Inspection on 14/12/07 for Newford Nursing Home

This inspection was carried out on 14th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Newford Nursing Home 12/12/08

Newford Nursing Home 07/02/07

Newford Nursing Home 24/01/06

Newford Nursing Home 26/09/05

Newford Nursing Home 23/02/05

Newford Nursing Home 03/11/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Newford Nursing Home Newford Crescent Milton Stoke-on-trent Staffordshire ST2 7EQ Lead Inspector Peter Dawson Key Unannounced Inspection 14th December 2007 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 Newford Nursing Home DS0000026954.V353102.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. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newford Nursing Home Address Newford Crescent Milton Stoke-on-trent Staffordshire ST2 7EQ 01782 545547 01782 536364 newford@btopenworld.com 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) Newford Limited Mrs Joanne Marie Webb Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (40) of places Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. PD between the ages of 30 and 60 years - 8 beds. Day Care PD - 2 beds. Day Care OP - 6 beds. Date of last inspection 7th February 2007 Brief Description of the Service: Newford Nursing Home is registered to provide nursing care for up to forty older people. Of the 40 registered beds up to eight can be used for younger people aged between 30 and 60 years on admission who have a physical disability – there are no people currently in this category. The home also provides day care facilities for up to six older persons although younger adults with a physical disability can access two of the day care places. Day care is not provided at this time. The home is a purpose built single storey building situated approximately half a mile from the village of Milton. All of the bedrooms are single rooms with an adapted en-suite consisting of toilet and wash hand basin. There are three assisted bathrooms, one ‘step-in bath and one ‘walk-in’ shower for service user use, five small lounges, a dining room with bar and a conservatory. There is a central kitchen and laundry facilities. The home is located within close walking distance of bus and road networks. There are parking facilities close to the main entrance. The fees charged by this home range from £475.00 to £535.00 with additional charges for hairdressing, toiletries, aromatherapy and taxis. This information was provided in the AQAA (Annual Quality Assurance Assessment) and from discussions during the inspection. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out using the National Minimum Standards for Older People as the basis for assessment of the service. This unannounced Key Inspection was carried out on one day by one inspector from 8.45 a.m. – 5.15 pm. The Registered Manager was not on duty and the inspection carried out with good and open dialogue with the Deputy Manager. There were 36 people in residence at the time of the this inspection, unusually there were vacancies due to recent deaths and delays in funding arrangements but there were pending admissions. Most residents were seen and many spoken with. Several visitors were seen and 2 spoken with. All spoke highly of the care provided at Newford Nursing Home and the commitment of staff towards them. A recently admitted resident said that she had settled well and “staff had been wonderful to her”. A male visitor who visits his wife daily said that his wife had been resident for 18 months and he had “never had any cause for concern, his wife had excellent care from all members of staff”. Other residents spoke positively about food, the support of staff and felt that their needs were known and met. One person expressed some concern about waiting times when using the nurse call system – this was discussed with the Deputy Manager who will ensure the matter is reviewed. There was an inspection of all the communal areas and a sample of bedrooms in the home. Staff on duty provided helpful information and insight about the daily operation of the home. All were relaxed and morale seemed good. Requirements made at the last inspection had been addressed with the exception of the provision of additional catering support from 8a.m. This is a further requirement of this report. What the service does well: There is good and adequate information available to prospective residents and pre-admission procedures and assessments ensure that needs can be met and the home is suitable for the individual needs of the person. Health & Personal Care is provided in a detailed and comprehensive way. Care Plans are to a good standard and reviewed on a regular basis. The reviews now include resident and relative and reviews/care plans signed by residents/relatives. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 6 There is good clinical practice in place. The home has a good record of tissue viability care and treatment. Risk assessments identify those at risk and preventive measures taken. There are generally good standards of nursing and personal care for all residents many having high dependency health care needs. Medication administration is to a high standard with no deficits – the system is safe. There is an excellent activities programme, lead by the Activities Co-ordinator, although all staff are involved in the provision of activities. These include small group or 1:1 activities for more dependent residents. There is good documentation/recording of activity inputs for all individuals. Despite some reductions in staffing the Managers and staff seek to maintain the high standards of care. What has improved since the last inspection? What they could do better: Under the National Minimum Standards of 7 outcome groups: 3 groups of Standards met are: Choice of Home, Health & Personal Care and Daily Life and Social Activities – all have good outcomes. Those not met and which have with shortfalls are: Complaint & Protection, the Environment, Staffing and Management arrangements. * * * * * * Version 5.2 * Page 7 Newford Nursing Home DS0000026954.V353102.R01.S.doc Arrangements for soiled laundry should be improved to ensure good infection control practice. Footrests must always be used on wheelchairs to ensure resident safety. A Kitchen Assistant should be employed from 8a.m. to provide an improved service at this crucial time. All catering staff must have Food Hygiene Training Mal-odours must be eliminated from bedrooms. Appropriate, reliable equipment provided to allow this or replacement of carpets. A leaking fridge in the kitchen area should be replaced. Recruitment procedures must be improved and more robust to ensure protection of residents. Adequate heating and cleaning of carpets should allow the conservatory to be used throughout the year. Improved response times to the call system/requests from residents should be reviewed and improved. The term “Matron” is used at all times by all people and on documentation. – This is a dated term and does not reflect current practice and operation in a modern care setting. The term is not recognised by CSCI who have approved and given the legal status of Registered Manager to the person in charge of the home. 