Inspection on 01/11/06 for Lower Farm Nursing Home

This inspection was carried out on 1st November 2006.

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

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

Other inspections for this house

Lower Farm Nursing Home 04/01/06

Lower Farm Nursing Home 11/04/05

Lower Farm Nursing Home 19/10/04

Lower Farm Nursing Home 20/05/04

Similar services:

Claremont House

Oak Ridge

Coopers Mill Ltd

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Paradise Lodge

Grangewood

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

CARE HOMES FOR OLDER PEOPLE Lower Farm Nursing Home Grimston Road South Wootton Kings Lynn Norfolk PE30 3PB Lead Inspector Ruth Hannent Key Unannounced 1st November 2006 10:00 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 Lower Farm Nursing Home DS0000053263.V318399.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. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lower Farm Nursing Home Address Grimston Road South Wootton Kings Lynn Norfolk PE30 3PB 0208 904 8989 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) Imalgo Limited Mrs Jane Lewis Care Home 45 Category(ies) of Learning disability over 65 years of age (1), Old registration, with number age, not falling within any other category (44) of places Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Lower Farm is a 45 bedded nursing home providing care for elderly people. The home, originally a farm, has been developed and enhanced over the years. There is good access to all parts of the home. The home is on the ground and first floor and there are two lifts in the home. The home is decorated and furnished to a high standard. There is a car park at the front of the home. The home is situated on Grimston Road, in the suburbs of Kings Lynn, and is adjacent to local shops and facilities. Email lower.farm@eidosnet.co.uk Fees £433.30 - £650 per week. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is the completion of an inspection record taken for this home since the last inspection of April 2005, which includes a site visit to the Home. The Commission had received a pre inspection questionnaire, 8 residents comment cards and 4 relatives comment cards prior to the site visit. All information from these comment cards were positive with praise and recommendations from relatives which is reflected within this report. The Home has undergone a further extension since the last inspection, which has enhanced the service by making what was shared rooms now single occupancy with all rooms having en suite facilities. Throughout the visit to the Home the Inspector was assisted by the Senior Nurse in charge and the Responsible Individual who were most accommodating in providing all the information required. Records that were looked at included care plans, medication, maintenance, rota’s, personnel files, health and safety files and training. Staff, relatives and residents were spoken to with positive comments offered throughout. This Home is on the verge of becoming an excellent service with just some minor areas reflected in this report to improve on. What the service does well: What has improved since the last inspection? Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 6 The Home has developed the service to meet the needs the community is requiring by increasing the knowledge of the staff to care appropriately for people who may be at the end of their life. The Home also assists the people who may require rehabilitation and aim towards going home with the support of outside agencies such as Community Nurses and Physiotherapists to make this happen. The new extension has improved the Home greatly by offering single bedroom accommodation. Some rooms are now very large and have plenty of room for equipment that may be required for a resident. There is also more areas to sit in and enjoy as well as a conservatory that has a ramped access to the garden. What they could do better: 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. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 7 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 Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 8 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 3&6 All potential residents are assessed by the Home and will only be admitted if the care of this person can be met. People who are admitted for intermediate care are offered all the support required to enable them to maximise their independence enabling them to return home. EVIDENCE: This Home has many residents coming and going and need to ensure the assessment of each resident is detailed. Looking at three care plans which hold the assessment paperwork it was clear that the needs of residents had been assessed thoroughly. Some of the notes had been completed by the Social Workers and some by the hospital staff with areas not covered recorded by the Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 9 Home on visiting the potential resident. The information on clinical needs and personal care needs were very evident with limited information on the social support required which could be more detailed. (Recommendation) Some residents seen within the Home were being offered Intermediate Care with clear goals set for these people. The Senior Nurse was able to demonstrate and discuss the support the house staff receive from the Community Health team such as the Physiotherapists, CPN’s and Speech Therapist. One resident spoken to who was receiving this type of care gave a clear picture of the support and encouragement the Home has given her and talked about her first visit home planned for the coming week. