Inspection on 20/04/07 for Manor Barn Nursing Home

This inspection was carried out on 20th April 2007.

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

Manor Barn Nursing Home 03/03/08

Manor Barn Nursing Home 17/09/07

Manor Barn Nursing Home 21/11/06

Manor Barn Nursing Home 25/10/05

Manor Barn Nursing Home 03/05/05

Manor Barn Nursing Home 08/02/05

Manor Barn Nursing Home 14/05/04

Manor Barn Nursing Home 11/02/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Manor Barn Nursing Home Appledram Lane South Fishbourne Chichester West Sussex P020 7PE Lead Inspector Mr E McLeod Unannounced Inspection 20th April 2007 09.30 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 Manor Barn Nursing Home DS0000024175.V331906.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. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Barn Nursing Home Address Appledram Lane South Fishbourne Chichester West Sussex P020 7PE 01243 781490 01243 813713 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) Rhymecare Limited vacant post Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (5), Physical disability of places over 65 years of age (5) Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 30 service users may be accommodated at any one time. 21st November 2006 Date of last inspection Brief Description of the Service: Manor Barn is a care home that provides residential and nursing care, and is registered to accommodate up to 30 residents in the category of old age, not falling within any other category. The fees are between £500 and £725 per week. Manor Barn was originally constructed in the sixteenth century, since then it has been extended and converted. The home is situated near the village of Fishbourne. The service is operated by Rhymecare Ltd. There is no registered manager for the service at present. The person registered for the service on behalf of the company is Mrs Sheila Wyatt. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was carried out over a period of six and a half hours by two inspectors on the 20th April 2007. The visit was arranged to assess progress with requirements made at the previous inspection, and to assess what improvements there have been for people living in the home. Prior to the assessment visit, we had requested and received updated information on the service from the provider, and we had sent and received surveys on the service from people who live there, their friends and relatives, and a professional who visits the home. The information received contributed to the planning of the inspection visit, and to the writing of this report. As required after the previous inspection visit, the provider forwarded to us an improvement plan for the service, and this information was also considered in the planning for this visit. During the inspection visit we interviewed three people living at the service, two relatives of people using the service, two members of staff, the acting manager Mrs Mathews and the responsible individual Mrs Wyatt. Four sets of care records were sampled, and four sets of staff recruitment and training records were sampled. A partial tour of the premises was carried out, and medication records were sampled. Policies and procedures including the protection of vulnerable adults procedures for the home were sampled. Records in relation to health and safety matters in the home were also sampled. What the service does well: A good standard of accommodation is being provided for people living at Manor Barn, and the buildings and grounds are being maintained well. The living accommodation is homely and comfortable. Good meals are being provided. People find the staff to be kind and caring. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Three of the fifteen requirements made at the previous inspection were assessed as not met. Four new requirements have been made. The provider must ensure that how all a person’s assessed needs, including social needs, are to be met is recorded in the care plan. Arrangements for administering medication need be made safer for people living in the home. The provider needs to ensure that people can be supported to maintain their interests and an active lifestyle, and to have activities provided which they enjoy. The provider needs to ensure better hygiene and safety in the laundry facilities provided. Staffing levels need to ensure that the needs of people accommodated are being met. Improvements to the service must be supported by the appointment of a suitably competent, experienced and qualified manager. Regular assessments of safety and hazards in the home must be carried out and acted upon. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 7 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. Manor Barn Nursing Home DS0000024175.V331906.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 Manor Barn Nursing Home DS0000024175.V331906.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People accommodated in the home have a written contract/ terms and conditions of residence, which informs them of the agreement the home have made with them. People living at the home have received an assessment of their needs before they were admitted to the home to ensure that their needs can be met. EVIDENCE: Four residents were case tracked, and their care plans were sampled. The care plans did not have evidence of the person having received a Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 10 contract/terms and conditions of residence, but one resident spoken to stated that he did have a contract. All care plans had evidence of an assessment of needs being carried out previous to admission. There had been one emergency admission over the Easter holiday and the assessment was carried out in the home with the help of relatives and following a telephone discussion with the General Practitioner. There is a policy in place for emergency admissions and on discussion with the acting manager and responsible individual it was agreed that this would be reviewed and updated if the need for this was indicated. Manor Barn Nursing Home DS0000024175.V331906.