Inspection on 07/02/07 for Newford Nursing Home

This inspection was carried out on 7th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 14/12/07

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 Mrs Yvonne Allen Unannounced Inspection 7 February 2007 10:00 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.V316646.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.V316646.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.V316646.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 24 January 2006 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. 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. 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, six 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 £449.00 to £517.00 with additional charges for hairdressing, toiletries, aromatherapy and taxis. This information was provided on the pre-inspection questionnaire on 03/11/06. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection visit was carried out having given 24 hours notice to the Providers. The visit was carried out by one inspector and commenced at 10am and was completed at 2.30pm. All the key standards were assessed and evidence was gained using the following methods – Direct observation of care Examination of records Discussions with service users, staff, managers and a visitor Tour of the home The inspector was made to feel welcome by the Registered Manager and all the staff and service users. It was identified that all but one of the requirements from the previous inspection had been addressed. The majority of the standards assessed were fully met – with requirements being made in relation to staffing and the environment. The CSCI had only received one comment card from a service user, one from a relative and one from the GP prior to the inspection visit. What the service does well: This nursing home continues to provide good standards of personal and nursing care for elderly service users with general and physical needs. The home is also registered to care for younger people with physical needs. At the time of the inspection, there was only one service user falling into the “Young Physically Disabled” category accommodated at the home. The home has a very dedicated and committed staff team many of whom have worked at the home for several years. There is a good staff training programme and a commitment to developing the skills of the staff team. The manager of the home has been in post for several years and has the required skills and qualifications to run the home. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 6 She is supported by a deputy manager and both managers have recently achieved the Registered Manager’s Award. Management of the home is open and inclusive and the home is run in the best interests of the service users who live there. Quality Assurance is on going at the home and there was evidence that the home continually strives to improve its services. The home is also audited by an outside agency – ISO. What has improved since the last inspection? What they could do better: An area, which was identified as needing urgent attention, was in relation to staffing. It was identified that, since the last inspection, there had been a adjustments to staffing levels in Nurses, Care Staff and Kitchen Staff. The number of nursing hours provided had been reduced, as had the number of care staff and the number of kitchen hours had been reduced considerably. Activity hours had been reduced prior to the last inspection. The most concerning area was the numbers of care staff provided on an evening shift. On the day of the inspection there were 40 service users accommodated, all with nursing needs and dependency was estimated as medium-high. There were 2 nurses on duty all day until 6 pm then this reduced to 1. During the afternoon shift from 2pm there were 3 care staff on duty but, due to sickness, this had reduced down to 2 care staff and 1 nurse from 6pm. An immediate requirement was left to address this – which the manager addressed before the end of the inspection. Also an immediate requirement was left to increase the number of care staff provided from 6pm to 4 plus the nurse in charge. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 7 This was also discussed with the Company Operations Director over the telephone. A separate requirement has also been made to ensure that the kitchen assistant commences duty at 8 am instead of 10 am so that the Cook does not have to prepare breakfast for 40 service users on her own. This home has had a good performance record over the past few inspection visits and the CSCI are concerned that staffing levels are improved and maintained in order that the standards of the services provided are not affected. There were some requirements made in relation to improving the environment and there was an outstanding requirement for new carpeting – which the inspector was assured was being addressed in the very near future. 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.V316646.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.V316646.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users undergo a thorough assessment of their needs before entering the home and can be assured that their needs will be met. EVIDENCE: Standards 3 and 4 were assessed. Standard 6 was not applicable to this home, as it does not accept service users for intermediate care. Discussions with the manager identified that she or her deputy go out to assess prospective service users in their own surroundings before they are offered a place at the home. These assessments are usually carried out as well as receiving an assessment from the funding body. Evidence of these assessments was seen. A further more comprehensive assessment is then carried out and this forms the basis on which the care plan is developed. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 10 Throughout assessment of standards and outcomes during the inspection process it was possible to identify that the needs of individual service users were being met on a continual basis by the skilled and dedicated staff. Confirmation of this was received by discussions with service users, staff and a visitor to the home. However concern was also raised, by the above individuals, in relation to the continual reduction of staffing numbers that has taken place at the home over the last 12 months. All were concerned that, if this continues, then care could be compromised and standards might start to fall. This will need to be closely monitored. Newford Nursing Home DS0000026954.V316646.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 This judgement has been made using available evidence including a visit to this service. Care is planned and delivered with dignity and respect and healthcare needs are assessed and met on a continual basis. EVIDENCE: Standards 7, 8, 9 and 10 were assessed. A random sample of care plans were examined and all were found to be thorough and comprehensive. Risk assessments and long and short-term plans had been developed. Plans had been evaluated monthly or more often as required. There were separate records for visits by healthcare professionals including GP, Physiotherapist, Optician and Chiropodist and individuals had been referred as and when required. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 12 A Comment Card was received from the GP who has patients at the home. The following comments were included – “In my opinion Newford Nursing Home provides an excellent level of care for its providence. Nursing staff are very professional and maintain high standards.” The RGN was observed administering medication at the lunchtime medication round. There were no service users self-medicating at the time other than a lady who was administering her Insulin once the nurse had prepared the syringe for her. There was also another service user who administered her own eye drops. Medication Administration Record charts had been completed as required. Medication audits were carried out at the home on a regular basis. The staff team were seen to treat the service users with respect and dignity and privacy were promoted. Service user spoken to confirmed that staff were caring and respectful toward them. Newford Nursing Home DS0000026954.V316646.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. This judgement has been made using available evidence including a visit to this service. Service users are enabled to exercise choice and control wherever possible in all aspects of life at the home and autonomy is promoted. EVIDENCE: Standards 12,13,14 and 15 were assessed. The social and therapeutic needs of service users were assessed and the programme of activities was well thought out and geared to meeting the needs of the service users in the home. Records had been completed by the activities co-ordinator who works three days per week at the home. Each individual had had their abilities and preferences assessed and these were recorded. Previous hobbies and interests were taken into account and these were promoted wherever possible. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 14 Records documented that individuals had been given opportunities of participating in entertainment and activity sessions. One lady commented that she preferred her own company and enjoyed reading. She showed the inspector a pile of books which staff and visitors had brought in for her. Activity sessions included Bingo Crafts Quizzes Reminiscence Multi Sensory Room Aromatherapy Indian Head Massage Reflexology Beauty therapy Mobile Library Shopping trips Gardening at Home sessions Exercise therapy Care plans documented individual choices and preferences in relation to all activities of daily living such as rising and retiring times, mealtimes and food and drink preferences. Spiritual needs were also catered for and local clergy visit the home on request. The menus had been revamped since the last inspection and documented choices were now evident. The lunchtime meal appeared very appetising and a service user spoken to confirmed that meals in the home were good and that there was always an alternative to the main menu. Special diets and preferences are catered for and kitchen staff always try and meet individual needs. There were a considerable number of service users in the home at the time of the visit who required help and/or supervision to eat their meals and staff were observed assisting them. Newford Nursing Home DS0000026954.V316646.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 good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that any concerns they might have will be listened to and taken seriously and that the systems adopted by the home will help keep them safe. EVIDENCE: Standards 16 and 18 were assessed. The CSCI had received notification of one complaint since the last inspection and this was still outstanding at the time of the visit. The Provider was dealing with the complaint but the issue had not yet been resolved. The complaint was in relation to a service user having lost a pair of glasses. The manager maintained a log of complaints and concerns and this was examined at the time of the visit. Outcomes of complaints including action taken had also been documented. The service user and the visitor spoken to both stated that they would go to the manager if they had any concerns and had done so in the past and she had dealt with these effectively. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 16 The staff recruitment procedure was examined and found to be robust. This meant that the staff recruited had been vetted and, in turn, this helped to keep the service users safe from harm or abuse. The staff member spoken to was aware of the procedure for the reporting of suspected abuse and the Whistle blowing Policy and stated that she would report anything of concern to the nurse in charge or the manager of the home. Newford Nursing Home DS0000026954.V316646.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a home which is comfortable and has been adapted to meet individual needs but would benefit from further improvement in relation to redecoration and refurbishment. EVIDENCE: Standards 19, 22 and 26 were assessed. A tour of the home was undertaken during which all communal areas and a selection of bedrooms were inspected. Since the last inspection redecoration of corridors and lounges had taken place. This was pleasing to the eye and had improved the appearance of the environment. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 18 There was still an outstanding requirement to replace carpets along the corridors but the inspector was informed that arrangements had been made for this and that this was due to take place very shortly. Carpets along the East wing were looking badly stained and were in need of deep cleaning and a requirement has been made for this. It was also noted that paintwork along this corridor area was in need of revamping and some of the bedrooms were in need of redecorating. The requirement for service users to have access to call bells whilst seated in the lounges had been addressed. One of the small lounges had been made into a staff room and this enabled the existing staff room, located by the entrance to the home, to be made into a storage area for wheelchairs. This meant that the entrance foyer to the home was tidier. Bedrooms had been personalised and adapted to individual needs. One of the service users showed the inspector that she had her own fridge, kettle tea and coffee, and offered to make a cup of tea. Special soft foam mattresses were supplied on all beds and, as well as offering comfort, this helped with pressure area care. Specialist overlays and replacement mattresses were supplied on some beds according to assessed need. Bed guards were in place on some beds following a risk assessment. Bumpers were used to avoid injuries to limbs. The home had been adapted throughout to meet the needs of individuals with physical limitations. The home was clean and well presented throughout and infection control guidelines were followed in all areas. The kitchen was inspected and the cook had just finished making lunch. The environment was clean and well presented. Inspection of the equipment identified that the seals had perished on the refrigerator (number 1) and the upright freezer (number 1). The freezer was also thick in ice inside. There is a requirement to replace both of these. Newford Nursing Home DS0000026954.V316646.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): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff are carefully selected to work at the care home and possess the necessary skills and expertise. However, staff were not provided in sufficient numbers to ensure that the needs of the service users could be met. EVIDENCE: Standards 27,28,29 and 30 were assessed. This outcome area was particularly disappointing. There was a total of 40 service users in the home at the time of the visit all with nursing needs. The pre inspection questionnaire and discussions with the staff and manager identified that a high number of these service users had high dependency needs. There were 8 service users on PEG feeds. 