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 7, 8, 9, 10 and 11 The resident’s health and personal care are set out in a care plan but are lacking the social care needs. The health care needs of resident’s are met. The Home needs to be very clear that all records are completed to ensure the procedures for the administration of medication is adhered to. Resident’s do feel they are treated with respect and that their privacy is valued. At the time of death resident’s and their families are offered sensitivity and respect. EVIDENCE: Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 11 Three care plans were detailed and gave information clearly and both personal and health care needs were recorded. As mentioned in the assessment process very little information is written to offer the social support someone may require and as recommended previously this information may make a difference to someone’s life. If the full picture of the person is recorded it should ensure the full care needs are offered. Three residents who were able to talk to the Inspector did say how happy they were with the care offered and felt all their care needs were met by a great team of staff. The Home does have their own Occupational Therapist who is actively involved with residents but as far as seen does not contribute the information she gains from the residents and record within the care notes. (Recommendation) The care plans all showed dates of when reviews took place (3 monthly) and any changes required were recorded. The Home is very well supported by both the PCT in the community and the local hospital. Clear notes on all procedures and support were written in the care plans. On the day of the visit to the Home both a Community Nurse and GP were visiting the Home with clear details of the care of one person being made. Within the care plans is a page that is of a different coloured paper for both the GP and Nurse visits, so at a glance staff can find and read the current information and offer the correct care. The medication is stored in a locked room with plenty of safe storage space for medication. The Home has two locked trolleys for taking around the Home for administration. The medication charts and photos of residents (although photos were not of the most current residents) were looked at. It was found that initials had not been placed on the MAR sheets on administration of medication for the beginning of the week of the inspection visit and was discussed with the nurse in charge. Looking at other records this appeared to be a one off error but must not happen in the future. (Requirement) All staff responsible for the administration of medication has a copy of their initials and their name at the front of the file to identify who is who on the MAR charts. It was also noted that gaps on the chart were left for medication to be taken when required (PRN). To show someone has been asked if they require the medication some code should be placed in the box. (Recommendation) The controlled drugs are within a suitable locked cabinet attached to the wall inside a locked cupboard. This may need replacing in the future as the amount of medication held within was almost falling out on opening. Two sets of records were looked at with the correct amount of tablets being counted and two signatures recorded within the special register. Throughout the visit it was noted how courteous and polite staff were while carrying out their duties. Appropriate conversations were heard and all doors were knocked upon before anyone entered. One resident said how she felt her Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 12 dignity was respected at all times and how all her care tasks were offered with full consideration of her privacy given by the staff. Noted was one resident who had uncovered herself and a very discrete action was taken by a staff member to replace the covers. The Home has evolved as a service that provides both intermediate care and palliative care. The hospital and PCT team are working closely with the Home staff to train and build the knowledge of those staff to be able to deliver an end of life quality service. The resident has a plan of how their last few days will be managed with residents and family wishes being involved through all stages. One family member had been in the Home with his father all night while being offered all the support he required during that period. As the Home is slowly changing some of the service it offers, the Statement Of Purpose for the Home needs to be updated to include how the ‘end of life’ care is now part of the service within the Home. (Recommendation) Lower Farm Nursing Home DS0000053263.V318399.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 12, 13, 14 and 15 Residents are offered a choice of how they wish to spend their days within the Home but this needs recording. Families, friends and community contacts are encourage at Lower Farm. Resident’s are helped to make choice and have control of their lives. The Home does offer a well balanced wholesome meal service but needs to expand on the choice offered. EVIDENCE: The Home has a Activities Organiser who is a trained Occupational Therapist and has many and varied forms of activities and stimulation that includes group work or one to one sessions for residents to unwell to take part or prefer to stay in their rooms. A range to suit all tastes, with photographs of who had been involved in some of the events was seen. One resident talked of the activities she was involved in and during the visit the Activities Organiser was seen in a resident’s room quietly offering support and conversation to Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 14 someone who was unable to get out of bed. With the knowledge and expertise of this staff member it is disappointing that records of the social stimulation/interests/needs are not in the individual care plans as part of the picture of care for the whole person. (Recommendation). Visitors are made very welcome and come and go as and when they wish. The visitor’s book shows how regularly people come to the Home. There are also a few quiet areas including a new conservatory that people can sit in on their own or with their loved one to be away from the bedroom. One visitor spoken to commented on the cleanliness of the home and four comment cards received at the Commission recently had nothing but praise for the Home. Residents are encouraged to make choices. This was noted by a staff member going from room to room asking each resident what they would like for lunch and by the Activities Organiser through a varied and interesting programme to engage residents according to their likes and dislikes. The comment cards received from the resident’s prior to the inspection praised the meals, although one person said the portions are sometimes too large. The menu’s seen showed wholesome and well-balanced meals with choice available. One small concern shared was on occasions the choice was to offer the same meat (Steak and kidney pie or stewing steak) and did not really show an alternative. (Recommendation) Lower Farm Nursing Home DS0000053263.V318399.