Inspection on 12/06/08 for Magna Nursing Home

This inspection was carried out on 12th June 2008.

CSCI found this care home to be providing an Adequate service.

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

Magna Nursing Home 02/01/08

Magna Nursing Home 03/07/07

Magna Nursing Home 22/01/07

Magna Nursing Home 05/09/05

Magna Nursing Home 01/06/05

Magna Nursing Home 26/10/04

Magna Nursing Home 22/04/04

Magna Nursing Home 24/07/03

Magna Nursing Home 16/10/02

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Magna Nursing Home Long Street Wigston Leicestershire LE18 2BP Lead Inspector Kathy Jones Unannounced Inspection 12th June 2008 09:20 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 Magna Nursing Home DS0000001918.V366355.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. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magna Nursing Home Address Long Street Wigston Leicestershire LE18 2BP 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) 0116 2883320 0116 2812780 magna@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Centres Limited No Registered Manager Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (36), Physical disability (1) Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditional of registration apply. Date of last inspection 2nd January 2008 Brief Description of the Service: Magna is a care home providing personal and nursing care and accommodation for thirty-six older people. The Southern Cross Group, operators of a number of care facilities in the Midlands region, privately owns the home. It is a purpose built two-storey building with level entry access and both floors are accessible by passenger lift or stairs. Located near to the town centre of Wigston, close to shops, pubs, the post office and other amenities, the home is easily reached by private or public transport. The home has twenty-five single bedrooms sixteen with en-suite facilities. There are five double bedrooms without en-suite facilities. A choice of lounge and dining areas are sited throughout the premises for service users care and comfort. There is a well-maintained garden to the side of the building, which is accessible to all service users. The Acting Manager advised that at the time of this inspection the weekly fee ranged from £600 to £900 dependent on the room occupied. For example whether the room had an en-suite and also on the size of the room. She advised that the nursing contribution is included in the fee but that the continuing healthcare funded fees may be higher (see comment under ‘choice of home’). There was a copy of the last inspection report available in the foyer. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for residents. Inspection of the standards was achieved through review of existing evidence, pre-inspection planning, an unannounced inspection visit to the home, collating information received in surveys and drawing together all of the evidence gathered. The pre-inspection planning was carried out over the period of half a day and involved reviewing the service history, which details all contact and correspondence with the home and previous inspection reports. The last full inspection took place in January 2008, however an announced ‘thematic’ inspection took place on the 15th May 2008. The Commission carried out a series of thematic inspections to a random selection of services during May 2008 to look at how people are being safeguarded. Information from that inspection has been taken into account as part of this inspection. This unannounced inspection visit was carried out over the period of a day and on this occasion this was a weekday. The inspection was carried out by ‘case tracking’, which involves selecting samples of people’s records and tracking their care and experiences. Observations of the homes routines and care provided were made. People who use the service are not easily able to communicate their views, therefore the inspection involved some informal observations of people’s general well being, daily routines and interactions between them and staff. Additionally questionnaires were sent to a random selection of people to ascertain their views. At the time of completion of the report, responses had been received from one person who uses the service, one member of staff and one health professional. Their views have been considered as part of the inspection and some comments incorporated within the report. The management of people’s medication was checked through reviewing prescribed medication for a sample of people. A sample of staff files were reviewed to check the adequacy of the recruitment procedures in protecting people who use the service. Communal areas and a sample of bedrooms were viewed. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 6 Verbal feedback was given to the Acting Manager during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Although some of the care plans were very good and detailed it was found that full care plans and risk assessments had not been put in place for almost two weeks after someone was admitted. This meant that full information was not available to guide staff in the care provided. Of particular importance was an assessment for the use of bed rails, which had not been carried out. Medication remains an area where improvements are required. Some of the records were unclear and there were indications that people have not always received their medication as prescribed. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 7 More staff training and awareness of reporting procedures for abuse. 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. Magna Nursing Home DS0000001918.V366355.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 Magna Nursing Home DS0000001918.V366355.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): 1, 3. Standard 6 has not been assessed, as intermediate care is not provided. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. More detailed information prior to admission would help people make informed choices, and better planning of care from the point of admission would help to ensure peoples needs are fully met. EVIDENCE: There is a statement of purpose, which provides people with information about the service and what is provided. Currently this doesn’t include information about the range of needs that can be met and the type of care provided. It is important to consider the range of needs that can be met, taking in to account factors such as the environment and staff experience and training. The need to ensure that full information is provided is supported by a response in a survey from someone using the service who felt that they didn’t have enough information before moving in to help them make a decision. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 10 Currently there is no written information provided to people about the fees and what the different fee levels are based on. Again this information is needed to help people to make informed choices. Advice was given at a recent inspection to look at safeguarding issues to make reference to the arrangements for safeguarding from abuse in the home’s Statement of Purpose and the Service User Guide. Review of the documentation and assessment information for someone who had been admitted thirteen days prior to the inspection identified that a preadmission assessment had been carried out. The assessment included important information such as their past medical history and their current needs. There was evidence that family had been involved in the assessment process and some very useful information had been provided about the person’s life and things and people that have been important to them. This is important in helping staff to understand them as a person. There was however shortfalls in using the assessment information to plan the persons care and consider any risks. The organisation has appropriate procedures for this to happen and the relevant documentation was on file but not all of this had been completed. This included the ‘pre-admission draft care plan’, which is designed to guide staff in the care they need to provide based on the information they have received. This is important in helping to ensure that people get the care that they are assessed as needing as soon as they are admitted. Magna Nursing Home DS0000001918.V366355.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, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The general care provided appears to be good however more attention needs to be given to risk assessment and the management of medication to ensure that people are not placed at risk. EVIDENCE: The quality assurance self assessment submitted by the Acting Manager states that there are “ Individual, robust and comprehensive care plans encompassing physical, psychological and social needs”. Care plans are important in helping to guide staff in providing people with the care that they need. A sample check of peoples care plans identified that there are some very good detailed care plans in place which provide staff with clear information about peoples individual needs. Information about people’s cultural and religious needs is incorporated into the care plans, which helps staff to be aware of these and be able to provide appropriate support and care. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 12 However, as detailed in the previous section, there were some shortfalls in the planning of care for someone who had been recently admitted. This included safety in bed. Records identified that the person had “fallen over the bed rails for the last two nights”. Although the bed rails had been removed following the two incidents and a different type of bed ordered it was of concern that a risk assessment had not been carried out before the bed rails were used. A blank bed rail risk assessment form was found on file. It is important that prior to the use of bed rails an individual risk assessment is carried out as although for some people they reduce the risk of injury for others the risk may be increased. Care plans appeared to be reviewed regularly, however a bed rail risk assessment was found on someone else’s care file, which had not been reviewed. It was later identified that the bed rails are no longer in place and a ‘cocoon’ is used instead to reduce the risk of falls. Discussion indicated that the use of bed rails had been discontinued due to changing needs and increased risk. However there was no information or risk assessment for the use of this equipment, identifying the need to ensure that care records are in all cases updated to reflect current needs. The annual quality assurance self assessment submitted to the Commission for Social Care Inspection (CSCI) states that there are “Good relationships with other health professionals. Involving them in resident care, seeking views and ideas to improve our services.” Positive responses were received in a survey from a health professional who confirmed that the care service seeks advice, which they and act on, and that individual’s health care needs are met. Someone who uses the service stated that they always get the medical support that they need. An immediate requirement was made during the inspection carried out in January 2008 as it was found that the medication administered in the morning and at lunch time on the day of this inspection had not been signed for. This would have made it difficult to be sure that people had received their medication as prescribed. On arrival at the time of this inspection the medication was in the process of being administered. A sample check of the records confirmed that the medication already administered had been signed as given. A sample check of someone’s medication and the medication administration records confirmed that there was a system in place for recording medication received and medication administered. Medication administered is confirmed by, staff placing their signature/initials in a box on the administration record. When records were checked against the stock held, some discrepancies were identified which indicated that medication received had not been recorded correctly and might not in all cases have been given as prescribed. In some Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 13 cases it was difficult to distinguish between some signatures and a code. There was also evidence that a record had been altered. The Operations Manager and Acting Manager confirmed that the issues highlighted relating to medication would be investigated and appropriate action taken. A rigorous approach to the management of medication is important in safeguarding the health of people who use the service. Staff were observed thought the inspection to be responsive and supportive of people using the service. People using the service who are unable to easily communicate their needs due to having dementia, were treated with dignity and respect. This was observed particularly during a period, spent reviewing care files in the upstairs dining room/lounge. Magna Nursing Home DS0000001918.V366355.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are provided, contact with friends and families is encouraged and work is continuing to help enhance people’s daily lives. EVIDENCE: The majority of people who use the service are unable to easily communicate their needs, due to having a diagnosed dementia. Staff were observed to be flexible in their approach to people and their routines, for example going to make a cup of tea for someone who became confused and distressed. A lot of reassurance was provided and interactions between staff and people who use the service were positive. A response in a survey received from a health professional identifies that the service respond to the different needs of individuals. Information is gathered, from families about people’s life history and lifestyles before they moved to the care home. This includes information about people’s religious and cultural needs. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 15 Information in the annual quality assurance self assessment identifies an awareness of the importance of this information in helping staff to provide people with opportunities for “purposeful occupation and engagement”. This is an area identified for further development over the forthcoming year, which should help to enhance people’s daily lives. It also states the intention to “source and employ advocacy services”. Visiting arrangements are flexible and there is an activity programme, which is displayed which includes armchair aerobics and musical entertainment. There is also one to one time scheduled and manicure sessions. A survey received from someone who uses the service states that there are sometimes activities that they can take part in. There is a four week rotating menu and people are offered a choice of meal. Different dietary needs are catered for and cultural needs in relation to diet are accommodated. Staff provided people with support with their meals where necessary and were aware of individual needs and preferences. Magna Nursing Home DS0000001918.V366355.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, 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Complaints have been dealt with appropriately, however more training for staff and awareness by all staff of the procedures for reporting abuse will provide people with better safeguards. EVIDENCE: Details of how to make a complaint are included in the statement of purpose a copy of which was available in the foyer. Comments from someone who uses the service confirmed that they are aware of how to make a complaint. The Commission for Social Care Inspection have not received any complaints about the service since the last key inspection in January 2008. A sample check of the service’s complaint record and discussion with the Acting Manager confirmed that complaints are taken seriously and appropriate action taken. There was evidence that where appropriate complaints are referred to other agencies such as the Police or Social Services under the safeguarding Vulnerable Adults procedures. The Commission for Social Care Inspection have recently conducted some short focussed inspections in a sample of care services to look at how people who use the service are safeguarded. One of these focussed inspections was Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 17 carried out at Magna Nursing Home on 15th May 2008. An ‘expert by experience’ accompanied the inspector on this inspection and spoke to people who use the service and a relative. An ‘expert by experience’ is a person who either has a shared experience of using services or understands how people in this service communicate. The inspection identified that people who use the service were relaxed in the presence of and that staff spoken with would not hesitate to report any abuse to the manager. Staff were however, not clear about the reporting procedures. The Acting Manager confirmed that since this inspection more staff training in safeguarding vulnerable adults has been scheduled to take place at the end of July 2008. Staff training is considered to be particularly important in safeguarding vulnerable people by making them aware of the nature of abuse and their responsibilities for reporting and safeguarding people in their care. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 18 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, 22, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a clean and pleasant environment, however planned improvements will benefit people with dementia. EVIDENCE: Shared areas such as lounges and dining rooms and a sample of bedrooms seen during the inspection were well decorated, comfortably furnished and clean. The annual quality assurance self assessment (AQAA) identifies that there is a continued programme for refurbishment of public areas and bedroom floor coverings. Plans also include improving the environment for people with dementia to include personalising doors to bedrooms and the use of signage to Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 19 assist people with recognising their rooms and other significant rooms such as bathrooms. There are also plans to “introduce more interesting artefacts around the house” to encourage more interaction and to develop the garden into a “safe for all” sensory garden.” These planned improvements are important in helping to make the environment more appropriate for people with dementia. A survey from someone who uses the service confirmed that the home is always fresh and clean. The AQAA states that the majority of staff have received training in infection control, a staff member confirmed that they have received this training. Some infection control measures such as disposable gloves and aprons for staff and the availability of alcohol hand gel help to reduce the risk of infection and protect people who use the service. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements provide good care and protection for people who use the service. EVIDENCE: Staff spoken with and information in a survey says that staff, feel that there are usually enough staff on duty to meet residents needs. A survey from someone who uses the service says that staff are usually available when they are needed. Information received in the annual quality assurance self assessment and discussion with staff confirmed that it is not currently necessary to use agency staff, which helps to provide consistency of care. The majority of nurses employed at Magna Nursing home are trained in mental health nursing, although some are trained in general nursing which provides a mixture of skills and experience. A staff member said that “the training at Magna is very good” and this is confirmed through information they provided about the training undertaken and a sample check of the staff training matrix. Examples given were dementia Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 21 training, moving and handling training, infection control, nutrition, food hygiene, fire evacuation and National Vocational Qualifications (NVQ) at level 2 and 3. Statistics provided in the annual quality assurance self assessment identify that more than half of permanent staff have achieved an NVQ at level 2 or above. This training is important in providing people with knowledge about the needs of older people and current care practices. The majority of people at Magna Nursing home have a diagnosed dementia, therefore it is important that staff receive training to help them understand and care for people with dementia. Records and discussion with staff identify that a high number of staff have either completed or are in the process of completing accredited training in dementia care. This is important in helping to improve the quality of life for people with dementia. A sample check of the recruitment process for two recently employed staff confirms that necessary checks and references are carried out before they work with vulnerable people. This is important in helping to protect vulnerable people. Advice was given to the Acting Manager about the need to carry out the same rigorous checks for someone being re-employed. Review of a file identified that references taken up in the past may have been from friends/colleagues rather than employers. The Acting Manager confirmed she would also be checking any work permits and applying for criminal record bureau clearances. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 22 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): 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is managed in a manner that promotes and safeguards the health, safety, and welfare of residents’. EVIDENCE: Standard 31 has not been assessed as it applies specifically to the registered manager and at present there is no registered manager at Magna Nursing Home. However as the management arrangements are considered to have a significant affect on outcomes for people using the service, current arrangements are considered as part of the inspection. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 23 There is an Acting Manager in post and an application for registration has been submitted to the Commission for Social Care Inspection. Positive feedback was received from staff about the Acting Manager, for example one staff member said that she is “very supportive and easily approachable”. The Acting Manager has a positive approach with ideas for improvement particularly in relation to dementia care. The increase in staff training in dementia care indicates a commitment to this and should improve the quality of life for people using the service. The organisation has a system of internal quality assurance audits, covering clinical, administrative and environmental elements. They also have a system whereby an Operations Manager carries out an unannounced visit to check on the quality of care being provided. Reports of two of these visits were looked at during the inspection and one of these was noted to have taken place at night. It is important that the quality of care and the experiences of people who use the service are checked throughout the twenty four hour period. Areas for improvement were also noted in the report. The annual quality assurance self assessment completed by the Acting Manager clearly identifies things that are done well and areas for improvement. An honest assessment of the service is crucial in improving and maintaining standards of care for people who use the service. People who use the service are able to leave small amounts of money for safekeeping to assist with paying for additional services such as hairdressing and chiropody. The actual money is kept in one bank account and a record of the money held by each individual is recorded on a spreadsheet. Any interest accrued is then added to the individuals account based on the amount of money held. Receipts are also kept to confirm each transaction, helping to safeguard people’s finances. Review of a sample of the financial transactions identified that people were being charged for activities such as musical entertainment. Discussion with the Acting Manager identified that those attending share the cost of some entertainment/activities. While it is important not to reduce people’s opportunities for entertainment and activities, advice has been given to review the arrangements for this taking into account that the majority of people are not able to give informed consent. Any additional costs must also be made clear within the service user guide to ensure that people can be aware of all potential costs. The annual quality assurance assessment (AQAA) confirms that equipment and appliances have been serviced as recommended by the manufacturer or regulatory body. The information given was sample checked and confirmation seen that the passenger lift had been serviced during the month stated. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 24 Staff confirmed that they receive training in safe working practices such as movement and handling and fire safety. The AQAA identifies that all kitchen staff have received food hygiene training. Regular servicing of equipment and staff training is important in maintaining a safe environment and protecting the health and safety of people who use the service. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 25 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 2 10 3 11 X 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 2 3 X X 2 X X X 3 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 N/A X 3 X 3 X X 3 Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5 (1) (bb, bc, bd) Requirement The service user guide must include details of the fees, any additional charges and a statement as to whether the fee would be different f paid in whole or part by the service user. Timescale for action 30/09/08 2. OP7 3. OP7 4. OP9 This is to help ensure transparency and enable people to plan their finances. 15 (1) Care plans based on an assessment of peoples needs must be developed to guide staff in the care to be provided. 13 (4) (c), Risk assessments must be 14 (1), 15 carried out prior to the use of (1) bed rails. These must be based on the assessed needs of the individual and care plans implemented to reduce the risk of injury. 13 (2) There must be clear, accurate and complete records of all medication received, administered and disposed of as part of the safe management of people’s medication. A previous requirement relating 18/08/08 18/08/08 18/08/08 Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 27 5. OP18 13 (6) to the safe management of medication with a timescale for compliance of 02/01/08 has not been met. The requirement has been re-worded for greater clarity. Arrangements must be made for 01/08/08 all staff to be trained in protecting vulnerable adults from abuse so that people are safe and are assured of being safe. This requirement from a previous inspection was not checked, as the timescale for compliance had not yet expired. 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 OP1 OP18 Good Practice Recommendations The statement of purpose should include information about the range of needs that can be met and the type of care provided. To ensure that people are safeguarded, the training policy should include the home’s arrangements for providing safeguarding training. Magna Nursing Home DS0000001918.V366355.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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