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Following concerns raised at the previous inspection, the system whereby each person has a link nurse and key carer has been updated, which is helping people receive the care they need. Care plans are not providing sufficient guidance for staff or information for people on how all their assessed needs, including social needs, will be met. More care needs to be taken with the storing and giving of medicines to ensure these are only being taken by the person for whom they are prescribed. EVIDENCE: Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 12 Positive comments received from relatives and people living at Manor Barn included “overall the staff are very friendly and cheerful”, and that “(my relative) needs kindness and receives it”. Mrs Wyatt, registered Responsible Individual for the service, advised us that the system by which each person receiving a service has a named nurse and care worker (the key work system) to oversee their care has been updated, and all residents have been advised who their key workers are and their responsibilities. A link nurse interviewed said nurses took responsibility for involving other carers such as the key carer by training them up in the care plan and being clear about their part in the care plan, and that the key carer will then pass this information on to other carers. The nurse gave an example of the benefits of this system relating to a person who is now encouraged a lot more to walk with her frame and staff assistance. Reviews of service user plans have been taking place which are involving the person and their nearest relative, with the manager and/or the named nurse also present. Mrs Wyatt, responsible individual for the service, said that staff had learned more about the person using the service, such as their interests, at these reviews. Service user plans sampled indicated that in some of the plans there was a lack of advice for staff on how the person’s needs are to be met. For example, staff advised that one resident refused to eat at times, and this was not included in the service user plan where it would have been helpful to advise staff of the approach to be taken so that staff are responding consistently to the person. Some parts of service user plans sampled did provide good guidance for staff – for example on one plan there was good guidance on how staff should best communicate with one person who has severe communication difficulties. However, guidance for staff in care plans seen did not cover how all the person’s assessed needs, including their social needs, were to be met. Manor Barn Nursing Home DS0000024175.V331906.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 adequate. This judgement has been made using available evidence including a visit to this service. The provider needs to consider how people receiving the service would like to be supported to lead a more active lifestyle and have their interests encouraged. This would help people feel they had more choice and control over their lives. People are being supported to maintain contact with friends and family. Good and nutritious meals are provided. However, people are not always receiving the help or support they need at mealtimes. EVIDENCE: Staff interviewed indicated that they lacked time to take residents out, but in good weather people do go out into the garden. One person living in the home said that he would like to be taken for a walk but that staff do not have time to do this with him. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 14 Musical concerts are now arranged once every three months and there are quizzes once a week. Mrs Mathews said that an art therapist visits for an hour per week, and will spend time with residents individually if they wish this. Only two notices for activities were seen. One for creative art on Wednesdaysone hour and one for a quiz dated 10 04 07. Details on how to contact the local clergy were displayed on a windowsill in a room the residents do not use. The hairdresser who visits weekly stated that she often has to wait for some time for the residents to be brought to her following their shower and that if is gets too close to lunchtime they may not be able to have their hair done. Lunch was delayed on the day of the inspection visit for that reason. We observed on the day of the inspection that no activities were arranged on that day, and noted only one person being assisted to go for a walk around the garden. We observed that residents appeared isolated and lacking stimulation, some perhaps through choice and some not. Written comments received from people who use the service and their relatives included “more attention could be given to meeting social needs”. People living at Manor Barn and their relatives indicated to us that visitors are always welcomed by staff. People using the service now have more food choices, and there have been improvements to ensure that dietary needs are being met. We looked at some lunch menus which indicated that a balanced diet is being provided. We visited the kitchen, and found that the Safer Food system of checks is now in place, this being overseen by the catering manager. There is a colour coding system in place for different diets to assist catering for special diets. On the day of the inspection visit, we observed a lunch sitting, which took place in a relaxed and unhurried atmosphere. There was a main menu choice of fish and chips and vegetable and cheese slice, and a choice of puddings. People requiring some of their food to be cut up were helped with this, but some people seemed to struggle with the forks and knives they had. Staff were available at times to assist, but it was the observation of a visiting relative that often there were not enough staff to help people at mealtimes. We also received written comments that indicated that not enough help is available at mealtimes. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 15 While mealtimes can provide an opportunity for social contact, no-one had chosen to eat at the dining table during the lunch observed. Two relatives spoken to said that the food served was good. Two of the residents case tracked were asked about food. One was having a late breakfast at her request and said that the food was very good. The other stated that lunches were good but the evening meals were not so good. Manor Barn Nursing Home DS0000024175.V331906.