Inspection on 09/08/05 for Hoar Cross Nursing Home

This inspection was carried out on 9th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hoar Cross Nursing Home 23/11/07

Hoar Cross Nursing Home 26/09/06

Hoar Cross Nursing Home 14/02/06

Hoar Cross Nursing Home 25/01/05

Hoar Cross Nursing Home 10/08/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Hoar Cross Nursing Home St Michaels House Abbots Bromley Road Hoar Cross, Near Burton on Trent Staffordshire DE13 8RA Lead Inspector David Cowser Unannounced 9 August 2005 09.30 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. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hoar Cross Nursing Home Address 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) St Michaels House Abbots Bromley Road Hoar Cross Near Burton-on-Trent Staffordshire DE13 8RA 01283 575210 01283 575310 info@hoarcrosscare.co.uk Hoar Cross Care LTD Rosemary Joy Saint CRH 51 Category(ies) of OP - 20 registration, with number PD - 51 of places PD(E) - 51 TI - 5 Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 25 January 2005 Brief Description of the Service: Hoar Cross nursing home is a privately owned and managed property situated in the rural Staffordshire hamlet of Hoar Cross. The establishment is set in its own grounds with garden areas, and has extensive views over open countryside. The home is registered for a total of fifty-one service users in the following categories; Physical Disabilities 51, Physical Disabilities Elderly 51, Terminal Illness four, Old Age (not falling within any other category) 20, Day care 10. The home has twenty-five single occupancy bedrooms and thirteen double bedrooms, and all are adequate in dimensions. Fifteen single bedrooms and six double bedrooms have an en-suite facility. Adequate lounge, dining and recreational spaces were provided on the ground floor of the home. Two shaftlifts service the first floor of the home. The approach to care in the home is based on integration of service users within the full range of communal spaces. Teams of care assistants reporting to trained nurses provide care, and a care manager (RGN) is in charge. A GP practice from the next village service the home and also provide medicines. NHS professionals and facilities are accessed when required and the home provides transport for surgery/hospital attendances. Activities and outings are facilitated and there is strong links with the local rural community. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced visit was made on the 9 August 2005 @ 09.30hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 7hrs. A first level registered nurse (RGN) was in charge of the home; accompanied by another RGN and seven care assistants. The ancillary staff on duty included; two domestic workers, one-maintenance person, two cooks and one laundry person. The director of the company was present throughout, and the administrative support person was also on duty. These staffing levels were adequate to meet the needs of current 36 residents in the home. The total of 36 residents, aged between 55 and 101 years of age, included 33 nursing patients and 3 with personal needs. Within the total four service users were receiving personal care and thirty-two were receiving nursing care, one service user had a learning disability and one was terminally ill. The ages of service users ranged between 55 to 101 years. The inspection included the following elements; a tour of the building, observation and inspection of records relating to provision of care, discussions with six residents and six visitors, discussions with staff members on duty, observation and sampling of other services provided, such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, quality assurance and health & safety. Since the last inspection on 25 January 2005; there had been no changes to the running of the home, no complaints had been received and no additional visits to the home had been necessitated. Since the last inspection there had been 4 deaths recorded, and 1 resident currently had a pressure area. This aspect was discussed and assurances were given that this pressure area was healing and the correct treatment was being delivered. No incidents or reports of abuse of any kind had been received and policies and procedures seen covered these issues. Since the last inspection one resident had attended an A&E department, and sustained a fracture. It was evident that aspects of care had been well addressed, with residents able to choose the home following an assessment and invitation to visit the home. Service user plans had been well written, based on the community care plans completed by social workers. Health, personal and social care needs had been met and well documented. Privacy, dignity and choice aspects for residents were being upheld. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 6 The home was fit for purpose and provided a safe environment for the residents and staff. A homely atmosphere had been created, and the premises were clean, warm and tidy. Adequate areas for residents were provided including; communal spaces, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities, including catering and laundry, were well provided. Health and safety aspects had been given a high priority and no shortfalls were noted. The home provided 49 single bedroom occupancy, and this is currently being increased. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment and retention of staff aspects were good with little staff turnover. Staff training had been given a high priority, with induction training being followed by NVQ training, and staff had received regular supervision. The home appeared to be managed well by a nursing care manager, and a company director. General management aspects were good with quality assurance taking place. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that the company adopted suitable accounting/business procedures. During an inspection of the premises the following items were noted for attention: The worn carpet on the slope area of the first floor corridor must be replaced. It is understood that the redecoration of parts of the home identified have been programmed for the coming months, as agreed. The internal fabric of the building is generally in need of the planned upgrade. The electrical installation tests must be completed. The report of the shaft lift examination must be made available for inspection. What the service does well: The home provides a good standard of nursing care in a homely atmosphere. Staff interaction with residents was very good and there was a high level of satisfaction from the residents. The home has a holistic approach to care and does particularly well in the care of terminally ill people. To support the above, very positive comments were made to the inspector by residents and visitors/relatives. The inspector observed the care being delivered and the good interaction between staff and residents. A discussion took place with care staff on duty, which gave a good account of how they were meeting the needs of the residents. Their documentation of care delivery was seen as good and meaningful. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 7 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. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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 Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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 Individual health, personal and social care needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had the opportunity to visit the home prior to choosing an admission. Several residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents asked confirmed that they had been fully involved and were in agreement with the assessments. The records seen and a discussion with the staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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) 7,8,9,10 The assessed health and personal care needs of residents had been well documented and were being met, with good standards of care being delivered. There was a safe system for the receipt, storage, administration and disposal of medicines, which safeguarded residents. Also residents were treated with respect, privacy and dignity, during the caring process, which had enabled each resident to maintain these values. EVIDENCE: Five service users, and five relatives spoken to, all commented positively about the care being provided. Two visitors told the inspector that they were very pleased with the standard of care delivered by the home. The service user plans and associated documentation was well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. Local GP practice/dispensing Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 11 pharmacies service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The documentation seen evidenced that only trained nurses administered medicines. No resident was ‘self medicating’, but locked facilities were available. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Two residents told the inspector that they were treated with respect, and that the staff were very good to them. Since the last inspection there had been 4 deaths recorded, and 1 resident currently had a pressure area. This aspect was discussed and assurances were given that this pressure area was healing and the correct treatment was being delivered. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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) 12,13,14,15 Residents were satisfied with their lifestyle in the home, and they had been able to exercise choice and influence decisions affecting them. Residents unable to make a decision had been assisted by care staff that was knowledgeable on their likes and dislikes. Contact had been maintained with relatives and friends of residents. Opportunities to access the local community had been made available. Catering aspects were very good with balanced nutritious meals being served, along with resident consultation and choice. All the above aspects of care had been provided to meet each resident’s social, cultural, religious and recreational interests and needs. EVIDENCE: Several residents told the inspector that their views had been listened to, and that they had been able to influence some aspects of the running of the home e.g. mealtimes, menus, beverage facilities for visitors. These comments had been documented along with the feed back from the resident/relatives questionnaires, and they had been acted upon. Contacts had been maintained, where possible, with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Several visitors attended the home during this inspection, and told the inspector of the good links and communication with them. Trips out to the community had been well organised and transport provided. Residents spoke of the entertainment within the home. The residents Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 13 spoken to confirmed that information had been circulated regarding future events and activities and they could choose about participation. A summer fête had been successful. The friends of Hoar Cross had been very active and their participation had been much appreciated by residents and families. Several residents spoke of their satisfaction with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents were met. The records evidenced that residents’ needs with diabetes, and special diets, had been met. The cook when asked said that fresh good quality food from local suppliers was delivered on a weekly basis, the records seen confirmed this. Adequate supplies of fresh vegetables and fruit were also seen. The catering staff spoke to each resident on a daily basis to establish his or her choice of food for the day, and this was seen documented. The inspector sampled the mid-day meal and it was very good, meeting all requirements. Several residents were unable to make a decision regarding choice of meal, due to their current condition, and the inspector saw them being assisted by staff who were knowledgeable of their likes and dislikes. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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) 16,18 Complaints or grumbles are listened to and resolved. The home policies, procedures and staff training, protected residents from aspects of abuse. EVIDENCE: An examination of the complaints book, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles were listened to and dealt with in the correct manner. Since the last inspection no complaints had been recorded or brought to the attention of this commission. Many ‘thank you’ and complimentary cards were seen from appreciative relatives. No incidents of neglect or abuse of any kind has been reported. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Since the last inspection one resident had sustained an injury and attended an A&E department. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 15 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) 19,26 The premises were fit for purpose, with adequate personal and communal facilities provided. The home provided a safe and well-maintained environment for residents. The home was clean, warm and tidy, and had a very comfortable atmosphere. The home provided 49 single bedroom occupancy, and this is currently being increased to meet resident’s expectations. The planned alterations and upgrading of the home have commenced, which will further enhance the quality of services provided. Adequate ancillary staff were employed which ensured that the hotel services aspects were well addressed. EVIDENCE: A tour of the premises, and a check on the maintenance documentation, verified that the premises were fit for purpose, clean warm and tidy. The duty rosters evidenced that adequate ancillary staff were employed. Staff when asked told the inspector of their knowledge on infection control, and showed him the relevant documentation. Adequate hand washing facilities were available throughout the home. The laundry and sluice facilities were seen to be fully compliant. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 16 The records evidence that maintenance of the premises was being given a high priority. The hot water temperatures, recorded at 50deg.C, should be reduced to 43degC, as agreed. The records of the routine maintenance and emergency lighting tests should be made available for inspection. There are no outstanding issues known from the Environmental Health or the Fire Prevention departments. The following items were noted during the inspection; the worn carpet, at the top of the slope on the first floor corridor, must be replaced, the redecoration throughout the home, in the areas identified, must commence as agreed, the planned alterations and upgrading of the home should be completed, as agreed. A tour of the building evidenced that the home provided 49 single bedroom occupancy, and this is currently being increased to meet resident’s expectations. Residents spoken to were very happy and settled in their rooms. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 17 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) 27,28,29,30 The assessed needs of service users had been met by an adequate number of suitably trained staff. Recruitment procedures for staff had been correctly addressed, which had contributed to the protection of service users. Staff training had been given a high priority, and 55 had achieved level 2 NVQ qualifications, which had contributed to the high standard of care being delivered. EVIDENCE: The duty rosters seen, and a discussion with the manager and the staff, evidenced that adequate numbers of care staff had been on duty to meet the needs of the existing service users. Staffing levels were being maintained as at 1st April 2002 and following a discussion with the shift leader it was agreed that the shift cover was adequate for the existing residents needs. Staffing rosters were checked and were in order. An examination of the rosters evidenced that in addition to the registered care manager the following care staff had been maintained or exceeded for the 35 residents: a.m. 2RGN 6 Care assistants p.m. 1RGN 5 Care assistants nights 1RGN 2 Care assistants Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 18 In addition to the above adequate ancillary staff were rostered on duty throughout the week. Several residents asked stated that care staff were available when they wanted them, and that the staff were capable. The records seen evidenced that, in addition to the director of the company, 7 (w.t.e) trained nurses were employed and 22 care assistants, of which 12 (55 ) were trained to NVQ level 2 or above. The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff asked stated that they had job descriptions and contracts of employment. Training had been given a high priority and the training records of individuals were seen. The records evidenced that care assistants had benefited from ‘in house’ and external training, which had covered the needs of the registered client group. Staff told the inspector that they had been afforded the time off and encouraged to study. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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) 31,33,35,38 The home appeared to be well managed and quality assurance was in place. Financial aspects were correctly addressed and recorded, with safeguards to residents. Health and safety issues had been given a high priority and managed well, with two exceptions. The above ensured that the home was being run in the best interest of service users. EVIDENCE: From observations made, and discussions with service users and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. A check on the records and a discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances and all residents and families had chosen to do so. Day to day monies of residents were checked and money held reconciled with the Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 20 ledger. Inventories of valuables and belongings brought into the home were seen recorded. Two health and safety issues were noted during this inspection, which included a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date with the exception of the shaft lift examination certificate (formerly F54) and the electrical installation certificate (NIC). It is understood that both these items are in hand. The staff spoken to confirmed that health and safety issues are given a high priority. The registered manager should acheive the NVQ level4 qualification, as agreed. Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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 x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 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 3 x 3 x 3 x x 2 Hoar Cross Nursing Home E51-E09 S61268 Hoar Cross V243962 090805 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. 2. 3. 4. Standard OP19 OP19 OP38 OP38 Regulation 23(2)(b) 23(2)(d) 23(2)(c ) 23(2)(c ) Requirement The worn carpet, at the top of the slope on the first floor corridor, must be replaced. The redecoration throughout the home, in the areas identified, must commence as agreed. The electrical installation tests must be completed and documented, as agreed The thorough examination of the shaft lift must be completed and documented, as agreed. Timescale for action 31 March 2006 9 October 2005 9 October 2005 9 October 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. 3. 4. Refer to Standard OP25 OP19 OP19 OP31 Good Practice Recommendations The hot water temperatures, recorded at 50deg.C, should be reduced to 43degC, as agreed. The records of the routine maintenance and emergency lighting tests should be made available for inspection. The planned alterations and upgrading of the home should be completed, as agreed. The registered manager should acheive the NVQ level4 qualification, as agreed. E51-E09 S61268 Hoar Cross V243962 090805 Stage 4.doc Version 1.40 Page 23 Hoar Cross Nursing Home 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. 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