Inspection on 10/12/07 for Longwood Grange Nursing Home

This inspection was carried out on 10th December 2007.

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 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

Longwood Grange Nursing Home 18/02/09

Longwood Grange Nursing Home 05/12/06

Longwood Grange Nursing Home 12/12/05

Longwood Grange Nursing Home 18/08/05

Longwood Grange Nursing Home 14/03/05

Longwood Grange Nursing Home 14/09/04

Longwood Grange Nursing Home 29/03/04

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

CARE HOMES FOR OLDER PEOPLE Longwood Grange Nursing Home Longwood Gate Longwood Huddersfield West Yorkshire HD3 4UP Lead Inspector Tracey South Key Unannounced Inspection 09:30 10th December 2007 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 Longwood Grange Nursing Home DS0000001120.V352635.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. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longwood Grange Nursing Home Address Longwood Gate Longwood Huddersfield West Yorkshire HD3 4UP 01484 647276 01484 460208 manager.longwood@aermid.com 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) Ancyra Health Limited Mrs Tracey Jane O`Hagan Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category Code OP The maximum number of service users who can be accommodated is: 40 Up to 6 service users - category TI and / or TI(E) Can provide accommodation and care for one named service user aged under 65 years. 5th December 2006 2. 3. 4. Date of last inspection Brief Description of the Service: Longwood Grange is a care home providing personal care, nursing care and accommodation for up to 40 elderly people. Ancyra Health which previously owned Longwood Grange, was bought out late December of 2006. The new company that owns Ancyra is Aermid. The accommodation was adapted from its former use as a school some years ago. It is situated on a steeply sloping site adjacent to a church in the centre of Longwood, a former village satellite of Huddersfield. The accommodation provided is located on two floors linked by a passenger lift, the ground floor providing the communal facilities, toilets, lounge and dining room. All the bedrooms are on the first floor, most of which are for single occupation. There are no en-suite facilities in the home. The inspector was informed on 10th December 2007 that fees range from £356.34 to £395 per week. Additional charges include hairdressing, private chiropody, newspapers, sweets and personal toiletries. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by the inspector on the 28th January 2008. The visit began at 09.30am and the inspector had left the home by 4.30pm. During the visit the inspector spoke with some of the people who live at the home, care staff, the company’s operations manager and the registered manager for the home Rachel Bedford. Care records were examined and the inspector audited a sample of medications, reviewed staff recruitment records, and looked around the home. The manager at the home also completed an annual quality assurance assessment that was requested by CSCI (Commission for Social Care Inspection), which includes information about people who live at the home, the staff that work there, the service provided and any incidents or accidents that have occurred. Prior to this visit, surveys were sent out to obtain the views of people who live at the home, their relatives and doctors. Twelve surveys were sent out to people living at the home, none were returned. The reason for the nil return could be due to people’s frailty. Twelve surveys were sent out to relatives, two were returned. Surveys were also sent to people’s doctors and staff at the home, none were returned. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well: People are properly assessed prior to moving into the home to ensure that their needs can be met. They are able to visit the home prior to moving in giving them the opportunity to meet with other people and staff as well as having a look at the accommodation on offer. Staff employed at Longwood Grange who completed our survey said they feel that the home offers any individual who may come into the home excellent care and attention to suit their individual needs. People are able to access health care services and one GP gave positive feedback about how well the staff look after people. There is a good range of activities available for people to join in this includes trips out and themed entertainment events. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 6 Care practice observed during this visit and the relationship between staff and people being cared for was positive. People living at the home said that the staff are kind and caring. The following comments are taken from relative surveys about what they feel the care home does well: “Sadly X passed away last Sunday but the support and sympathy we got from all the staff that night was excellent. They had kept X clean and well cared for right up to the end. I will never be able to thank them enough for what they did for him. In my mind they do everything well.” “Staff are always very caring of the residents and are friendly and approachable, and will always spend time discussing problems.” “I think they try their best to provide a homely atmosphere. Everyone is always cheerful.” “They take care of my husband very well. He always has clean clothes when I visit.” “Everything. They are kind, caring and loving to the people in their care. The home is clean, no smells and the meals are good.” “They treat every resident with respect and courtesy.” “Maintains a happy friendly atmosphere in the home. Staff are always around and available at all times.” What has improved since the last inspection? What they could do better: Each person’s care plan must clearly outline their needs and the care and support they require from staff. Daily reports should clearly reflect how people’s needs have been met including information about how the person has spent their day. Nursing staff must take greater care when administering and booking in medication that is received in the home so all medication can be accounted for. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 7 People should be offered more choice at mealtimes so they have options other than the set meal. People’s cultural needs should be taken into consideration to ensure people are provided with meals of their choice and preference. Relatives’ comments on how the home could improve include, “General tidiness in public areas and rooms.” “More stimulation and exercise for residents. Staff sometimes seem to leave residents calling out. This is stressful for visitors who do need reassuring that the residents are not being ignored.” 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. Longwood Grange Nursing Home DS0000001120.V352635.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 Longwood Grange Nursing Home DS0000001120.V352635.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are properly assessed prior to moving into the home to ensure that their needs can be met. EVIDENCE: Three people’s care records were examined, this included information obtained by the home about the person’s needs. All three people have recently moved into the home, two of which were admitted as emergencies. In all three cases information about the person’s current needs had been forwarded to the home from the funding local authority. This information is considered by the home and helps them make the decision as to whether they will be able to meet the person’s needs. The home’s quality assurance assessment explains how the home welcomes and encourages prospective people to spend time at the home, prior to them Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 10 moving in. And they are able to have a meal and spend the day there if they wish. This gives people the opportunity to look at the accommodation and to meet with other people who live there. Five out of six people who completed our surveys said that they received enough information about the home before they moved in. Longwood Grange Nursing Home DS0000001120.V352635.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. In order to give the exact care and support people need, care plans need to improve. People’s rights to privacy and dignity are supported by caring staff but careless mistakes with medication could put people at risk. EVIDENCE: People may not receive the right level of care they require due to shortfalls in the care planning process. Three people’s care plans were looked at in order to create a picture of what their needs are and how staff support them. Two of the three care plans did not provide enough detail about people’s needs or the kind of support they require. The care plans examined were generalised and did not always focus on the individual; this makes it difficult to give people the exact care they need. One of the care plans did provide more detailed information but it had not been updated as the person’s needs had changed. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 12 Daily reports are completed by staff and the information they record should relate to how that particular person has spent their day and how their care needs have been met. The daily reports examined did not provide this level of detail and there were a number of gaps when staff had not recorded anything about the person. Speaking with people during this visit enabled the inspector to get a feel of how they spend their time, as there was very little evidence of this in the daily reports. Risk assessments are carried out to identify any risk to the individual, for example if they are at risk from falling. The risk assessments looked at did not fully explain how risks would be managed. One person had a risk assessment in place as they had a history of becoming verbally and physically aggressive. The assessment did not include details of any possible triggers for this aggression and how this person could be supported when feeling anxious. Assessments are completed in respect of those people who are at risk of developing pressure sores (known as “Waterlow” assessments). One person assessed as being at risk had a Waterlow assessment in place, which gave details about the specialist type of equipment being used but did not refer to how often this person required re-positioning in bed or the need for staff to frequently check this person’s skin. Some people need extra help in terms of their mobility and therefore manual handling plans are implemented to help identify the level of support people need. The form currently being used does not include details about the person’s weight or any handling constraints that staff may need to consider when assisting them to move safely. The plans examined did not include the required number of staff to assist the person to mobilise safely. There was good evidence in people’s care records that they are able to access health care services, such as the dentist, chiropodist, optician and everyone living at the home is registered with a doctor. One GP was called into the home during this visit and gave positive feedback about how well the staff look after people living at Longwood Grange. All six people who completed a survey said they “always” receive the medical support they need. The medication system used at the home is supplied by the chemist in blister packs, which enables staff to easily audit medication received and returned. However, staff are responsible for booking in medication for newly admitted people that includes counting the medication, recording the amounts and the medication details such as dosage and frequency. A sample of three people’s medication was checked during the visit and not all medication could be reconciled with the records. Staff must take greater care when booking in medication to ensure the correct amount is recorded. The nurse on duty seemed to think the errors identified today stemmed from when the medication was first received in the home. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 13 People living at the home confirmed that staff are respectful of their privacy and dignity and always knock on the door before entering bedrooms. More emphasis is required in ensuring people’s dignity rights are included in their individual care plans. Our surveys asked people if they received the care and support they need. Three responded, “always”, two people said “usually” and one person said “sometimes”. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 14 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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home are offered a range of activities and are able to make their own choices about how they spend their time. Meals provided are limited, as people are not routinely offered a choice at lunchtime. EVIDENCE: The home employs an activities co-ordinator who is enthusiastic about encouraging people to take part in various activities. She spoke of the different activities people get involved in such as baking, bingo and various other games. On the day of this visit there was a carol concert and other festive events are due to take place over the next couple of weeks. Four people felt that the home “always” provides activities that they can take part in. Others responded, “sometimes” and “usually”. Relatives said that the activities person puts a lot of effort in arranging things for people to join in including trips out to the seaside. One person who lives at the home spoke of how she enjoys taking part in activities and has spent time Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 15 with the activities person on a one to one basis whilst making Christmas decorations to sell at the Christmas Fayre. Visitors were observed being welcomed into the home by staff and people who live there. The atmosphere was relaxed and friendly. Relatives confirmed that they do feel welcomed when they visit and one person explained that if you want to have a meal with your relative you are able to do so. One relative who completed a survey said although they were more than happy with the care at the home, the layout of the home means there is nowhere for them to see their relative in private. The home’s quality assurance assessment completed by the manager indicated that people’s routines, religious needs, likes and dislikes are established prior to them moving into the home but there was very little evidence of this in people’s care records. Staff were observed asking people to make their way to the dining room at 11.40am but yet lunch was not served until approximately 12.15pm which is a long time for people to be sat around waiting. People living at the home explained that there is a set menu at lunchtime but said that an alternative such as an omelette would be offered if you didn’t like the main meal. People are not aware of the meal on offer until it is served to them. If they don’t like it and ask for something else it means them waiting again whilst the alternative is prepared, cooked and served. Not everyone’s cultural needs are being catered for and the cook explained that he is not always aware of people’s nationality. Without this important information people may not be given the type of food they would normally choose. There were no condiments such as salt, pepper and sauces available on tables at lunchtime and some people had a drink whilst others didn’t. One lady who didn’t asked a member of staff to fetch her one. The inspector was concerned that if this person had not have asked for a drink would she have been given one. Those people spoken with said they were enjoying their meal of shepherds pie and vegetables. One lady said the food is ok but it’s not how she used to cook. Another person said she has her main meal at teatime as she chooses not to have breakfast until mid morning. The majority of people who completed our survey said they liked the meals at the home. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: All six people who completed a survey said they knew who to speak to if they were unhappy about something and that they know how to make a complaint. An easy to follow complaints procedure is displayed on the front reception notice board. The complaints procedure, with a complaints form is available in each person’s room and given out to all people who are considering living at the home. A record is kept of every complaint made and includes details and any action taken. The home has received one complaint in the last twelve months. There are policies and procedures in place to reduce this risk of abuse. All staff commencing employment have a CRB (Criminal Records Bureau) and a POVA (Protection of Vulnerable Adults) check before starting work in the home. All staff are registered to receive safeguarding (adult protection) training during December 2007. Staff were able to demonstrate a good understanding of protecting people from abuse. Longwood Grange Nursing Home DS0000001120.V352635.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home offers people a comfortable and clean environment. EVIDENCE: The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. The home looked festive being seasonally decorated with Christmas decorations. The home was clean and tidy and there were no unpleasant odours noted in any areas of the home. Designated laundry staff are employed who are responsible for the laundering of all washing including people’s clothing. The inspector had a look around the home, which included the laundry area, which looked very well organised. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 18 Staff explained that a number of shared rooms have been made into single rooms offering people more privacy. There were twenty-six people living at the home on the day of the visit. Longwood Grange Nursing Home DS0000001120.V352635.