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There has been an improvement in the recording and investigation of concerns and complaints, which helps complainants feel they are being listened to and their concerns acted upon. The previous requirements made concerning this are now assessed as met. Staff training and awareness of how people in their care should be protected from harm are in place. The previous requirement made concerning this is now assessed as met. EVIDENCE: We sampled the record of complaints, which indicated that concerns and complaints are being recorded and investigated within agreed timescales. For some of the complaints a copy of a written response to the complainant was included on the record. However, the records are not always including what response was given to the complainant and when, and we suggest it would be helpful for this to be done. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 17 Written comments we received from residents and their relatives on making complaints were mixed, such as “comments I have made have been addressed and acted on” and “on occasions I have had to raise an issue on more than one occasion before it is addressed”. The provider has taken positive action to address concerns and complaints, such as including relatives in care plan reviews and holding open meetings on the running of the service. While some dissatisfaction with the handling of complaints has been expressed to us, we took the view overall that the requirement made at the previous inspection concerning the recording of concerns and complaints has now been met. Since the previous inspection, one adult protection investigation has been undertaken by the provider and the local social services authority. This investigation has now been resolved and closed. The adult protection and prevention of abuse procedures for the home were updated in March 2007. We asked Mrs Wyatt and Mrs Mathews what training management staff have been receiving in local safeguarding adults procedures, and Mrs Mathews advised that Mrs Wyatt has spent time with her on the home’s procedures and those of the local authority. All staff have been put forward for training in safeguarding vulnerable adults, and two training days in this were arranged for the forthcoming month. Manor Barn Nursing Home DS0000024175.V331906.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at Manor Barn have accommodation which meets their needs, and which is furnished and decorated to a good standard. Generally, the home is clean and hygienic, with the exception of the sluicing areas which as described below are in need of improvement. EVIDENCE: A partial tour of the premises was carried out. The premises are furnished and decorated to a good standard, and are being well maintained. The gardens and grounds are being well maintained. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 19 Bedroom and communal accommodation are of a good standard, and are homely and comfortable. No regular environmental safety assessments are being carried out, and this previous requirement has been renewed under standard 38. We received written comments from people who live at Manor Barn and their relatives that the home is “generally clean”, that “cleanliness has improved recently”, and that “a warm, clean and comfortable environment” is being provided. The three sluices were inspected and were not clean and tidy. In the main sluice downstairs the clinical waste bin was very full and should have been changed. There were basins stored on the floor, the sink unit was not clean and the fan was not working therefore the room was malodorous. The small sluice upstairs had basins, toilet brush holder and boxes stored on the floor. This sluice room does not have a sink. Hand washing facilities should be prominently sited where infected material or clinical waste is handled. The third sluice on the ground floor adjacent to room 32 also had basins and bedpans on the floor. Manor Barn Nursing Home DS0000024175.V331906.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. It is an unmet requirement from the previous inspection that the provider ensures that suitably experienced and qualified staff be employed in sufficient numbers to meet the needs of people living at Manor Barn. Arrangements are in place for the proper recruitment and training of staff to further ensure the safety of people using the service. EVIDENCE: Mr Wyatt writing to us on behalf of the company advised that 8 registered nurses, 13 care staff, and 7 ancillary staff are employed, and that 9 of the care staff have NVQ level 2 or above. All categories of staff include staff who work full time hours and staff who work part time hours. Mr Wyatt advised that in an 8 week period 22 individual shifts (254 hours) had been covered by agency staff. Mrs Wyatt told us during the inspection visit that some full time staff are soon to be appointed which will lead to less Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 21 reliance on agency staff and more consistent care for people living in the home. Written comments received from people living at Manor Barn and their relatives indicate they believe that there is a shortage of staff. For example, one person thought there were not enough staff on morning shifts, and another person said that staff were “caring and willing but too few”. Comments received also reflected a view that pressures on staff time meant that staff didn’t have the time to chat to residents, and that there can be delays in people receiving the assistance they need. On the day of the inspection visit, we observed that too few staff were available to provide showers and baths in good time for all the people who were requesting this, and this in turn was delaying when people could then be seen by the hairdresser who was visiting the home. We also received written and verbal comments that, as at the