Inspection on 31/01/07 for Hutton Village Nursing Home

This inspection was carried out on 31st January 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

Hutton Village Nursing Home 17/02/06

Hutton Village Nursing Home 08/08/05

Hutton Village Nursing Home 17/03/05

Hutton Village Nursing Home 19/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Hutton Village Nursing Home Hutton Village Brentwood Essex CM13 1RX Lead Inspector Lysette Butler Key Unannounced Inspection 31st January 2007 08:45 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 Hutton Village Nursing Home DS0000015539.V327180.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. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hutton Village Nursing Home Address Hutton Village Brentwood Essex CM13 1RX 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) 01277 261929 01277 233955 wattsma@bupa.com www.bupa.com BUPA Care Homes (BNH) Limited Mrs Mary Watts Care Home 48 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (46), Physical disability (1), of places Terminally ill (2) Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Personal and nursing care to be provided to up to 46 older people. Personal and nursing care to be provided to up to 10 older people with dementia. Personal and nursing care to be provided to up to 1 service user with physical disability. Personal and nursing care to be provided to up to 2 people with terminal illness aged 55 years or over. Maximum number to be cared for shall not exceed 48. Personal and nursing care for people under 65 years of age is limited to 2 service users who are known to the CSCI. 17th February 2006 Date of last inspection Brief Description of the Service: BUPA Hutton Village Nursing Home provides care with nursing for 48 older people incorporating some categories of dementia and terminal illness. The home is situated in a semi rural location, approximately four miles from the centre of Brentwood. It is easily reached from junction 28 of the M25 and from the A12. Shenfield main line railway station is one mile from the home. Some local shops are within easy walking distance. Shenfield shopping centre offers a wide variety of facilities including the post office, several banks, library and many specialised shops. Apart from the main dining room, which is housed in a converted Victorian schoolroom, the home is purpose built. It is surrounded by its own well maintained gardens. There is ample parking both at the front and at the rear of the building. The home has thirty single bedrooms and nine double bedrooms, all with en suite facilities. All the downstairs rooms have floor to ceiling windows overlooking the gardens or fields. Public areas of the home include three residents lounges and two dining rooms. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection started on 1st April 2006. The inspection process included: a site visit on 31st January 2007, which lasted 7 hours; review of evidence supplied by the proprietor, residents, visitors to the service and the staff; resident, visitor, healthcare professionals and staff surveys; discussions with the registered manager, deputy manager, registered nurses, care staff, ancillary staff, residents and relatives. During the site visit the premises were inspected, including inspection of the grounds. Samples of records and residents care plans were also reviewed. The home was clean and well maintained throughout. The overall care and well being of the residents was the focus of the inspection. Staff and residents were welcoming and happy to speak to the inspector at the site visit. This inspection covered all twenty-two key standards and eight of the remaining standards. The manager and her staff approached the inspection in a positive and cooperative manner that was focused on achieving best practice to meet the needs of the residents. What the service does well: The environment of this home is very good and redecoration of the home is on going to ensure that residents are cared for in a clean, light and airy atmosphere. Residents and visitors spoken to said that the staff and management of the home were caring, friendly and helpful. Detailed assessment of prospective residents ensures that admissions to the home are made appropriately and that residents already at the home do not feel ‘misplaced’ by new residents. Personal and health care procedures are good. The skill mix of the staff ensures that all residents receive the care they individually need. The quality of the information documented in the care plans of this home is excellent. It is individualised and linked to risk assessments which are updated regularly to ensure current care issues are addressed. The standard of food in the home is excellent; catering staff ensure that all residents have choices in their diet, whilst ensuring that all food is healthy, nutritious and tasty. Residents said it was like being offered an “Al A Carte menu everyday.” Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments insure that residents are admitted appropriately to this home. EVIDENCE: The manager confirmed that the current statement of purpose and service users guide was up-to-date and a copy was on file at the local office of the Commission for Social Care Inspection. All resident files contained completed assessment forms, which contained very good detail and they formed the basis of care offered once the residents were admitted. Nursing needs assessments and social services COM 5 forms were also received before a new resident is accepted to the home. Intermediate care is not offered at this home. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 9 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. Health care procedures, including care plans, throughout the home are excellent and ensure that all care is documented in enough detail for care staff to understand each residents individual needs; care plans would further benefit from more regular review. EVIDENCE: Five resident files and care plans were reviewed during this site visit. The general content was excellent, however they were not reviewed on a regular basis; most only being reviewed three to four times a year. None of the plans reviewed contained any information about terminal care or funeral arrangements. All contained a wide range of risk assessments that had been completed on admission and were all reviewed at the same time as the care plans. Any resident who had a pressure sore, or wound of any kind, had a separate care plan including photographs incorporated into their file to assess the progress of healing. There was also a weekly key worker diary included in the care plans. The head of care had instigated a regular review programme for the care plans, with the residents and their relatives. Each month she Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 10 sends invites to one third of the residents and their relatives to discuss the care plan and make any changes needed, however very few relatives take up the offer. One relative was meeting with the head of care to review the residents care plan the afternoon of the site visit. Each resident file also contained a consent form to allow the home to take photographs of the resident for the care plan and/or the medication administration record. There is a regular GP who looks after the homes resident’s, however some of the residents are registered with a separate GP of their choice. For those residents who are registered with the homes GP their notes are kept in the home so that if the GP is called out in an emergency then notes are available at all times. Although the district nurses do not generally come into the home as it is a nursing home, they do have contact with the home and the head of care stated that they are very helpful when asked for advice. The local tissue viability nurse attends the home as needed as does the Diabetes and Parkinsons nurses. Dieticians only now come to the home on request and Nutrition nurses come in to see the residents who have assisted feeding regimes. The residents are enabled to access chiropody services every six weeks. The medication procedures were generally good throughout the home. No residents were self-medicating at the time of this inspection. All medication administration records were reviewed during the site visit; they demonstrated good documentation and excellent procedures, including a front sheet that includes a photograph of the residents and individual information of use to the nurse or the doctor regarding the individuals’ medications. However photographs were not dated and the head of care was advised that this would be good practice and that photographs should be changed when there is any significant change in the residents’ appearance. The head of care and the registered nurses on a weekly basis checked controlled drugs. The medication room has very little storage areas and medication can get a bit messy. The inspector and head of care discussed different ways of organising the medication room to ensure mistakes in administration were not made. The administration of homely remedies was excellent with good documentation being kept and all medications reviewed in-date, having been bought over-thecounter. Residents confirmed that they were always treated with dignity and respect. The visitors spoken to also stated that they were happy that their relatives’ privacy was always respected. All residents have access to a phone in their room. During the inspection process staff were always seen to knock on a resident door before entering and addressing the residents in a kind and caring manner. One resident said “I couldnt get better care by my own family if I were a home, everyone is so nice to me.” residents were observed to be in age appropriate, clean, well laundered clothes, that residents confirmed where their own. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to make choices in their day-to-day life so that they can lead a fulfilling life within the home. EVIDENCE: The home employs an activities coordinator who has developed a range of activities in the home to appeal to a wide range of people. It includes activities at weekends and during bank holiday periods. Fundraising events are also organised by the activities coordinator in conjunction with the manager. The activities coordinator also works with the new admissions to complete a ‘map’ of the resident’s life. The ‘Map of Life’ for each individual resident is kept in their care plans so that all staff can easily use it as a reference tool. Care and nursing staff are encouraged to spend time with the individual residents and join in with the activities. Residents regularly go out on visits from the home with activities and care staff. At the time of the site visit three residents were taken to Lakeside shopping. The home of operates and open visiting policy, visitors spoken to during the site visit said that they will always made to feel extremely welcome in the Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 12 home. A number of local schools visit the home on a regular basis throughout the year; religious ceremonies are carried out within the home regularly; and there are regular visits from Pets As Therapy (PAT) dogs. All residents were on the electoral register at the time of this visit. Residents spoken to the said that they are enabled to make choices in their day-to-day life and staff “…do not take anything for granted and always ask what I want to do or where.” All rooms reviewed during the site visit were personalised and residents own items of