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. Newford Nursing Home DS0000026954.V353102.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 Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. There is adequate information to judge the suitability of the home. Preadmission assessments and procedures are good. Contracts provided for all new residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides a statement of purpose that is specific to the individual home and the resident group they care for. It clearly sets out the objectives and philosophy of the service supported by a service user’s guide. The guide details what the prospective residents can expect and gives a clear account of the specialist services provided, quality of the accommodation, qualifications and experience of staff, how to make a complaint, recent CSCI inspection findings and contains comments and experiences of residents living at the home. All residents are given a copy of the guide. When requested the service can provide a copy of the statement of purpose and guide in a format which Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 10 will meet the capacity of the resident. Practice and information giving is informed by the service’s written procedures. Admissions are not made to the home until a full needs assessment has been undertaken. For people who are self-funding and without a care management assessment, a skilled and experienced member of staff always undertakes an assessment. The assessment is conducted professionally and sensitively and involves the individual and their family or representative, where appropriate. Where the assessment has been undertaken through care management arrangements the service insists on receiving a summary of the assessment and a copy of the care plan. A copy of the homes assessment tool was seen and meets the required standard. Contracts are provided by the Local Authority for funded residents and a similar contract provided by the home for self-funding residents. A random sample of contract was seen for a self-funding resident. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Health & Personal care needs are clearly defined in care plans and followed. Health care needs are fully met and there is a safe system of medication in operation. People are treated with respect and dignity and good support given to both resident and relative prior to and following death. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care plans for new and permanent residents showed they were based upon assessed needs identified in pre-admission assessments and Care Management assessments. Care plans are reviewed regularly and from June 2007 all plans are reviewed with resident and relative and signed by them – to date 17 have been reviewed in this way and planned for all residents. Health care and personal care needs were well-defined and followed. Interventions by health care professionals were documented including, GP, specialist nursing services, chiropody, physiotherapists, optical, and general multi-disciplinary interventions. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 12 There are no current wound-care/tissue viability needs at this time. The home has a good record of wound care management. Several people admitted from hospital to the home over past months arrived with unannounced tissue viability needs. These had been photographed, documented, reported to CSCI and when reviewed during this inspection treatment had proved very successful. Risk assessments relating to nutrition and pressure-risk were carried out and documented. All residents are weighed approximately 2 weekly. Nutritional intake charts are not required at this time and there was evidence of referral and prescription of dietary supplements where they are needed. The home has a good record of compliance with the receipt, administration, safekeeping, and disposal of medication. An assessment has been carried out to ensure each member of staff is competent to handle, record and administer medication properly. The medication system and records were inspected and found to be accurate and safe. Staff work to clear and robust practices when caring for individuals who have degenerative conditions and terminal illnesses. Care plans are person centred and contain clear information about the individual’s wishes, choices and decisions as their health deteriorates. The End of Life Pathway procedures are presently being introduced to further improve care in the final days of life. When residents die family and friends can help with the arrangements if this is what the resident had agreed to. Staff support both the family and the home’s other residents during the bereavement process. Staff understand and are sensitive to the particular religious or cultural needs of the individual or their family. The home seeks out guidance and support of care for individuals who are dying and learns from best practice. Good practice was evidenced in relatives of a recently deceased resident visiting the home during the inspection – good support was being given. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Chosen lifestyles are known and acted upon. There is a good activities programme to meet the varying needs of individuals. Menus showed good food choice and residents were satisfied with the quality and quantity of food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An Activities Co-ordinator leads on activities working 3 days (16.5 hrs) per week – this was reduced from 5 days by the new owners. A good range of activities are provided to residents. The Activities Coordinator is very enthusiastic and leads with staff on a range of activities to suite the diverse needs of this residents group, many of whom have high dependency needs and resultant individual 1:1 social care needs. Activities provided are well documented on an individual basis for each resident. Currently Lifestyle Diaries (Social Histories) are being compiled for each resident providing greater detail of previous interests and activities which can be used as a basis for current activity interest. