Inspection on 26/09/06 for Manor View Nursing Home

This inspection was carried out on 26th September 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

Manor View Nursing Home 04/08/08

Manor View Nursing Home 21/08/07

Manor View Nursing Home 06/04/06

Manor View Nursing Home 07/10/05

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

CARE HOMES FOR OLDER PEOPLE Manor View Nursing Home 19 Manor Rd Hatfield Doncaster South Yorkshire DN7 6BH Lead Inspector Valerie Hoyle Key Unannounced Inspection 26th September 2006 09:00 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 Manor View Nursing Home DS0000065195.V312140.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 View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor View Nursing Home Address 19 Manor Rd Hatfield Doncaster South Yorkshire DN7 6BH 01302 350877 01302 843807 NONE www.fshc.co.uk Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Gillian Antley Care Home 54 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) Category(ies) of Dementia - over 65 years of age (54), Mental registration, with number disorder, excluding learning disability or of places dementia (40) Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. One specific service user under the age of 65, named on variation application dated 16th March 2004, may reside at the home. One specific service user under the age of 65, named on variation application dated 23rd June 2004, may reside at the home. One specific service user under the age of 65, named on variation application dated 5th June 2006, may reside at the home. 6th April 2006 Date of last inspection Brief Description of the Service: Manor View is situated in the village of Hatfield, nearby are shops and a public library. There is easy access to the bus service into the centre of Doncaster, which are a few miles away. The home is divided into two separate units. The main unit (Manor View) provides nursing/residential care for older people with dementia and can accommodate 40 service users. Manor View is a two-storey building with bedrooms on both the ground and first floor. The second unit, (formerly known, as Church View) is a purpose built small care home providing accommodation for fourteen older people with dementia. Secure gardens are provided for both units with easy access for residents. Information gained on the 26th September 2006 indicate the current fees range from £410 for residential care and £510 for nursing care, additional charges include private chiropody, hairdressing, and outings. The home provides information to service users and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report is available on request and a copy is available in the entrance for visitors to read. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second key inspection at the home. The first inspection took place on 6th April 2006. There has also been a random inspection undertaken on the 25th July where the inspector was able to assess the progress of the home in meeting requirements made at the April inspection. This unannounced inspection took place over two days (10 hours) where a tour of the building of Manor View, (main unit) and Church View was undertaken. The inspector was able to speak to seven care workers, and two nursing staff to gain their views and the registered manager was present throughout this inspection and assisted with the inspection process. The registered manager has completed and returned the pre-inspection questionnaire and the information gained is included in this report. Four service users care plans and other supporting documentation were examined during this visit, including policies and procedures and staff training/recruitment profiles. The inspector was able to observe the delivery of care to service users in a respectful kindly manner. Three relatives and the hairdresser were also spoken with to gain their views on how the service is delivered. Occupancy at the home is high with thirteen of fourteen registered beds occupied at Church View; thirty-two beds are occupied at Manor View. What the service does well: What has improved since the last inspection? Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 6 The atmosphere in the home has greatly improved with the appointments of new staff that want to make the home better for the residents. Staff were observed interacting in a positive and kind manner. Residents who became agitated were spoken to quietly by staff and understood the needs of the residents. Staffing levels have been maintained including ensuring two nurses are on duty throughout the day. The levels mean that nurses can concentrate on tasks like administering medication without distractions. Staff appear to be motivated and enthusiastic about working at the home and they are given opportunities to talk about their own development during regular supervisions. The manager and care manager have brought staff supervisions sessions up to date, and they are now being rewarded for their work on staff development, improvements in staff attitude and commitment to improving the service is evident. Quality assurance systems are in place, and surveys have been sent to relatives to gain their views, although there was no evidence that the information had been collated. The manager said the organisation is developing other methods to gain the views of residents, as they would find the current survey difficult to complete due to their mental capacity. The manager continues to develop an open forum to encourage relatives to talk about any issues they may have. It appears to be having positive affect, as there are no recorded complaints since the last inspection. What they could do better: There remain a number of requirements relating to the environment which needs addressing by the registered providers, and they have demonstrated a commitment to continue the improvements. Staff development continues, although due to a number of new staff being employed they do not have the required number of staff with formal NVQ qualifications. The organisation must continue to support staff to achieve NVQ award in care, and ensure staff receive training in dementia care so that they have a good understanding of the needs of the service users. The registered manager must review the arrangements at mealtimes to ensure there is adequate seating for service users to have their meals in the dining room. The registered providers have identified the main lounge as an area that could be developed to make it more suitable for the needs of the service users, by dividing the area into smaller group living areas. Plans should be discussed with the inspector, to take into consideration the disruption to residents. Manor View Nursing Home DS0000065195.V312140.