Inspection on 19/09/06 for Longley Park View Nursing Home

This inspection was carried out on 19th September 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Longley Park View Nursing Home 14/09/07

Longley Park View Nursing Home 07/11/05

Longley Park View Nursing Home 12/04/05

Longley Park View Nursing Home 14/12/04

Longley Park View Nursing Home 22/07/04

Longley Park View Nursing Home 17/03/04

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

CARE HOMES FOR OLDER PEOPLE Longley Park View Nursing Home 70 Longley Lane Sheffield South Yorkshire S5 7JZ Lead Inspector Michael O`Neil Key Unannounced Inspection 19th September 2006 09:10 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 Longley Park View Nursing Home DS0000021794.V308703.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. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longley Park View Nursing Home Address 70 Longley Lane Sheffield South Yorkshire S5 7JZ 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 242 5402 0114 242 5452 none None Longley Health Care Limited Mrs Margaret Johnson Care Home 67 Category(ies) of Dementia - over 65 years of age (38), Mental registration, with number disorder, excluding learning disability or of places dementia (11), Mental Disorder, excluding learning disability or dementia - over 65 years of age (18) Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The numbers of care staff and qualified nurses on duty at any one time must be determined and provided according to the assessed needs of service users. Staffing levels must be maintained at, at least those described in the document accompanying the variation application, reference number `JQ09/01/2003 confidential`. The building must be organised into the following groupings; 11 Mental Disorder (MD) - ground floor separate unit; 18 Mental Disorder for people 65 and over (MD/E) - ground floor separate unit; 38 Dementia for people 65 and over (DE/E) - first floor separate unit. The service may admit persons between the ages of 60 and 65 years into the Ecclesfield Unit MD(E). 7th November 2005 2. 3. Date of last inspection Brief Description of the Service: Longley Park Views registration category is a care home with Nursing. It provides care for up to 67 residents, 38 falling within the Dementia service user group over 65 years of age, 11 in the Mental Disorder group under 65 years of age and 18 residents in the same group but over 65 years of age. The categories of registration were varied in July 2003. Longley Park View is a purpose built home providing accommodation at ground and first floor level. The home is sited in a residential area and is close to local shops and a bus route to the North of Sheffield city centre. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection carried out by Mike O’Neil and Shelagh Murphy regulation inspectors. This inspection took place between the hours of 9.15 am and 4:00 pm. Maggie Johnson, registered manager and Julie Davenport, Managing director of Longley Health care limited were present during the inspection. The manager submitted a pre inspection questionnaire to the CSCI prior to the actual visit to the home. Some information from the questionnaire is included in the main body of the report. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to 10 staff, 9 residents and 1 visiting relative. The inspectors wish to thank all these people for their time, friendliness and co-operation throughout the inspection process. There were no copies of previous inspection reports displayed in the home. The manager said she was in the process of looking how to make this information available to all the residents. Information about how to raise any issues of concern or make a complaint was on display in the entrance halls. The manager confirmed that the range of monthly fees from 19th September 2006 were £441 - £1800 per week. Additional charges included hairdressing and private chiropody. What the service does well: Residents said that the care they were receiving was good. Residents added comments such as” I like the staff” and “I get on well with the staff”. The inspectors felt that the residents of Longley Park View had received a good standard of personal care. There was evidence seen that there were good links between the home and other health and social care professionals. Staff spoke to residents in a respectful yet friendly way and showed empathy, kindness and patience when providing personal care to the residents. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 6 The inspectors were very impressed with how the staff interacted with the residents. Staff said they were encouraged to attend training on various care topics specific to the resident group at Longley Park View and that there were good training opportunities available to them. Residents, staff and relatives said that they met regularly with the manager of the home and spoke positively about her approachability and helpfulness. A friendly and welcoming feel was very evident in Longley Park View. What has improved since the last inspection? What they could do better: Resident care plans need to detail all the residents’ preferences, social and personal needs. All staff must be aware of the residents’ health, social and personal care needs that are set out in the care plan. A reassessment of the resident (identified at the time of inspection) must be undertaken to ensure that their needs can be fully met. All residents must be given the opportunity for stimulation through suitable leisure and recreational activities. Additional information must be provided so that residents are orientated to date, time and place. The surroundings in which meals are served must be improved in the home. Efforts must be increased to eradicate all unpleasant smells in the toilets and bathrooms of the home. The rooms also need decorating and making more homely and less clinical. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 7 The boiler must be repaired or replaced so that hot water is available at all times in the home. A system must be implemented to ensure that staff check on a daily basis the cleanliness and general environment of the home. Fire doors must be kept closed and fire equipment must be sited to ensure that there are adequate arrangements for the containing and extinguishing of fire. Hazardous solutions must be safely stored in the home. Satisfactory standards of food hygiene must be maintained in the home. 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. Longley Park View Nursing Home DS0000021794.V308703.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 Longley Park View Nursing Home DS0000021794.V308703.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): Standards 1 and 3. Standard 6 is not applicable to this home. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home did not provide sufficient updated information to inform service users about their rights and choices. The manager said that Residents’ assessments prior to admission took place, however staff said they did not have all the information needed to be aware of residents needs to ensure that they could be met. Staff said they were finding it difficult to meet one residents needs and this was affecting their ability to meet the needs of the other residents on one particular unit. This home does not provide intermediate care services. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 10 EVIDENCE: There were no copies of previous inspection reports displayed in the home. The manager said she was in the process of looking how to make this information available to all the residents. The manager said that assessments were undertaken prior to admission to ensure the service could meet prospective residents needs and that she or social workers of the residents carried these out. Staff interviewed on Concorde unit however said that they had never seen the assessments of two particular residents. Copies of care management assessments were not held within resident files. Staff said they were finding it difficult to meet one residents needs on one particular unit. The resident was verbally and physically aggressive and was a risk to themselves and others. The inspectors observed this residents aggression. The staff handled difficult situations very well, however the time they were spending with the resident meant that they were spending less time with the other residents. Staff said a recent reassessment of the residents needs had not been held and that this was needed urgently. The manager said she was trying to arrange an urgent review for the resident involving members of the multi disciplinary team. Longley Park View Nursing Home DS0000021794.V308703.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): Standards 7,8,9,10 and 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents’ health needs were well documented in the care plans meaning that the resident’s health needs could be met. However the residents social and personal care needs were not documented in sufficient detail to ensure that the resident’s needs could be fully met. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents and relatives said that the care delivered by staff was good. Medication storage and procedures protected the residents’ health and welfare. Residents said that the staff promoted their privacy and dignity. However the residents’ privacy and dignity could not be fully maintained as environmentally some shower rooms were not fitted with shower curtains. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 12 EVIDENCE: Three resident care plans were checked. The standard of the care plans were not satisfactory, and the information in them, was inadequate to ensure that the resident’s social and personal care needs could be met. The residents’ health needs were generally well recorded. Residents or their relatives were involved in drawing up the care plans. Staff were updating resident risk assessments and the health care needs of the residents on a monthly basis. The care plans however, did not contain the social or personal needs of the residents in sufficient detail. The residents’ wishes in the event of their death were not recorded in sufficient detail. Some staff interviewed were not aware of what was written in the residents care plans. Some staff were unaware of the residents diagnosis and/or their health and social needs. Residents said that the care they were receiving was good. Residents added comments such as” I like the staff” and “I get on well with the staff”. The inspectors observed that residents were well dressed in clean clothes. The inspectors felt that the residents of Longley Park View had received a good standard of personal care. Relatives felt that their had been an improvement in the care provided by staff over the past year. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Some of the healthcare professionals had provided additional training and education to the staff of the home. There was evidence seen that there were good links between the home and health and social care professionals. Medication procedures provided protection to residents. Medicines were securely stored around the home in locked cupboards within treatment rooms. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. Residents said that staff at the home respected their privacy and dignity by knocking on their doors and waiting for a response before entering. The inspector observed this practice of staff knocking on residents’ doors. The residents’ privacy and dignity could not be fully maintained, however as some shower rooms on Concorde Unit were not fitted with shower curtains. Staff spoke to residents in a respectful yet friendly way and showed empathy, kindness and patience when providing personal care to the residents. The inspectors were very impressed with how the staff interacted with the residents. Longley Park View Nursing Home DS0000021794.V308703.