Inspection on 13/02/06 for Gallions View Nursing Home

This inspection was carried out on 13th February 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Gallions View Nursing Home 19/08/08

Gallions View Nursing Home 25/06/07

Gallions View Nursing Home 24/07/06

Gallions View Nursing Home 25/07/05

Gallions View Nursing Home 21/12/04

Gallions View Nursing Home 05/08/04

Gallions View Nursing Home 10/02/04

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

CARE HOMES FOR OLDER PEOPLE Gallions View Nursing Home 20 Pier Way Thamesmead London SE28 OEU Lead Inspector Sue Grindlay Unannounced Inspection 13th February 2006 10:00 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 Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Gallions View Nursing Home Address 20 Pier Way Thamesmead London SE28 OEU 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) 020 8316 1079 020 8854 5331 www.bupa.com BUPA Care Homes (CFHCare) Limited ***Post Vacant*** Care Home 120 Category(ies) of Dementia (30), Old age, not falling within any registration, with number other category (90) of places Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 90 beds for general nursing care of people aged 50 years 30 beds for people with dementia aged 50 years Date of last inspection 25th July 2005 Brief Description of the Service: Gallions View is a Nursing Home for 120 residents, run by BUPA Care Homes. It is situated in spacious grounds in West Thamesmead, but is within striking distance of the town centres of Plumstead and Woolwich with their thriving and multi-ethnic shops and markets. The Home consists of four purpose built bungalows, each accommodating thirty residents, and a central two-storey building housing the administrative staff, the laundry, kitchen and hairdressing salon. The Bevan Unit, an NHS Intermediate Care Unit, shares the site and the service functions with the Home, but staff are separate. Each unit has its own Statement of Purpose, and one unit offers specialist care for people suffering from dementia. All the rooms are single occupancy, with wash handbasins and shared bathroom and toilet facilities. The site is attractively landscaped, with gardens adjacent to each unit, and secure fencing around the perimeter, including gates that are locked at night. There is car parking to the front of the building. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection by two inspectors over six hours. The acting manager was not on the premises but was spoken to on the telephone. Two units, Hutton House and Benn House were visited and a number of staff and service users were spoken to. Care plans, staff files, complaints and records relating to Health and Safety were looked at. Personnel files were also looked at on this visit. Two questionnaires from service users and four from relatives were returned to the Commission after the inspection. What the service does well: 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. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 6 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 Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 7 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): 4 Information is available to prospective residents to enable them to make an informed choice about moving into the Home. A letter confirming that the resident’s needs could be met is sent to the service user prior to admission. EVIDENCE: Standard 4 Letters were seen on some of the files inspected confirming the home could meet the residents’ assessed needs at the time of admission. This makes it clear that residents’ needs may change over time, and reassures relatives that these will be discussed as they arise. The letter is sent to the prospective service user with an information booklet giving further details about the Home and also a request for relatives and service users to complete social history records to assist staff in caring for that person. Two files did not have this letter on them, and it seems to be a newly introduced procedure, although this was a requirement from the previous inspection. Standard 6 This standard is not applicable at Gallions View. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 8 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, 9 and 10 Service users are treated with respect and their individual needs are met. EVIDENCE: Standard 7 Five care plans were viewed. These included assessment of needs and risk assessments. Care plans had been prepared based on assessments to show how care needs would be met and how identified risks would be managed. Care plans were well written and provided enough detail on how to meet the resident’s assessed care needs. A form was placed on the files to show that the care plans had been agreed with relatives but not the resident. One staff member said that the plan is read through with the service user and added, “we tell them what we are trying to achieve”. In view of the ability of a number of residents on the unit, staff must ensure that they are included in preparing their care plans. This is a restated requirement (Requirement 1). Some residents said they were satisfied with the way they were cared for but a few said they were put to bed too early. Two service users who answered the questionnaire said they felt well cared for. