Inspection on 18/08/05 for Havelock Court Nursing Home

This inspection was carried out on 18th August 2005.

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

Havelock Court Nursing Home 20/07/09

Havelock Court Nursing Home 01/08/08

Havelock Court Nursing Home 06/08/07

Havelock Court Nursing Home 05/09/06

Havelock Court Nursing Home 06/03/06

Havelock Court Nursing Home 24/03/05

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Havelock Court Nursing Home Havelock Court 6-10 Wynne Road Stockwell London SW9 0BB Lead Inspector Rehema Russell and Sonia McKay Unannounced 18 August 2005 th 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Havelock Court Nursing Home Address Havelock Court, 6-10 Wynne Road, Stockwell, London SW9 0BB Telephone number Fax number Email 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 7924 9236 020 7738 6914 ANS Homes Limited John Cunningham CRH Care Home 60 Category(ies) of N Care home with nursing registration, with number of places Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 MD(E) up to 5 services in this category. 2 PD(E) and DE(E) when the current service users in this category vacate there are to be no further admissions into these categories. 3 Service users who are liable to be detained under the Mental Health Act 1983, including Sections 2 and 3, must not be admitted until the relevant Sections are discharged. 4 If the number of service users in the category of MD rise above 30, staffing ratios for each shift should be maintained in accordance with the Staffing Notice dated 15 March 2002 for the top floor of the home. Date of last inspection 24th March 2005 Brief Description of the Service: Havelock Court provides nursing care for 60 residents in a purpose built home in the middle of a mixed business and residential area, a few minutes walk from a major shopping centre that has full transport and community facilities. It is set in a no-through road in its own grounds, with a gate entrance and its own parking facilities. The ground floor has the reception area, offices and community facilities and the first and second floors have the service user bedrooms. The ground floor has an activities room, 2 separate lounges, 2 conservatories, one of which is for smoking, 2 dining rooms, and a back garden. There is a lift to all floors, and a keypad system for all communal doors to ensure the safety of service users with dementia who wander. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place between 9 a.m. and 5 p.m. The inspectors spoke with the manager and the deputy and looked at the communal areas on the ground floor. The inspectors then went to one residential floor each, where they perused documentation and spoke with service users and staff. 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. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 5 The home can demonstrate its capacity to meet service users’ needs. Prospective service users are given the opportunity to visit the home prior to admission. Each service user has a written contract or statement of terms and conditions for residence at the home. EVIDENCE: Verbal evidence from staff and service users and documentary evidence from care plans indicated that a full range of external health and social care specialists are used to meet service users’ needs. Examples include psychiatrists, psychologists, social workers, advocates, complementary therapists, dieticians, speech and language specialists, mental health teams, continence advisors, dementia nurses and others. Staff demonstrated effective communication with service users and an understanding of individual service user’s personalities, behaviours and needs and how these were to be met. Service users confirmed that minority ethnic needs such as hair and skin care and food are met, and the latter was also observed at lunch. Service users spoken with confirmed that they had been facilitated to visit the home prior to admission to see the home and the facilities it offers. One service user said they had been accompanied on the visit by a relative and another by a social worker. All service users have a contract/statement of terms and conditions when they enter the home. The majority of service users have the contract that is arranged with the placing authority, and privately Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 8 funded service users have a Registered Provider contract that covers all relevant areas of information. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Care plans reflect service users’ assessed and changing needs. Service users are assisted to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: Five care plans were viewed in detail. These included a full assessment of the service user’s needs, including the use of recognised nursing assessment tools, risk assessments, and care plans which are regularly reviewed, dated and signed. The nurses in charge and the key workers for the care plans were spoken with and were fully conversant with the contents how these were to be put into practice. Evidence was seen of the implementation of care plans in regard to specialist advice (e.g. from speech therapists, physiotherapists and psychologists), referrals to the GP and attendance at specialist clinics. Care plans in regard to sexuality, social activities and dying and funeral arrangements were also present. Care plans on social activities and fulfilment were brief but nurses and key workers spoken demonstrated a thorough understanding of individual service user’s wishes and habits in this regard and were able to describe the many ways in which they and the activities organiser encourage and try to get service users to socialise and join activities and pastimes. Evidence was seen of monthly or bi-monthly review of each care plan component but there was no evidence of statutory annual reviews being Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 10 carried out by placing authorities. The Registered Manager confirmed that several local authorities did not carry out their annual reviews, despite the home’s requests in some cases. A requirement is therefore made for the home to write to each authority requesting annual reviews where these have not been carried out and to keep evidence of these requests and any responses received. Documentary and verbal evidence, and observation, indicated that services users are enabled to make decisions and take responsible risks as appropriate and that precautions are taken to minimise identified risks and hazards. Each communal door in the home, plus the lift, has a keypad lock to prevent those service users with dementia who wander from leaving the home or accessing the kitchen/laundry etc. However, service users who do not wander are given the keypad code and were observed to let themselves through key padded doors and to access the lift. One service user spoken with travels individually to north London to see friends each weekday, leaving after breakfast and morning medication and returning at six o’clock each evening. Other service users confirmed that they are able to make decisions about what they do each day, and where they spent their time. The general rules of the home are minimal, principally that service users are not allowed to smoke in their rooms but only in designated communal areas. If other restrictions are necessary for individual service users because of identified risks, these are identified in care plans and based on risk assessments. Individual risk assessments were seen and were found to be thorough and regularly reviewed. They covered areas such as smoking, monitoring of blood sugar levels, mobility, nutritional needs, prompting with physical care, fire risks from smoking at night, careless micturation. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 13, 14 and 15 Service users are given opportunities for personal development and to be part of the local community. Service users are encouraged to engage in appropriate leisure activities and to have appropriate personal and family relationships. EVIDENCE: Evidence from speaking with staff and service users indicated that service users are given the opportunity to maintain and develop social, emotional, communication and independent living skills, according to their capabilities and inclinations. Those service users who are able to go out independently are supported to do so, other service users with mobility or other problems can be escorted out using the 1:1 staffing they have been funded for. For example, one service user is enabled to attend college once a week using 1:1 staffing. Service users are also given the opportunity to learn and use practical life skills via the social activities, such as parties and day trips, organised at the home. Staff gave examples of how they tried to encourage individual service users to go to local shops to buy cigarettes or clothes in order to become more independent, maintain personal skills and learn to budget their money or save. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 12 As noted above, service users who are able to go out independently are able to participate in the local community as they wish. For other service users, the home’s activities co-ordinator organises trips to local shops, parks, places of interest, events and other community facilities. All service users are able to have television, video, music etc. in their rooms, and these facilities are also available in communal rooms. In addition, the home’s activities team provide a range of leisure activities that service users can choose to participate in, such as arts and crafts, quizzes, reminiscence, gardening, parties, multidenominational religious services and aromatherapy. Several service users spoken with said that they chose not to join in the planned activities at the home despite the activities being advertised on each floor and the activities organiser visiting each floor to personally invite individuals to join in. They said they preferred to smoke, and were observed to be doing this during the afternoon. Observation, verbal evidence from service users and staff and documentary evidence demonstrated that service users are encouraged and supported to maintain family links and friendships both inside and outside the home. A relative interviewed said that staff were approachable, speak to him and let him know what is happening with the service user, and have responded well to minor concerns raised. One service user spoken with said that he goes out daily to visit friends and a relative and two service users confirmed that relatives visit them in the home, although not as frequently as they would like. Evidence from a recent complaints arising at the home evidenced both that the home takes appropriate action, with external specialist consultation and agreement, to protect service users from visitors who behave inappropriately and also that the home supports service users to use advocates if they wish to. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 Service users’ healthcare needs are met. Medication is stored, administered and recorded appropriately. EVIDENCE: Care plans and speaking with nurses and key workers evidenced that service users’ physical and emotional health needs are assessed and monitored, and that appropriate procedures are put in place to meet them. This includes referral to appropriate specialists such as General Practitioners, primary care teams, mental health specialists, the full range of NHS healthcare facilities, community psychiatric nurses, physiotherapists, dieticians and dementia specialists. Staff demonstrated a good understanding of the types of verbal and physical aggression that service users may use and how to deal with these sensitively and appropriately. Key workers spoken with also demonstrated a keen understanding of the emotional care needs of individual service users and how to meet these in a way that maintained their dignity and rights. For example, staff described how they dealt with the eating habits of one service user and the Manager described how he managed the emotional dependency of a younger service user. The Senior Pharmacy Inspector had completed an inspection of the medication procedures at the home two months prior to this inspection and had made 3 requirements. These requirements were checked at this inspection and found to have been implemented. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 There is a clear and effective complaints procedure. Service users’ views are listened to and acted upon. EVIDENCE: The home has a clear and effective complaints procedure which meets the requirements of regulation. The Registered Manager explained the further actions that had been taken on a recent formal complaint received by CSCI and informed the inspectors of a new complaint just received by the home. In both cases, appropriate action had been taken or was in the process of being taken. This included consultation with relevant external personnel such as social workers, care managers, specialist social workers, solicitors and advocates. Service users spoken with said that they would approach staff or the manager if they had a problem – “if I had a complaint I would speak to the nurses”, “if I had a problem – there’s none as the staff are OK”, “I’d tell a staff or John”. The previous inspection report required that the registered manager ensure that informal complaints or comments/suggestions are recorded in order for management and staff to be aware of and effectively monitor day-to-day issues. This was further discussed at this inspection. The manager explained that it would be difficult to keep a log of “informal complaints” alongside the formal policy and procedures system at the home. It was suggested that a book could be kept, which both service users and staff could use to log informal complaints/comments/suggestions. This could be made accessible by using three attractively coloured large hardback books, one of which could be kept on the nurse station on each floor and in the lounge on the ground floor. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 26 and 30 Service users’ bedrooms meet their needs and lifestyles. The home is clean and hygienic. EVIDENCE: Several bedrooms were seen on both the first and second floors. All are above minimum size standards and all have en-suite toilets. They were found to be of suitable size, décor, furniture and fittings to meet service users’ needs and preferences. All bedrooms seen were personalised, although this varied greatly according to the circumstances and choices of the individuals concerned. Some bedrooms had a lot of ornamentation, pictures, photographs etc. and others had comparatively few or none, but all service users spoken with were happy with their rooms. Comments included: “I like my room”, “make my bed for me when I need help”, “warm enough in my room”, “delighted with my room”, “I am very happy here”, “very comfortable here”, “Getting a new carpet, pleased”, “warm enough” “don’t want a TV”, ”room is comfortable, I have my music”. The inspectors did not tour the whole building but observed one of the downstairs lounges, the two conservatories, one of the dining rooms, several offices, the reception area, the kitchen, and a range of bathrooms and bedrooms on the first and second floors. All were found to be clean and Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 16 hygienic throughout, with no offensive odours. The previous inspection report had reported that there had been a smell of urine in one area of the home and had required that effective cleaning systems were put into operation. The Registered Manager explained that there were two service users at the home whose micturition habits were poor and that in one of the rooms affected the vinyl covering had become warped and smelled. This had been replaced, and on the day of inspection, no unpleasant odours were noticed. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 34 and 36 Staff are clear about their roles and responsibilities, and work effectively as a team. Service users are protected by the home’s recruitment policy and practices. Staff feel well supported and are regularly supervised, however 1:1 staff were not as regularly supervised as other healthcare assistants. EVIDENCE: Five members of staff were spoken with in depth: a nurse, 2 senior healthcare assistants, one healthcare assistant and a healthcare assistant who does solely 1:1 care. All were clear about their roles and responsibilities and were familiar with and committed to the aims and objectives of the home. They were fully knowledgeable about the contents of the care plans of the service users whom they key worked and how their assessed needs were to be met. They demonstrated insight and empathy with service users’ needs, preferences and behaviours and a commitment to their independence and rights. Service users spoken with made the following comments in regard to staff at the home: “very good to me”, “staff knock on my door before coming in”, “very good service here”, ”staff are very kind and good to me”, “some staff are nice”, “staff treat me OK”, ”living here is nice, it is my home now, staff treat me well” and a visiting relative said that staff “speak to me when I come in, let me know what is happening” and that staff are “pretty good, approachable”. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 18 There is a full and stable staff team who cover any absences in the rota, so that there is very little use of agency staff at the home. This contributes towards continuity and consistency of care. The team also reflects the cultural composition of service users and therefore can provide knowledge and understanding of service users’ cultural and spiritual needs. Staff reported that they felt part of a team and that the team work at the home was good. Staff reported that they were supervised six-weekly, however this did not seem to apply to the 1:1 carer who had not been supervised since April 2005. Although 1:1 carers care for only one service user, this is nevertheless intensive work and they must also be given regular, recorded supervision. Supervision records of healthcare assistants were seen. These were signed by the supervisor and supervisee but were brief and focussed entirely on the care of the key client, not recording the identification of training and development needs as is recommended by guidance. A selection of three staff recruitment records were seen, all of staff who had begun work at the home since the previous inspection at the end of March 2005. All three files contained the information required by regulation to ensure the safety and protection of service users. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 and 42 Service users benefit from leadership and management approach at the home. The health, safety and welfare of service users is promoted but the home must obtain advice from the London Fire and Emergency Planning Authority in regard to fire safety at night. EVIDENCE: Observation and evidence from speaking with staff indicated that the Manager and management structure at the home provides clear lines of leadership and management, and a strong commitment to equal opportunities. The Manager holds monthly meetings with the heads of departments (nursing, administration, catering, house keeping, activities, maintenance) and every other month holds a full staff meeting which is attended by all members of staff at the home. There are four staff teams on each of the two resident floors, with two daily handovers and regular monthly team meetings. Staff spoken with said that they felt that working conditions at the home were good, that they felt part of a team with good teamworking and that the management at the home was open and supportive. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 20 In regard to health and safety, one inspector checked the regulation of water temperatures, the maintenance of wheelchairs and the maintenance of hoists. It was found that all hoists are professionally serviced annually and that the maintenance manager checks wheelchairs each month. Wheelchairs had also been checked externally by Kings College Hospital Wheelchair Services in January 2004 but there was no record of professional wheelchair assessments since then. Records showed that staff check water temperatures prior to service users bathing and that these are satisfactory, but on the day of inspection the hot water temperature in one bathroom on the ground floor was 48 degrees. The Manager concluded that the water temperature control on the bath tap must be faulty and undertook to have it checked immediately. An issue has arisen at the home in regard to fire safety. There is a service user on the top floor who is claustrophobic and who wishes to keep his bedroom door open during the night and during the day to sit outside his room behind one of the paired partition doors in the corridor. During discussion of these issues it emerged that the bedroom doors are fire resistant but are not connected to the fire alarm system so that they do not close automatically when the fire alarm sounds. It also emerged that it was several years since the LFEPA had visited the home and so a requirement was made a LFEPA visit to be arranged. The inspectors undertook to write to the LFEPA to request an urgent visit. Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 x x Standard No 31 32 33 34 35 36 Score 3 x 3 3 x 1 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Havelock Court Nursing Home Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 2 x G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 22 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 6 Regulation 15(2)(c) Requirement The Registered Manager must request that all placing authorities carry out their statutory annual placement reviews and must maintain a record of these requests and any responses received. 1:1 carers must receive regular, recorded supervision. The Registered Manager must ensure that professional wheelchair assessments are carried out annually. The Registered Manager must ensure that the LFEPA carry out a fire and safety inspection of the home. The Registered Manager must ensure that any confidential service user records are stored securely in the home. The previous timescale of 31 May 2005 was not met. The Registered Manager said that this issue would be resolved when the nursing stations are redesigned at the end of this financial year. Timescale for action 31 October 2005 2. 3. 36 42 18 (2) 23(2)(c) 18 August 2005 31 December 2005 31 October 2005 31 March 2006 4. 42 23(4)(c) 5. 10 17(1)(b) Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 23 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 22 Good Practice Recommendations The Registered Manager should ensure that a comments/suggestions book is kept on each floor for service users and staff to access to record and monitor day-to-day issues. The Registered Manager should ensure that supervision covers identification of training and development needs. 2. 36 Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection SE London s Area Office Ground Floor, 46 Loman Street Southwark London SW1 0EH 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 Havelock Court Nursing Home G52-G02 S7024 Havelock V244543 180805 Stage 4.doc Version 1.40 Page 25 - 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. 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