle Plan (ELP). It was evident that taking calculated risks are promoted by the home to enhance the independence of the resident. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15, 16 & 17. The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents are encouraged to live an independent and healthy lifestyle. EVIDENCE: All residents are involved in activities both in and outside of the home. Records for those residents who were case tracked showed that they have a structured timetable, which is consistent with their assessed needs and plans of care. Care plans that were viewed included a good level of information about residents preferred hobbies and interests. During discussion staff spoke about the activities that residents are supported to take part in. Discussion with staff and information provided in the pre inspection questionnaire evidenced the following activities outside the home, shopping trips, visits to the local pub, walks in the park, swimming and meals out. Activities at home include painting, art and craft, cooking, music and indoor games. Discussion with staff clearly showed that they encourage and support residents to access recreational activities, however some daily records that were viewed did not always show this. Staff were advised to keep an up to date record of residents involvement in recreational activities. On the day of Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 12 the visit all residents were at home. Staff were observed supporting residents with their routines which were in line with their individual plans of care. Discussion with staff and examination of records showed family links and relationships are encouraged and supported for all residents. Staff confirmed that residents receive visitors at the home. A visitor’s book, which was available at the home, evidenced this. Staff were seen interacting positively with all residents throughout the visit. The home has a communal lounge kitchen and dinning room, residents occupied all shared rooms at intervals throughout the visit. Residents have access to all parts of the home other than each other’s bedrooms unless invited. Breakfast and lunch was served during the inspection. All residents need support and assistance at meal times. Staff were observed providing assistance in a sensitive and flexible way. Meals were unrushed and relaxed. Due to limitations residents are not involved in the preparation of food, all meals are prepared by staff. Care plans provide staff with details of residents likes and dislikes with regard to food. During discussion a member of staff confirmed their knowledge of a residents food preferences, the information given was recorded in the persons care plan. The dining room was bright and cheery. The kitchen was equipped with domestic style crockery, cutlery and appliances. On the day of the visit staff were seen offering residents drinks and snacks outside of usual meal times. Food stores that were examined were well stocked with fresh, frozen and dried goods. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The quality outcome in this area is adequate. This judgement has been made using available evidence including a site visit. Appropriate personal and healthcare support is provided to residents, however this is undermined by practices for dealing with medicines. EVIDENCE: All residents require assistance with personal care including advice, guidance & support. Care plans that were examined had a detailed and agreed routine, which showed a great deal of staff input & guidance and the importance of the routine for the residents. Observation showed that staff were patient and caring in their approach. This was also supported by comments made by a visiting health care professional who said, “the staff are all very caring, they always treat residents with respect”. Regular reviews allow staff to address any issues or changes to care that may be necessary. Examination of records and discussion with staff confirmed this. Staff were observed supporting residents with personal care. This was done in a way that ensured the privacy and dignity of the resident. For example support was carried out in the privacy of the persons own room and the bathroom. Residents were given time on their own to relax in the bath. Staff were seen knocking on doors before entering room occupied by residents. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 14 During interviews staff were asked about the way that they support residents with personal and healthcare. They provided the following responses: “Always close doors when assisting residents with personal care” “Talk to residents when helping them” “Make sure windows and blinds are closed” Information about the needs of the residents with their personal care was recorded in their care plan. It was reported that there are no restrictions on the times that resident are supported with having a bath or going to bed etc. and the residents are reported to use non verbal communication to indicate that they want support with these tasks. Each persons care plan included information relating to their health care needs. They included target and actual dates for health checks, which were up to date. It was evidenced during discussion with staff and on examination of records that relevant health professionals are referred to as appropriate. Records indicated that the residents are regularly supported to attend health related appointments and that staff have followed up concerns appropriately. A member of staff said, “An important part of my job is to report and record any changes in residents health care and to support residents to attend appointments”. Where a resident requires support with a specific health condition there is information on the condition and guidelines are in place for how to support the person. The home had a medication policy. A trained nurse administers medication to residents at all times. Records were maintained of medication received and administered and there was a system for stock checking medication. On the day of the site visit medication stock records were incorrect for some medications. An immediate requirement was given for this as part of this inspection. The manager must ensure that staff are aware of how to complete these records accurately and the manager should audit the records to ensure that they are accurate at all times. Guidelines for the administration of as required medication were in place. Medication administration records were not accurate as there were some gaps in signatures. All medication administration records sheets relating to residents must be completed at the appropriate time. There were items of unused medication stored at the home this must disposed of appropriately. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is adequate. This judgement has been made using available evidence including a site visit. The home has appropriate procedures in place for responding to concerns and complaints and for ensuring that residents are safe from abuse or neglect, however, residents are at risk because staff do not have all the skills that are required in dealing with protection issues. EVIDENCE: A complaints procedure was available at the home. The procedure included details of how a person can make a complaint, the timescales involved and details of the Commission for Social Care and Inspection. Staff interviewed said that are familiar with the homes complaints procedure and would be confident about telling somebody if they were unhappy. A complaints book was viewed at the home. There were no complaints recorded in the book. A copy of the Local Authorities most recent protection of vulnerable adults procedure was available at the home. During interviews staff lacked confidence about what they would do if they suspected abuse or following an allegation of abuse. Records and discussion with staff showed that they have not completed protection of vulnerable adults training. All staff must complete protection of vulnerable adults training so that they know what to do following suspicion or allegation of abuse. The issue regarding the management of one resident’s personal money needs to be addressed as described on Page 11 of this report. Appropriate action must be taken to ensure the full protection of the resident. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 16 Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home is clean, bright and spacious providing a pleasant environment for residents, however, a number of improvements are required to ensure their complete comfort and safety. EVIDENCE: The home is located in a popular residential area of Huyton. It is close to public transport links and community services and facilities. Relationships with neighbours were reported as being good. A tour of the home took place on the day of the visit. This showed that most parts of the home were generally well maintained with some minor improvements required. These are described further on in this part of the report. All parts of the home were clean, tidy and hygienic. There was a warm and friendly atmosphere at the home at all times during the visit. This was also confirmed by a health care professional who said, “the home always has a nice feeling and staff are always welcoming”. A housekeeper who is employed at the home is responsible for the general day-to-day cleaning of all areas of the home. The homes health and safety file included information about the use and storage of hazardous substances. There was sufficient cleaning equipment and Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 18 products available at the home. Observation showed that they were stored and used in accordance with the homes policies and procedures. All residents’ bedrooms were viewed on the day of the visit. They were all nicely decorated and furnished to a good standard. All rooms were personalised and included items such as music centres, televisions, lights and pictures. At intervals throughout the visit residents were seen watching TV and relaxing in their own rooms. Some parts of the corridors showed signs of wear and tear for example skirting boards and doorframes were chipped and in need of painting. This was discussed with staff that said that a request to redecorate the area has been made. The carpet in the lounge, which is damaged, must be replaced. Since the last inspection a new hoist has been provided. A member of staff confirmed that the hoist was in good working order and appropriate for the needs of the residents. During discussion staff described potential hazards associated with the positioning of an electrical socket in a residents bedroom. The sockets, which were viewed pose a risk to the resident and must be re - positioned or made safe by other means, to minimise the risk to the resident. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The staff team have many good qualities, however they have not completed training required to meet all the assessed needs of the residents. EVIDENCE: Records that were examined showed that staff have completed some training that is required of them. Recent training includes fire safety, first aid and manual handling. Records however showed that refresher courses are required in areas of mandatory training. This is required so that staff have up to date knowledge about practices and procedures in relation to the health safety and welfare of residents. Training records seen showed that staff have completed a National Vocational Qualification level 2 or 3 in care. Policies and procedures for the recruitment and selection of staff were available at the home. Staff files were not available for inspection on this occasion however, examination of staff records at previous inspections showed that the home follow robust procedures which ensure the protection of residents. A member of staff explained the recruitment process they had undertaken. This included, completing an application, interview and checks including 2 references and a Criminal Bureau Check. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 20 Staff were observed interacting with residents at intervals throughout the inspection. Observation and discussion showed that staff have an in depth knowledge and understanding of each persons individual and joint needs. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Overall the resident’s benefit from a well run home, however their health and safety is not fully protected putting them at risk. EVIDENCE: The registered manager of the home was not on duty on the day of the visit. The inspection was carried out with the deputy manager. Previous inspections have evidenced that the manager is competent and qualified at her job. Staff were complimentary about the manager and the way that the home is run. Comments made by staff which supported this included: “The home is run fantastically” “The manager is very supportive” “Communication is very good” “The home is run in the best interests of the residents” “The home is run very well” “The manager is always willing to talk to you and is easy to approach” Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 22 In principle the health safety and welfare of residents are well protected this was supported by a comprehensive set of policies and procedures, which were available at the home and detailed in the pre – inspection questionnaire. However, training that is required to be completed by staff as described on page 19 of this report, and records that are not up to date, as described on page 11, have the potential to put residents at risk. The pre – inspection questionnaire showed that safety checks have been carried out on most parts of the environment and equipment used at the home. The questionnaire did not provide details of up to date checks on the homes gas and electricity systems. Clarification of this was requested on the day of the visit. Certificates to show that the systems were safe could not be located. A request was made for the information to be forwarded onto the Commission with in a set timescale following the inspection. Copies of certificates that were sent to the commission showed that the systems were safe following checks carried out at the required intervals. A requirement was given as part of the last inspection report for fire drills to take place at the required intervals. Records seen and discussion with staff showed that these are now being carried out as required. As part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations 2001 Amended (2004), a representative for the home visits the premises monthly. They interview residents and staff, check records and inspect the environment. It is important that this is done to check the standard of care in the home. Following the visit a report detailing the visit is written and a copy is sent to the Commission. Records show that the visits and reports are being carried out each month as required. Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 24 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 YA23 Regulation 13(6) Requirement The resident identified at the inspection must receive all monies awarded to them & this must be addressed via negotiation or referral to appropriate agencies. Communal carpets must be replaced. The electrical sockets in a resident’s bedroom must be made safe. The carpet in the bedroom identified must be replaced. Health and safety training must be updated for all staff. Arrangements must be made for all staff to complete protection of vulnerable adults training. Medication records must be kept up to date. Medication, which is no longer required, must be appropriately disposed of. Timescale for action 30/10/06 2. 3. 4. 5. 6. 7. 8. YA28 YA24 YA26 YA35 YA23 YA20 YA20 23(2)(b) 12(1)(a) 23(2)(b) 12(1)(a) 18(1)(c )(i) 13(6) 13(2) 13(2) 23/11/06 23/09/06 23/11/06 23/11/06 23/10/06 07/08/06 14/08/06 Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Elizabeth Road Nursing Home DS0000005456.V296351.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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