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 9 Standard 9 Policies and procedures were provided on medicine management. In view of the changes to the pharmacy contract, a new procedure had been provided for the safe disposal of medicines. Safe systems were in place for the storage, receipt and administration of medicines. Medicines for three residents were checked and found to be correct. Since the last inspection most of the nurses employed had received refresher training on the administration of medicines. One issue noted was that staff put the residents room number on medication not included in the dossette box. This was not considered safe practice and must stop (Requirement 2). Standard 10 Residents and relatives seen said staff treated them with respect. Good rapport was observed between staff and residents. One lady, being lifted up in her wheelchair was told, “You’re on top of the world now”. Two service users who answered the questionnaire said that their privacy was respected. No net curtains were seen in any of the bedrooms viewed, but the deputy manager said that six residents in Benn House had asked for net curtains and these were being purchased. A screen was fitted inside bathroom doors to provide additional privacy for residents. None of the bedroom doors had locks fitted. A number of residents and staff felt this was not acceptable. Management should review this and take residents’ comments into consideration. A programme to fit door locks to all doors could be implemented over a period of time. This is a renewed recommendation (Recommendation 1). Service users seen during the inspection looked clean and well presented. One lady was told that she was wearing a pretty jumper and she said, “I’m fed up with it. I’ve got other clothes, but they always pick this out for me”. Residents must be able to choose their own clothes and should be offered a variety (Recommendation 2). Several ladies were in the hairdressing salon having their hair set. The hairdresser showed she understood how her service could impact on the residents as, “an opportunity for an outing and to build self esteem”. Male residents are also catered for and the hairdresser said that she would trim their eyebrows. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 10 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 and 15 Food is presented attractively and is suitably varied. Opportunities for stimulating or enjoyable activities are few and should be designed around individual choices and expectations. EVIDENCE: Standard 12 The letter sent to prospective residents states that, “we encourage all residents to live as full and active life as their physical and mental condition allows”. The activities and hobbies questionnaire sent to all prospective service users should give the Home a very clear idea of what the service user enjoys doing, yet there was little evidence of individual pursuits being promoted. In answer to the question, ‘Does the Home provide suitable activities? On the questionnaire, two service users who returned the questionnaire answered, “No”. Currently the home has three activity organisers who work a total of 42 hours per week. One of these staff members works only on Squires unit for 12 hours a week. The activity organiser said that between the three of them they held ‘resident committee meetings’ to discuss activities. The committee included two residents for each unit. She said the activity organisers did not see residents’ social histories nor did they prepare individual social care plans. She also said the activity organisers did not get any training or supervision. A programme of activities was prepared and plans were made to celebrate special events and to bring entertainers to Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 11 the home; for example plans were being made around Easter celebrations, and in Hutton House photographs on the wall showed residents celebrating their birthdays. A number of residents went on an outing to the Royal Arsenal Museum in October 2005. Activity records were kept for each resident to show when and what type of activity they participated in. Social care plans seen on resident files were sparse and were not specific as to what activity they would enjoy or benefit from. Bingo was being played on the unit on the day of the inspection and some of the residents were enjoying this. Some residents said they got bored and did not have enough activities provided. Some said they only played Bingo. One activity organiser said that male residents did not enjoy some of the activities and said they found it difficult to involve them in activities. Men were not generally keen to make Easter bonnets! Two requirements and one recommendation are made under this standard, which is considered not met (Recommendation3)(Requirements 3 and 4). Standard 15 The cook said that she regularly visits the residents to ask them what they would like to eat. Some residents have requested rabbit and this is currently being sourced. More fruit has been introduced into the menu with prunes and grapefruit for breakfast, and, instead of cake, pieces of chopped fruit are available at 3 o’clock in the afternoon, with cake and a milky drink saved for a snack later in the evening. One service user complained that he was being starved, but was seen later tucking into a hearty lunch. Tablecloths were on the tables and there were condiments and pickles available and a range of soft drinks including lemonade, blackcurrant juice, orange fruit juice and cranberry juice. One resident said, “They do have lovely food”. She said that a member of staff had gone round to another unit to get what she wanted. The lunchtime meal was steamed fish or steak and kidney pie, with a selection of vegetables. It looked appetising and was nicely presented to residents, who were given discreet help with eating if required. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 12 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 Service users and their relatives know there is a documented procedure for handling complaints and that they will be listened to. This should be even more visible. EVIDENCE: Standard 16 There is now a complaints log that enables you to see at a glance what complaints have been received, who investigated, whether the complaint was substantiated, the resolution and whether the complainant was satisfied. This is an improvement on past records that were incomplete or unrecorded. There was no tracking form for a complaint received before Christmas so it was not possible to see how this particular complaint was resolved. There have been no complaints received at the Commission since the last inspection. Two residents who answered the questionnaire said that they knew who to speak to if they were unhappy with their care. One of the two relatives said that they were not aware of the Home’s complaints procedure, and it is recommended that information on how to make a complaint is available on every unit, to aid transparency and to let residents and relatives know that they can raise issues without fear of reprisal (Recommendation 4). Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 13 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, 24 and 26 Service users are safe and live in warm and comfortable surroundings. Odour control could be better managed in some parts of the Home. EVIDENCE: Standard 19 Bathrooms were clean and tidy and although hoists were stored in these, staff said that residents did not use the toilets in these rooms regularly and the hoists were removed when residents were being bathed. One hoist was not in use although there was no sign to indicate this. It is recommended that a notice be placed on this hoist to alert staff to the fact that it should not be used (Recommendation 5). Standard 24 Three bedrooms in Benn House were inspected against the standards and found to comply. Bedrooms seen in both units were clean, tidy and odour free, and most had a number of personal effects including photographs and ornaments. Residents’ personal clothing was generally marked with the room number, although it should also bear the resident’s name. Bed linen was in a satisfactory condition and it is understood that new Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 14 bed linen has been purchased since the last inspection. The deputy manager said that a number of nursing ‘rise and fall’ beds had been purchased with plans in place to provide these in all rooms over time. Residents were generally satisfied with their bedrooms and with the communal space available. Standard 26 The laundry was inspected on this visit. It is extremely well organized with plenty of storage space and plenty of room to manoeuvre. The lighting and ventilation are good. Staff in the laundry showed that items of clothing are now marked with colour-coded tape for each house, with a name and a room number on the label. There was an unpleasant odour in Hutton House, and it was noted that the display unit that acted as a room divider was dusty. It is recommended that attention be paid to ensuring the Home is kept clean, hygienic and free from offensive odours (Recommendation 6). Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 15 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 Staffing levels are not adequate to meet the assessed needs of residents at all times. EVIDENCE: Standard 27 Staff views of the service varied. Staff said there had been a lot of management change and this made some staff feel unsettled. Others felt that, “since the new people are here, things have changed for the better”. There was a general feeling that staff morale was improving. Staff were also pleased to be able to use agency staff again as the employed staff were working a lot of overtime and they found this stressful. One relative who completed a questionnaire said that their service user is put to bed by 6.30p.m, and is sometimes not up and dressed until late morning, because, in her words, “They do not have the staff to cope with it”. Three out of four relatives who answered the questionnaire said that there was not enough staff on duty. Staffing rotas checked for a four-week period showed the home did not always adhere to the agreed staffing levels. On occasions the home was staffed above the minimum levels. However on a number of occasions one nurse was on duty in the morning when two nurses were required. This matter was discussed with the deputy manager following the inspection and she agreed to address the issue. On Duncan unit there were a number of occasions when they did not adhere to prescribed staffing levels. The deputy manager said the unit has had a number of empty beds for some time. Duncan used a high proportion of agency nurses recently. On Squires House, again on a number of occasions, there was only one nurse in the morning. Squires House Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 16 is a unit catering for the most vulnerable service users who are suffering from dementia, so for this unit this shortfall is not acceptable. The deputy manager said they were in the process of recruiting four registered nurses and one registered mental health nurse. Staffing levels are subject to a requirement from this inspection (Requirement 5). Standard 28 The acting manager said that ongoing NVQ training is in place with new candidates undertaking the fast track intensive programme. Manual handling training co-ordinators are in the process of arranging yearly updates for all staff. Thirty trained staff have attended administration of medication training and twenty staff attended a day training on principles of care planning. Standard 29 Several personnel files were looked at on this visit. It was noted that managers at the Home are running a full audit on staff files to ensure that they comply with the regulations. A number of files had been extracted from the cabinet, as they were not compliant. One file looked at showed that the applicant had had a significant employment gap but there was no evidence to show that this had been addressed. The deputy manager confirmed that this is now addressed at the point of interview, and references are checked and verified by senior managers. The Home has had a recruitment drive and a number of appointments have been made. The manager stated that advertisements have been placed for both care and nursing staff along with a specific advertisement for junior sisters on each unit. Two files for trained nurses were inspected. One of these did not have a CRB check and neither had evidence to show that registration with the Nursing & Midwifery Council had been checked. This is a further requirement (Requirement 6). Standard 30 The acting manager has developed a new induction programme for all staff that includes full orientation to all service departments on the first day, fire training, manual handling training on the second day, and for the rest of the week they are supernumerary on their unit working alongside a senior carer or staff nurse. Two senior managers within the company have carried out a full internal quality audit in the last few months, and each head of department has been briefed on the results of this audit. Relatives raised questions at the time of the last inspection about the training staff received on Squires House. BUPA has made proposals for training staff working with people suffering from dementia. They have developed a course in conjunction with the Alzheimers Society, the Joseph Rowntree Foundation and the University of Sunderland. The Commission has now endorsed the dementia care qualification and training route developed by BUPA. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 17 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, 32, 35 and 38 Service users and staff are benefiting from the new management regime, and a culture of openness and co-operation is developing. EVIDENCE: Standard 31 Gallions View has not had a registered manager for some considerable time. The previous manager was in post for eighteen months without being formally registered with the Commission, and this process was still not completed before she left at the end of last year. Since then two parttime managers have managed the Home, with day-to-day management being devolved to the sisters in charge of each Home, and overall site cover provided by a nominated sister on duty. One of the managers providing cover said that heads of department meetings that are held every day have improved communication within the Home, and staff spoken to on the day of the inspection confirmed this. It is pleasing to note that one of the part time managers providing cover has now been appointed as permanent manager of Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 18 the Home, and she must register with the Commission at the earliest opportunity (Requirement 7). Standard 32 – Two staff members commented on the improvements in the Home with the new management arrangements. One said, “It’s got better. It used to feel like there was an atmosphere”. Another commented on the improved communication saying that working conditions had improved for everyone. This staff member, comparing the situation to how it was previously, added, “You weren’t allowed to voice an opinion”. This indicates that a culture of openness is developing. Standard 35 The home had policies and procedures in place in relation to managing resident’s money. The system in place to do this was assessed as being safe. The way the bank account was set up ensured residents received any interest due to them. Records were kept on the computer and were available to residents and relatives on request. Individual residents’ records were also kept with printed copies of accounts and receipts were kept for money received and spent. A safe was provided to store money and valuables and a list of contents kept on the computer and in each unit. The administrator said that all of the residents had access to their personal allowance. Relatives generally managed money on behalf of the residents and the administrator did this for a number of others with the help of relatives, solicitors or social services. Standard 38 The hoists seen in Benn House and Hutton House had service stickers dated November 2005. A record was seen that hot water outlets were checked regularly and maintained within safe limits. A Food Hygiene Award certificate was seen dated 6/9/05. The certificate states, “At the time of inspecting the premises were satisfactory, with a good level of monitoring and documentation with regard to food safety matters”. A registered corgi dealer carried out a gas safety inspection on 24/8/05. Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 19 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 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X 3 X 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 X X 3 Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 20 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 OP7 Regulation 15 Requirement Service users must be involved in care planning and review of all care plans (Restated requirement – previous timescale of 25/07/05 not met). Staff must not add the resident’s room number to medicine containers. Individual social care plans should be drawn up in consultation with residents (Restated requirement – previous timescale of 25/07/05 not met). Managers must ensure that appropriate training and supervision is available for all staff including activity organizers. Managers must ensure that staffing rotas adhere to agreed staffing levels at all times. All staff members must have a current criminal records bureau check and all trained staff must have their registration with the Nursing and Midwifery Council verified. DS0000006761.V277670.R01.S.doc Timescale for action 13/04/06 2. 3. OP9 OP12 13 16(2)(m) 13/04/06 13/04/06 4. OP12 18 13/04/06 5. 6. OP27 OP29 18 19 13/04/06 13/04/06 Gallions View Nursing Home Version 5.1 Page 21 7. OP31 9 The newly appointed manager must register with the Commission at the earliest opportunity. 13/04/06 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 OP10 Good Practice Recommendations It is recommended that net curtains and door locks are available for those residents who wish to have them and that these are routinely offered as part of the admission procedure (Renewed recommendation). It is recommended that service users are encouraged to choose their own clothes, and are offered a variety of things to wear. It is recommended that activities be developed for service users with reference to individual social care plans (Renewed recommendation). It is recommended that information on how to make a complaint is available on every unit, to aid transparency and to increase confidence in residents and their families that they will be listened to if they raise an issue. It is recommended that a notice be placed on a hoist that it out of action telling staff it must not be used. It is recommended that greater care be taken to ensure that all parts of the Home are clean, hygienic and free from offensive odours. 2. 3. 4. OP10 OP12 OP16 5. 6. OP19 OP26 Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Gallions View Nursing Home DS0000006761.V277670.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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