Inspection on 21/04/05 for Galtee More Nursing Home

This inspection was carried out on 21st April 2005.

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

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

Other inspections for this house

Galtee More Nursing Home 22/09/08

Galtee More Nursing Home 10/04/08

Galtee More Nursing Home 16/04/07

Galtee More Nursing Home 07/12/05

Galtee More Nursing Home 21/06/05

Galtee More Nursing Home 13/01/05

Galtee More Nursing Home 18/08/04

Galtee More Nursing Home 24/03/04

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

CARE HOMES FOR OLDER PEOPLE Galtee More Nursing Home 164 Doncaster Road Barnsley South Yorkshire S70 1UD Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 21st April 2006 09:10 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 Galtee More Nursing Home DS0000006480.V290480.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. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Galtee More Nursing Home Address 164 Doncaster Road Barnsley South Yorkshire S70 1UD 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) 01226 733977 None Dr Gulzar Khan Vacant Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons accommodated shall be aged 60 years and above. The registered manager must receive formal supervision from a 1st level nurse or a GP. There must be a 1st level nurse in charge in the home at all times. The managers hours must be supernumerary, ie she must not be rostered to provide direct care to service users. 7th December 2005 Date of last inspection Brief Description of the Service: Galtee More is a 28-bed home for older people; it provides both nursing and personal care. The home is in a residential area on the outskirts of Barnsley town centre, where there is good access to public services. There is a bus route, a variety of shops, health centre, post office, pubs, and church near by. The home has disabled access and a passenger lift to all levels. There are eighteen single and five double rooms, two lounges and a dining room. There is a garden and car parking is available at the side of the building. The information about the homes fees and charges was provided on 21.04.06. NHS Nursing Care Component Nursing care Low band £316.25 £ 40.00 Medium band £322.50 £ 83.00 High Band £316.25 £133.00 Additional charges Chiropody, hairdressing and personal newspapers. Prospective residents and their families can get information about Galtee More by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Residential care £315.00 Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced; it took place between 9:10am and 5pm. The inspector sought the views of all the service users (or their care was observed), 2 relatives, 1 visiting professional, and 2 staff. The manager assisted with the visit and checks were made on samples of documents relating to the residents care and safety. During the visit to the home the inspector also looked at the environment, and made observations on the staffs manner and attitude towards the residents’. The inspector checked a sample of records. These included three assessments and care plans, four medication records, three staff recruitment files, training records, and health and safety records. The inspector looked at other information before visiting the home, this included reports made by the provider about the home and notifications (information about residents welfare and changes to the home). There had been no concerns, complaints or allegations about the home made to the commission since the last inspection. The inspector did not issue surveys to residents, families and other professionals on this occasion, this was because the visit to the home took place before the inspector had prepared the relevant surveys for the home. The inspector checked all key standards as part of this inspection. The inspector would like to thank the residents and all the other people for their assistance in this inspection. What the service does well: The manager and staff were very committed to the care of the residents. They had a positive and caring attitude. The residents said they were “happy, very satisfied with how they were cared for, and comfortable at the home”. The two family visitors confirmed this, and said they were “satisfied with the care their family members receive”. There was a good atmosphere between the residents and staff; they shared friendly conversations and jokes. The nurses had reviewed some of the care plans; these plans gave the staff clear information about the individual’s care needs. The residents were happy with their health care and staff understood their needs well. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 6 The visiting professional was positive about the home and said “staff were well organised”. The residents felt they were treated with dignity and respect. The residents enjoyed their meals and said there was always plenty of snacks and drinks. The residents and family visitors felt they could raise concerns if they needed to and they would be listened too. There were sufficient numbers of staff to meet the care needs of the residents. The staff were skilled and competent and 80 of care staff had achieved a National Vocational Qualification in care. What has improved since the last inspection? What they could do better: The inspector acknowledged that the manager and staff have identified a lot of the areas they need to improve, and that the progress needs to be paced and consistent. The home must take immediate action to put in place all the required safety checks. The residents, staff and visitors safety could be at risk until the checks are completed. There are some remaining assessments, care plans and care reviews that have not been completed. This is important; it will help to make sure the residents receive the care they need. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 7 Some practices in handling medicines need to be safer. The residents need better and more frequent opportunities to participate in social and leisure activities, including outings. The residents need better arrangements at mealtimes; they also need better supplies of crockery, cutlery and aprons. This will be better for the residents’ comfort and dignity. The home needs to make the garden and laundry safer. Some staff need to have POVA checks. (Protection of vulnerable adults), and the manager needs to apply to the commission for registration. This will help to better protect the residents’ safety and welfare. The home needs to do it’s own quality surveys. This will give the home information about how the home is performing and identify areas of improvement that will benefit the residents. 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. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 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 Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 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): 1,3 and 6. The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The home has improved the way it assessed some of the residents needs. This needs to continue to include all residents. EVIDENCE: The manager said she had reviewed and updated the service user guide and statement of purpose, but had not had the opportunity to issue the new version. The manager said this was because she had prioritised other areas of attention and improvements in the home, but did expect to issue the updated version shortly. It is important that prospective residents get up to date information about the home. The manager said that some of the residents’ assessed needs had not yet been reviewed. The nurses were responsible for the reviews and they had made some improvements since the last inspection. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 10 The manager had devised a new assessment tool, this was more thorough and included residents likes, dislikes and preferences. Three assessments were checked, one was good, the other two were adequate and the residents would benefit from having their needs assessed using the new assessment tool. There were no residents receiving intermediate care. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 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. The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The residents were well cared for, however the improvement of the care plans needs to include all the residents to ensure they receive safe and consistent care. The homes medication systems in the main were good but some of the administration errors could put residents’ welfare and safety at risk. EVIDENCE: The manager and nurses had reviewed some of the residents care plans to improve them and bring them in line with the National Minimum Standards. (This was a previous requirement). Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 12 The inspector looked at three care plans, these were at different stages of improvement. The manager acknowledged that the progress had been slow and nurses had balanced their time between resident care and rewriting the care plans. The manager said that the improvements would continue so that all the residents’ plans contained good information about their care needs. The residents said they were happy with their health care. They had access to GPs and nurses; and they could see a dentist, optician and chiropodist. There was good reference to health care needs in the improved plan and it included the difference between nursing and non-nursing care. The chiropodist said that staff were: “very efficient in making sure that residents were prepared for their appointments.” The inspector visited a resident in her room; she spoke highly of the staff and said: “Although I’m not feeling well staff are looking after me”. A qualified nurse assisted the inspector with checking the medication. The medication storage was clean and orderly and the nurse had a good understanding of her role and the homes procedures. Some recording errors were found in the four medication records that were checked, these were as follows: • Some regular and ‘as required’ medication had not been signed for • One medication given to a resident was not prescribed, or if the resident had requested it from a pharmacist then homely remedy procedures were not in place • Some medication administrations had been ticked rather than signed for The residents were very positive about the staff, they said staff spoke to them with respect and would “do anything for us”. The inspector noted that staff were very cheerful and positive towards the residents. There was an endearing rapport with jokes, compliments and friendliness between the residents and staff. Two family members said that they felt the staff treat the residents with dignity and respect and staff treat residents’ personal belongings well. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15. The quality outcome of this area is adequate. This judgement has been made from the evidence gathered both during and before the visit to the service. Most of the residents were happy with their daily routines and their meals. However the home needs to improve the daily activities to make sure the residents have good access to exercise and stimulation. This will benefit the residents’ health and welfare. The home identified and met diversity needs. The home needs to provide suitable cutlery and crockery; this will benefit the residents’ comfort and maintain their dignity. EVIDENCE: Most residents said they were satisfied with their daily routines and activities. However some residents and family members felt that recently there had been fewer opportunities for activities. Staff also raised this concern. The main activity the residents said they enjoyed was impromptu sing-along sessions. A family member said the residents enjoyed this, particularly when the staff danced, sang and had fun. There was no structured activities planned, however some party events had been organised giving resident the opportunity to buy chocolates and gifts. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 14 A staff member was waiting to take a driving test. This was with a local transport organisation so that residents could enjoy outings more easily. Residents and staff said they liked to sit in the front garden in fine weather where they could chat to local people and “watch the world go by”. The residents and a family member said the home was supportive in helping residents to carry out their own choices. For example, they could handle their own financial affairs and bring in personal possessions. The nurse in charge confirmed that residents were able to practice their religion. A vicar called monthly and residents could join in hymns and prayers if they wished. Mass was also carried out weekly. The inspector consulted with one resident with diversity needs, the resident said she felt well cared for and staff understood her needs. The residents were served their breakfast and lunch in the dining room. And residents could eat in their own rooms if they wished. The staff assisted the residents to the dining room via a lift. The home served the main meal at lunchtime, and served the light tea and supper in the lounges in the early evening. The dining room was clean, bright and airy, and the mealtime was relaxed and sociable. Staff were attentive to the residents and bright posters were on display about the importance of encouraging drinks. The residents said they enjoyed their meals. They said they could have snacks and drinks when they wanted. Some residents said the staff gave them enough drinks so they did not need to ask for more. Many of the residents remained in their wheelchairs during their meals in the dining room. Staff did not ask the residents whether they would prefer to transfer to a chair. Some residents had to wait up to ¾ of an hour at the table before staff had finished bringing people to the room; and then the staff could serve the meals. The inspector observed this at lunchtime. Many of the knives, forks and spoons used by the residents were old and worn, and they were mismatched. This resulted in some residents using, for example, a large thick handled knife and a small thin handled fork. This was not comfortable or dignified for the residents. Some of the crockery was old and worn; one staff member said they were sometimes short of crockery. Some residents were drinking out of plastic beakers; the staff said this was because they were always short of suitable glasses. Some residents wore aprons at mealtimes; some of the aprons were old and worn and did not compliment the residents’ dignity. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Complaints and concerns at the home were handled appropriately and good procedures were in place to protect the residents. EVIDENCE: The complaints procedure was on display in the home. The manager said complaints had reduced significantly over the past few months. This was because the manager had introduced new procedures, followed up previous complaints and staff understood better how to deal with concerns and comments. The residents said they had no reason to complain but said they knew they could tell the staff or the manager if they did. Staff had received adult protection training and the manager was arranging further training to keep the staff up to date. The adult protection procedures were available at the home for staff to refer to. The manager had introduced a new policy giving staff clear guidelines about accepting gifts. This protected both service users and the staff. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 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 and 26. The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The home was comfortable and warm for the residents. The home needs to improve some areas of the environment to make sure that the residents’ remain comfortable and safe. EVIDENCE: The residents said they were happy with the homes environment. They said they were warm and comfortable and they were satisfied with their rooms. The manager said visitors had made positive comments about the improvements to the home. The entrance hall looked fresh, clean and inviting, the communal rooms were clean and tidy and a variety of chairs, small tables and footstools were available. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 17 The new maintenance staff member had carried out some redecoration and improvements. The manager said she needed to do a full quality audit of the homes environment. This would help her identify and prioritise the areas that needed most attention. The rear garden was untidy and had a badly damaged piano left in it. The garden was not suitable for residents to visit, the area, seen clearly from the dining room, was unpleasant to look at. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 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. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The staff team were skilled and competent; this means that the residents receive good professional care. EVIDENCE: The residents said they were satisfied with the number of staff available. Staff said they felt they had less time to spend with the residents to do activities. (See standard 12). The manager said she felt this was because staff practices had improved, and the staff carried out care tasks more thoroughly. Over 80 of the care staff had achieved a National Vocational Qualification in care at level 2 or above. The staff are commended for this excellent achievement. There were good recruitment procedures in place, however the enhanced criminal record bureau checks did not include POVA checks. (Protection of vulnerable adults). Staff said they received regular training. Some staff did not have up to date training, the manager was aware of this and had a training plan to address the staff teams training needs. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 19 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. The quality outcome of this area is poor. This judgement has been made from the evidence gathered both during and before the visit to the service. The home has not maintained some safety checks; this puts the resident’s, staff and visitors safety at risk. The management of the home has improved, and the residents’ benefit from the good progress made. EVIDENCE: The manager had good experience in management and leadership. She had improved standards of care in the home and these had been recognised by the residents, visitors and staff. One member of staff said she felt standards at the home had improved and she appreciated the support and guidance from the manager. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 20 The manager had not submitted an application to register with the Commission for Social Care Inspection. This means the manager has not gone through the registration process to demonstrate her fitness to manage the home. The provider reviewed the home every month; he spoke to residents and staff and checked records and the environment. The manager had not yet done any quality surveys, to get feedback about how the home is progressing. However the residents said the manager and provider did consult with them regularly. The home had a safe place for residents to store their valuables and money; good records of accounts supported this. The provider had the account records audited every month. A new maintenance person had started at the home and he was in the process of re starting health and safety checks and maintenance. On the last inspection the provider was issued with an immediate requirement to complete the following safe practice maintenance: • The servicing of the boiler and central heating systems (Landlords gas certificate) • The Electrical 5-year check • The water checks to prevent the risk of legionella. The provider had not taken action to make sure the checks had been carried out, this information has been passed to the Health and Safety Officer. A chair was stored in a corridor close to the dining room; this blocked the fire exit. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 21 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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 22 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 OP1 Regulation 5 Requirement The service users guide and statement of purpose must be updated to include the changes at the home. (Previous time scale 31/03/06) All residents must have their needs regularly reviewed, this must include an assessment on falls. (Previous time scale 31/03/06) All care plans must be based on assessed needs. The care plans must be developed in line with the Regulations and National Minimum Standards and include relevant clinical guidelines and risk assessments. The plans must be reviewed monthly and reflect changing needs. (Previous time scale 31/03/06) 4 OP9 13 Medication must be appropriately 30/06/06 signed for. DS0000006480.V290480.R01.S.doc Version 5.1 Page 23 Timescale for action 30/06/06 2 OP3 14 30/06/06 3 OP7 15 30/06/06 Galtee More Nursing Home Medication must not be given to residents unless it has been prescribed or it is identified as a homely remedy. Procedures for homely remedies must be adhered to including storage, and recording. 5 6 OP12 OP15 16 12,13 and 16 Arrangement must be made to offer the residents’ regular leisure and social activities. The residents must be consulted about their preferences to sitting in a wheelchair or dining chair at mealtimes. Arrangements must be made to reduce the length of time resident’s sit at the table waiting for their meals. Cutlery suitable to the residents’ needs and dignity must be provided in sufficient quantities. Crockery and drinking glasses suitable to the residents’ needs and dignity must be provided in sufficient quantities. The aprons must be replaced with new aprons suitable to the needs and dignity of the residents. 7 OP19 16 and 23 The identified areas of maintenance must be carried out following the completion of the manager’s environment audit. 30/06/06 30/06/06 30/06/06 8 OP29 19 The garden must be tidied and made safe, including the removal of the piano. Criminal bureau record checks 30/06/06 must include POVA checks for all staff employed at the home after DS0000006480.V290480.R01.S.doc Version 5.1 Page 24 Galtee More Nursing Home July 2004. (Protection of vulnerable adult checks). 9 OP31 9 The manager must demonstrate fitness to manage the home by completing the CSCI registration process. Fire exits must be kept clear, this must be checked by all staff at all times. 30/06/06 10 OP38 13 and 23 30/04/06 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 2 3 Refer to Standard OP13 OP30 OP33 Good Practice Recommendations Arrangements should be made to enable residents to access the community whilst the home is waiting for the nominated person to pass the community transport test. The manager should continue to review the progress of the staff training to make sure the plan to update all staff is successful. Quality surveys should be carried out to enable the home to get feedback about its performance. The surveys should include residents, families and friends, staff and professional and other visitors. Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Galtee More Nursing Home DS0000006480.V290480.R01.S.doc Version 5.1 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!