furniture and ornaments were seen throughout. The inspector spent time with the chef who was enthusiastic about his job and very clear about his role. He ensures that all residents likes and dislikes food wise are taken into consideration and that individual choices are included in the regular menus. Every resident and visitor spoken to said that they enjoyed the food offered within the home and confirmed that the chef had spoken to them within 24 hours of admission; he runs through how all the menus work, what choices they can have and discusses their likes and dislikes at this time. Food lists including lead this likes and likes were absurd in the kitchen all liquidised food was served as separate components. Fresh vegetable and meet were sourced locally. Birthdays were catered for within the home, every resident received a birthday cake and if family wanted to have parties in the home this could be arranged. The understanding of diabetic needs was excellent in the home and there was provision made for snacks to be available 24 hours a day specifically with diabetics in mind but for any residents that required them. In the menus in general show great flair and imagination the chef tries to make them as interesting as possible and delivers much choice as possible so that they can cater for individual needs. The kitchen is small but functional and the last environmental health officer visit was in August 2006; there were no issues arising from this visit. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 13 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 residents at this home are protected by the policies & procedures followed by the staff. EVIDENCE: There has been no change to the homes complaints procedure, which is produced centrally by BUPA and reviewed nationally by the Commission for Social Care Inspection Provider Relationship Manager for BUPA. The complaints log was reviewed during the site visit; there had been six minor complaints during that time and all had been handled well by the registered manager; there were no issues arising from the complaints. There have been no Protection of Vulnerable Adults issues since the last inspection and all staff have received regular Protection of Vulnerable Adults training. The policies and procedures regarding PoVA, as above, are produced centrally and reviewed by the commission nationally. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 14 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, 20, 21, 22, 23, 24, 25 & 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment of this home ensures that residents are safe and protected from infection. EVIDENCE: There has been no change to the fabric of the building since the last inspection, however a number of rooms and corridors throughout the home have been redecorated. A number of carpets and curtains have also been a replaced. Rooms are redecorated before new residents are admitted and if possible they are consulted about how they would like their room decorated. One resident who has been at the home for a number of years has recently had their room redecorated in ‘Canary’ yellow in line with their wishes. At the time of the site visit the home was clean, light and airy throughout, there was an overall nice atmosphere in the home, staff were friendly and keen to engage with the residents and the visiting inspector. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 15 There are a number of shared areas throughout the home, which are pleasantly and homely decorated. The furniture is comfortable and appropriate to the residents of this home. The areas are all very bright, some having glass areas in the roof. There are appropriate numbers of bathrooms and toilets placed appropriately throughout the home. There are three electric baths and the rooms with ensuite’s contain either a bath or a shower. There are a number of adaptations to the building including grab rails throughout and handrails in bathrooms and toilets. There are a number of nursing profile beds in use and adequate numbers of hoists in the home, which has been regularly serviced. This home still has seven double rooms, however at the time of the site visit of those in use there was only one resident in each. The registered manager told the inspector that these rooms are currently under discussion with head office. As highlighted earlier all rooms were personalised to a high level. Rooms contained all the furniture required by the residents and was in good condition. All rooms looked homely, including appropriate lighting and heating. There had been no change to the laundry area; it was neat and well organised. All equipment complied with the requirements of the national minimum standards. Biodegradable red plastic bags were used for all soiled and infected linen the laundry person spoken to was happy that she could ask for what ever she needed and was happy to approach the manager. There were no mellowed as detected throughout the home during the site visit. Infection control procedures were good, staff were observed washing hands and using protective clothing when necessary. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers, their training and recruitment procedures protect the residents of this home. EVIDENCE: Staffing numbers and skill mix throughout the home ensured that residents’ needs were met. Ancillary staff were employed in sufficient numbers to ensure that residents were enabled to live in a safe, comfortable environment, free of infection and were supplied with all their nutritional needs. Agency staff were rarely used at this home as the permanent staff covered each other for annual leave and sickness. One resident said “Staff really persevere and are very patient with me.” A relative said “The staff will do anything for…..they are really kind.” There remained a low number of care staff that have attained National Vocational Qualifications at level 2 or above. At the time of the site visit five care assistants had already completed qualifications; two had just started a new course; and two more were due to start following this inspection process. However the manager and deputy manager had recently developed an inhouse care assistant course, which they were in the process of obtaining validation for through a University. When validation has been attained there were plans to roll the programme out to other BUPA homes. The course Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 17 covers all induction areas and a number of National Vocational Qualification modules to give staff an all round care experience whilst working at the home. Three personnel files were reviewed during the site visit, all three files were very neat and tidy and each section is divided off and labelled appropriately. They create an excellent audit trail tool and contain all information required by the Care Standards Act 2000. The manager currently checks Nursing & Midwifery Council Personal Identification Numbers for all registered nurses approximately yearly, however the inspector advised that this should be more often to ensure that there have been no changes in individual circumstances. There was a comprehensive training programme for all nursing, care and ancillary staff. A training matrix was supplied to the commission and showed that all staff were offered mandatory and specialised training on a regular basis. Training files are kept separately from personnel files, however the inspector reviewed the training files of the same three staff as the personnel files reviewed; it was found that all training was up-to-date and matched the matrix supplied. Staff spoken to were happy with the amount of training and said that they discussed their needs during supervision and were happy to ask for extra training that they felt they needed. This home also accepted nurses from aboard undertaking adaptation training. Prior to the site visit the home has had an educational audit from the University of York, which they had passed and were looking to accept student nurses in the future. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 & 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management, leadership and health and safety procedures of this home ensures that relatives feel confident to approach staff and are kept safe. EVIDENCE: The management structure of this home has not changed since the last inspection and is appropriate to the size of the home. The manager has worked at the home in various roles for the last twelve years and the head of care has been in post for the last seven years. Staff spoken to all said that the manager and head of care were approachable and provided good leadership models. Staff enjoyed working at the home and turnover was low. Yearly resident and relative surveys were carried out and had last been done in October 2006. An evaluation of the results will be sent to the local office of the Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection by when ready. Staff were also surveyed regularly about the management structures and their view of BUPA. The internal audit system was reviewed showing that all departments have their own audit systems to follow on a regular basis. All audits are evidence based and the systems were currently under review at the time of this inspection process. There has been no change to the way in which resident’s personal monies are handled. One resident handles their own finances and a random check was made on three resident accounts held by the home. Relatives are asked to ‘top up’ the residents’ money as needed and there were no problems being experienced at the time of this inspection process. Documentation throughout the home is good and stored appropriately to protect confidentiality. However all of policies and procedures are produced centrally by BUPA and reviewed nationally by the Commission for Social Care Inspection Provider Relationship Manager for BUPA. All certificates and servicing records seen at this inspection were up-to-date and appropriate for this home, ensuring the health and safety of the residents. Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 20 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 3 X 4 X X N/A 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 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 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 3 X 3 X 3 X 3 3 Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No 1 2 3 Refer to Standard OP7 OP7 Good Practice Recommendations Care plans should be reviewed monthly to ensure the most current care is being given. Information regarding the residents’ wishes, should they become terminally ill or die, whilst in the care of the home, should be held in the individual care plans. This is to ensure that in these circumstances the right information is readily available to the staff on duty at the time. Photographs of residents should be dated and retaken when there is a significant change in their appearance, to ensure that mistakes in identification of the individual residents are not made. The information front pages of the controlled drugs books should be completed to make the finding of the appropriate page easier for all staff. It is recommended that a minimum of 50 of care staff achieve an NVQ qualification. (This is a repeat recommendation.) DS0000015539.V327180.R01.S.doc Version 5.2 Page 22 4 OP7 OP9 5 6 OP9 OP28 Hutton Village Nursing Home Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Hutton Village Nursing Home DS0000015539.V327180.R01.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!