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Inspection on 06/10/06 for Ivelhurst Nursing Home

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

This inspection was carried out on 6th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

The fourteen comment cards returned to the inspectors stated that the majority of service users received the care and support they needed. Staff are always (6) or usually (6) available when needed. Analysis of the cards indicated that food and activities were satisfactory and that service users knew who to talk to if they had a complaint. Service users stated that the home was fresh and clean. There were few comments on the cards and none had been completed by relatives. One service user said she would be sorry to leave the home. Another said "I am very happy in the home and well looked after." The rooms commissioned in May 2006 are of a good standard. They are well furnished and contain large en-suite facilities. On the day of inspection staffing levels were sufficient to meet service users needs. There were two registered nurses, five carers, two domestic staff, a cook, kitchen assistant, one laundry person, the maintenance man, administrator and Mr and Mrs. White the proprietors.

What has improved since the last inspection?

There was evidence of redecorating in the home. The six bedrooms opened have spacious en-suites. They are comfortably furnished. There is a well equipped wet room shower on each floor. The small sitting room has french windows that open onto a small garden area.

What the care home could do better:

There were several areas of concern identified at this inspection. The home has a registration condition to admit two service users between the ages of 50 and 60. Staff were not aware of the younger adults National Minimum Standards. A younger person recently admitted had found the home "was not for him". A younger service user currently in the home said it was not the right place for him. Staff undertaking assessment should be aware of what is expected of a service for younger adults before admitting further service users. The home is often under pressure to take younger service users especially on a short term basis. This area of provision should be reviewed and up-dated. There were concerns about the way service users spent their day that are detailed in the body of the report. One of the main concerns was that serviceusers in the main sitting room were not encouraged to move to eat their lunch or even during activities. Very frail service users were seen on the first day of the inspection in a separate room in nursing chairs. There was no formal system of monitoring these service users who had no access to call bells. The radio was playing radio one and it was not possible to determine if this would have been their choice of music. The inspectors were concerned about information given to them about the attitude of some staff. Whilst there were some very positive comments service users also said that they were looked after "in patches." The nursing staff at the home must review the way in which care is planned and delivered. In particular they must ensure that service users` health is promoted and maintained by clear directions to care staff and monitoring of service users condition. The way in which meals are served must be reviewed in order to promote service users dignity. This is detailed in the body of the report. The care and management of service users in the sitting room must be reviewed. Consideration must be made of the amount of time service users spend in chairs. The administration of medication practice must change to conform with NMC guide lines and best practice. A cohesive training plan for staff should be developed to assist them to meet the needs of service users and the aims of the home.

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