Inspection on 04/08/08 for Manor View Nursing Home

This inspection was carried out on 4th August 2008.

CSCI found this care home to be providing an Good 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

Manor View Nursing Home 21/08/07

Manor View Nursing Home 26/09/06

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 08/11/2008.

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 4th/5th August 2008 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.V368737.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.V368737.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 manor.view@fshc.co.uk www.fshc.co.uk Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Mrs Helen Louise Hartman 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.V368737.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. 21st August 2007 Date of last inspection Brief Description of the Service: Manor View is situated in the village of Hatfield, nearby is 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 people. 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 5th August 2008 indicate the current fees range from £426.55 for residential care and £488.98 for nursing care, additional charges include private chiropody, hairdressing, and outings. The home provides information to people 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.V368737.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 2 stars. This means that the people who use this service experience good quality outcomes. This unannounced inspection of this service took place over 12 hours (two days) starting at 09:00 to 17:00; (4th Aug) 9:00 to 13:00; (5th Aug) this included a partial inspection of both units (Manor View, Church View). Three people who use the service, seven relatives and nine staff were spoken to during the visit; their views were included throughout the report. Occupancy at this home has been consistently high. 36 beds were occupied at the main unit Manor View, while 12 beds were occupied at Church View. Four peoples care plans were looked at. Policies relating to medication, complaints, protection of vulnerable adults and handling of people’s monies were looked at. Four staff recruitment and training records were examined to assess how people were protected. Procedures and risk assessments relating to health and safety were looked at and discussed with the manager. The registered manager is Helen Hartman, she hold a nursing qualification and was appointed in May 2007. She continues to work towards attaining her RMA (Registered Managers Award) and has a wealth of knowledge working with older people in the care setting. The AQAA was sent to the home in July 2008, this was returned to us on time, which demonstrates responsiveness and cooperation. An annual quality assurance assessment (AQAA) is a self-assessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. The inspector would like to thank everyone who agreed to being interviewed as part of the inspection process, and the friendliness of staff. What the service does well: The assessment process works well with visits to the person and the completion of a comprehensive document. The information informs the care plan, which was regularly reviewed. Relatives said that staff provides a caring Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 6 environment and they pay particular attention to making sure people receive plenty of fluids and a good nutritional plan. The activity co-ordinator has improved the way people can take part in activities. Trips out and the development of social histories means that activities were specific to the people who live at the home. Relatives said they really enjoyed being part of the trips out, as it means that they feel involved in their relatives care. Mealtimes were managed well, staff were available to give assistance where needed. The manger was competent and confident and leads a strong team, who wants to provide a good service to people who use the service. There have been a number of complaints and safeguarding referrals but the manager has followed the homes procedures, to ensure the safety and protection of people who use the service. Relatives said they were confident in the manager’s abilities, and they would not hesitate to raise concerns (if any) with her. Quality assurance audits takes place to ensure people’s views were received. One relative confirmed that he had received a survey from the organisation and intended to return it shortly. Comments received from all relatives during this inspection were very positive, in particular comments about the staff and the care they provide. What has improved since the last inspection? What they could do better: Care plans could be improved to make the most current information is easily retrieved. The document is bulky and could be streamlined so that staff are clear about what care needs to be delivered. Care plans should reflect the best interests of people in particular where people have limited capacity. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 7 Medications procedures were generally well managed, although more care must be taken to make sure people have their medication as prescribed. Two mistakes were found from the MAR (Medication Administration Records) looked at. It is important that medication is given as prescribed so that a person’s medical condition is not affected. The room where medication was stored was very warm. Regular checks of the temperature of this room should be taken to make sure the maximum temperatures recommended by manufacturers are not exceeded. This will help to make sure that medicines are safe to administer. Although refurbishment of both units continues, some items were found in poor repair and should be given urgent attention. Dining room chairs at Manor View were unsafe and could cause injury to people who use the service. Some lounge chairs, carpets and windows need to be thoroughly cleaned or replaced, to make the environment better for people. 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 View Nursing Home DS0000065195.V368737.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.V368737.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were assessed before moving into the home to ensure their needs could be met. EVIDENCE: All new people receive a full comprehensive needs assessment before admission; this was carried out by the manager who had the required skills and competencies. The service was efficient in obtaining a summary of assessments undertaken by the placing authority, and insists on receiving a copy of the care plan before admission. Staff confirmed that information contained in the assessment was essential to understand what they needed to do to ensure people’s needs were met. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 10 Four assessments were looked at and they focused on achieving positive outcomes for people who use the service. Before agreeing admission the manager and staff carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. Relatives said they had looked at a number of homes and were happy with the way Manor view cares for their relative. They said staff were very supportive and answered all their questions. The activity co-ordinator said she was working with families to formulate comprehensive life histories, she said it was very useful and ensured staff had knowledge of peoples likes/dislikes and social backgrounds. Manor View Nursing Home DS0000065195.V368737.