Inspection on 10/05/07 for Guide Lane Nursing Home

This inspection was carried out on 10th May 2007.

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.

Other inspections for this house

Guide Lane Nursing Home 15/03/06

Guide Lane Nursing Home 23/08/05

Guide Lane Nursing Home 31/01/05

Guide Lane Nursing Home 04/08/04

Guide Lane Nursing Home 05/02/04

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

CARE HOMES FOR OLDER PEOPLE Guide Lane Nursing Home 232 Guide Lane Audenshaw Tameside M34 5HA Lead Inspector Steve Chick Unannounced Inspection 10:30 10th May 2007 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 Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Guide Lane Nursing Home Address 232 Guide Lane Audenshaw Tameside M34 5HA 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) 0161 335 9989 0161 335 0948 www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited Mrs Julie Richardson Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (41), Physical disability of places over 65 years of age (41) Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service Users to include up to 41 OP, 41 PD (E) and up to 41 PD. No service user under the age of 55 years of age to be admitted into the home. Two registered nurses must be on duty throughout each 24 hour period. Manager to be supernumerary to the above staffing requirement. Date of last inspection 15/03/06 Brief Description of the Service: Guide Lane is a purpose built home situated in the village of Audenshaw. The home provides nursing and personal care for up to 41 service users. The home is owned by Southern Cross Home Properties Limited, a private company, and is under the day-to-day control of a full time manager who is also a registered nurse. Accommodation is provided over two floors and consists of 37 single rooms, four of which offer en-suite facilities, and two double rooms for service users wishing to share accommodation. Two lounge/dining rooms and a smaller quiet lounge are provided offering choice to service users for socialising. A pleasant, well-tended garden is accessible to all service users. The home is on the main bus routes to Audenshaw, Ashton-under-Lyne and Manchester and is also close to Guide Bridge and Ashton-under-Lyne railway stations. At the time of this inspection report the fees varied from £323.66 to £550.00. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. For the purpose of this inspection one service user was interviewed in private, as were four relatives of service users and two friends of service users. Additionally discussions took place with the manager and four staff members were interviewed in private. The inspector also undertook a tour of the building and looked at a selection of service user and staff records as well as other documentation, including staff rotas, maintenance records and the complaints log. This key inspection included an unannounced site visit to the home. All key standards were assessed. This report also uses information gathered since the previous visit and information provided by the manager. Visitors and the service user were all very positive about the care offered at Guide Lane. Similarly several positive comments were made about the atmosphere at the home. One visitor said, “ [I] feel part of a family, not customers.” Another visitor described their relative as being “content … it is her home”. A service user said, “I just feel as though I’m at home … I feel I belong.” What the service does well: Guide Lane responds to each service user as an individual, recognising and valuing their differences, in who they are and how they wish to be treated. Each prospective service user is assessed by staff at the home to ensure (as far as possible) that Guide Lane can meet their needs. There is good access to medical support and supervision. Visitors are made to feel welcome, which, in turn, helps visitors to relax and reinforces the feeling of homeliness. The provision of food is good, including the availability of choice. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 6 There are good training opportunities for staff who are encouraged to make use of those opportunities. This includes an awareness of issues in connection with the protection of vulnerable adults. 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. The summary of this inspection report can be made available in other formats on request. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are assessed before moving to the home to ensure that their needs can be appropriately met. EVIDENCE: A random selection of service users’ files was looked at. All had documentary evidence that the service user had been appropriately assessed before moving to the home. This was to ensure that the home could meet the needs of that individual. The manager reported that when undertaking an assessment she took cultural needs into account when deciding if Guide Lane could offer suitable care. The manager reported that all service users are assessed by staff from Guide Lane before coming to the home. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 9 All visitors and service users spoken to were confident that the care needs of residents are appropriately met. Guide Lane does not offer intermediate care. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ health, personal and social care needs are met by the consistent implementation of the home’s policies and procedures. Staff practices also serve to promote the dignity of the service users. EVIDENCE: A random selection of service users’ files was looked at. All had a written copy of the care plan and there was documentary evidence that the plan was reviewed at appropriate intervals. There was some documentary evidence that service users, or their representatives, were involved in the care planning process. Visitors who were asked, reported that they were involved in decisions about their relative’s care. One service user spoken to reported that care was always offered in a manner that was of their choosing. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 11 Some examples were seen where the documentation of updates and amendments to the written care plan were not as clear as they could be. Some examples were seen where a second person’s signature (to confirm the appropriateness of the first person’s decision) had the date inserted but with no signature. This is not good practice and would serve to discredit the effective dating of other records. Another example was seen where an entry was recorded in connection with a relatives wishes about an aspect of care. This entry related to health and safety considerations and it was not clear what the homes view was, as to whether or not the wishes should be complied with. The files contained a comprehensive range of pro forma records relating to daily activities, from socialising to personal hygiene.. Examination of these records indicated that they were not maintained in a manner which made them meaningful. Staff reported that it was the Key-worker’s responsibility to complete several of these records, even if the key-worker had not personally undertaken the task. The implication of this was that if the Key worker was away for any length of time it could be very difficult to guarantee that the records were complete accurately. Staff who were interviewed confirmed that at the start of each shift they received a verbal handover. Staff reported that the combination of this verbal handover and the written records did provide them with sufficient information to offer appropriate care to individuals on a daily basis. Visitors who were spoken to were very positive about the care offered to their relatives. Staff were described as all very caring. Relatives also reported being confident that the home communicated well with them about any changes in their relative’s circumstances. There was good documentary evidence that service users had access to the full range of medical and paramedical services available in the community. Visitors spoken to expressed confidence that appropriate medical support would be sought for their relative if necessary. Staff also reported confidence that appropriate medical support was provided. Relatives were able to cite examples of being involved in discussions about the involvement of outside medical professionals, for example, speech therapists. At the time of this site visit, coincidentally, the homes medication was being audited by a technician from the local PCT. In the light of this the inspector did not independently inspect the medication storage, or records. Feedback was received from the technician that the home’s systems were predominantly well maintained. One relatively minor omission on the medication administration records was identified, which the manager agreed to address. All staff, visitors and service users who were spoken to felt that service users were treated with respect and dignity. Visitors expressed the view that it was not just their relatives who were treated in this way but when they looked Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 12 around other people were equally well treated. Observation of staff and service user interactions during this visit indicated that relaxed and appropriate relationships were maintained, with assistance and support being offered in a sensitive manner. Several visitors commented on the way in which service users are treated as individuals. One visitor reported that the best thing about the home was they really do care for them as a person, a human being. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Visitors are welcome in the home which enhances service users’ fulfilment and social stimulation. The provision of food to maintain service users health and well-being is good and service users are able to maximise their autonomy within the context of communal living. EVIDENCE: A range of social activities was reported as being available for service users to participate in if they wished. Examples of routine activities advertised on a notice board were, bingo, manicure, painting, arts and crafts and a foot spa. Specific activities included a pub outing on 2nd of May, a singer on the 17th of May and a trip to Portland basin on the 24th of May. At the time of this visit entertainment was being provided by belly dancers. The service user spoken to confirmed that these activities do indeed take place and are available for all. Similarly visitors were aware of activities even if their relatives chose not to take part. One relative cited as one of the best things in the home, the Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 14 availability of activities and engagement. Doing individual things with mother as she is not a great mixer. The home produces a monthly newsletter, a copy of which was given to the inspector. Individual care planning records did address social activities, although these could be further improved by more depth and detail. The home has a policy of allowing visiting at any reasonable time. All visitors reported that there were no unreasonable restrictions on when they visited. They also reported being made to feel welcome by the staff, and were always offered a drink and some biscuits or a sandwich. One visitor specifically commented that the welcome felt “sincere”. Staff reported that service users were encouraged to exercise choice within the context of communal living. A service user spoken to confirm that the routines of the home do not impinge on her ability to make choices. She cited as an example, that one day she fancied a day in bed listening to the radio, which was fine by them [staff]. Service users, staff and visitors spoken to were all positive about the provision of food at the home. Since the previous visit the main meal has been changed to teatime. The manager reported general satisfaction with this change and that people seem more able to deal with a large meal at this time of day. The manager also reported that there is a choice at all mealtimes. During this visit one meal was sampled. This was pleasantly presented and tasty. One service user described the kitchen staff as obliging and said she was not a big eater but it suits me and I have a choice. For example they keep frozen fish specially so if I feel like it they do it. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident that any complaint they may have would be dealt with appropriately. Service users are protected from abuse by the homes policies and practices. EVIDENCE: The home has an appropriate complaints procedure which was not specifically looked at on this occasion. All service users and visitors who were spoken to were confident that any complaint they may have would be dealt with appropriately. One service user said that she was confident the manager would listen to any complaint. This service user also said that the manager always says I must tell if something is wrong. A visitor described all the staff as being approachable and as easy to talk to. This perception of staff would make it more likely that any issues could be raised by service users or visitors at an early stage. Inspection of the complainants log indicated that this was inadequately maintained. It presented as being a register of complaints and contained insufficient detail to provide an audit trail for any individual complaint. In the light of the opinions expressed by service users and visitors this was felt to be an administrative oversight. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 16 Staff training plans were seen which included abuse awareness and whistleblowing. Staff who were interviewed, presented as having a good understanding of the need to be vigilant about abuse and were aware of the companys expectations regarding whistleblowing. All visitors expressed the view that their relatives were safe. One visitor said that he was very confident leaving X here, there are no problems at all. This visitor, when asked what the best thing about the home was, replied - the safety, I have no worry about how she was being treated,… very gentle, couldnt ask for better. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 16. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is appropriately maintained, decorated and cleaned to enable service users to live in a pleasant, safe and hygienic environment. EVIDENCE: During the site visit a tour of the building was undertaken. This included the communal areas and a selection of service users’ bedrooms. Service users’ bedrooms showed clear signs of personalisation. No remedial issues were identified in connection with the fabric of the building. The required work identified at the previous visit had been addressed. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 18 Although there is no restriction on where people who live in the home can access, there are two lounges and it was reported by the manager that people tend to use one or other of the lounges consistently. One visitor was pleased to note that arrangements had been made to allow her relative to continue smoking, in a designated area, after the introduction of new legislation in July 2007. The home was found to be clean and tidy with no unpleasant smells. This was confirmed as the normal state of the building by visitors, staff and the service user spoken to. Service users and visitors who expressed a view, were positive about the accommodation. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skills mix of staff on duty promotes the independence and well being of service users. Recruitment and vetting procedures are usually effectively applied to minimise the risk to service users of inappropriate staff being employed. EVIDENCE: The manager reported that she seeks to maintain staffing levels at: six carers and two nurses on duty during the day (08:00 – 20:00), and two cares and two nurses on duty during the night (22:00 – 08:00). Staff rotas for the week beginning 19th February 2007 were provided by the home, before the visit, to confirm these staffing levels. Additionally the home employs ancillary staff including, kitchen, domestic and laundry staff. The manager is also in addition to the hours mentioned above. Observation indicated that staff were kept busy attending to the needs of the service users, but were not overstretched. Staffing levels presented as Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 20 appropriate and one visitor commented that staff had time to spend with her mother, which was appreciated. There was documentary evidence that staff received a period of induction before being allowed to work ‘on their own’. This was also confirmed by staff members who were spoken to during the visit. The manager reported that there were a range of training opportunities for staff. There was documentary evidence to support this statement, and staff confirmed that training was available, and that they were encouraged to attend. Documentary evidence was seen of staff training plans, including moving and handling, fire awareness, pain management, pressure care, abuse awareness and whistleblowing. Previous visits to the home have indicated that the staff team are competent to care for the needs of the service users. This was confirmed as still being the case by service users and visitors spoken to during this visit. Of the 23 carers (excluding qualified nurses registered in this country), four held NVQ II, three held NVQ III and three held nursing qualifications obtained abroad. There was also documentary evidence that other carers were being put forward for NVQ training. A selection of staff files was looked at, in connection with