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Please note that the information on this website is now out of date.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 19/09/06 for Firbank Private Nursing Home

Also see our care home review for Firbank Private Nursing Home for more information

This inspection was carried out on 19th September 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 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 was peaceful and offered a relaxed pleasant atmosphere. Staff were friendly and good humoured with residents and visitors to the home and they undertook their caring duties in a professional manner. One resident said he was, `happy with the care` and his `privacy and dignity was maintained`. Information about the home and the services provided was readily available at the main entrance. Residents were very complimentary about living in the home and praised both the manager and staff. The staff team were very caring and committed to the home. Residents described the staff as `lovely` Residents appeared well cared for with attention to hair, nails and clothing coordination. Staffing levels in the home were appropriate to meet the dependency levels of the residents. Staff were trained and more than half the care staff team had a NVQ 2 qualification. Staff spoken with were positive about working in the home and said that they worked well as a team.

What has improved since the last inspection?

Major improvements were noted at this visit in the quality and content of the care planning records. These were much more detailed and so provided a clear picture of each resident`s care needs and their preferences and informed how each care need was to be met. Information and care plans for ensuring resident`s social needs had been recorded but these do need more work. Employment vetting to ensure new staff are suitable to work with vulnerable adults had improved. The areas of concern identified at the last inspection visit regarding the problems in relation to plumbing in the home had been sorted out and residents said they had hot water. Some bedrooms had benefited from redecoration and repairs of faulty or damaged electrical sockets had been undertaken. Previously nurse call system for an adjacent property (Rose Garden) was wired into the nurse call system in Firbank. This had been de-activated.

What the care home could do better:

Improvements are needed in the recording of medication coming into the home and in the writing of other medication records. Social activities could be developed further and records for each resident wishes or preferences for social stimulation could be improved. The manager should ensure that staff attend the free training on protecting vulnerable adults from abuse which is provided by Stockport`s Social Services. Consideration should be given to reducing the number of shared bedrooms in the home to ensure resident`s privacy and dignity are not compromised. The owner of the home should ensure staff have a procedure to follow which enables them to respond immediately and directly with any environmental emergency that may arise such as a plumbing or electrical fault.

