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Inspection on 26/07/05 for Heyfields Nursing Home

Also see our care home review for Heyfields Nursing Home for more information

This inspection was carried out on 26th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The company management representatives and staff within the home, including the Matron, qualified nurses, care and ancillary staff, all contributed to the high standard of service provided within the home. Their commitment to the provision of a quality service for their service users was commendable. The home was decorated and maintained to a high standard, both inside and out. It was exceptionally clean, warm and bright. Specialist equipment was in place for those service users who had been assessed as in need. Care plans and associated documentation were well documented and informative to enable staff to be clear about the needs of the service users and how those needs should be met. Recording within the care plans was thorough and meaningful. Visitors were warmly welcomed and staff were friendly and open towards them. There was very good interaction between staff and service users, and service users were supported and encouraged to make their own choices and decisions about their own lives. Service users were very happy and complimentary about all the staff and the kindness shown to them.

What has improved since the last inspection?

A small bedroom had been converted into an Occupational Therapy/Hairdressing room and the previous Occupational Therapy room had been converted to a large bedroom. All of the previous requirements had been met and recommendations taken on board.

What the care home could do better:

This home provided a very good service to the service users and only one requirement and two minor recommendations were raised as a result of the inspection. Recruitment and selection processes need to be more robust and it is a requirement of this report that existing staff files are audited and updated to contain all required elements and the recruitment procedure is amended to ensure all elements are included in future recruitment activity. A minor recommendation is to provide some structured activities for service users to complement the existing, individual social programme that is currentlyin place and to ensure that the existing homely remedies list is dated accordingly.