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 16 and 18 Resident’s and their families can be assured that their concerns/complaints will be listened to and acted upon. Resident’s are protected from abuse. EVIDENCE: The Home has a complaints procedure that is clearly advertised both on the wall within the building and within the statement of purpose. The Commission has not received any complaints about the Home. The twelve comment cards received from relatives and residents all say they have not had to complain. The Home has received two complaints regarding the hot water not always being available in two areas of the building. The Management are working hard to rectify the problem with many plumber invoices seen trying to resolve the issue. The Home also makes sure anyone who does share a complaint/concern is kept informed at each stage. The staff spoken to during the visit are aware of reporting any concerns regarding potential or actual abuse. The domestic staff have received training recently on this subject and on talking to one staff member she was very aware of the signs to look for and also reflected on how the Manager will make the awareness apparent by regular discussing the topic in meetings. It was Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 16 also noted in the attendance of courses records the training on the protection of vulnerable adults by many staff members. Lower Farm Nursing Home DS0000053263.V318399.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 19 and 26 Residents do live in a very well safe and well-maintained Home. The Home is very clean and hygienic. EVIDENCE: This Home has recently had an extension completed and although eight new room in total have been built it only includes an extra two residents as there are no longer any shared rooms and all bedrooms now have en suite facilities. Throughout the tour of the Home it was very clear how well maintained and clean the environment was. All furnishing are fresh and clean. Rooms were odour free and have a regular routine spring clean (discussed with housekeeping staff). All through the Home it was noted how light, bright and inviting it was. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 18 The new extension has installed the fire alarm to be linked into the existing system so that wherever the alarm bell is triggered, the panel will show in both areas of the building. All fire records were seen as accurate and the alarm is tested every Wednesday. The Home is to be commended for the overall picture of a well-maintained, clean and nicely furbished establishment. The call bell system to attract staff is quiet and unobtrusive but is suitable for the job required. The hygiene throughout is noted to be of a very high standard. The cleaning routines discussed with the Housekeeping staff show how thorough each task is done. This team of staff are also very aware of infection control with information in posters, policies and within their induction which they have signed making it very clear the Home aims to do all it can to prevent cross infection. Examples of this high standard were demonstrated in the scheduled programme of carpet shampooing and the soaking each Friday of all toilet brushes in a Milton solution. The laundry staff are solely responsible for all linen and clothes. There are two washing machines, which have a sluice cycle with all soiled items placed in the dissolvable red bags. (Seen) Within the laundry room and in the staff room are safety data sheets for all chemicals used within the home and all staff have access to this information. Lower Farm Nursing Home DS0000053263.V318399.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 27, 28, 29 and 30 The residents are cared for by staff who have the correct skills. Residents are in safe hands. To ensure residents are cared for by staff who have been through the correct recruitment procedure all documents required must be in the personnel files. Staff are trained and competent to do their jobs. EVIDENCE: A copy of the rotas had been sent to the Commission with the pre inspection questionnaire. The Home has areas within the building where staff work in teams so as not to have to travel distances to assist residents. The Senior Nurse was able to show how the staff are allocated which area they are responsible for. The rota also allows for a hand over period from night to day staff. Throughout observation nursing and care staff were busy but no one appeared rushed and all residents spoken to had nothing but praise for the staff. One comment card did talk about the odd occasion when the staff appear to be shorthanded but “this had only happened recently”. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 20 The domestic team also have a rota posted in the staff room that show who is on duty and which jobs are to be completed. The laundry is run separately by staff who cover each other for annual leave and sickness. There is also a Maintenance Officer and the Responsible Individual is also actively involved. The Home encourages staff to gain the NVQ qualification and have recently employed staff from another Home that has brought the numbers up again to nearly 50 qualified. (The pre inspection questionnaire did have a slight drop in numbers but was completed prior to the new staff members being recruited). In total three personnel files were seen during the visit. It was noted that on one there was no form of identification such as a passport of driving licence copy. The Home need to ensure that all documents listed in schedule 2 of the National Minimum Standards is held on file within the Home. (Requirement). The Manager has compiled a very comprehensive induction pack for each post within the Home. These documents are very much alive and used actively. The contents were discussed with staff members and noted within the domestic staff induction pack was details, comments and signatures at each stage of the induction process. The Home has on going training for all staff. Recently the Fire Officer has given a full training session to all staff. (Records with both the trainer and staff signatures showed who has taken part). The staff talked of the regular meetings that also included training or knowledge updates to keep up the skills required to carry out their tasks. The domestic team have regular updates on infection control with the evidence very visible in cleaning records and on walking around the Home. The local hospital have also assisted with training recently especially in the palliative care service with nursing staff learning more on the management of pain. With the pre inspection questionnaire came an attachment that showed how the clinical training needs for staff had been planned over the last six months, which included items from safe swallowing to diabetes study days. Lower Farm Nursing Home DS0000053263.V318399.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 31, 33, 35 and 38 Resident’s do live in a home where the Manager is fit to be in charge and who is able to carry out her duties fully. The Home do run the Home in the best interests of the resident’s but have no formal way of proving how they achieve it. With a slight improvement to the procedure the Home will ensure resident’s finances are safeguarded. The health, safety and welfare of all resident’s and staff is promoted and protected well. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 22 EVIDENCE: On the day of the site visit the Manager was attending a day of training for the qualification required of the registered Manager with the aim to have the qualification by the New Year. According to the Responsible Individual for the Home this Manager takes great pride in the Home and sets very high standards for all to follow. This was also highlighted by the staff who mentioned how the Manager often works the shifts to oversee practise and keep up to date with training to meet residents and staff needs. Although through talking to staff, residents and relatives who all feel the Home is of quality, to date, the Home has not completed a quality monitoring system that records, measures, improves and reviews the quality provided. The Home is very involved with stakeholders who all play active parts within the Home but nothing is on file. (Requirement). The resident’s personal money is held within a safe in the office. Each person has an envelope and cash record book that show transactions both in and out. This money could be handled by anyone who has access to the safe and the records for all transactions did not show who had dealt with the money. It is a recommendation that all transactions are initialled to show who had handled the money. (Recommendation). Two residents money was counted and each one balanced with the total in the cashbook. It is most evident when walking the building and on looking at records and talking to staff and residents how much the Manager promotes health and safety within the workplace. All COSHH records were available and accessible to staff. The hot water in the Home were tested in two bathrooms and were of the recommended temperature. All equipment used to transfer residents (including tracking hoists and mobile hoists) were all serviced to date. All the maintenance of the building was in place in the main office records. The accident book, held by the nursing station, tracked a fall noted in a care plan of one resident and was recorded correctly. The Home is about to carry out a fire risk assessment of the building with guidance from the Fire Officer. The Home has a complete file holding all policies and procedures that have been reviewed and are available to all staff at any time. Lower Farm Nursing Home DS0000053263.V318399.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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 x 18 3 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 4 Lower Farm Nursing Home DS0000053263.V318399.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 OP9 Regulation 13.2 Requirement The Registered Manager must ensure that all procedures for the administration of medication is adhered to. The Registered Manager must ensure all documents listed in Schedule 2 of the national Minimum Standards are held within personnel files. The Registered Manager must ensure a system is introduced to review the quality of care. Timescale for action 01/12/06 2 OP29 19.1(b) Sch2 01/01/07 3 OP33 24.1 (a and b) 01/01/07 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 Refer to Standard OP3 OP7 OP12 OP11 Good Practice Recommendations It is a recommendation that ways of including residents social care is recorded with each persons care plan. It is recommended that the Statement Of Purpose for the Home be updated to include more detail on the developing service and include end of life care and intermediate care. DS0000053263.V318399.R01.S.doc Version 5.2 Page 25 Lower Farm Nursing Home 3 4 OP15 OP35 It is recommended that the menu’s be adjusted slightly to ensure the choice offered is a clear choice and not the same meat for example. It is recommended that all transactions of resident’s finances are recorded with a signature. Lower Farm Nursing Home DS0000053263.V318399.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Lower Farm Nursing Home DS0000053263.V318399.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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