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. Manor View Nursing Home DS0000065195.V312140.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 View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The registered manager undertakes an assessment of service users prior to them moving into the home, ensuring their needs can be met. EVIDENCE: Admissions are not made to the home until a full needs assessment has been undertaken. The manager was able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the statement of purpose. People who are self funding and without a social service assessment the assessment is always undertaken by a skilled and experienced member of staff. Evidence confirms that the assessment is conducted professionally and sensitively and has involved the family or representative of the resident. Four assessment documents were examined and provided sufficient information to ensure care needs can be met by the staff at the home. Manor View Nursing Home DS0000065195.V312140.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, including examination of documents and discussion with staff and visitors to the home. The care plans provide staff with sufficient information to ensure they can meet the needs of service users. Arrangements for dealing with service users health issues are met by staff at the home, with support from health professionals. Medication policies and procedures are well managed and staff have the necessary skills to administer the medication to service users, ensuring their safety and protection. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 11 EVIDENCE: Four care plans examined were comprehensively written with clear methods of staff intervention. There is sufficient evidence to confirm staff on a regular basis review the care plans. Risk assessments have been developed to ensure service users can maintain their independence while remaining in a safe environment. The registered manager ensures risk assessments, for the use of bedrails are agreed with the service users representatives. Service users or their representatives are encouraged to agree and sign their care plan. Staff spoken to during this visit said they understand what was written in service users care plans and have a responsibility to report any changes to the nurse in charge. The registered manager has the required nursing qualifications to ensure the mental health of service users with a diagnosis of dementia can be met and staff from the Home Care Liaison Scheme also provides advice and support to the staff at the home. Relatives spoken to during this visit confirmed their satisfaction with the care provided by staff at the home. They said they still felt involved in the care of their relative, an example of this was a relative was encourage to assist during meal times by encouraging their relative to eat. An audit of medication stocks and records was undertaken and were found to be correct ensuring the health and safety of service users. The local pharmacist is contracted to undertake periodic checks to ensure the stock levels are maintained and procedures are followed. Arrangements are in place for the safe disposal of medication. Nurses have a responsibility for ensuring recording is accurately maintained. Senior carers are responsible for the administration of medication to service users at the residential unit, (Church View) and they have been appropriately trained. Qualified nurses have responsibility for administering medication at Manor View. Throughout this visit staff were seen interacting with service users in a kind manner, they spent time talking to service users and were observed knocking on bedroom doors before entering. All service users were referred to by their first name and this was agreed in the care plans examined. One member of staff said she had taken a particular interest in a service user and felt that the service user was responding to her way of working. The organisation has recently introduced a new induction programme which ensures staff have clear understanding of the rights of service users to be respected at all times. Privacy and dignity is covered in the first modules of the induction that meets the ‘Skills for Care’ standards. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Activities and social interaction is determined by the needs of service users, although there is room for improvement in this area. The home has clear visiting policies and procedures to ensure residents can maintain contact with their family and friends. Service users are encouraged to exercise choice although this is sometimes difficult due to capacity. Service users are provided with a stable balanced diet to ensure their nutritional needs are met. EVIDENCE: The home employs an activity co-ordinator who was seen during this visit. He was able to describe some of the work he undertakes to ensure service users have the opportunity to join in activities such as dominoes, walks in the grounds and reading newspapers and books. Due to the capacity of most service users it is difficult to organise group activities. The co-ordinator said he worked mainly on a one to one basis and also spent time reading books with service users who were in bed. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 13 During this visit the inspector did not observe any activity taking place, as the co-ordinator was carrying out other duties at the home. There is also an activity worker based at Church View, although this is only for four hours a week. The care manager described the worker as enthusiastic and was able to motivate and stimulate residents by having sing-a-longs. He also spends time on a one to one basis, taking residents for walks in the local community. The inspector feels that there is scope to further develop the roles and responsibilities of the activity co-ordinator at Manor View to encourage a wider range of activities on offer to stimulate residents, as discussed with the manager during this visit. Service users are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them to have a drink or a meal with the resident. Service users can choose to entertain visitors in their own rooms or perhaps a lounge or garden areas. Visitors spoken to during this visit made positive comments about the home and the staff team. One visitor said they were always made to feel welcome and offered a drink. Another visitor said staff were always available to pass on any information about the care of their relative. Meals were observed during this visit, and the food looked appetising and there was a choice of meat pie or sausage for lunch. The cook said they also prepare a number of soft diets as several residents had swallowing difficulties. A number of service users were being assisted to eat their meal by staff, and while they remained in the lounges. The cook said that the quality of the supplies was good, and the menus reflected the likes of service users. She said that nutritional advice is regularly obtained and this ensured a good balanced diet was provided for all residents. Supplements are also provided for those who are assessed at risk and this was recorded on the care plans examined. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, and examination of documents. Service users and their relatives are provided with information to enable them the raise concerns about the home and their care. Adult protection policies, procedures are followed to ensure the protection of service users from abuse, and staff are kept up to date with regular refresher training EVIDENCE: The service has a complaints procedure that is up to date, very clearly written, and is easy to understand. It can be made available in a number of formats (on request) to enable anyone to complain or make suggestions for improvement. The complaints procedure is widely distributed, and has a high profile within the service. Relatives and other stakeholders have a good understanding of how to make a complaint and they are very clear of what can be expected to happen if a complaint is made. Unless there are exceptional circumstances the service always responds within the agreed timescale. The complaints record were examined, there had not been any recorded complaints since the last inspection. The manager has worked hard to ensure relatives are consulted with regularly and offers one to one appointments for any relative to raise concerns. Relative’s forums are also used to provide information and opportunities to discuss any issues. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 15 The policies and procedures regarding protection of service users are of a good quality and are regularly reviewed and updated. The service is clear when incidents need external input and who to refer the incident to. Examination of training records indicates staff receives training in the area of the protection of vulnerable adults. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 and 26. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service, including a tour of the building. The registered provider continues their refurbishment of the home to ensure the environment is safe and suitable for service users to spend their time. EVIDENCE: The registered providers have given a commitment to continue with the refurbishment of both units. 16 of the bedrooms have been fully refurbished since the last inspection in October 2005, and this has improved the personal space for service users to spend their time. The registered providers agreed at a meeting held on the 18th October 2005, to refurbish 4 bedrooms each month until all rooms are completed. A further four bedroom have been fitted with either a new carpet or furniture, although these rooms are not yet fully refurbished, other areas have now been identified for improvement. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 17 The bathrooms at Manor View have now been refurbished and staff commented that the shower facility was well used by service users. The bathroom (down stairs) at Church View is not currently used and would benefit from refurbishment. Staff said service users can only use the bathroom upstairs and some found this facility difficult to get in and out of. A shower facility would be beneficial to those who are unable to use the Parker bath. Five carpets at Church View were in bad repair and had odours. The kitchen facility at Church View is in very bad repair doors had been removed as they potentially could fall off and cause injury to staff. The dishwasher was broken and had not worked for a long time it smelt of dirty drains. The inspector noted that there are only fourteen available seats for service users to dine at the table; this is insufficient for the amount of service users who live at Manor View. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, and interviews with staff. Staff have the skills and knowledge to fulfil their role within the home, but have not received dementia training. A stable staff group ensures continuity of care by staff that knows the service users. Recruitment policies are followed ensuring the safety and protection of service users. EVIDENCE: Staff rotas examined and discussion with staff show there are sufficient staff and nurses to meet the needs of service users. The registered manager has demonstrated a continuing commitment to developing the workforce, and there is evidence of a training plan to ensure staff attends all statutory training. Due to the turnover of staff the home continues to work towards achieving NVQ awards in care, only 4 staff have the required qualification. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 19 There was a good recruitment procedure that clearly defines the process, which is followed. This procedure is followed in practice with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of residents. Five new staff have been employed at the home, their recruitment files were examined and contained all the necessary employment checks including references and CRB checks. The manager has spent the last few months recruiting new staff to replace staff that have left or moved to other homes, she feel that the new staff team are motivated and want to improve the standards at the home. Staff spoken to during this visit said they felt valued by the manager and enjoyed working with the residents. The inspector feels that the staff moral had improved and there was a much happier atmosphere in the home. There was a good induction programme and the inspector was able to examine two completed induction workbooks. The registered manager said the nurses continue to develop their own knowledge, by attending relevant training courses. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service, and interviews with staff. The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the service users. The registered provider has developed methods to actively seek the views of service users. Procedures are in place to ensure the financial interests of service users are safeguarded. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has the required nursing qualifications and experience and is competent to run the home. She works to continuously improve services and provide an improved quality of life for service users. The manager continues to work towards the Registered Managers Award and she is hoping to finish the course shortly. The manager has overall responsibility for the two units, although there is a care manager who oversees the day-to-day management of Church View. Residents/relatives meetings are used to gain the views of service users, including suggestions for menus and activity programme. Quality surveys are used yearly to formally gain the views of relatives and the data is collated centrally by the organisation. The last relative quality survey was undertaken in May 2006 although from the results an action plan had not been developed to identify areas of improvement. Residents would find it difficult to complete a survey due to capacity; therefore relative’s surveys are used to gain views on the service. The registered manager said the organisation is developing a new survey, as the current survey is not sufficiently detailed. The registered provider undertakes a monthly quality audit at the home and the reports are available for inspection. The manager and care manager have responsibility for the development and supervision of all staff at the home; records examined showed that supervisions take place at the required frequency. Accident reports are analysed by the manager to ensure risk assessments are developed where required. Maintenance and service records examined were up to date and current to the services provided. The manager has the required health and safety policies and procedures, relevant notices are displayed Fire safety procedures are in place; service records were examined and were current, ensuring the safety of service users. Service users are able unable to manage their own finances due to lack of capacity, some relatives hold responsibility for this. The administrator told the inspector how bank accounts are held on behalf of service users; one is an interest bearing account. A number of service users pocket money records were checked and these were accurate. Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 22 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 2 X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 23 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 OP12 Regulation 16 Requirement The registered manager must review the roles and responsibilities of the activity coordinator to ensure service users have access to a wider range of activities The registered manager must continue with the refurbishment of the home and ensure old furniture is safe and fit for purpose. The kitchen at Church View must be refurbished or existing facilities made safe. The dining room carpet is badly stained and must be thoroughly cleaned or replaced Condition of the carpets must be reviewed The registered manager must replace carpets (rooms 6,7,8,10, 12) at Church View The space in the dining area to must be reviewed ensure there DS0000065195.V312140.R01.S.doc Timescale for action 01/12/06 2. OP19 23(2)(c) 01/02/07 3. OP19 23(2)(c) 01/11/06 4. OP19 23(2)(d) 01/11/06 5. OP19 23(2)(b) 01/01/07 6. OP20 23(2)(a) 01/01/07 Manor View Nursing Home Version 5.2 Page 24 7. OP21 23(2)(j) are sufficient tables and chairs for service users to eat their meals Sufficient bathing facilities that are in good working order. (Church View) must be provided The bathroom floor at Church View is in bad repair and must be replaced The responsible individual must work towards providing a minimum of 50 of staff who are NVQ level 2 qualified Staff receive training on dementia care must take place for all staff The manager must gain the management and care qualification in 2006. NVQ Level 4 01/01/07 8. OP21 23(2)(j) 01/01/07 9. OP28 18 01/07/07 10. 11. OP30 OP31 19 8 01/12/06 01/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Manor View Nursing Home DS0000065195.V312140.R01.S.doc Version 5.2 Page 26 - 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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