CARE HOMES FOR OLDER PEOPLE
Jasmin Court Nursing Home 40 Roe Lane Pitsmoor Sheffield S3 9AG Lead Inspector
Marina Warwicker Key Unannounced Inspection 27th June 2006 9:50 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 Jasmin Court Nursing Home DS0000047893.V299994.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. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Jasmin Court Nursing Home Address 40 Roe Lane Pitsmoor Sheffield S3 9AG 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) 0114 278 1595 0114 278 7257 none Not available Sage Care Homes (Management) Ltd Mrs Phillipa Jayne Williamson Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 3 of the 50 beds are registered for old age (OP) OR physical disability (PD) for people aged 50 years or over. 6th March 2006 Date of last inspection Brief Description of the Service: Jasmin Court is a purpose built nursing home situated within the community of Pitsmoor, Sheffield. It offers such amenities as local shops, public houses, schools and a church. The people from Pitsmoor have easy access to the city centre by public transport and car. The staff at the home together with the Sheffield teaching hospital physiotherapy and occupational therapy provide rehabilitation - step down service - to service users who are transferred from hospital prior to being discharged into the community. The staff philosophy is to enable the service users to realise their own aims and help them achieve goals in all aspects of daily living. The current scale of charges is £423 to £428 per week. Additional charges are made for hairdressing, chiropody, dry cleaning, toiletries and newspaper. The manager produces and makes available to service users and others an up to date statement of purpose setting out the aims and objectives of the home. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on Tuesday 27th June 2006 between 9.50 am and 4.00 pm. Thirteen residents and two relatives were consulted and six staff were spoken to. A further ten relatives were contacted after the inspection to obtain feedback about the service. Comments received from the survey will be fedback to the manager. Time was spent observing and interacting with staff and the service users. The manager was present during the inspection. The premise was inspected which included bedrooms of service users and the communal areas inside and outdoors. Samples of records were checked. They were care plans, medication records, some service reports and staff recruitment and training files. During the inspection the manager was informed of the findings. What the service does well:
The service users are only admitted on the basis that the staff have the skills and experience to meet the individual service users’ needs. To empower the service users to find out the suitability of the home the prospective service users are given the opportunity to meet the staff and the other service users before taking up permanent residency. Specialist staff are deployed to promote independence for those who are in the process of being discharged into the community. The general practitioner has two clinics a week and therefore the service users have easy access and regular reviews by the medical staff. The open door policy of the manager and the friendliness of the staff maximise service users’ autonomy and choice and promote control over their lives. The service users receive a varied, wholesome and nutritious diet. The meals are served in the dining room and the staff were available to assist the service users at mealtimes. There is a simple, clear and accessible complaints procedure available for the service users and relatives. The staff confirmed that they had received training on Protection of Vulnerable Adults and the procedures to report any abuse. An on going programme of maintenance and renewal of fabric is well underway. The home is kept clean, hygienic and free from offensive odours and systems are in place to prevent cross infection. Laundry facilities were sited away from the kitchen and the dining room so that the soiled and infected clothing were not carried through areas where food was stored, prepared or served. The staffing numbers and skill mix of nurses and the health care assistance were appropriate to the assessed needs of the service users. Direct Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 6 observation confirmed that the staff on duty were competent and considerate towards the service users. A competent, well-qualified and experienced nurse runs the home. The management approach of the home creates a positive and transparent atmosphere so that the service users and others are able to discuss any queries or make suggestions about the service. What has improved since the last inspection? What they could do better:
The management and staff have worked hard to make a difference since the last inspection in March this year. The maintenance and refurbishment of the premise need to continue to reflect the standard of care offered at the home. The staff supervision need to be focused on all aspects of care practice, philosophy of care in the home and career development of staff. The staff recruitment files need to be completed before offering staff permanent employment. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 7 There needs to be evidence of quality audits and action taken through the analysis of the feedback. The home needs to formalise the quality assurance process. 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. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 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 the following standard(s): 2, 3, 4 and 5 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. Service users and their next of kin or the purchasing authorities are provided with a statement of terms and conditions by the home. This is to ensure the rights and obligations of service users and the provider are clearly stated and understood by both parties and who will be liable if there were to be a breach of agreement. The service users are only admitted on the basis of full needs assessment undertaken by professional staff from the hospitals or the care managers. The registered manager is able to demonstrate that her staff have the skills and experience to meet the individual service users’ needs. The prospective service users are given the opportunity to meet the staff and the other service users before taking up permanent residency. This is to empower the service users to find out the suitability of the home. Rehabilitation facilities are sited in dedicated space. Specialist staff are employed to promote independence for those who are in the process of being discharged into the community. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 10 EVIDENCE: Four service users (ie two permanent and two rehabilitation) and four staff were consulted about the day to day running of the home. Relevant documents such as the full needs assessments and contracts were checked. The two permanent service users checked had contracts, which had been signed and agreed. The other two service users who were using the step down facilities of the home had agreements between the home and the hospital and therefore they did not have any financial agreements with the home. The four service users had fully completed needs assessments and the home had devised their care plans based on the needs assessments. During staff interview they were able to verbalise the different social, cultural and religious needs of the most commonly know ethnic minority groups in the area. Some of the permanent residents said that they had come to use the step down facility and decided to stay. They said that since they were used to the staff and the home was comfortable they did not feel the need to move. Two of the service users who were using the rehabilitation facilities said that she/he wanted to return home at the first possible opportunity and that they did not like the home. However, these service users also said that the staff do their best and that this was not a complaint or a reflection on the home. On further questioning it was confirmed that service users using the step down bed are often unsettled since they were worrying about being able to return home. This was sometimes shown by anger or dissatisfaction with the service. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 7, 8, 9, 10 and 11 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. As the basis for the appropriate care to be delivered to the service users the care plans are drawn up with the help of the service users and their families. The staff working at the home meet the assessed health care needs of the service users and when needed they seek help from community based professionals. The nursing staff adhere to procedures for the receipt, recording, storage, administration and disposal of medicines and thereby making the management of medication safe. The staff ensure at all times that the service users’ privacy and dignity are respected so that the service users feel comfortable at the home. The staff at the home make certain that the service users receive appropriate attention and comfort at the end of their lives. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 12 EVIDENCE: Four service user plans were checked. They set out in detail the action needed to be taken by the care staff in order to meet all aspects of health, personal and social care needs identified in the full needs assessments. The care plans were drawn up with the help of the service users and the other professionals and these care plans were reviewed by the nurses with the help of the care assistants. This was verified at the staff interviews. The staff said that they have sufficient aids and equipment. The care staff said that they support service users where possible to self-care. Feedback from a visiting professional to the home identified that the staff may have trouble explaining the different levels of involvement of care to the permanent and step down residents since the step down facility is not separate. This comment was passed on to the manager. The general practitioner was at the home conducting a surgery and those service users who needed medical attention were given the opportunity. Two relatives said that the general practitioner visiting the home on specific days of the week was very helpful so that they could see the general practitioner with their relatives if they wish to. There was evidence of the involvement of a tissue viability nurse and the nurse specialist for promoting continence from the community had been consulted. The care plans checked had records of service users having had hearing, sight, dental, chiropody checks and therapeutic input. The four service users tracked did not self medicate since this was their decision. However, the nursing staff said that anyone who is assessed as able to self medicates would be given the opportunity. The Medication Administration Sheets of the four service users were appropriately recorded. They contained accurate information about the service users with the section on allergy completed and there were no gaps in the daily medication records. Two care assistants said that the nurses informed them when the service users are started on new medication so that they could observe and report any side effects. Direct observation on the day and whilst speaking to the relatives and staff on duty confirmed that service users are treated with respect and their dignity and privacy were maintained at all times. The staff said that one of them stayed with the service user who was near the end of life if their relatives or friends were not around. They also said that when relatives were with the service users they took care of the service users and the relatives. The permanent service users had information about their funeral arrangements on their care plans. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12, 13, 14 and 15 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The daily routines and activities are flexible and varied to suite the expectations, preferences and the capability of the service users. The service users are able to continue the links with the community they had come from and also have visitors without restrictions so that they can continue their friendships. The open door policy of the manager and the friendliness of the staff maximise service users’ autonomy and choice and promote control over their lives. The service users receive a varied, appealing, wholesome and nutritious diet. The meals are served in the dining room and staff assist the service users at mealtimes. This helps the staff to monitor food intake of service users. EVIDENCE: The activities co-ordinator had a record of all the service users and their likes and interests. He also had records of the time spent with each service user and what they did during each session. The service users and the staff were encouraged by the input from the activities co-ordinator and his enthusiasm. On the day of the site visit the service users had visitors and they were able to
Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 14 talk to them in private in their own rooms or in the lounge area uninterrupted by others. One of the relatives said that he was able to visit during sensible times and that there was no restriction on visiting. He also said that if it was an emergency he could visit any time. The service users had personal possessions with them in their bedrooms. Most service users’ finances were managed by their families. The lunchtime was observed and the inspector ate lunch at the home. The lunch was tasty and well presented. There were two sittings at mealtimes and the service users received assistance in a discreet manner from the staff. The meal was not hurried and the service users were able to have second helping. Staff said that hot and cold drinks, and snacks were available throughout the day and night if the service users wanted. The gap between suppertime 7.00 pm and the breakfast 9.00 am, was discussed with care staff and they assured that the service users were given toast, sandwiches or snacks with a drink of their choice if they needed during the night. Three service users said that there was plenty of food to eat. The manager said that there had been an environmental health inspection of the kitchen and they were commended for their compliance and that they were waiting for the report. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 16, 17 and 18 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. There is a simple, clear and accessible complaints procedure available for the service users and relatives. This helps service users and others to make their views known. The policies and procedures promote the service users’ legal rights so that they are able to participate in civic processes. The manager ensures through training and supervision of staff that the service users are protected from all types of abuse, discrimination and inhuman or degrading treatment so that the service users are able to live in a safe environment. EVIDENCE: The staff said that they had read the home’s complaint policy as part of their induction. The manager had records of complaints made to the home and the last complaint was before the last Commission for Social Care Inspection in March 2006. Service users spoken to said that they used postal votes when there was a local election. They said that their families visited and made sure they were ‘looked after properly’ by the staff and if they had any concerns they spoke to the manager or her deputy. The staff confirmed that they had received training on Protection of Vulnerable Adults and the procedures to report any abuse. The manager said that since the last Commission for Social
Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 16 Care Inspection there has not been any allegations or incidents of abuse reported at the home. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 19, 20, 21, 22, 24, 25 and 26 The overall quality in this outcome area is adequate. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The location and layout of the home is suitable for its stated purpose. It is accessible, safe and better maintained. An on going programme of maintenance and renewal of fabric is well underway to ensure that the service users are comfortable. The service users’ rooms suit their needs and there are sufficient communal areas for the service users to use. The service users have access to all parts of the home through the provision of lifts and stairs. There are grab rails and aids for the use of the service users in the corridors, bathrooms and communal areas to assist them with mobility. Individual rooms are personalised and kept clean and comfortable. The heating, lighting and ventilation of the accommodation meet the relevant environmental standards. The home is kept clean, hygienic and free from offensive odours and systems are in place to prevent cross infection. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home and its grounds looked attractive and were accessible. The grounds were tidy, safe and had private areas where service users were able to sit out and enjoy the good weather. All windows have been replaced and the bedrooms looked brighter. The windows had restrainers. There were toilets near the communal areas for the service users. The lighting in the communal areas were domestic in appearance, which made it homely. The service users said that they have access to all parts of the home such as the communal and private areas if they so wish and the staff confirmed that there was no restriction on service users accessing areas of the home, which are allocated for them. The staff said that they had sufficient numbers of aids, hoists and assisted baths for the service users. Since the last site visit a part of the reception area has been converted into a storeroom for aids, equipments including wheel chairs. This arrangement has helped with de-cluttering the corridors and clearing the fire escape routes. During the tour of the premise it was noted that the individual’s bedrooms did not have privacy locks. The manager said that this was to be completed at the end of this year. The bedrooms were furnished, equipped to ensure comfort and privacy for the service users. The manager said that the dining chairs are to be replaced by the end of summer. This is one of the previous requirements. Emergency lighting was provided throughout the corridors. Rooms were centrally heated and service users were able to control their room temperature. The home has sluicing facilities with sluicing disinfector. Hand washing facilities were prominently sited in areas where infected materials and clinical waste were handled. Washing machines had specified programmes to meet the disinfection standards. Laundry facilities were sited away from the kitchen and the dining room so that the soiled and infected clothing were not carried through areas where food was stored, prepared or served. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The overall quality in this outcome area is adequate. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The staffing numbers and skill mix of nurses and the health care assistance are appropriate to the assessed needs of the service users. The staff recruitment, induction and training ensure that the right people are employed and they are inducted and trained to deliver a high standard of care to the service users. EVIDENCE: Four staff files were checked and three staff were interviewed. The recruitment files were completed with most of the information required by the Care Home Regulation 2002. There were gaps in the references for the staff and the staff had not singed documents such as health declaration and disclaimer for the working time regulation. The staff induction programme needs to be revised to comply with the National Training Organisation Workforce training targets. All staff had received mandatory training on moving and handling, health and safety, fire safety and protection of vulnerable adults from abuse. The four staff files checked had such information and they were up to date. The staff rota consisted of nurses and care assistants. However some care assistants were overseas nurses working as health care assistant whist they were going through the process of adaptation. Three service users said that
Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 20 the staff were very kind and considerate. One service users said that nothing was too much trouble for the carers. Direct observation confirmed that the staff on duty were competent and considerate towards the service users. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 The overall quality in this outcome area is adequate. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. A competent, well-qualified and experienced nurse runs the home and her management approach of the home creates a positive and transparent atmosphere so that the service users and others are able to discuss any queries or make suggestions. Quality monitoring takes place in an ad-hoc manner to ensure that the home is meeting its aims and objectives. However, the quality assurance process needs to be revised and formalised to show the views of those who use the service. The manager ensures that the service users or their families control their own money and there are safeguards to protect the interests of the service users. The supervision arrangement for the staff at the home is not formalised and therefore it was difficult to assess. The management ensure that health, safety and wellbeing of the staff are protected by the homes policies and procedures.
Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager was responsible for the day to day running of Jasmin Court. The manager and her senior staff have attended training sessions to keep up to date with developments in nursing. The staff said that the management enabled them to be creative and innovative. Staff said that they received supervision but it was irregular. The supervision process is to be formalised and the format is to be revised by the manager. The staff said that they had attended training on health and safety, moving and handling and fire safety. The evidence of training was checked and reported under staff training. The manager said that she and the deputy asked the service users regularly for any comment with regards to care and comfort of the home. She said that the open door policy helped relatives and service users to discuss any issues when she was on duty. There was a copy of the minutes of the last staff meeting. The manager had discussed quality issues and the staff had made suggestions. All accidents, injuries and notifiable events had been recorded. The manager said that the outcome of the analysis of events were then scrutinised to find out any trends or staff development and training issues. The individual records and the home’s records were securely stored. Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 23 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 X 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 2 3 3 X 2 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 3 2 X 3 Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP20 Regulation 16 Requirement The dining room furniture especially the chairs must be checked for their suitability for its purpose. Previous timescale: 14/07/06. The doors to service users’ private accommodation must be fitted with locks suited to service users’ capacities and accessible to staff in emergencies. Previous timescale: 31/03/05, 14/07/06. The registered person must operate a thorough recruitment procedure by ensuring the information held on each staff comply with the care homes regulations. Previous timescale: 09/03/06. Staff induction training must be formalised. The training programme must take into account National Training Organisation Workforce Training targets. Previous timescale: 14/04/06 The home must have an effective quality assurance and quality monitoring system. It must be
DS0000047893.V299994.R01.S.doc Timescale for action 14/10/06 2. OP24 23 14/12/06 3. OP29 12, 19 Schedule 2 14/09/06 4. OP30 12, 18 14/09/06 5. OP33 24 14/07/06 Jasmin Court Nursing Home Version 5.2 Page 25 6. OP36 18, 19 based on seeking the views of service users, staff and visitors. The information needs to be used to measure how the home meets its stated aims and objectives. All care staff including nurses 14/09/06 working at the home must receive formal supervision at least six times a year. The supervision must cover all aspects of practice, philosophy of care and the individual staff career development and their personal needs. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Jasmin Court Nursing Home DS0000047893.V299994.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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