CARE HOMES FOR OLDER PEOPLE Heyfields Nursing Home Tittensor Road Barlaston Stoke-on-Trent Staffordshire ST12 9HQ Lead Inspector Lynne Gammon Announced 26 July 2005 9:00am 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 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. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Heyfields Nursing Home Address Tittensor Road Barlaston Stoke-on-Trent Staffordshire ST12 9HQ 01782 373584 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) North Staffs Residential Homes Ltd Mrs Sharon Tracy Jones CRH 35 Category(ies) of DE(E) 1 registration, with number PD - 35 of places PD(E) - 35 TI - 4 Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 35 Physical Disability(PD) over 60 years only Currently providing 6 Day Care Places TI over 60 years only Date of last inspection 20 January 2005 Brief Description of the Service: Heyfields is a care home providing residential and nursing care for up to 35 elderly service users. This includes care for one service user with dementia care needs, care for service users over the age of 60 years with physical disabilities and palliative care for four terminally ill patients. Mrs Beverly Warren, as North Staffs Residential Homes Limited privately owns the home. The home is located in a rural position on the outskirts of the village of Barlaston between Stone and Trentham in mid Staffordshire. There are no amenities within the immediate vicinity but Barlaston village centre is a short drive away where there are a limited number of amenities. The home is part purpose built and part original building. The home is set back off the road and is reached via a driveway. There is ample car-parking facility at the entrance car park. Gardens are accessible around the home to service users including wheelchair users. The home overlooks countryside on all aspects and there are stables located immediately next door owned by the proprietor. The accommodation provides for 31 single bedrooms and 2 double bedrooms. All bedrooms, apart from 1 single rooms, have en suite facilities. There is ample provision of communal and seating areas around the home. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on the 26th July 2005 at 9.15am. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 8 hours. Mrs Beverly Warren and Mr Timothy Warren of North Staffs Residential Homes Ltd and the registered care manager, Mrs Sharon Jones, an RGN, were present throughout the inspection. Also on duty was another RGN, 1 care supervisor and 3 care assistants all day with an additional care assistant starting at 8.00 a.m. and finishing at 2.00 p.m. Other staff on duty that day included: a diversional therapist, a cook, a kitchen assistant, 2 domestics and 2 full time handymen. There were 31 residents living in the home at the time of the inspection and these staffing levels were satisfactory to meet their needs. The inspection included a tour of the building, inspection of records, observation, and discussions with service users, registered providers and staff. Since the last inspection on 20th January 2005, no complaints nor any incidents or reports of abuse of any kind had been received and no requirements or recommendations, against the regulations or the minimum standards, were outstanding from the last inspection report. All aspects of care had been addressed well, with service users able to make an informed choice about the home following an assessment of their needs and an invitation to visit the home. Care plans had been well written and health, personal and social care needs had been met and well documented. All aspects of service user privacy, dignity and choice were supported and endorsed. Service users spoke highly of the quality of care provided by the staff, who treated them with dignity and respect. The home had a friendly, homely atmosphere and provided a comfortable and peaceful environment for the service users and staff. The home itself was very well maintained, bright, warm and immaculately clean. All of the bedrooms were decorated to a high standard and contained various personal items belonging to the individual service user. The communal areas were very clean, warm and tidy, and were also decorated to a high standard with good quality furniture and fittings. Food was well presented, varied and nutritious with choices available to meet a range of needs. Staff training had been provided and at least 50 of trained care staff had achieved NVQ Level 2. All staff had received regular supervision. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 6 The home was well managed and organised, and service users were able to make their own choices and decisions about the day-to-day activities within the home. Good robust quality systems were in place and service user views were sought to provide continuous feedback about the quality of the service. What the service does well: What has improved since the last inspection? What they could do better: This home provided a very good service to the service users and only one requirement and two minor recommendations were raised as a result of the inspection. Recruitment and selection processes need to be more robust and it is a requirement of this report that existing staff files are audited and updated to contain all required elements and the recruitment procedure is amended to ensure all elements are included in future recruitment activity. A minor recommendation is to provide some structured activities for service users to complement the existing, individual social programme that is currently Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 7 in place and to ensure that the existing homely remedies list is dated accordingly. 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. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 5 Initial assessments were carried out for prospective service users who received confirmation in writing that their needs would be met. Potential service users were invited to visit the home prior to moving in to enable them to make an informed choice about the home. EVIDENCE: Records showed that pre-admission assessments were carried out prior to admission by the Matron and where appropriate, service users received written confirmation that their needs could be met. Six week trial visits were available to all potential service users and some service users who were spoken to confirmed that they had been able to visit the home before choosing to stay, one had even been for a couple of days just for lunch. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 9 Care planning processes within the home were clear and consistent to adequately provide staff with the information they needed to meet service user’s needs satisfactorily. All health care needs were met and there was a safe system in place for the receipt, storage and administration of medicines for the protection of service users. EVIDENCE: All service users had care plans and two service user’s care plans were studied in depth. Each individual plan contained a photograph of the service user and the care plans were detailed and thorough and covered the assessed needs of the service users. This included admission details, aspects of care, daily report, professional’s visits and risk assessments. Care plans were reviewed monthly and the standard of recording was very good and meaningful. From inspection of records and discussion with the Matron, it was revealed that service users received a range of health care services according to their need. Documentation revealed health professionals such as the GP, physiotherapist, chiropodist, dentist etc were regularly accessed to meet the needs of the service users. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 11 Inspection of the Medicine Administration Records, the Controlled Drugs Register and drug stock levels evidenced that procedures were in place for the receipt, storage, administration and disposal of medicines. All records were correct and stock levels balanced. The storage area for medicines was clean and tidy. One service user was self-medicating at the time of the inspection and the inspector was shown a risk assessment for this, which was reviewed six monthly. A homely remedies policy was in place, which had been signed by the GP, and a recommendation was made by the inspector to date this accordingly. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 There were a range of activities open to the service users to meet their needs and family and friends were encouraged to visit. Service users were supported and enabled to exercise their right to make their own decisions and choices and meals were well balanced, nutritional and varied. EVIDENCE: The home employed a member of staff, a Diversional Therapist who, amongst other duties, had the main responsibility for activities, supported on different occasions, by a number of care staff. There had been a range of activities available for residents such as: trips to the theatre, garden centres, shopping, a canal trip, quizzes, crosswords, community library providing books and tapes, head, hand and foot massages, crown green bowls events at the local public house, cinema trips, chair aerobics, hairdresser etc. The service users also took part in events celebrated within the home such as VE Day, St. Patrick’s Day, etc. A garden fete had been planned for next month and the money made from the fete will go to the Resident’s Fund. Religious needs were also accommodated and Holy Communion took place once per month. Local clergy also attended the home on request. The Diversional Therapist was well trained in identifying activities to suit the needs of the service users and was also in the process of completing NVQ Level Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 13 4 and the Registered Manager’s Award. Her approach to identifying and meeting the social needs of the service users was flexible and individual. This was to be commended but she had found that some service users had become reluctant to be involved in a number of events, such as trips to the theatre etc, and a degree of apathy was developing. It was evident that one of the main strengths of the home was the tremendous support and value that was given by all staff to enable service users to make their own choices and decisions. This was admirable but the inspector proposed a mixture of structured events in addition to the personal, one-toone, ad hoc sessions to try to promote stimulation and proactive behaviour for the service users. The Diversional Therapist confirmed that this had been done previously and was happy to reinstate a more structured programme. Throughout the inspection, relatives were seen to be welcomed into the home and service users confirmed to the inspector that they were able to see their friends and relatives any time they wished. One lady said that she was going to visit a friend which she did most weeks. Service users were observed making their own choices and some of them chose to eat their lunch in their bedrooms; staff were seen to support this request. Catering standards were very good and all the documentation regarding food probe temperatures and fridge and freezer temperatures were seen to be upto-date and correct. Lunch was served during the inspection and appeared to be well presented, nutritious and balanced. Service users who required assistance to eat were treated in a discreet and respectful manner in the conservatory. A choice of menus was available and the cook was very knowledgeable about the needs of the service users and spoke to them on a regular basis to find out their likes and dislikes. Food storage areas were clean, tidy and well stocked. The cook showed the inspector the garden where the gardener grew some of the vegetables for the home. This was well maintained and an obvious asset for the service users. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home had a satisfactory complaints procedure and service users confirmed that their views were listened to and acted upon. Service users were protected from abuse by the home’s Adult Protection procedure and the on-going training programme. EVIDENCE: The home had a comprehensive complaints procedure and a copy was located in the hallway of the home for the benefit of relatives and visitors alike. Service users were provided with a copy of the complaints procedure in the service user guide. No complaints had been received by the Commission about the home since the last inspection and the home had not received any complaints in the last twelve months. Service users and relatives informed the inspector that they did not have any complaints about the staff or the service provided within the home. They were clear that if they did have a complaint they would discuss it with Matron and felt sure that they would be listened to and every effort would be made to resolve the complaint to their satisfaction. One service user said ‘the girls are lovely, all of them and Matron, Tim and Beverly – they are real friends’, ‘I could talk to them about any problems if I had any’. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 15 The home had an Adult Protection procedure and a handbook on abuse was available for all staff. All new members of staff received various types of training as part of their induction and this included training on how to protect service users from abuse. There had been no allegations or incidents of abuse at the home. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 22, 24 and 26 Indoor and outdoor communal facilities were accessible, maintained to a high standard and clean, bright and comfortable. Adequate lavatory and washing facilities were in place to meet the needs of the service users. Specialist equipment was used to support service users to promote their independence. Service user’s bedrooms were homely, personalised and well maintained. The home was spotlessly clean throughout which contributed to the overall control of infection. EVIDENCE: The location and layout of the home was well suited for the service users. The rural setting provided a quiet and pleasant environment, surrounded by fields. Adjacent to the home were stables for horses belonging to the proprietor. The home was very well maintained both externally and internally. There were adequate communal areas for the service users; the lounges, dining room and conservatory were decorated to a high standard, bright, homely and very clean. The dining room tables were laid for lunch during the inspection and each table had matching cloth napkins and tablecloth with fresh sweet peas in vases at the centre. These flowers had been picked from the garden. Quality Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 17 furnishings were noted throughout which appeared comfortable and clean. The gardens were well-maintained and attractive hanging baskets and flowers surrounded the home. There were a number of areas in the garden where service users could sit, which were also accessible for wheelchair users. There were satisfactory lavatory and washing facilities within the home that were extremely clean. This included separate communal toilets, bathrooms and en-suite facilities. Sluices were located separately from service user’s toilets and were also clean and tidy. During the inspection it was noted that environmental adaptations and equipment had been provided to meet the assessed need of the service users. These included handrails fitted along the corridor, grab handles in the toilets, access ramps and a lift for wheelchair users. There were also hoists, pressure mattresses and assisted bathrooms for the benefit of the service users. There was a cordless call system in place within the home which service users said was a real bonus in that they could carry it with them throughout the home. They confirmed that staff answered all calls promptly. Individual bedrooms were decorated and maintained to a high standard. Recently, a small bedroom had been converted to an Occupational Therapy/Hairdressing room and the former, large Occupational Therapy room had been converted into a spacious bedroom. Each room contained a variety of personal items and furniture belonging to the individual service user. Most rooms had en-suite facilities and were clean, homely and bright. All radiators were covered and smoke alarms were fitted in each room. Service users were very complimentary about the home and their bedrooms in particular. One long standing resident told the inspector that she had been asked if she wanted to move to a more ‘modern’ room in the extension when it was first built, but she had declined because she loved the location of her room which overlooked the garden with its trees and large birdhouse. Laundry facilities were inspected and found to be well organised, clean and hygienic. Soiled linen was contained within appropriate, easily identifiable, red bags and held separately from other laundry. Foul laundry was washed at the appropriate temperatures to ensure it was thoroughly clean and to control the risk of infection. Hand washing facilities were available in the laundry and the storage area for laundered linen and clothes was extremely tidy, orderly and clean. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 29 There was on-going commitment to staff training and the NVQ achievements were a credit to the management and the staff in the home ensuring that service users were in safe hands at all times. The home’s recruitment and selection procedures needed to be updated to provide a more robust system for the protection of the service users. EVIDENCE: Discussion with the registered manager and staff confirmed that the home currently had 50 of trained members of care staff with NVQ Level 2 and 4 more staff were in the process of completing it. 2 other members of staff were in the process of completing the NVQ Level 4 and Registered Manager’s Award. Two staff files were examined and each contained an application form, CRB clearances, two references and details of qualifications and some training. Appraisal sessions were also documented. However, they were lacking some of the required elements as set out in Schedule 2 of the Care Homes Regulations 2001 e.g. a recent photograph of the member of staff and proof of identity. It is a requirement of this report that the recruitment and selection procedures within the home are updated to prevent future omissions in staff files for any new staff and for all existing staff files to be audited and any gaps identified and corrected. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 36 Good robust quality systems were in place which enabled a structured, methodical process for obtaining feedback from both service users and staff. Staff supervisions were completed on a regular basis to enable staff to have formal, one-to-one sessions with their line manager. EVIDENCE: The home had ISO 9001 2000 quality management system in place which ensured that the needs of the service users remained at the core of the business. The system included a process for self-monitoring and internal auditing of core areas of service took place on a regular basis by designated members of staff. There were also recorded visits of an external auditor every 6 months. Service users and relatives were surveyed regularly and meetings for service users took place every 3 months. These were seen to be documented well with minutes taken and action recorded. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 20 The home had also achieved Investors In People Award which made provision for regular supervision of staff. Supervision of staff was seen to take place every 2 months and was recorded accordingly. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION x 3 3 3 x 4 x 3 STAFFING Standard No Score 27 x 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 4 x x 3 x x Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 22 NO 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 OP 29 Regulation 7, 9, 19 Schedule 2 Requirement To develop a more robust system for recruitment and selection within which existing files are audited and updated to include all required elements. Timescale for action 31st August 2005 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 OP 9 OP 12 Good Practice Recommendations To ensure the homely remedies policy is dated when signed by the GP. To provide a structured programme for activities in addition to the flexible, one-to-one sessions that are currently in place to promote stimulation and interest. Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Heyfields Nursing Home E51-E09 S22338 Heyfields V237345 26.07.05 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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