Inspection on 26/09/07 for Hyde Nursing Home

This inspection was carried out on 26th September 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

Hyde Nursing Home 26/06/06

Hyde Nursing Home 24/11/05

Hyde Nursing Home 13/05/05

Hyde Nursing Home 07/12/04

Hyde Nursing Home 15/06/04

Hyde Nursing Home 16/07/03

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

CARE HOMES FOR OLDER PEOPLE Hyde Nursing Home Grange Road South Gee Cross Hyde Tameside SK14 5NY Lead Inspector Ann Connolly Unannounced Inspection 26th September 2007 09:20 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 Hyde Nursing Home DS0000025436.V342097.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. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hyde Nursing Home Address Grange Road South Gee Cross Hyde Tameside SK14 5NY 0161 367 9467 0161 368 7707 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) Meridian Healthcare Ltd Mrs Helen Audrey Hubbert Care Home 100 Category(ies) of Dementia - over 65 years of age (25), Physical registration, with number disability (75), Physical disability over 65 years of places of age (50), Sensory impairment (2) Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No more than 4 service users under the age of 55 years to be admitted to the home. No more than 10 service users may be admitted for personal care only. Four registered nurses must be on duty 24 hours a day. The home manager shall be supernumerary to the above staffing requirements. The home is registered for a maximum of 100 services users to include: *up to 25 service users in the category of DE(E) (Dementia over 65 years of age). *up to 75 service users in the category of PD (Physical disability under 65 years of age). *up to 50 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 2 service users in the category of SI (Sensory impairment under 65 years of age). The registered person must ensure that at all times a named person is identified as the clinical lead/lead nurse who is able to provide clinical leadership and advice to the registered manager. 26th June 2006 6. Date of last inspection Brief Description of the Service: Hyde Nursing Home is a purpose built home, owned and operated by Meridian Healthcare Ltd providing accommodation for up to 100 service users requiring nursing care. Fees for accommodation and care at the home range from £470.75 to £495.35 per week. Additional charges are also made for hairdressing and chiropody services, newspapers and personal toiletries. Details of the facilities provided by the home are contained in the service user guide, which is displayed in the reception area of the home. The home is a two-storey building, divided into four separate courts: Newton, Flowery Field, Godley and Werneth. Each court has a maximum of 25 beds, 15 on one floor and ten on the other. The courts link into a central area known as The Pavilion. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 5 Godley, Newton and Flowery Field Courts provide accommodation for service users who require general nursing care. Werneth Court provides accommodation for 25 service users with dementia who require specialised nursing care. All bedrooms are single with en-suite facilities. Each of the four courts has two dining rooms, two quiet rooms, two lounges and four bathrooms. Passenger and wheelchair lifts provide access to both floors. The Pavilion overlooks the Mary Secole gardens and is the central core of the home, serving as the social and recreational focal point, equipped with a hairdressing salon and shop. The home is built on the site of Hyde Hospital. Public transport is within easy access, providing links to all towns within Tameside. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 26/09/07 at 09:20 a.m. During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the manager, staff working in the home and the residents living there. Prior to the inspection, questionnaires were sent out to the people who live in the home, asking them to comment on how the home is run and managed, and for their views about how the staff supported them. Some of these were retuned and the comments have been included in this report. Several residents living in the home were spoken to during the visit, and discussions took place with them to find out what they thought about the home and what they felt about how the staff supported them. Before the inspection, we also asked the manager of the service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service, about how they are meeting outcomes for people using their service. Information that was provided in the (AQAA) for this service, was detailed and comprehensive, and provided evidence of a service that was committed to focusing on positive outcomes for the people who use the service. Since the last inspection visit, which took place on 26th June 2006, the Commission for Social Care Inspection has not received any complaints about this service. Over the last twelve months the home’s manager has received several complaints, and information in the AQAA states that these were investigated within 28 days. A number of these complaints were upheld. Procedures were followed and the complaints were seen to be appropriately investigated. What the service does well: There was evidence during this visit of a person centred approach, where residents were encouraged and supported to express their views on how they wanted to receive care and support. This style placed emphasis on ensuring that residents received support in a way that was preferable to them, and an understanding that their views were considered important. This approach was used in developing the Gold Standard Framework where the staff work closely with the PCT in supporting people to choose how they would like to plan their care for end of life in cases of terminal illness. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 7 Staff were seen engaging in meaning and positive interactions and communication with residents. Staff appeared to spend time on a one to one basis to provide care, support and reassurance, which resulted in positive outcomes for residents. Residents and visitors spoke highly of staff in the home, and all expressed confidence at raising issues of concerns, This provided evidence of an open and transparent management style where people felt their views were valued and listened to. One relative said, “ Staff really care for people, I have no complaints but I could go to the manager if I had a concern”. One relative said, “ The care here is lovely. I think my relative has settled in because of the care. The way the staff treat residents is like a family. Not only do the staff have to cope with residents, but they support families as well. I can go home with a settled mind because I know the care is good”. One resident said, “ People (staff) are very nice with me”. Staff training and development had been prioritised so that residents in the home can be confident that the people providing the support are