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): Standards 12,13,14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents choice of lifestyle within the home was limited meaning it was difficult for them to maintain links with the local community. Some care and social practices in the home limited residents’ choice. The home has an open visiting policy, which assisted in maintaining good relationships with residents’ representatives. Meals served at the home were of a good quality and offered choice to ensure residents receive a healthy balanced diet. However drinks were not available at times convenient to some residents and not all the residents were served meals in pleasing surroundings. EVIDENCE: Activities were advertised around the home. However the advertised activities were not taking place. Some residents said they were bored and wanted more activities. Some residents said how much they had enjoyed a recent trip to the coast but said that trips out were very infrequent. Other residents did attend a day centre regularly. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 14 Two activities coordinators are employed by the home and there are sufficient staff employed to provide a more structured day for the residents. However the staff do seem unsure as to how to structure and plan the residents days and clearly need more support. On Firth Park and Hillsborough units the staff were not providing information that may help residents with orientation. A small clock displaying the incorrect time was displayed in one lounge. There was no Information, such as the weather, the place where the residents were living, or a news item which may help the residents with orientation to time and place displayed anywhere on the units. Residents said they chose when they got up and went to bed and generally how they spent their day. However, some residents were restricted in choices they could make .The inspector saw the practice of a staff member handing 3 residents cigarettes at a set time. When discussed with staff it was ascertained that only one resident had agreed restrictions on how many cigarettes they smoked a day. Residents said that they had a choice of food and that the quality of food served was good. Residents said that staff provided them with drinks frequently throughout the day. The inspector observed that prior to lunch being served the residents on Hillsborough and Firth Park Units were sat for periods of up to fifteen minutes at dining tables, which were not set with clothes or cutlery. The residents were sat staring at each other without any stimulation although they were provided with a drink. All the dining rooms were noisy and crowded. Medication was being dispensed to residents in one dining room that made the room even more crowded. Staff seemed stressed and under pressure to serve the meals and this coupled with the poor environment made the whole mealtime a poor experience for the residents and not the pleasant event it should be. Residents on Ecclesfield said that they would like access to a kitchen so that they could make a cup of tea or cold drink during the day. Longley Park View Nursing Home DS0000021794.V308703.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints procedures are in place to enable residents and relatives to feel confident that any concerns they voice will be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure residents are protected from abuse. EVIDENCE: Complaints procedures were displayed around the home. Residents and relatives said that if they had any concerns that they would feel comfortable in talking to the manager and they knew that the problems would be dealt with immediately. Staff said they had received information and training on adult abuse and said they had read and were aware of the policies on whistle blowing at the home. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 16 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): Standards 19,21,24,25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Refurbishment and investment in the homes environment has continued and the cleanliness in some areas of the home has improved. However, not all of the homes environment was well maintained and clean which meant that not all residents lived in a comfortable and safe environment. EVIDENCE: All the residents said their rooms and the home in general was well maintained and kept clean. Since the last inspection a refurbishment of the home has occurred. Lounges have been redecorated and new furniture has been purchased for the lounge areas and carpets have been replaced. This has markedly improved the aesthetics of these rooms. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 17 Unfortunately however, some furniture around the home was stained. The quadrangle garden, which was very pleasantly planted and maintained, was unfortunately littered with cigarette buts. Residents complained that they could not access the quad all the times because the doors were locked. The bathrooms on Ecclesfield, Hillsborough and Concorde Units were bare, institutionalised cold and clinical. Unpleasant smells were noted in the toilets/bathrooms on the three units highlighted. An unpleasant smell was noted in a bedroom on Concorde Unit. For some reason two toilets on Concorde and Ecclesfield units were locked making it difficult for 11 and 18 residents respectively access a toilet when they needed to. Six bedrooms were checked in detail and many others seen, whilst some were very comfortable and homely four bedrooms on Concorde and Ecclesfield units were very bare, not personalised with the residents’ own possessions and did not contain 2 chairs or a bedside light. There was no indication in the residents care plans as to why these items of furniture had not been provided. When measured at 2pm it was found that there was no hot water on any of the 4 units. The manager said there was a problem in the afternoon with the water temperature and a quote to repair the boiler had been received. She gave assurances that there was hot water during the morning and evening, residents confirmed they were able to have hot baths during these periods of time. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 18 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): Standards 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. Staff were employed in sufficient numbers to meet the residents needs. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. Staff have completed training that ensures these staff have the competences to meet the residents needs. Staff undertook induction training to ensure they had the skills needed to carry out their duties. EVIDENCE: The manager stated that agreed staffing levels were being maintained and the staff rota identified agreed staffing levels had been met. Staff said staffing levels were adequate. Residents said there was always a member of staff available when they needed them. The required 50 of care staff had not achieved their level 2/3 NVQ qualification, although the manager said a number of staff had enrolled or were undertaking their NVQ training. Three members of staff interviewed said they were undertaking their NVQ training. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 19 Three staff recruitment files were checked. The staff files contained references from the staff’s last employer, information to verify identity and Criminal Record Bureau (CRB) and Protection Of Vulnerable Adults (POVA) checks. The manager confirmed that all staff working at the home had completed an enhanced CRB/POVA check. There was a training and development plan for the staff. Staff said they were encouraged to attend training on various care topics specific to the resident group at Longley Park View and that there were good training opportunities available to them. Induction records and staff interviews evidenced that staff induction was thorough. The training provided on induction included moving and handling, health and safety, food hygiene and adult protection. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 20 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): Standards 31,32,33,35,36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There was a positive style of management in the home. This would have a positive affect on the quality of the service the residents receive. Staff were not being adequately supervised, so they may not have the required skills to meet the residents needs. Some of the homes procedures did not fully promote the health, safety and welfare of residents and staff. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager and Managing Director were very positive about the inspection process and were committed to improve the service of Longley Park View and meet the National Minimum Standards and Care Home Regulations. The manager had completed a health care and management qualification at degree level and had provided the CSCI with a copy of this certificate. Residents, staff and relatives said that they met regularly with the manager of the home and spoke positively about her approachability and helpfulness. A friendly and welcoming feel was very evident in Longley Park View. The home had a quality assurance system. Staff, resident and relative meetings were held and minutes of these meetings were seen. Questionnaires were regularly sent out to relatives, residents and health professionals who visited the home. The information from the questionnaires had been collated and a report containing the results had been made available for the residents and relatives of the home. There was evidence of internal auditing of the homes medication system and some records. However the auditing of the homes environment was very limited. The inspectors would suggest that if senior staff had carried out regular checking of the general environment during the course of every day fewer requirements would have been highlighted by the inspectors. The home handles money on behalf of some residents. Account sheets were kept, receipts were seen for all transactions and a second individual witnessed all transactions. However, residents’ financial interests were not fully safeguarded because residents’ personal money accounts had not received any interest payments since January 2006. The bank statement identified that two separate interest payments had been made to the residents account since January 2006.The interest accrued must be apportioned to the residents. Staff said they were not receiving supervision on a regular basis. Two staff files checked showed that staff had only received one supervision session in the last year. One staff file checked confirmed that they were receiving supervision on a regular basis. Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 22 The health and welfare of residents could not be fully protected, as: • The fire extinguishers in many areas of the home had been removed from their hooks in the corridors and placed in the staff offices, which were locked. Staff said that this action was taken, as some residents were prone to moving the extinguishers inappropriately. No written permission was in place from the South Yorkshire Fire and Rescue Service for the extinguishers to be stored in the locked offices. The extinguishers were replaced to there original sites prior to the end of the inspection. Several fire doors around the home were wedged open. The doors, unless fitted with an electronic closure must be kept shut. The manager, when informed of this, said she would immediately check all units and ensure no fire doors were wedged open. The kitchenette on Concorde Unit was not clean. This has been a requirement on two other inspections in the last 4 years. Food debris and food splashes were found in the microwave, base of the fridge and sink splash back in the kitchenette. The floor was dirty. Rotting bananas were found in a cupboard and unlabelled and undated food was stored in a fridge. The freezer compartment in the fridge needed defrosting. Hazardous cleaning products and alcohol (which may provide a risk to some residents) was stored in an unlocked cupboard in the unlocked kitchenette on Concorde unit. The products were locked away prior to the end of the inspection. • • • Staff said they had received recent fire safety and other health and safety training .A sample of records showed that staff were receiving this statutory training. Fire records stated that weekly testing of the fire alarm system had occurred. A sample of records showed servicing of the homes utility systems had occurred. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. This will promote the safety and welfare of the service users. Longley Park View Nursing Home DS0000021794.V308703.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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X 2 2 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 2 2 X 2 Longley Park View Nursing Home DS0000021794.V308703.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. 2. Standard OP1 OP3 Regulation 5 14 Requirement A copy of the most recent inspection report must be made available for all residents. All service users must have their needs clearly assessed before admission. A copy of this assessment must be available in the residents care plan so that it can be kept under review. A reassessment of the resident (identified at the time of inspection) must be undertaken to ensure that their needs can be fully met. Care plans must identify in detail the social and personal care needs of the residents. Staff must be aware of the residents’ health, social and personal care needs that are set out in the care plan. Shower curtains must be fitted in the shower rooms to maintain residents’ privacy and dignity. The residents care plans must provide evidence that the residents’ wishes concerning terminal care and arrangements after death have been discussed. DS0000021794.V308703.R01.S.doc Timescale for action 01/12/06 01/11/06 3. OP3 14 01/10/06 4. 5. OP7 OP7 12,15 12,15 01/12/06 01/12/06 6. 7. OP10 OP11 12 12,15 01/11/06 01/01/07 Longley Park View Nursing Home Version 5.2 Page 25 8. OP12 16 9. OP12 12,16 10. OP14 12,15 11. OP15 16 12. 13. 14. OP15 OP19 OP19 16 23 23 15. 16. OP21 OP24 23 16,23 17. 18. OP25 OP26 23 16 Arrangements must be implemented to ensure that residents are orientated to date,time and place. The routines of daily living and activities made available are flexible and varied to suit residents’ expectations, preferences and capacities. (Previous timescale of 01/07/05 not met) Any sanctions imposed that affect resident choice must be agreed with the resident and recorded in the care plan. (Cigarettes) Meals must be served in pleasing surroundings. (Previous timescale of 01/01/06 not met) Drink and/or tea making facilities must be provided for the residents of Ecclesfield unit. Grounds must be accessible to all residents. All areas of the home used by residents internally and externally must be well maintained and decorated. (Furniture, gardens) Toilets and bathrooms must be clean, well decorated and accessible to residents. Unless agreed otherwise in the person’s individual plan, or being identified as in their best interests each residents room must be furnished to include equipment as required in standard 24. Where possible bedrooms must be homely and be personalised with the residents’ own possessions. Sufficient hot water, at all times, must be provided in bathrooms, toilets and resident rooms. All parts of the home must be DS0000021794.V308703.R01.S.doc 01/12/06 01/12/06 01/11/06 01/12/06 01/02/07 01/12/06 01/02/07 01/02/07 01/12/06 01/11/06 01/11/06 Page 26 Longley Park View Nursing Home Version 5.2 19. 20. OP28 OP33 18 24 21. OP35 13,16 22. OP36 18 23. OP38 23 24. OP38 23 25. OP38 13 26. OP38 16 kept clean and free from offensive odours. 50 of care staff must be trained to NVQ level 2 or equivalent. A system must be implemented to ensure that the homes environment and services are regularly reviewed. Residents financial interests must be safeguarded by interest being paid on any savings held on their behalf. Formal staff supervision must occur at least six times a year. This supervision must be documented. Fire equipment must be sited to ensure that there are adequate arrangements for the containing and extinguishing of fire. (Addressed at time of inspection) Fire doors must be kept closed to ensure adequate arrangements are made to contain any fire. (Addressed at time of inspection) All parts of the home to which residents have access are so far as reasonably practicable free from hazards to their safety. (Hazardous solutions and alcohol) (Addressed at time of inspection) Arrangements must be in place to ensure satisfactory standards of food hygiene are maintained in the home. (Concorde unit) 31/12/06 01/11/06 01/11/06 01/02/07 19/09/06 19/09/06 19/09/06 01/11/06 Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 27 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 Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 28 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 © 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 Longley Park View Nursing Home DS0000021794.V308703.R01.S.doc Version 5.2 Page 29 - 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!