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are met by trained staff who have undergone a thorough recruitment process before they are allowed to work in the home. EVIDENCE: The majority of relatives who completed our survey felt that the care staff have the right skills and experience to look after people properly. One person wrote, “Always a trained nurse on duty and whenever we have visited there are plenty of care assistants ready to help.” Care practice observed during this visit and the relationship between staff and people being cared for was positive. People living at the home said that the staff are kind and caring. One lady said she has a good relationship with staff and said the Manager is very friendly and approachable. The duty rota confirmed there to be one nurse and six care staff on duty during the morning and one nurse and four/five care staff on the evening shift. The night shift is covered by one nurse and two care staff. Care staff are supported by domestic, laundry and kitchen staff. Seventeen of the twenty-three (73 ) care staff employed at the home have completed NVQ (National Vocational Qualification) level 2 qualification in Care, exceeding the standard. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 20 The recruitment files of three members of staff were audited in detail and contained the required information and recruitment checks. These checks are necessary to help protect people from potentially unsuitable staff. New staff undertake induction training in accordance with Skills for Care, the National Training Organisation for care staff. New staff were able to confirm that this training does take place within their first few weeks of employment. It was difficult to establish if all staff have received training to enable them to do their job competently, as information about staff training is not easily obtainable. It would be helpful for the purpose of inspection and to assist the manager to track training of staff for updates etc, to create a training record where staff training can be established at a glance. Some staff have not received manual handling and infection control training for some time. The company that owns this home must ensure that staff undertake this training within the next three months in order to maintain the health and safety of people living and working in the home. Longwood Grange Nursing Home DS0000001120.V352635.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health, safety and welfare of people living at the home and staff is promoted and protected. EVIDENCE: Mrs O’Hagan is the registered Manager and has worked in the home for over 12 months. Members of staff, people living at the home and relatives reported Mrs O’Hagan to be approachable and friendly. Mrs O’Hagan is a registered nurse and is currently undertaking her Registered Manager’s Award. The company that owns this home sends out satisfaction questionnaires to people living at the home and their relatives. These are returned to the Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 22 Manager who is then responsible for collating the findings and producing a report, which is made available to all interested parties. As part of quality assurance monitoring there is an expectation that management visits, usually carried out by a senior member in the company, take place each month at the home. The purpose of the visit is to speak with people living at the home, relatives and the staff as well as inspecting the premises and records of events and records of any complaints. The person carrying out the visit must then prepare a written report on the conduct of the home, which should be available for the CSCI during inspections. Reports of this nature have not been completed since June 2007 and the company needs to address this to ensure people living at the home are receiving the care they expect and that the home is well managed. Some people have small amounts of personal money that is held safely at the home. Records are available to show when money is deposited on behalf of people. The records show the individual cash balance for each person and how their money is used on their behalf, including receipts for goods and items purchased. Two people’s finances were checked during the visit and were found to be correct. The home’s quality assurance assessment indicates that routine maintenance and servicing of equipment takes place. The home carries out weekly fire safety checks and these are recorded and staff are involved in fire drills periodically to ensure they know what to do in the event of a fire. Longwood Grange Nursing Home DS0000001120.V352635.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP7 Regulation 15 Requirement Each person’s care plan must clearly outline their needs and the care and support they require. Risk assessments must outline the strategies in place for managing potential risks to people. Timescale for action 30/01/08 2 OP8 13 30/01/08 3 OP33 26 Manual handling plans must describe in detail the level of support the individual requires. As part of quality monitoring the 30/01/08 registered provider must ensure that management visits to the home are undertaken and reports are made available to the CSCI during inspections. Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP9 OP15 Good Practice Recommendations Daily reports should clearly reflect how people’s needs have been met and how they have spent their day. Greater care is required when administering and booking in medication received in the home to ensure all medicines can be easily reconciled. People’s cultural needs should be further explored in respect of their dietary requirements to ensure they are able to have foods of their choice and preference. Lunchtime should include an alternative to the main meal on offer and people should be given options in good time. Arrangements should be made for staff to receive manual handling and infection control refresher training. 4 OP30 Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Longwood Grange Nursing Home DS0000001120.V352635.R01.S.doc Version 5.2 Page 27 - 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. 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