appropriately trained. The organisation are commended on providing such a high standard of décor, furnishings and fabric, and for making good use of the space in the building. This is further enhanced by the staff team, who are proactive in supporting residents to gain maximum benefits from the environment. Staff were observed in their roles, supporting residents to access all parts of the building, using space as a positive way of helping distressed residents to find a quiet place, or simply taking a walk with a resident around the building. The information in the Annual Quality Assurance document, which was completed by the manager before this visit, provided evidence of an organisation that was committed to developing the service to ensure that outcomes for residents was continually improved. What has improved since the last inspection? What they could do better: The manager should focus on reviewing care plans in the home to ensure that the care needs of each resident are clearly identified, so that staff have clear guidance and instructions on how to meet care needs. Medication systems and practices need to be continually assessed, evaluated and monitored to ensure that each resident receives their medication in a safe Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 8 way. All staff in the home need to make sure they follow the policies and procedures for the safe handling of medication so that good practice is promoted at all times. 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. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 9 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 Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 10 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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to admission into the home and trial visits are arranged to help prospective residents make an informed choice about their future care arrangements EVIDENCE: A comprehensive admission policy was in place, which included information about opportunities for people to visit the home on a trial basis, stay for a meal and talk to existing residents and staff. Information provided by the manager before this visit in the Annual Quality Assurance Assessment , stated that all existing and prospective residents were provided with the statement of purpose and service user guide. These documents are useful in helping prospective residents to make an informed choice about their future care arrangements. All prospective residents are visited in a place, which is convenient to them, and an enquiry form is completed, which is then followed up by the pre-admission assessment forms. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 11 The care plans were examined and they contained assessments carried out by the care manager from the placing authority. In addition, an assessment of care needs was carried out by the manager or representative from the home, and the information obtained was used to develop a detailed care plan for each resident. From discussion with staff, there was evidence of a person centred approach in carrying out assessments. The staff talked about talking to prospective residents to find out how they felt about moving into the home, and what their expectations were. This approach helps to determine if the placement is appropriate, and if the home can meet the individual needs in a way that suits the prospective resident. The pre admission assessment included personal details and information on personal care, past history, continence issues, mobility difficulties and medical history. Intermediate care is not provided at Hyde Nursing Home. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 12 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provided staff with the information they need to meet and monitor the resident’s needs. Medication practices have generally improved, but some improvements need to be made in the audit of medication to ensure that all staff comply with good practice at all times. EVIDENCE: Several care plans were examined during this visit. Overall, most care plans were detailed and focused on an holistic approach to meeting care needs. The plans were person focused, and considered how residents wanted to be supported. Although care plans contained ‘generic prompts/headings’, each care plan was written to identify the individual needs of the person, and information in the body of the care plan was specific to the individual person. The quality of information in the care plans varied, depending on which member of staff had written them. Some contained excellent information and details, which helped staff to meet individual care needs in an appropriate manner. Some care plans were lacking in details, and the guidance in them Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 13 was not always clear, which could result in some care needs being overlooked. For example, in one plan, under the section, ‘Personal care’, it was stated, “Assist with hygiene needs”. This needs to be more specific to enable carers to deliver support and care in the most appropriate way, and in a manner that suits the individual. There was evidence that some care plans had not been updated to reflect current and changes in care needs. One care plan stated that a hoist was to be used ‘for all transfers’. Through case tracking, and observations made during the visit, it was evident that these instructions were not being followed as two staff supported this resident to transfer without using the hoist. Later discussion with staff confirmed that the resident’s condition had improved and she was now able to weight bear and transfer with minimum support from two staff. This care plan needs updating to ensure that instructions and guidance for staff is current and up to date, so that residents can be confident that they will receive the appropriate support to meet their needs. In order to address the shortfalls in the care plans, one of the senior members of staff was scheduled to provide training in this area to the rest of the staff team. Through discussion with care staff, it seems that they have very little input into developing the care plans. The manager was aware that all staff should be encouraged to develop care plans and use them as a working tool, and said that this would be addressed in training and supervision. One resident raised several concerns during this visit, however through case tracking, it was evident from the recordings made in the care plans, that staff had taken appropriate action to address her ongoing concerns. This care plan was well documented, and provided evidence that the staff had taken the concerns seriously, and raised them as important issues in the review process, and involved appropriate professionals, for example the care manager from the funding authority. The manager said that she sits in at every review, and that an advocacy worker was involved up to six weeks of the placement, and thereafter on an as required basis. Key workers are encouraged to contribute to the review, so that a complete overview of the placement is obtained. Medication was examined in two of the units in the home. All medication was appropriately stored in a locked room. The medication file contained all relevant documentation, for example, a photograph of each resident on the Medication Administration Records (MAR), for identification purposes, a copy of specimen signatures of staff responsible for the administration records, and a copy of the company policy and procedures for the safe handling of medication. One of the staff who was spoken to confirmed that all staff with the responsibility for administering medication had recently received updated training from the pharmacist. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 14 Some recordings on the MAR sheets were inconsistent, and varied, depending on which member of nursing staff had completed them. Some staff had failed to record the administration of medication on some of the MAR sheets. One medication was signed as given, but examination of stock levels showed that it was still in the blister pack. On other medication records the instruction was not clear, and it was impossible to carry out an audit trail to establish if the medication had been administered appropriately. The medication was prescribed as one or two to be given as required. The MAR sheet did not accurately record if one or two had been administered, and it was impossible to establish if the stock levels balanced with the MAR sheets. Some medication had been handwritten onto the MAR sheet but had not been countersigned by a second member of staff to check for accuracy of the transcription of information. Controlled medication was examined, and stock levels balanced with records. There were inconsistencies on how the receipt of medication was recorded. Some MAR sheets contained a record of medication received into the home, whilst others did not. The manager is aware that all medication received into the home must be recorded appropriately. A record was maintained of the disposal of medication. The manager said that medication systems were audited by the ‘in house’ quality audit team approximately two months ago . The manager was able to evidence that she was already in the process of addressing the shortfalls with medication and had spoken to several staff who were responsible for errors in recording methods. The staff concerned have been referred to the clinical lead in the home, and further updated training in the safe handling of medication was due to be scheduled. The clinical lead had responsibility of putting protocols in place to ensure that systems are in place for the ongoing monitoring of medication practices in the home. During this visit, staff were observed interacting and supporting residents in a positive manner. Residents were complimentary about the way in which staff supported them. One resident said, “People (staff), are very nice with me”. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 15 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents in the home are supported to maintain contact with families and friends, and are helped to exercise choice and control over their lives. EVIDENCE: During this visit, there were numerous examples of staff interacting and supporting residents in a positive and meaningful way. Residents appeared relaxed, and there was a calm atmosphere on all the units. Relationships between staff and residents appeared meaningful. Residents were observed walking round the units with purpose, and one member of staff was seen supporting a resident appropriately and going for a walk with a resident who was distressed. There were mixed views about activities in the home. One resident said, “ I’m bored stiff sometimes, I go to aerobics, or watch a film if they’re showing one. There’s not much point in some activities as other people don’t join in”. Other residents felt there were sufficient activities on offer in the home. One relative who was spoken to also felt that activities were good and said, “Residents can join in if they want to , as little or as much as they like” Although, she added that it would be useful to have more staff to spend time one to one with Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 16 residents. During this visit there were a number of occasions when staff were engaged in one to one activities or just chatting with residents. Most residents and visitors who were spoken to spoke highly of the meals served in the home. “The food is excellent, yes, I can say first hand the food is excellent”. On the day of this visit, a roast beef dinner was being served and residents confirmed that they were offered a choice of meals. During the day, a number of visitors were seen coming and going into the home. One visitor said, “ I have no complaints about the home, staff do as well as they can. The home has been recently re-decorated and it’s very nice. I visit almost every day, everything is nice and the food is good”. Information provided in the Annual Quality Assurance Assessment stated that more time has been allocated to activities. From the information provided it would appear that more time has been devoted to providing activities to residents on a one to one basis, for example looking at photographs, books etc. Some of these activities on a one to one arrangement were seen during this visit. This ensures that those residents who are unable to participate in a group activity are experiencing a range of stimulating activities. In the AQAA, the manager has stated that the plans for improvement include increased discussion with residents about what activities they would like to participate in, and to establish further links with the community. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 17 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to ensure that the health and welfare of residents is protected. EVIDENCE: There is a complaints procedure in place, which is displayed prominently around the home. This gives details and timescales by which a complainant can expect a response and also provides the contact details of the Commission for Social Care Inspection. There is a complaints record, which logs all complaints which are brought to the attention of the manager. It details the nature of the complaint, the action taken and the outcome for the complainant. From discussion with staff, there was evidence that they had a good understanding of issues around adult abuse and the safeguarding procedures to follow in the event of an allegation of abuse in the home. Since the last inspection visit, there had been one safeguarding issue. The recordings of the incident were detailed and comprehensive, and there was evidence to demonstrate that procedures had been followed correctly. The manager had forwarded the details of the incident and the investigations that followed to the offices of the Commission for Social Care Inspection. All Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 18 appropriate action had been taken, and other professional bodies had been involved as appropriate. The outcome was that the incident was unfounded. Residents who were spoken to during this visit indicated that they felt confident in approaching the staff and the manager with any concerns. This was also evident from reading case reviews, where residents had confidently expressed their views, and recordings evidenced that all issues of concern were taken seriously by staff. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A safe comfortable environment is provided for the residents living in the home, which provides numerous areas for relaxation and entertaining friends. EVIDENCE: The home has been refurbished and decorated to a high standard with complimentary furniture and fittings. All residents and relatives who were spoken to commented on the impact of the pleasant surroundings: “It’s so lovely and pleasant everywhere you go here”. Visitors commented on the calming atmosphere, and this was evident as a tour of the building took place. One visitor said, “ It’s so calming and relaxing, they have made good use of the colours”. The environment provided many areas which could be used for different pursuits, for example, a hairdressing and beauty salon, a ‘snoozelen’ room for Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 20 residents who may want to be in a quiet and restful area. The large pavilion was set out with small group sitting areas, and provided an idea place for entertaining visitors. Staff were observed in promoting positive use of the environment, and they supported residents to access and use all parts of the building. One member of staff spent one to one time supporting a resident to have a walk through the building, which had a calming effect on the resident. It was evident through observations, that staff saw good outcomes from using the concept of ‘going for a walk’, instead of using the term ‘wandering’. Quality large screen televisions and music centres were available which further enhanced the environment. The grounds were well maintained and provided plenty of benches and small tables for residents and visitors to enjoy the outside environment in the warmer weather. The gardens were well planted with colourful arrangements which were pleasing to the eye. Residents spoke highly of the environment and many rooms had been personalised to reflect individual tastes and provided a familiar and comfortable environment. The information in the Annual Quality Assurance Assessment stated that records were in place to demonstrate that maintenance and safety checks were carried out. The standard of cleanliness during this visit was high, and all areas visited were very clean, One of the domestic staff said that they were all given areas of specific responsibility and that there was a rota to ensure that standards of cleaning were maintained to a high level. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 21 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of the residents are met by a team with a good skill mix, and training programmes are prioritised so that staff have up to date knowledge of good practice so that they deliver care and support appropriately. A robust recruitment procedure ensures that residents receive care and support from a staff team with appropriate Criminal Record Bureau, and employment checks in place. EVIDENCE: During this visit, there appeared to be sufficient staff on duty to meet the needs of residents in the home. The information in the AQAA states that staff levels are maintained as a minimum ratio of 1:5 on a day to day basis. Staff are supported by a head of care/and or deputy clinical lead nurse. One relative, who was complimentary about the quality of care provided by staff, added a comment that it would be useful to have more staff available to provide some residents with one to one support. However, through observations made during this visit, there were a number of examples where Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 22 staff were seen engaging in positive and meaningful one to one exchanges with residents. There was a staff training and development plan in place which provided the manager with a tool to monitor staff training. One member of staff who was spoken to confirmed that she was involved in a detailed induction period prior to starting work. She said the amount of time that was available to spend with residents was variable, depending on the demands of practical duties. Information in the AQAA confirmed that staff had access to National Vocational Training Awards. Staff who were spoken to confirmed that they were provided with training and development opportunities. Training records indicated that a variety of training had been delivered to staff over the past year. This included training from the Macmillan nurses as part of the involvement with the Gold Standard Framework with the PCT. Residents who were spoken to said, “The staff really care for people and treat us very well”. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 23 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This service is run in the best interests of the residents, and the management ensure that the safety and welfare of residents and staff is promoted. EVIDENCE: The manager holds appropriate qualifications and has the management experience to ensure that the health, safety and well being of residents is promoted. Her qualifications extend to training and development, and staff management. This ensures that staff receive appropriate support and guidance with their own personal training and development needs. The employment of a peripatetic clinical lead nurse ensures that staff receive support with any clinical and nursing issues. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 24 Staff who were spoken to confirmed that they were in receipt of ongoing supervision, and supervision records supported this, Information provided by the manager in the AQAA provided evidence that policies, procedures and systems were in place to ensure that the safety and welfare of residents was promoted. Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 25 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 X 3 Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 26 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 Refer to Standard OP7 Good Practice Recommendations The manager should ensure that systems are in place to review care plans so that the needs of residents are clearly identified. The manager should ensure that the planned schedule to monitor and audit medication practices in the home has been actioned so that staff adhere to policies and procedures which are designed to protect the interests and well being of residents in the home. 2 OP9 Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Hyde Nursing Home DS0000025436.V342097.R01.S.doc Version 5.2 Page 28 - 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!