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive was based on their individual needs. The principles of respect, dignity and privacy were put into practice. Medication procedures were generally well managed by staff that have the necessary competencies. EVIDENCE: Four care plans were looked at to ensure care was delivered as described. The information was comprehensive, although the plans could be streamlined to ensure that up to date information was easily retrieved. On one plan looked at several changes had been made, which could mean that staff may be unclear about the persons care needs. The plan said that the person was able to sit and mobilise in their wheelchair, although staff said the person was cared from their bed. A relative raised an issue about their fathers care. It was unclear from the person’s plan if agreements had been made about their relative’s care, with regard to being cared for from bed. One care plan was not fully completed, although staff were clear about the persons needs. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 12 Relatives said they were very happy with the care provided by staff. They said they were caring and always kept them informed about changes to their healthcare. One relative said, staff pays particular attention to making sure people’s nutritional needs were met. They had seen charts which described the amount of fluids taken and what their relative had had to eat. Healthcare needs were well documents on the care plans looked at. The manager said the home had developed good relationships with the ‘Care Home Liaison’ team who had input where needed, to ensure people’s mental health needs were met. District nurses support staff at Church View to ensure peoples medical needs were met. The current Medication Administration Record (MAR) charts were looked at. There was a list of staff authorised to administer medicines and examples of their signatures. This means it was possible to identify who was involved in administration if a query or problem occurred. Good records were made at the time medication was administered; this was demonstrated by the lack of any gaps on the MAR charts. However an audit of current stock and records showed that some (two peoples) medication had been signed for but not given. One person’s predisilone had not been administered correctly. Two doses had been signed for on the MAR, although only one dose had been taken from the box. A second example was Fludracortisone, where 22 tablets had been signed for on the MAR but only 19 tablets had been administered. This means that on some occasions a record of administration had been made when there was none given. It is important that medication is given as prescribed so that a person’s medical condition is not affected. The breakfast and lunchtime round was observed. Time was taken with people to help them take their medication. Medicines were stored in a standard trolley and locked cupboards within a lockable room. The medical room was warm (82 degrees) and has no ventilation (Manor View). Regular checks of the temperature of this room should be taken to make sure the maximum temperatures recommended by manufacturers are not exceeded. This will help to make sure that medicines are safe to administer. The controlled drugs cabinet was suitable for use; this means there was a safe system for the storage of these medicines. The register was suitable for use and an audit confirmed medication was administered correctly. The manager had introduced a weekly medication audit to make sure procedures were followed. This demonstrates good practice, as it ensures any mistakes were identified and rectified quickly. Manor View Nursing Home DS0000065195.V368737.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): 12, 13, 14, 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to socialise with family and friends and mealtimes were well managed. EVIDENCE: The activity co-ordinator plays an important role within both units to make sure people was able to take part socialising. People were preparing for a outing to Normanby Hall. Staff were arranged on a one to one basis to ensure people were supported. Relatives were invited and one said they were really looking forward to spending time with her husband. The co-ordinator was able to show examples of the entertainment she had helped to organise. This included, games and crafts and also supporting people to take part in household tasks. She also encourages people to make best use of the garden by growing their own tomatoes. The co-ordinator has responsibility to record details of activities and who has participated. People were also encouraged to be part of the local community with walks to local shops and trips to the local school. School children also visit people in the home, where they spend time socialising and providing entertainment. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 14 Family and friends were encouraged to visit the home, and a number gave their views on the care at both units. Relatives said staff always made them feel welcome, by offering refreshments. They spoke positively about the care provided and said they were very satisfied with the care provided. Two relatives did comment about the furnishings in the dining room which were in poor repair. Mealtimes were well managed and staff were available to offer assistance where needed. The food looked appetising and there was a choice of main and second course. There remains a concern that a number of people have their meal in the lounge, this should be kept under review and monitored by the individuals care plan. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were able to express their concerns, and have access to a robust, effective complaints procedure, and were protected from abuse, and had their rights protected. EVIDENCE: The home had a complaints procedure that was available to people and visitors. The procedure was also referred to in the information given to new people, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection was included in the procedure, although the address and telephone number needed to be updated. The manager and information contained in the AQAA (Annual Quality Assurance Assessment) confirmed that three complaints had been made in the last twelve months. Records were looked at and they confirmed that procedures were followed, and action was taken to resolve the complaints. Relatives confirmed that they were aware of the complaints procedure and who to speak to if they had a concern. The policies and procedures regarding safeguarding of people were of a good quality and were regularly reviewed and updated. The manager had spent time attending the launch of the safeguarding adult procedures, and she confirmed that staff had received training to identify signs of abuse. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 16 The manager was clear when incidents need external input including who to refer the incident to. The manager had promptly followed referral procedures to inform the relevant agencies about two incidents that had been raised at the home. The referrals have not yet been concluded and remain under investigation. Procedures have been followed to ensure people’s safety until the investigation process is concluded. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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 continue to refurbish both units, and a redecoration programme had commenced during this inspection. The kitchen at Church View has now been refurbished and all the equipment was in good working order. The patio doors have now been replaced making them safe to open. The main corridor carpet (Church View) was showing signs of wear and should be replaced. Some of the floor boards also need repairing when the carpet is relayed to make sure it is not uneven and pose a risk to people from trips and falls. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 18 The lounge chairs at both units were worn and some need thoroughly cleaning or replacing. Some of the dining room chairs at Manor View were unsafe and should be replaced immediately to prevent injury to people who use the service. Some dining chairs were dirty with stale food and should be thoroughly cleaned. Some of the windows at manor View were discoloured, which means that natural light into some people’s bedrooms was poor. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home were trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Staff was employed in sufficient numbers and skill mix to ensure the safety of people who use the service. Staff rotas at both units were looked at confirming adequate levels. Since the last inspection there has been a significant amount of changes to the staff group. New staff have integrated well with more experienced staff and it was pleasing to hear from a number of relatives who said the staff were caring and friendly. There was a comprehensive induction package to ensure staff had the skills and competencies to work with highly dependant people. Staff training continues with a number of staff attending first aid, POVA (Protection of Vulnerable Adults) and moving and handling training. The manager said further training in infection control and dementia mapping was scheduled for September 2008. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 20 Staff had not achieved the required 50 NVQ qualified staff, although there continues to be a commitment towards NVQ awards within the organisation. Four staff recruitment files were looked at to check how people were protected by robust procedures. The files contained applications forms, references and employment history. Some of the files did not have a POVA check, although the manager gave assurances that the check was always obtained prior to the commencement of employment. Criminal Records Bureau (CRB) checks were obtained although it was difficult to confirm the check as some were not found on the file. The recruitment files were generally untidy; some important information (start date, POVA and CRB confirmation) was not recorded on the starter form, making it difficult to confirm if all the checks had been received. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were protected by sound management practises, and their views were actively sought to improve the service. The financial interests of people were safeguarded, and good health and safety procedures ensured they are protected. EVIDENCE: The manager has a wealth of experience and knowledge and was able to demonstrate her ability to manage the home. She was appointed into her current position in December 2007. She continues to work towards achieving the RMA (Registered Managers Award) and also hold a nursing qualification. She operates an open door policy to ensure she is accessible to staff and Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 22 people who use the service. Relatives and staff spoke highly of the manager and said she was very caring, well organised and competent. People who use the service would find it difficult to complete a survey due to their limited capacity; therefore relative’s surveys were used to gain views on the service. The manager said that surveys for this year had been sent out, although the data had not been collated. Team Audit Process (TAP) were undertaken by designated staff to ensure they were involved in monitoring and improving the service. The registered provider undertakes a monthly quality audit (Regulation 26) at the home and the reports were available for inspection. People who use the service were unable to manage their own finances due to limited capacity. A number of peoples financial records were examined, the records were accurate and there were clear auditing procedures to ensure peoples monies are managed in their best interests. Accident reports were analysed by the manager to ensure risk assessments were developed where required. Maintenance and service records looked at were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Health and safety training had been identified as needing updating to ensure that staff have the right skills to follow health and safety procedures. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13(2) Requirement All medication must be administered as prescribed. This will make sure that people receive their medications correctly and the treatment of their medical condition is not affected. Dining room chairs must be in good repair to prevent potential injury to people who use the service. Timescale for action 16/09/08 2. OP19 23(2)(c) 16/09/08 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 OP7 Good Practice Recommendations Care plans should be reviewed to ensure they reflect the best interest of the person. Relatives views must be recorded, where people are cared for from their bed. Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 25 2. OP7 Care plans should reflect the up to date care needs of the person. Care plans could be streamlined to ensure information can be easily retrieved. The temperature of the medication room should be regularly monitored. This makes sure that medicines are being stored at the temperature recommended by the manufacturers. Dining room chairs should be intensively cleaned to prevent cross infection to people who use the service. The corridor carpets at Church View should be replaced as it is in poor condition. Attention should be given to the floor boards under the carpet to make sure it is not uneven and potentially become a trip hazard. Some lounge chairs in both units should be thoroughly cleaned or replaced as they are in poor repair. Some bedroom windows should be replaced as they are badly stained which prevents adequate natural light into people’s bedrooms. A minimum of 50 of staff who are NVQ level 2 qualified should be employed at the home. 3. OP9 4. 5. OP19 OP19 6. 7. OP19 OP19 8. OP28 Manor View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 View Nursing Home DS0000065195.V368737.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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