recruitment and vetting procedures. The majority of these offered good evidence to back up the manager’s assertion that no staff member was appointed without rigorous vetting procedures being followed. In one example seen there was no copy of a CRB (criminal record bureau) disclosure held on the file. The manager reported that she was certain the disclosure had been obtained, and must have been mislaid. This related to a relatively longstanding member of staff. The manager undertook to obtain a new CRB disclosure, to ensure the records complied with the Care Homes Regulations 2001. A relatively new member of staff, when interviewed, confirmed that she was prevented from starting at the home, in spite of being available to work, until satisfactory references and a CRB disclosure had been obtained. Two examples were seen where there were gaps in the applicant’s employment history, with no recorded explanation. The manager admitted this was an oversight. Visitors who were spoken to were very complimentary about the staff team. Comments included: “all staff are wonderful … all very well cared for.” - “staff are very nice … staff respond to the bell [the call system]” - “I find staff and management to be responsive …. [they are] always obliging, for example getting Mum ready to go out.” Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is competent to run the home, use the quality audit systems and implement the health and safety procedures for the benefit of service users and staff. EVIDENCE: The manager has several years experience in a management position at this home. She reported that she had completed the Registered Managers Award (RMA) some time ago, but due to a mix up over the company paying the course fees in a timely manner, she has had to complete some more modules before a certificate is available to demonstrate successful attainment of the Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 22 RMA. She was able to cite other courses she had attended to ensure she is updating her training and skills. All service users, visitors and staff who were spoken to described the manager as open, approachable and supportive. Several visitors named her as the person to whom they would turn if they had a problem, and all were confident she would respond appropriately. There was documentary evidence of ‘Quality Audit’ questionnaires completed by service users or their representatives, having been received by the home in May 2006 and April 2007. There were only a few of these, but they were all positive. Visitors who were spoken to felt that communication between themselves and the home was good. A selection of records relating to money held by the home on behalf of service users was examined. The records presented as being appropriately maintained to safeguard the interests of the service users. This included keeping receipts when making purchases on behalf of a service user. The administrator who has day to day responsibility for these records expressed confidence in the system, to provide an effective audit trail for all monies belonging to service users. Staff who were spoken to confirmed the availability and mandatory use of disposable gloves and aprons to minimise the risk of cross infection. Previous site visits to Guide Lane have confirmed good standards of the maintenance of equipment for health and safety purposes. Similarly there has been a regular routine of testing the fire alarm and detection equipment. The manager reported that the company was maintaining all appropriate health and safety testing and compliance. This was confirmed to be the case by other staff who were asked. A small sample of this documentation was looked at and indicated these standards were being maintained. Staff confirmed that they had received specific training for any equipment they were expected to use, such as the different hoists. In the light of the good health and safety training it was disconcerting to observe several examples of wheelchairs with no foot rests fitted, being used. This is a predictable cause of injury to service users and is poor practice. The matter was rectified during the visit. Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations The registered person should ensure that records are maintained so that the date of the entry is clear, and the status of the entry (whether it is an instruction or an opinion) is also clear. This is to ensure no ambiguity about the written plans of how to meet the care needs of each individual. The registered person should consider records being completed by the person who has undertaken any action which is to be recorded. This would help to ensure that the records are accurate and meaningful. The registered person should consider recording an individual’s ‘social history’ in more detail in an attempt to ensure social and cultural needs have the potential to be fully met. 2 OP7 3 OP12 Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 25 4 OP16 5 OP29 The registered person should ensure that the record of complaints is maintained in sufficient detail to enable the home to demonstrate how it has investigated the complaint, and communicated the outcome of the complaint to the complainant. The registered person should ensure that any applicant’s full employment history is recorded, together with a satisfactory explanation of any gaps. This is to minimise the risk of employing inappropriate people to work with service users who are vulnerable to potential abuse and exploitation. The registered person should ensure that all wheelchairs in use are fitted with foot rests and staff are instructed that service users must use the footrests to minimise the risk of injury. 6 OP38 Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Guide Lane Nursing Home DS0000025434.V333387.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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