Inspection on 12/12/07 for Headroomgate Nursing Home

This inspection was carried out on 12th December 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

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Headroomgate Nursing Home 1 Oxford Road St Anne`s Lancashire FY8 2EA Lead Inspector Mrs Ruth Edgington Unannounced Inspection 12th December 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Headroomgate Nursing Home DS0000070133.V353393.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. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Headroomgate Nursing Home Address 1 Oxford Road St Anne`s Lancashire FY8 2EA 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) 07786961642 Mrs Pamela Mathauda Care Home 17 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (12) of places Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, (maximum number of places: 12) Dementia - Code DE (maximum number of places: 5) The maximum number of people who can be accommodated is: 17 Date of last inspection New Service Brief Description of the Service: Headroomgate Nursing Home offers care and nursing to 17 residents. Care is offered to those with physical, medical and mental health needs. The home is situated within ten minutes walk of St Annes and is within reach of local shops and amenities. Headroomgate is a detached property, which has been adapted to provide seven single bedrooms and five double bedrooms, none of which have en-suite facilities. There are two large communal rooms used as lounge and dining areas and sufficient bathing and toilet facilities around the home to meet the needs of the residents accommodated. A passenger lift enables easy access between the ground and first floor and various aids are provided to meet individual needs. There is a Statement of Purpose/Service User Guide, which is available for persons making enquiries about the home. The written information explains the care service that is offered and what the resident can expect if they decide to live at the home. Information received on the visit on 12th December 2007 confirmed that the range of fees at the home are £323.00 to £481 52.covering all aspects of care, food and accommodation. Additional charges are made for chiropody, hairdressing and newspapers. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first Key Inspection undertaken since the new owners purchased the home in September 2007. An unannounced site visit was undertaken as part of the Key Inspection and commenced at 9.30am on 12th December 2007 and took place over four hours. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. Comments cards were sent out to six of the residents, their relatives and any persons who have significant dealings with these residents. In total only two relatives and one resident completed these forms, which provided their views of about the service. During the visit two members of staff and the manager were spoken to individually. A random selection of residents, staff and administrative records were looked at and a tour of the home took place during which a number of residents were spoken to and other staff on duty. From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well: From information received prior to the visit and comments made by residents and their relatives evidence was gained of the owners and staffs’ commitment to ensuring that they develop and maintain a quality service for the benefit of the residents as a group and as individuals. One relative commented, “The new owners have immediately started to improve the outside and inside of the home. This is all good for the residents and visitors”. Another said” The home provides a high standard of care. All staff are friendly, dedicated and skilled. They are kind to both residents and relatives”. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 6 Comments from staff confirmed that they were happy in their job and felt supported. One staff member said “It is a nice place to work and there is a good staff team”. The majority of staff have achieved a recognised qualification ensuring that residents are cared for by a competent staff group. What has improved since the last inspection? What they could do better: Through the AQAA (Annual Quality Assurance Assessment) documentation that the owners completed, evidence was gained that in a very short period of time they had identified areas of improvement and had begun to work through these in order to ensure that the residents receive an excellent service. The management structure in the home should be reviewed to ensure that the person in charge, at any time, as the knowledge skills and ability to undertake the role for the benefit of the residents. An application form should be submitted in regard to the registration of the manager. The planned programme of maintenance, refurbishment and redecoration of the home should continue in order that the residents live in a well maintained and homely environment. The use of the designated lounge and dining areas in the home should be reviewed to ensure that residents are able to carry out their daily living within their capabilities and preferences and enable the staff to encourage independence whilst giving assistance where required. The procedures for safeguarding money that is handled on behalf of any resident should be reviewed to ensure that the interests of the individual are protected. Evidence should be available to confirm that residents are being provided with a varied and nutritious diet that is suited to individual requirements and preferences. Please contact the provider for advice of actions taken in response to this Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 7 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. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures are clear to ensure that the care needs of residents are met. EVIDENCE: The admission process includes a full assessment of the needs of any prospective resident, which is undertaken prior to admission taking place. The prospective resident and their representatives, if possible, are involved in the assessment process to ensure that the home can meet their needs. The records of two residents who had only just been admitted to the home were looked at in detail. One of these residents had been admitted as an emergency, however information had been obtained from their relative and other relevant persons prior to admission in order that their needs were identified and a decision made in regard to the service being able to meet their needs. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 10 Examination of the other resident’s file confirmed that a full assessment had been undertaken before they were admitted therefore ensuring that the home could meet their needs. Evidence was seen confirming that the relative had been informed that the needs of the individual could be met by the service provided. Information received from the owners indicated that they had identified that the assessment documentation could be improved upon to ensure that all individual needs are identified and that the staff are able to meet these needs. The pre-admission assessment document is to be re-drafted as part of the review of all documentation presently in use. Comments received prior to the visit confirmed that people received sufficient information before they were admitted to enable them to make a decision about the home and how their needs would be met. From observations made and comments received during the visit, evidence was found that the staff were well aware of the needs of the individual residents. This home does not provide intermediate care. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,&10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, resident’s welfare is closely monitored and health needs were met. EVIDENCE: Since the new owners took over the home in September 2007, there have been only two admissions to the home and both within the two days before the visit. It was noted that the care plan for one of these residents was not in place, however the senior nurse on duty confirmed that a care plan was to be formulated later that day with the involvement of the resident concerned. Evidence was seen of the information that was available for staff in regard to their needs and assessments had been undertaken in regard to their nutritional needs and assistance with mobility, both of which were identified as a low risk. In the case of the other resident who had been admitted the previous day, there was a plan of care that had been received from the hospital, which clearly identified their needs. Assessments in relation to nutrition and mobility Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 12 had been undertaken since admission identifying the level of risk and the intervention required by the staff. A record had been made of how these residents had settled in, entries were made of the care given and evidence was seen of involvement of health care professionals. Examination of one resident’s file who had been in the home for some time, showed that there was a care plan review sheet which had been formulated to ensure that relatives and residents are fully involved where possible in the care provided and that reviews take place on a regular basis. Observations were made during the visit of the caring attitude of the staff and how they assisted the residents with their personal care, ensuring that their right to privacy and respect was upheld. One resident commented that everyone was good to them. Comments received from relatives prior to the visit indicated that they were satisfied with the care provided. One relative said, “The staff give fantastic care and are always politically correct”. Another said, “Excellent care provided at all times”. Staff spoken to during the visit confirmed that they had sufficient information about individual residents to meet their needs. Only trained staff give out medication to ensure that residents are protected and that their needs are met. Examination of the medication records confirmed that these were correct, up to date and kept secure in a locked cabinet. However it was noted that the room in which the medication was kept was in need of attention. The room was untidy and stocks of dressings that had arrived had not been put away, the manager agreed to speak to those responsible in order that this situation was resolved. Headroomgate Nursing Home DS0000070133.V353393.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&15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The social activities and meals could be better managed in order to be creative and provide variation and interest for people living in the home. EVIDENCE: The information recorded on the two files seen was basic, however due to the residents only just been admitted to the home the staff had not yet had the opportunity to gain detailed background information about their preferences, interest, social, religious and cultural needs, all of which will assist the staff in ensuring that individual needs are identified and met. From information received and observations made during the visit it was evident that the residents presently accommodated did not interact readily due to their abilities or preference to keep themselves to themselves. The overall atmosphere in the home was very quiet and there was no obvious evidence of activities being undertaken. The residents spoken to were content and had no overall wish to participate in activities. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 14 Information received prior to the visit confirmed that the owners had identified the need to encourage residents to undertake activities of their choice and to take part in group and individual pastimes. To achieve this resident and relatives are being encouraged to provide as much social information as they are prepared to give, in order that individuals needs can be met. One resident spoken to had never been out of the home since being admitted however they had very recently been to a show and confirmed that they had enjoyed this experience. From comments and observations made, confirmation was gained that the home promoted equality by treating residents as individuals and ensuring people with diverse needs were having these met. One resident made it very clear that they do what they want to do. Visitors are encouraged to be involved in the daily life of their relative, however the actual number of relatives that visit were very few. Comments received from relatives before the visit were positive and confirmed that they are kept informed of any changes in the individuals. One relative said, “I visit regularly and I was informed immediately when my relative had to go into hospital”. On the day of the visit the cook was not in duty and there was no evidence of any menus or record of what meals were being served to confirm that residents were receiving a balanced, nutritional diet. However comments received from residents spoken to were positive about the meals. One resident said that they had just had a lovely dinner and that they always liked the meals. Another said that they always got a cooked breakfast if they wanted this. Information is recorded on admission in relation to the individual residents likes and dislikes. From observations and comments made during the visit confirmation was gained that the staff were aware of individual preferences and these were being provided. Special diets are provided if required and one resident who had diabetes confirmed this. Supplementary drinks were seen to be available at any time. From observations and comments made the staff were aware of During the visit it was noted that the majority of residents did not sit to the dining table for their meals but remained in their lounge chairs or in their own bedroom. This practice can make assisting those who require help with feeding difficult and also it does not encourage social interaction. One resident was seen to be struggling with their meal whilst another had spilled food down their clothing. Headroomgate Nursing Home DS0000070133.V353393.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 &18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to, taken seriously and they will be protected at all times. EVIDENCE: The home has a detailed complaints procedure, which is made available to everyone on admission to the home. The comments received from relatives confirmed that they were aware of who to speak to if they had any concerns and felt that these would be listened to. Since the last inspection, which was prior to the new owners taking over, we have not received any complaints. Evidence was gained that the staff have a good understanding of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. Staff confirmed that they had covered this issue during their induction and through NVQ (National Vocational Qualification) training. The owners are presently looking into further training courses that have been requested by the staff to ensure that they continue to protect the residents by the care practices in the home. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The planned maintenance and renewal programme for the redecoration and refurbishment of the home should continue to ensure that residents live in a comfortable, homely, clean and safe environment. EVIDENCE: The new owners have made numerous improvements in a very short period of time. There is a programme of redecoration and refurbishment in place to ensure the residents have a comfortable, safe and homely environment in which to live. The improvements included, the redecoration and fitting of a new carpet to the hallway, stairs and landings. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 17 Three bedrooms have been totally redecorated and refurbished. One of the double bedrooms in the process of being refurbished was to be made available when completed to a married couple who had recently been admitted to the home. Residents’ bedrooms were seen to be individualised with their own possessions and the manager confirmed that appropriate screening was to be provided in the double bedrooms to replace the portable screens presently in use. New double glazed window units have been fitted in some areas or existing window frames have been repaired. The flooring at the entrance of the home has been replaced to prevent the hazards of anyone falling. The garden area has been cleared and in spring it is hoped replanting of trees and borders will take place to provide a safe and pleasant environment in which residents can sit. It was noted that in the main lounge there were two armchairs that required attention or replacing as the fabric covering the arms was torn and could potentially pose a risk for the residents. The manager confirmed that these chairs were to be replaced. At the time of the visit the lounge/dining on the first floor was being used, in part, as an office. In order that residents continue to have choice of where to sit and whom to associate with, this room should revert to its original use. Thought should also be given to the provision of the dining space in the home to ensure that residents are able to take their meals in a congenial setting and enable staff to assist those who require help with feeding whilst encouraging independent eating. Although work was being carried out throughout the home in relation to upgrading, staff should ensure that attention is given to the overall tidiness of the home in order to ensure that the residents remain safe and comfortable. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment procedures and training provided for staff ensure that the residents are protected and cared for by staff who are competent and qualified to undertake their role. EVIDENCE: There has been only one new staff employed since the new owners took over. The file of this member of staff was looked at in detail and was found to contain the documentation that confirmed that the correct recruitment procedures had taken place to ensure the residents were protected. The staff group is very settled and is made up of qualified nurses and care staff. Only two care staff have not yet achieved a minimum of level 2 NVQ (National Vocational Qualification) and they are due to commence NVQ training soon. Evidence was seen that all staff have a personal training file and the manager confirmed that some training had been arranged to commence early next year to meet individual needs in order that the residents continue to be cared for by a competent workforce. Staff spoken to during the visit said that they felt well supported, one said “There is always someone to ask for help if required”. Comments received Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 19 from staff indicated that the transition of ownership of the home had occurred with very little disruption to the routines of the home Relatives who completed a questionnaire before the visit said “All the staff are very good and my relative receives all the care and attention they require”. “Highly skilled nurses and carers, it is clear that they have plenty of experience in dealing with confused people” Residents spoken to were complimentary about the staff and there was a genuine display of affection seen between the staff and residents. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls in the management of the home could potentially put residents at risk. EVIDENCE: The new owners took over the home in September 2007 and have experience in the care of elderly persons. The manager is a qualified nurse who also holds a management qualification, a teaching certificate in moving and handling and is an NVQ Assessor. The manager confirmed that she was to submit an application to us for registration of a manager. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 21 On the day of the visit neither the manager nor owners were in the home, however the person in charge contacted them and the manager arrived within a very short time to assist in the visit. The qualified nurse who was charge was very helpful and was able to access the care files of the residents, however they had little understanding of what would be required as part of the visit. The management structure in the home should be reviewed to ensure that the person on duty, who is designated as being in charge, should have access to all information required as part of their role. Prior to the visit the owner completed the AQAA (Annual Quality Assurance Assessment) document in a very detailed and professional manner, which clearly showed that in a very short space of time they had identified what they did well and how they felt that they could improve the service for the benefit of the residents. Quality assurance systems are in place to gather the views of residents and relatives and staff. These include staff meetings and surveys which are sent out every three months in order to gain feedback about the service provided and ensure the needs of the residents are being met. In the main the residents’ finances are dealt with by the owners, however it was found that in the case of one resident a small amount of money was being held in the home for their daily purchases. Examination of the records relating to this arrangement found that the money kept did not tally with the receipts and record. This matter was discussed with the manager who confirmed to she would speak to all staff who had access in order to resolve the situation. Inspection of maintenance records confirmed that facilities and equipment were being maintained as required by health and safety legislation to provide a safe environment for residents and staff. The policies and procedures in the home also ensure that the health, safety and welfare of the residents and staff are promoted and protected. Policies are in place relating to issues of Equality and Diversity and the manager confirmed that they had received the new guidelines, but to date had not had the opportunity to read them. The home presently holds the IIP (Investors in People) Award, which is an external quality award that demonstrates the owner’s commitment to staff training and development and it was confirmed that a reassessment was due very soon to ensure that the home continues to meet the standard required for the benefit of the residents. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 2 x x 3 Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP15 Regulation 17(2) Schedule 4(13) Requirement Timescale for action 31/01/08 2 OP20 23(g) 3 OP31 8(1)(a) 4 OP35 17(2) Schedule 4(9) Written evidence must be available in the home to confirm that residents are being provided with a nutritious and varied diet that meet their individual needs and preferences. Communal facilities in the home 31/01/08 must be sufficient to provide adequate sitting, recreational and dining space for the residents to undertake their daily lives. An application must be made to 31/01/08 the Commission for Social Care Inspection to register a manager who is qualified, competent and experienced to run the home The procedures in place for 31/01/08 handling money on behalf of individual residents must be reviewed to ensure that the interest of the residents are protected at all times. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 24 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 Refer to Standard OP19 OP31 Good Practice Recommendations The planned programme of maintenance and redecoration of the home should continue to ensure that residents live in a comfortable and homely environment. The management structure should be reviewed to ensure that the person in charge of the home, at any time, has the competence and knowledge to undertake the role for the benefit of the residents. Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Headroomgate Nursing Home DS0000070133.V353393.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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