CARE HOMES FOR OLDER PEOPLE Firbank Private Nursing Home 81 Fir Road Bramhall Stockport Cheshire SK7 2JF Lead Inspector Tracey Rasmussen Unannounced Inspection 19th September 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Firbank Private Nursing Home DS0000017294.V309242.R02.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. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Firbank Private Nursing Home Address 81 Fir Road Bramhall Stockport Cheshire SK7 2JF 0161 440 8725 0161 439 8828 firbank@smallwoodcarehomes.co.uk www.smallwoodcarehomes.co.uk Smallwood Homes Ltd 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) Mrs Sarah Catherine Regester Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (21), Terminally ill (2) of places Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service user may be received in the home who is less than 50 years old, male/female. 16th February 2006 Date of last inspection Brief Description of the Service: Firbank Nursing Home is a care home that provides 24 hour nursing care and accommodation to 21 adult service users. Many of the residents accommodated at the home have high physical dependency needs. The home is privately owned by Smallwood Homes Ltd. Firbank Nursing Home is situated on a quiet leafy residential road in Bramhall. Bramhall village, local shops, churches and Bramhall Park are close by. Local bus services are also available. A small driveway leads to a car park and the main entrance to the home. Outside, to the front and rear of the home, there are pleasant garden areas which are accessible to service users. The home is a two storey building, converted some years ago to a care home. Fifteen bedrooms are single rooms and three are shared rooms. Two single bedrooms and one shared room have en-suite facilities. Assisted bathing facilities are available on both floors. There is one lounge, which also provides has a small dining table. A separate dining room is not available. Residents have a choice of spending time in their rooms or in the lounge. Well maintained enclosed gardens at the rear of the home are accessible from doors off the lounge. A variety of adaptations and aids are provided to assist in the nursing of the service users and this includes a passenger lift and hoists. The current weekly fees range from £495.00 to £665.00. Further details regarding fees are available from the manager. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection site visit was undertaken by one inspector on the 19th September 2006 and was completed in the course of one day. The inspection included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. All key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices, talking with residents; speaking with visitors; interviewing the manager and other members of the staff team. A tour of the home was also undertaken and a sample of care, employment and health and safety records seen. Questionnaires for both residents and staff were left at the home and comments from these are included in this report where applicable. Almost all the requirements made at the last inspection had been addressed and a significant improvement was noted in the quality of the home’s care planning records. A brief explanation of the inspection process was provided to the nurse in charge of the home at the beginning of the visit and time was spent with the nurse and General Manager at the end of the visit to provide verbal feedback of the findings from the inspection site visit. The manager was on leave at this visit, however feedback was provided to the manager upon her return to work. What the service does well: The home was peaceful and offered a relaxed pleasant atmosphere. Staff were friendly and good humoured with residents and visitors to the home and they undertook their caring duties in a professional manner. One resident said he was, ‘happy with the care’ and his ‘privacy and dignity was maintained’. Information about the home and the services provided was readily available at the main entrance. Residents were very complimentary about living in the home and praised both the manager and staff. The staff team were very caring and committed to the home. Residents described the staff as ‘lovely’ Residents appeared well cared for with attention to hair, nails and clothing coordination. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 6 Staffing levels in the home were appropriate to meet the dependency levels of the residents. Staff were trained and more than half the care staff team had a NVQ 2 qualification. Staff spoken with were positive about working in the home and said that they worked well as a team. 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. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. Residents are supplied with up to date information about the services the home offers and so can make a fully informed decision about the suitability of the home. This judgment has been made using available evidence including a visit to the service EVIDENCE: A Statement of Purpose and Service User Guide, which contain information about the home and the services the home provides, were available in the hallway at the entrance of the home. The information guides were provided in a pack and this included a summary of the last inspection report, information explaining the home’s terms and conditions of residency, information about making a complaint and a copy of the home’s activity plan for the month of September. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 10 Three resident care files were seen and these contained detailed information about each of the residents care needs. The care records included information that indicated that the home had made pre-admission assessments or checks on the resident’s care needs before they came into the home. This enabled the manager of the home to assess whether the new resident’s care needs could be met properly by the services provided in the home. Other professional assessments from social workers and from community nurses were also available on the residents care files. This information provided a more detailed picture of the new resident’s care needs and enabled the home to prepare for the arrival of the new resident. The home had written care plans detailing the type of care and support that would be required in response to the identified needs from these assessments. Residents and their relatives spoken with were very positive about the home. One relative of a newer resident in the home said ‘We are very happy here. staff are very kind’. Another resident said ‘I am fortunate to be here’ Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 11 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 and 10 Quality in this outcome area is good. Residents receive care and support in a respectful and dignified manner. The care planning documentation was sufficient to meet the personal and health care needs of residents. Some medication recording practices could be better. This judgment has been made using available evidence including a visit to the service EVIDENCE: The home provides nursing, care and support across a range of needs. A number of residents were spoken to and all provided positive feed back about living in the home. One resident stated that it’s “a lovely place here” and “people are not rushing about”. Another resident said ‘the staff are lovely” and a relative said the “nothing was too much trouble”. Two residents said it was ‘ok’ living in the home. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 12 Residents were presentable and dressed according to their preference, clothing co-ordinated, hair was set and finger nails were manicured. The home was calm and peaceful. Staff chatted with residents in a calm relaxed manner and there was good camaraderie observed between some residents and staff. Some residents were cared for in bed and this was reported to be in response to their care needs. Staff were respectful, attentive and caring in their approaches and interactions with residents. Staff spoken with were cheerful about working in the home and spoke positively about the care they provided and were complimentary about the manager of the home. Significant improvements were observed in the home’s care planning documentation. Care plans viewed contained assessment information based on the activities of daily living, moving and handling, nutritional, falls, skin and Waterlow assessments. Where a risk or need was identified then a care plan was recorded. The majority of the care plans seen had very good care plan interventions which explained how care was to be given according to the diverse needs and wishes of the resident (person centred care). Care plans also included references to promoting privacy and dignity. Two out of the three care plans seen did not have much information in respect of the resident’s social needs, although the manager did state that these care files were for the newer residents in the home. This should be developed further. Records of contact with community health services such as GP, tissue viability and optical support were available. Medication recording practices were not always safe. Records of all medication entering the home were not consistently recorded which means that the home could not track the amount of medication in the home. Other recordings on some of the resident’s medication administration record sheet were also missing. The manager should review medication recording practices and ensure all staff work to a consistent safe standard. Staff said they were trained and supported to provide a high standard of care. Over half the staff had achieved and NVQ 2 and a number of these staff also had a NVQ3. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15 Quality in this outcome area is good. Life style choices are available and visitors are welcome in the home at any time although not all resident’s social needs are met. The quality of food provided is good. This judgment has been made using available evidence including a visit to the service EVIDENCE: The main entrance of the home has various information posters and leaflets displayed. This included the minutes (from August) of the last Resident’s Forum meeting, an activity schedule for September; information and invitation to the local Harvest festival at the local Christian church and an invitation from the local PCT inviting people to comment on the areas health care needs. Staff spoken with said that there wasn’t always time to undertake activities, however they tried to do something in the afternoons. One young ‘work experience’ student on placement from the local school said she had been involved in some activities such as playing dominoes. At this visit the student played the piano in the lounge. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 14 A care assistant said that the residents currently living in the home didn’t like group activities, so one to one and reminiscence activities were undertaken. Care plan records of social needs were available in the one of the care files seen and this did refer to the resident’s social assessment and preferences. This had been evaluated regularly and did contain information about what social activity or interaction had been undertaken including one to one time. Staff were observed providing care and attention to residents in a relaxed unhurried manner. Upon arrival in the home there was only one resident sat in the lounge and residents were assisted to sit comfortably in the lounge throughout the course of the morning. Attention was paid to ensuring residents seated comfortably. One resident was assisted to sit down and then helped to listen to her choice of music through her headphones. During this visit many relatives and visitors called at the home and they made themselves ‘at home.’ One resident spoken with did say they went out regularly with family members. A written menu of the meals served in the home was not available, however the cook did say that the menu was decided the day before and that residents were asked their preference. The cook said that the home’s chef was aware of each resident’s preferences and so planned meals accordingly. If a resident did not like what was on offer they could request an alternative and the home would endeavour to provide this. Specialist diets are also provided. A menu plan does need to be recorded and made available to residents to ensure that a balanced varied and nutritional diet is offered. Residents said the food was good. The main meal of the day at this visit was cottage pie or sausages with rice pudding or apple pie for pudding. Residents were assisted discreetly to enjoy their meal. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents are protected from abuse and can be confident that complaints will be treated seriously. This judgment has been made using available evidence including a visit to the service EVIDENCE: A copy of the complaints procedure was available in the home and the home’s information packs also contained a copy of the complaint. The home had had no complaints. The general manager said he felt the resident’s forum that was held regularly and the twice-yearly resident quality assurance questionnaires enabled issues to be dealt with before they became complaints. Residents spoken with said they had no complaints and felt able to discuss their concerns with the manager or the nurse. Staff said that they would inform the manager or nurse if they received a complaint. Staff at interview did say they had had training in abuse- this included induction training and NVQ training. The home has not fully used the free protecting vulnerable adults training (Alerter Training) provided by Stockport Social Services and a recommendation was made at the last inspection for the home to make use of this valuable resource. It is recommended that staff are sent on this training. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 16 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, 23 and 26 Quality in this outcome area is adequate. Residents live in a clean and tidy home which needs redecoration and refurbishment. Shared bedroom accommodation does not provide adequate personal space for the residents. This judgment has been made using available evidence including a visit to the service EVIDENCE: Firbank Private Nursing Home is not a purpose built care home and as a result there are areas within the home that are cramped. This means that space is limited in the home especially when equipment such as hoists are used and as a resulot bathrooms double as storage areas for the hoists when they are not in use. The home does not have a separate dining room nor is there enough communal space to provide one of sufficient size for the residents living in the home. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 17 The kitchen and laundry were clean and tidy. The garden areas were neat and presentable with a patio and furniture which resident’s said they enjoyed in good weather. The home was clean and odour free and domestic staff were observed to be thorough in undertaking their duties. Some redecoration had been undertaken in the home, however further redecoration and renewal of furnishings needs to continue. The areas of concern identified at the last inspection (lack of hot water and damaged electrical sockets had been addressed). All resident spoken to confirmed they now had hot water in their bedrooms. The home has three shared bedrooms – at this visit all three rooms were on the first floor. Two out of the three shared bedrooms were very small and cramped which meant that space to move around the bedroom was limited and in one room the bed had to moved to open the door of the wardrobe. Resident’s privacy and dignity was also compromised in the small rooms and privacy curtaining did little to increase privacy because the bedrooms were so small. The resident’s occupying these rooms did not appear able to comment on their surroundings. The owner should consider reducing the number of shared rooms in the home. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 18 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 good. Recruitment vetting practices, staffing levels, training and skill mix were appropriate to meet residents’ needs and promote their health and safety. This judgment has been made using available evidence including a visit to the service. EVIDENCE: The home has a pleasant relaxed atmosphere and all staff spoken with were good humoured and at ease. Staff were positive about working in the home and said they enjoyed working there. Comments from resident included ‘the staff are lovely’ and ‘the girls are nice’ NVQ training was well established in the home, over 50 of the staff had the level 2 qualification. A number of staff also had NVQ level 3. Three employment files for newer staff to the home were seen and these contained the required pre-employment checks such as Criminal Record Bureau (CRB) disclosures, PovaFirsts and references. This means that the home has ensured as far as possible that new staff working in the home do not have a history of abusing people. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 19 Records were available to indicate that the home did train it’s staff from the start of employment with induction training to on going training and NVQ. Induction training booklets were not available these were reported to be held by the staff members. A staff member at interview confirmed she had had induction training and could detail the areas covered by this. Staff records did contain a range of training certificates. Staff files also had evidence that staff appraisal and supervision was undertaken. The staffing rotas indicated that there was four care staff on in the morning plus a registered nurse and this reduced to three care staff and a registered nurse in the afternoon. The staffing levels did appear appropriate to meet resident’s needs, however staff spoken with felt that on occasion staffing levels were not sufficient to meet the resident’s high dependency needs. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 20 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. The management of the home promotes the health, safety and wellbeing of the residents. Residents do have a say in how the home is run. Arrangements are in place to ensure resident’s money is safe. This judgment has been made using available evidence including a visit to the service EVIDENCE: Residents, relatives and staff were positive about the contribution the manager makes to the home. All said the manager was accessible and very willing to listen and act on concerns. The manager has completed her NVQ 4 in management. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 21 Residents and relatives meetings – ‘The Resident’s Forum’ are held regularly and minutes indicate that families and staff discuss future activities and events in the home. Minutes of staff meetings were also available. Business and financial plans were available for the home and questionnaires were reported to have been sent out although the General Manager stated the home did not usually get a good response to these. Safe systems had been established to ensure resident’s personal monies were handled safely. Records were available of staff supervision. Fire safety records, maintenance records and health and safety training records were available and indicated regularly monitoring and checks were undertaken in the home. It was confirmed that a procedure for staff to respond immediately to emergencies in the home such as a water leak had not been developed. Nursing staff had to contact the owner in the event of an emergency and he decided what course of action was to be taken. The last inspection identified that the home had to wait a number of days before a plumber was called. An emergency procedure should be available to staff so appropriate action is undertaken immediately in the event of an environmental emergency in the home. Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 22 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 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x 2 x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 2 Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 Requirement The registered person must ensure that a current, accurate record is maintained of all medications entering the home Timescale for action 15/10/06 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 The registered person should ensure that handwritten medication details on the medication administration records are signed and dated by the person writing the record and the details are validated by the staff member and an additional member of staff. The registered person should increase the number of dedicated activity hours, so that activities can be provided each day. The registered person should ensure that all staff attend one of the ‘Alerter’ training courses provided by Stockport Social Services. The registered person should ensure that internal DS0000017294.V309242.R02.S.doc Version 5.2 Page 24 2. OP12 3. OP18 4. OP19 Firbank Private Nursing Home redecoration and refurbishment continue to be undertaken. 5. OP23 The registered person should reduce the number of shared bedrooms to provide spacious single accommodation and promote the privacy and dignity of the resident. The registered person should ensure that an emergency procedure should be available to staff so appropriate action is undertaken immediately in the event of a physical emergency in the home. 6. OP38 Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Firbank Private Nursing Home DS0000017294.V309242.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!