Inspection on 21/04/08 for Newfield Nursing Home

This inspection was carried out on 21st April 2008.

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

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

Newfield Nursing Home 17/08/09

Newfield Nursing Home 03/05/06

Newfield Nursing Home 10/11/05

Newfield Nursing Home 21/06/05

Newfield Nursing Home 18/01/05

Newfield Nursing Home 15/04/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Newfield Nursing Home 1 Cat Lane Gleadless Sheffield South Yorkshire S2 3AY Lead Inspector Sue Turner Key Unannounced Inspection 21st April 2008 07:50 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 Newfield Nursing Home DS0000021797.V360939.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. Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newfield Nursing Home Address 1 Cat Lane Gleadless Sheffield South Yorkshire S2 3AY 0114 250 8688 0114 258 5162 None www.palmsrow.co.uk Palms Row Health Care Limited 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) Mrs Gillian Smith Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2006 Brief Description of the Service: Newfield Nursing Home is a purpose built two storey home providing nursing care for up to sixty older people. All areas of the home are accessible by a passenger lift. A variety of communal space is available, a large dining room, lounges, library room and kitchenette are provided. There are 50 single and 5 double rooms, all with en-suite toilet facilities. The homes main kitchen and laundry are sited on the ground floor. Sufficient bathing facilities are provided; aids and adaptations are available to aid mobility and independence. The home is situated in the Heeley/Newfield Green area of Sheffield and is close to shops and public transport. The gardens are landscaped and outside patio areas are easily accessible. There is a small car park. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall and peoples bedrooms. The service also had a very detailed Statement of Purpose/Service User Guide, which was available to relatives and anyone considering living at the home. The manager confirmed that the range of monthly fees from 1st April 2008 were £327 - £530 per week. Additional charges included newspapers, hairdressing and private chiropody. Newfield Nursing Home DS0000021797.V360939.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 star. This means that the people who use this service experience good quality outcomes. This was an unannounced key inspection carried out by Sue Turner regulation inspector. This site visit took place between the hours of 7:50 am and 3:50 pm. Gill Smith is the registered care manager and Karen Mullins is the business manager both were present during the visit. Nicola Richards the operations manager was also present for part of the visit. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. We received two surveys back from relatives and four from staff. Comments and feedback from these has been included in this report. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to eight staff, three relatives and seven people living in the home. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in May 2006. The progress made has been reported on under the relevant standard in this report. The inspector wishes to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 6 What the service does well: People living in the home said that the care they were receiving was good. They made comments such as: “I like it here if I didn’t I wouldn’t stay” “Everything’s fine, the staff are excellent”. “You’ll have to go along way to find another place as good as this” “I can’t praise the place high enough”. Comments received from questionnaires and from talking to relatives were positive and included: “The carers are very good. There are activities for people to join in if they wish. The atmosphere is warm and friendly”. “We cannot fault the staff, they greet us with a smile and are very caring”. “They tell us everything about our relative, there’s no hesitation”. The inspector observed that people were well dressed in clean clothes and had received a good standard of personal care. People’s health care was monitored and access to health specialists was available. Staff were observed being respectful towards people. People said that they had a choice of food and that the quality of food served was “well cooked”, “enjoyable”, “plentiful” and “good”. There was a complaints procedure and Adult Protection procedure in place, to promote peoples safety. Agreed levels of staff were being maintained. A staff training record was in place, and individual training records were maintained. Records within the home were stored securely, to safeguard confidentiality. Health and safety procedures were identified and carried out, and systems were checked and serviced to maintain a safe environment. Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Newfield Nursing Home DS0000021797.V360939.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 Newfield Nursing Home DS0000021797.V360939.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): Standards 1, 3 and 5. Standard 6 is not applicable to this home. 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 home provided sufficient updated and relevant information to inform people about their rights and choices. Trial visits were encouraged to enable people to look around the home, meet other people living there and give them the information needed to make informed choices. EVIDENCE: The homes Statement of Purpose and Service User Guide were available, both in the entrance hall, for anyone visiting the home and a copy was also in each persons room. These included useful information about the home and the services offered. Both the Statement of Purpose and Service User Guide had been updated recently. Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 10 When people showed an interest in the home they were provided with an information pack. This contained the Service User Guide, the homes brochure and a copy of the menus and activities on offer. Prior to admission taking place professionals and staff assessed people. Most referrals came from hospitals. Pre admission assessments were seen in people’s files. The registered manager or her deputy carried out a pre assessment so that they could be assured that they could meet the person’s needs. People were invited to visit the home and spend time meeting the staff and seeing the services available. One relative said: “We visited many homes before we chose this one. We think this is the best”. This home does not provide intermediate care services. Newfield Nursing Home DS0000021797.V360939.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): Standards 7, 8, 9 and 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. People’s health, social and personal care needs were documented in the care plans and a range of health care professionals visited the home. Medication procedures protected people’s health and welfare. EVIDENCE: People living in the home had an individualised plan of care. Three peoples plans of care were checked. Care plans contained a range of information on aspects of personal, social and health care needs. Care plan formats consisted of many individual sheets of paper. Each related to a care need and staff either used numbers or tick boxes to identify a persons needs. This made them very cumbersome and off-putting. Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 12 When reading the care plans it was difficult to gain a ‘pen picture’ of the person. Most information related to tasks and was not person centred. The managers were aware of this and had started to look at the changes needed to the plans so that they could be more easily read and understood. There was no evidence in the care plans seen that relatives had been involved with them. Two relatives spoken to said that staff had asked them things about their loved one when they came into the home but they had not been involved in any reviews or updates. Care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said that GP’s, dentist, opticians and chiropodists visited the home as requested. Staff were regularly reviewing and updating individual risk assessments. Two people said: “I think its great here, the staff help me get a bath when I ask”. “I get all the help that I need”. One relative said: “I believe my father is being looked after very well. He is 93 years old now and I don’t think he would have still been alive if he had been living at home. He seems to be quite happy”. Medicines were securely stored around the home in locked trolleys within cupboards. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. Qualified nurses administered medications. There was evidence that managers and trained staff were auditing medication administration procedures. Controlled drugs (CD) were kept in a clinical room and within a double locking cabinet. People and relatives spoken with, and via their questionnaires, confirmed that the carers treated them with respect and provided personal care and support in a way that maintained their dignity and privacy and was sensitive to their individual needs and wishes. Staff were observed speaking to people in a respectful way and showed empathy and patience when providing personal care to them. Newfield Nursing Home DS0000021797.V360939.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): Standards 12, 13, 14 and 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 were able to maintain contact with family and friends ensuring that they continued to be involved in community life. A range of activities was on offer. Meals served at the home in the main offered choice and ensured people received a healthy balanced diet. EVIDENCE: People were seen to be “getting up” at various times during the morning. We saw that everyone coming to the home was made to feel comfortable whilst visiting their loved one. One relative said: “We know we can visit at anytime, the staff always greet us with a smile”. Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 14 The home employed a full time activities worker. People said they enjoyed being involved in such things as bingo, games and sing along. Trips outside of the home were also enjoyed. Posters in the home advertised entertainment that was planned. The managers said that after listening and consulting with people the activities programme was to be extended to include weekends. People spoken to were looking forward to this. Before breakfast people were seen enjoying an early morning drink. One person said: “Staff will bring me a drink whenever I ask. If they know I’m awake in the night they’ll bring me one. There’s no strict rule about when we have a drink”. We observed lunch being served in the main dining room. Tables were set with cloths, crockery and cutlery. Most people were seated at tables; one person on a liquid diet was comfortably sat in a supportive chair. Kitchen staff served the meal and carers handed them out. Staff were seen giving discreet and sensitive assistance. Staff were aware of what each person had chosen for their meal and people were offered different portion sizes. The ambience in the dining room was pleasant and relaxed. People said that the meals at the home were “ OK”, “good”, “great” and “fine”. Kitchen staff said that they were providing a number of soft and diabetic diets for people. They said that diabetics were offered mousse or ice cream for dessert. They weren’t offered the choices available to others. Desserts like fruit crumbles and trifles that could have been modified to take into account their dietary needs were not being offered. Newfield Nursing Home DS0000021797.V360939.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): Standards 16 and 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. Complaints procedures were in place and people and their relatives felt confident that any concerns they voiced would be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure that people were protected. EVIDENCE: People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall and bedrooms. This contained details of who to speak to at the home and who to contact outside of the home to make a complaint should they wish to do so. Relatives spoken to said that they felt very comfortable in going to any member of the staff or management team, knowing that any concerns they may have would be addressed without delay. One relative said: “The service has responded very quickly to a complaint and dealt with it appropriately and satisfactory. We have been very impressed by this”. Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 16 The home kept a record of complaints, which detailed the action taken and outcomes. The home had received two complaints. The managers were investigating these. Meetings had been arranged with the complainants so that their concerns could be resolved. We had not received any complaints about the home, but had been made aware of the concerns raised by the two complainants. Staff spoken to were clear how to respond and record any complaints received. An adult protection procedure was in place. Staff had undertaken formal training on adult protection, which had equipped them with the skills needed to respond appropriately to any allegations. People spoken to said that they felt safe living at the home. Newfield Nursing Home DS0000021797.V360939.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): Standards 19, 22, 24 and 26. 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 home was clean and well maintained, providing a pleasant environment for people and their visitors. EVIDENCE: Since the last inspection some areas within the home had been refurbished and the AQAA stated that the maintenance and renewal programme for the home would continue. The home was clean and tidy. Lounge and dining areas were domestically furnished. A tour of the building identified that some areas of the home were in need of minor repair. A handy person was employed to help maintain the Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 18 environment. Homely touches were provided, which enhanced the feeling of warmth and wellbeing. Bedrooms checked were cosy. Some people spent a lot of time in their rooms, their beds were comfortable, bed linen was clean and in a good condition. The manager had a programme of refurbishment and redecoration that ensured that the home was aesthetically pleasing and free from hazards. The manager said that the provider would carry out any work deemed necessary for the comfort and well being of the people living in, working in and visiting the home. One person said: “These digs are out of this world” Relatives said: “The home is clean and mostly sweet smelling”. “Dad has everything that he needs in his room”. Staff said that there were enough hoists, aids and adaptations available to ensure that people’s individual needs were met. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Newfield Nursing Home DS0000021797.V360939.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): Standards 27, 28, 29 and 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. Sufficient staff were provided to meet the needs of people. The recruitment information obtained for staff was sufficient to adequately protect the welfare of people. Staff had completed training that ensured they had the competences to meet people’s individual needs. EVIDENCE: The homes rota indicated that agreed levels of staff were being maintained to meet the needs of people. Occupancy at the home was reduced and staffing levels reflected this. Staff said although there were less staff they were still able to carry out their work role competently. Staff interviewed said that they enjoyed working at the home and got a lot of job satisfaction. People spoken to felt that enough staff were provided. Two relatives consulted said that there were enough staff around and one gave the example of when they rang the call system, someone responded ‘pretty quickly’. Staff interviewed said that when they started work they received induction training in the first two months of their employment. Three staff files checked Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 20 identified that the member of staff had received induction training when they commenced work. Staff were able to talk about the various training courses that they had attended, for example, Moving and Handling, Food Hygiene and Adult Protection. The manager was aware of the staff that were due to attend refresher and updated training and this had been planned for. We believe that staff would benefit from receiving training in report writing and person centred care planning. The managers said that they would seek this training for the staff. 60 of the care staff had achieved NVQ Level 2 or above in Health and Social Care. A number of care staff had also commenced the training. This met the required minimum of 50 of the staff team trained to NVQ Level 2 in Care. The recruitment records of three employed staff members were checked. The staff had provided employment histories and the home had obtained two written references for each of them. These were satisfactory. Protection Of Vulnerable Adults (POVA) checks had been made and Enhanced Criminal Record Bureau (CRB) checks had been obtained for the staff members. Newfield Nursing Home DS0000021797.V360939.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): Standards 31, 33, 35, 36 and 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. The managers’ leadership approach benefited people and staff. In the main quality assurance systems meant that the home was run in the best interests of everyone. People’s monies were safely handled, which ensured that finances were accurate and safeguarded. People’s health and safety had been promoted and protected. EVIDENCE: The home had two managers that worked alongside each other; each had clear lines of responsibility. One manager had responsibility for business matters Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 22 and the other for care. This arrangement worked very well. Staff and relatives were clear about each manager’s role. Both the care manager and the business manager had completed NVQ Level 4 in Management. The care manager was a qualified nurse with many years experience. Everyone spoken to and information from questionnaires confirmed that people, staff and relatives were all happy to approach the managers at any time for advice, guidance or to look at any issues. They all said that they were confident that they would respond to them appropriately and swiftly. The operations manager was at the home on the day of the visit. She said she visited the home several times a month and spent time speaking to people, staff and relatives. Each month she completed a report about the quality of the service provided. These reports were not on site and could not be looked at. We talked to her about the importance of these reports being available on site both for inspection and so that the managers were aware of any action points. The care manager was responsible for sending out quality assurance surveys to people, relatives and professionals. Surveys were sent out twice a year and then a report was completed with the results of the surveys. Regular resident, staff and relative meetings were arranged. Minutes from these were seen. The home handles money on behalf of some people. This was checked for three people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Formal staff supervision, to develop, inform and support staff took place at regular intervals and staff said that they found this useful and beneficial. Fire records evidenced that fire alarm checks took place each week. Staff said that they had received fire training and fire drills. The record of fire drills stated the staff present, duration and time. We believe more detail about the staff’s performance e.g. if they responded quickly, should be recorded so that this is used as a learning process. The business manager had recently completed a fire risk assessment. The South Yorkshire Fire and Rescue service had offered support and advise with this. The manager said that any required actions identified by the fire assessment had been completed. Environmental Health had awarded the home an excellent five star rating following their last inspection visit. Newfield Nursing Home DS0000021797.V360939.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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement People and/or their representative must be involved in the care planning and reviewing process. People requiring special diets must be offered proper choices. Therefore a variety of diabetic desserts must be made available. Copies of the monthly report completed by the providers’ representative must be kept in the home. Timescale for action 01/07/08 2. OP15 16 (2) (i) 21/04/08 3. OP33 26 21/04/08 Newfield Nursing Home DS0000021797.V360939.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP7 OP30 OP38 Good Practice Recommendations Care plans should be reviewed so that information recorded is person centred. Staff would benefit from receiving training in report writing and person centred care planning. Following a fire drill there should be a report/record completed which highlights any actions for improvement and/or further training needs. Newfield Nursing Home DS0000021797.V360939.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. 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