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 14 Chosen Lifestyles were seen to documented in care plans and confirmed in discussion with residents that their choices were known and acted upon e.g. rising, retiring, food, activities etc. All residents have breakfast served in their bedrooms (from choice) taking pressure off early-morning routines and allowing residents to have breakfast unrushed. A large number (50 ) of people required assistance or oversight with feeding. 5 are presently PEG fed. A Kitchen Assistant to assist with breakfast provision from 8a.m. not 10 a.m. was a requirement of the last report. This has not been done and the requirement is repeated in this report. This was a reduction made by the new owners of the home. It is not feasible for 1 person to prepare and provide breakfasts for 40 people between 7.30 – 10.am and commence preparations for lunch. (This matter is further highlighted in the Staffing Standards 27-30 in this report). Menus were revised last year to provide alternatives at all mealtimes. This has continued and menus showed a varied choice at all times. Several residents said they were entirely satisfied with the food provided and that it was presented well and appetising. Newford Nursing Home DS0000026954.V353102.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): Quality in this outcome area is adequate. Complaints should be fully investigated and actions taken to improve the service. Some further training in Safeguarding is planned and needed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear complaints procedure available for residents and visitors in the home. Two complaints have been received by the home since the last inspection and one upheld. One was also sent to CSCI and ultimately investigated by the home. This complaint could have been handled better - it related mainly to long-waiting times for a resident to be toileted – the timescales were unacceptable. During this inspection another resident also commented upon poor response times for toileting. It is strongly recommended that Managers review and consider options to reduce waiting times for toileting etc. The AQAA received from the service states “Ensure all clients receive individualised care with all needs being met” this should be pursued in this instance. The Deputy Manager agreed to pursue this course with the Manager. There has not been recent abuse training in the home and this is required. A course has in fact been arranged for the week following this inspection. Newford Nursing Home DS0000026954.V353102.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Improvements to environment made following requirements. Further action required to some aspects of the environment to ensure safety and improve some areas. Aspects of hygiene could be improved in some areas also. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three requirements were made in the last report relating to the environment – all have been actioned satisfactorily and included: Replacement of a fridge and a freezer in the kitchen. Carpets in East Wing deep cleaned and the area repainted and Carpets in corridors of North and West Wing including reception area have been replaced. Some bedrooms carpets have been replaced since the last inspection with specific grant for replacements. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 17 Inspection of the environment identified further requirements/remedial actions: A further leaking fridge in the kitchen are must be replaced, there are constant pools of water across this area. A vacant bedroom being prepared for new admission had strong mal-odour – carpet deep-cleaner has been broken for 3 months and not in use. This room was not suitable for re-occupation and steps must be taken to eliminate malodour either by further cleaning or replacement carpet. Some bedrooms carpets still require replacement. The conservatory provides an excellent facility for residents to sit and view the garden area but in the winter it is not possible to use it due to lack of heating. It was cold during the inspection and there was a fan heater for use that was inappropriate/inadequate for this area. The carpet was also badly stained and requires specialist cleaning. Action should be taken to ensure the area is heated and available for use throughout the year. In the laundry area soiled items were next to clean towels/facecloths. Soiled laundry must be separated from clean linen at all times to avoid potential cross-infection. The hot-water to a sink in the bathroom on North Wing exceeded the safe limit and was reduced to a safe level during the inspection. A trip hazard was identified on the threshold to the conservatory. The carpet was glued during the inspection to ensure safety. The standards of cleanliness generally throughout the home were good (apart from those mentioned above) – domestic staff clearly work hard to maintain good hygiene standards. Newford Nursing Home DS0000026954.V353102.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Numbers of staff have been reduced are at minimum levels and must be closely monitored. The planned staff training programme is necessary and all Catering staff must have Basic Food Hygiene training to protect residents. Staff recruitment procedures must be strengthened/improved to protect residents also. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The numbers of staff on duty at the time of the last inspection were inadequate. Two requirements were made: One to increase the numbers of care staff on the evening shift to 4 with immediate effect was carried out and has been maintained. A requirement to provide a kitchen assistant from 8a.m. to assist the cook has not been complied with and further requirement made in this report. Inadequate catering staff at this time of day puts additional pressure upon care staff attempting to cope at the peak time with resident need. Concerns were expressed in the last report concerning staff reductions. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 19 Reductions in staff have been made by the new owners. Two are mentioned above, others are a reduction in the time of the Activity Worker from 5 to 3 days and reduction in supernumerary time for the Manager. The number of night care staff has been reduced from 4 to 3. With the exception of the Kitchen Assistant mentioned above the home is operating at minimum staffing levels across the 24 hour period – 9:5:3 for care purposes. At the time of this inspection there were 8 instead of 9 care staff on the early shift due to sickness. Agency staff should be considered to fill gaps. The occupancy level of the home remain constant (near 100 ) The dependency levels of resident remain high as they were recorded in the last inspection report, including 35 people currently requiring 2 staff to assist with their care during the 24 hour period. Some residents have complex and high nursing needs. There was a recommendation of the last report to review the numbers of night staff in relation to the night-time routines. There was no evidence of this. Staff training was evidenced from the training matrix. 57 of care staff now have NVQ2 or above and 4 more completing training at this time. Staff training is required in areas of Food Hygiene: Two of the 4 catering staff have not received Food Hygiene training and this is urgently required. None of the care staff have received this training. Staff training has been planned for December 2007 and includes: Moving & Handling, Infection Control, Health & Safety, Abuse and Dementia. This must be extended ultimately to all staff. A new Training Officer has been appointed to the Group recently and arranging the training stated. Samples of staff files were inspected and requirements and areas of concern identified which must be addressed to protect residents: In the sample of files seen there were no references in one instance, in another no POVA/CRB obtained. A reference had not been obtained from the previous employer at the request of the employee – this is not acceptable and a reference now obtained. In relation to an employee qualified overseas, there was no copy/evidence of visa/work-permit, although this was reported to have been seen at some point – a copy will be obtained. Newford Nursing Home DS0000026954.V353102.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate Consistent and experienced management of the home, although dedicated management hours should be re-instated to adequately monitor standards. Some aspects of safety and good practice must be monitored closely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home benefits from experienced and consistent management. The Registered Manager has worked at the home for 14 years and the Deputy Manager for 17 years. Both have obtained the Registered Managers Award in the past 12 months. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 21 Quality Awards for the home have been obtained/maintained over recent years: ISO 9000, Investors in People and Healthmark Award. There has been low overall staff turnover over a long period. The Manager has an open and inclusive approach to residents, relatives and visitors. Staff spoken with and also residents and some visitors seen confirmed this view that was also evidenced when visitors arrived and departed during the inspection. The Responsible Individual visits the home on a monthly basis as required by regulation 26 and reports seen in the home confirm this. The number of supernumerary hours for the Manager have been reduced to 5 following change of ownership. This is due to a reduction in the number of nurses recruited and the need for the Manager to work on the rota for the majority of the time. It was recommended in the last report that these hours were increased, this has not happened and is again recommended. All staff now have Annual Fire Training and records relating to fire prevention and protection confirmed regular checks of equipment and maintenance and also regular fire drills for staff (4 times per year for night staff). Supervision is in place for all staff and has been at bi-monthly intervals for the past year. The Managers carry out regular checks relating to Health & Safety and the welfare of residents. With a reduction in supernumerary hours this has now to be fitted in to working rota schedules. It was noted in 2 instances that footrests were not being use on wheelchairs whilst transporting residents. This practice must cease in the interests of resident safety. Newford Nursing Home DS0000026954.V353102.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 2 3 3 3 3 2 2 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x X X 3 3 2 Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 23 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. 2. 3. Standard OP19 OP26 OP26 Regulation 23(2) ( c) 13(3) 16(2)(k) Requirement Leaking fridge in kitchen area must be replaced. Soiled laundry must be separated from clean laundry to avoid potential cross infection. Suitable equipment must be available and action taken to eliminate mal odour in bedroom identified. All catering staff must have Food Hygiene Training to ensure food safety. A kitchen assistant must be provided from 8a.m. to ensure an adequate catering service to residents. Previous requirement compliance date of 26/02/07 not met. Written references, POVA or CRB checks must be obtained prior to employment of staff to ensure protection of residents. Footrests must be used on wheelchairs at all times to ensure resident safety. Timescale for action 31/01/08 17/12/07 17/12/07 4. 5 OP27 OP27 16(2)(j) 18(1) 31/01/08 31/01/08 6 OP29 19(1)(b) Sch 2 13(4) 17/12/07 7 OP38 17/12/07 Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 24 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 OP31 OP16 OP19 Good Practice Recommendations It is recommended that dedicated management hours be increased to ensure that standards will be maintained at the home. – Repeat of previous recommendation. Review and consider options for reducing waiting times for toileting etc. It is recommended that adequate heating is provided to allow use of conservatory by residents. Newford Nursing Home DS0000026954.V353102.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Newford Nursing Home DS0000026954.V353102.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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