time of the previous inspection, there are not enough staff available to assist people at mealtimes. A staff training programme for April-December 2007 was provided, which indicated that staff training is planned in core subjects such as prevention of abuse, moving and handling, health and safety, food hygiene, infection control, fire awareness, and dementia. Mr Wyatt advised that staff undertake refresher training in the core topics 6 monthly, yearly, or every 2 years depending on the core topic, and First Aid training every 3 years. Training in dementia is due to commence in November 2007. We sampled four sets of staff recruitment and training records, which indicated that new staff are receiving induction training and that some of the gaps in staff training identified at the previous inspection are being addressed. We were advised that where a member of staff commences work before a CRB check is received, the member of staff will not have unsupervised access to people living in the home until a clear check has been obtained. Manor Barn Nursing Home DS0000024175.V331906.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. It is an unmet requirement from the previous inspection that a registered manager who is experienced, competent and qualified be appointed, and this has an impact on the quality of service in the home. Further to the shortfalls in the service noted at the previous inspection, the provider has published an improvement plan for the service and has been seeking the views of people living in the home and their relatives. Arrangements are now in place for the recorded supervision of staff in the home, which assists in providing a quality service for people living there. It is an unmet requirement from the previous inspection that regular, recorded environmental safety assessments are carried out and action taken to minimise safety hazards for people living and working in the home. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 23 EVIDENCE: Since the departure of the previous registered manager in September 2006, no manager for the service has been registered with the Commission. The provider has advised the Commission that local and national advertisements for a new manager had been placed, but no person has yet been appointed. We have received several written comments from people living at Manor Barn and their relatives indicating that a lack of leadership is having an effect on the care being provided. We spoke with the deputy manager who is undertaking some of the management responsibilities for the home at present, and with Mrs S. Wyatt who is the responsible individual for the service. Staff supervision has now been commenced and is being recorded, although interviews with staff indicated that not all staff as yet are receiving supervision. We sampled some staff supervision records. The deputy manager said than an experienced and trained member of the company is leading staff supervision at present, and training senior staff in supervision skills. An open meeting for residents and their relatives took place in February 2007, to encourage them to give their views on the service being provided. Mrs Wyatt said the company were seeking to ensure that problems were being identified at a much earlier stage, for example by including relatives in care plan reviews. Changes planned for the service are also included in the home’s improvement plan which was received by us within the timescale set. We have been advised of the most recent health and safety inspections, checks and services carried out in the home. A format for carrying out regular environmental health assessments was seen, but there was no evidence found that recorded environmental health assessments are being done. The previous requirement made in respect of this was assessed as not met. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 24 Manor Barn Nursing Home DS0000024175.V331906.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 X 3 3 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 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 X X X X X 2 STAFFING Standard No Score 27 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X X 3 X 2 Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? 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. OP7 Standard Regulation 15.1 Requirement Care plans must provide sufficient guidance for staff and information for people using the service on how all their assessed needs, including social needs, will be met. The provider must ensure that the storing and administration of medicines is safe and follows current good practice guidelines. The provider needs to ensure that people receiving the service are being supported to lead an active lifestyle, have their interests encouraged and activities provided which they enjoy. The sluicing areas in the home must be made more safe, clean and hygienic. The registered person shall, having regard to the size of the care home and the number and needs of service users ensure that at all times suitably qualified and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of DS0000024175.V331906.R01.S.doc Timescale for action 29/06/07 2. OP9 13.2 25/05/07 3. OP12 16.2 (m) 29/06/07 4. 5. OP30 OP27 23.2 (d) 18.1 (a) 25/05/07 25/05/07 Manor Barn Nursing Home Version 5.2 Page 27 service users (Previous timescale of 5/2/07 not met) 6. OP38 13.4 The provider needs to ensure that regular, recorded environmental safety assessments are being undertaken in the home, and that action is taken to minimise safety hazards (Previous timescale of 5.2.07 not met) A registered manager who is appropriately experienced, competent and qualified in the management of care homes must be appointed. (Previous timescale of 26.2.07 not met) 25/05/07 7. OP31 8 29/06/07 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 Refer to Standard OP16 Good Practice Recommendations Records of concerns and complaints should include the response given to the complainant and when this was done. Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Manor Barn Nursing Home DS0000024175.V331906.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!