7 service users exhibiting extreme behaviour 39 require help with dressing/undressing 16 service users require help with eating/feeding 40 service users require help with washing/bathing Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 20 39 require help with toileting 14 service users need two or more staff to undertake their care during the day and 22 at night. To meet the needs of the above service users there were 2 trained nurses on duty all day until 6pm. During the morning shift there was 7 care staff working with the nurses. From 2pm there were 3 care staff on duty with the 2 nurses and from 6pm to 8pm there was 1 nurse working with 3 care assistants. On the day of the visit a care assistant was off sick for the evening shift bring the number of care staff on duty from 6pm to 2. This provision of staff for afternoon/evening shift was inadequate and insufficient to meet the needs of the above service users. The inspector spoke with the manager and over the telephone with the operations director about the staffing concerns. An immediate requirement was left at the time of the visit to increase the number of evening care staff by one – making 2 nurses and 3 care assistants from 2-6pm and 1 nurse and 4 care assistants from 6pm. This was agreed by the manager of the home. During the course of the visit it was identified that, since the last inspection the number of kitchen staff hours had also been reduced. The cook came on at 7.30 am and worked on her own until the kitchen assistant came on at 10 am. They both then worked until 2pm and the afternoon/evening assistant came on at 2.30pm and worked until 6.30pm. This was concerning as the cook had to prepare and set out breakfasts for 40 service users between 7.30am and 10am. It is a requirement that a kitchen assistant be provided from 8 am in order to assist with this. It was also identified that the night staff team had been reduced by 1 care assistant and the number provided was now 1 nurse plus 3 care staff. Although this was just at minimum staffing, the service user spoken to, who had lived in the home for 3 several years, commented that this was not working and that service users were having to wait for long periods at night time in order to be attended to. She added that it worked much better when there was another care assistant on duty as the majority of service users required 2 to assist them at night. This was discussed with the manager at the time and it is a recommendation that the nighttime routine is reviewed. Both the visitor and the service user spoken to raised concerns about the staffing in the home as did staff members spoken to during the visit. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 21 There was a staff training and development programme and this included NVQ training. The home was almost at the target of 50 of care staff trained to NVQ level 2 or above. 2 of the domestic and 2 of the kitchen staff were also undertaking NVQ training in their area of work. The staff member who was interviewed stated that she felt well supported with her training needs and had undertaken various training courses over the last 12 months. These had included Moving and Handling update, Fire Safety update, Infection Control and she had just commenced NVQ training. Examination of her training records confirmed the above. Examination of the staff training matrix also identified that staff were receiving regular training updates. 2 staff files were examined in relation to staff recruitment. These were found to contain all the required information and documentation. References had been obtained and police checks had been carried out before individuals were offered employment at the home. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of the service users who live there but it is recommended that dedicated management hours be increased to ensure that standards are maintained. EVIDENCE: The Registered Manager has held this position at the care home for many years. She is supported by a deputy manager and number of trained nurses. Both the manager and the deputy had the required skills and expertise to run the home and had recently completed the Registered Manager’s Award. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 23 The manager runs an open door policy and this was confirmed by the visitor and staff member spoken to. Both stated that the manager and her deputy were approachable at any time. The visitor stated that the managers were there should she have any concerns or queries. The staff member stated that the managers were supportive and would always listen to suggestions and consider the views of others. She stated that staff meetings were regularly held and the minutes of these were seen. Formal staff supervision was carried out individually and records of this were seen at the time of the visit. It was noted that the manager did not have many management hours; these amounted to about 5 hours per week. This had changed since the last inspection when she had more supernumery hours. This was due to trained nurse hours being cut and the manager having to work more as the second nurse on the floor. This leaves very few hours for management of the home and it is a recommendation that these be increased to ensure that the overall management of the home is maintained to a good standard. The managers carry out regular quality auditing at the home in all areas and in relation to all services offered. Evidence of these was seen at the time of the visit. This evidence contained the views of the service users and action taken to address any issues and areas of weaknesses identified. An external body also audits the home annually – ISO and it is recommended that this be continued. The maintenance of personal allowances was discussed with the manager and the administrator. The inspector was informed that the home does not deal with any personal allowances and that families or representatives deal with these. The manager is responsible for maintaining a healthy and safe environment and works alongside the maintenance person to ensure that this is provided. Relevant records and documentation were examined and found to be in order. Equipment used at the home had been regularly serviced and checked. This included fire safety equipment. Mandatory staff training had been carried out and a training matrix was maintained. This training included fire safety and drills and these were recorded. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 24 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 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 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 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 x 3 3 x 3 Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 25 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 OP27 Regulation 18(1)(a) Requirement The registered provider shall….ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. The numbers of care staff provided on the evening shift must be increased to 4 (immediate requirement left) The kitchen assistant must be provided from 8 am. A new refrigerator and freezer must be provided in the kitchen as outlined in the report. Carpets along the East wing must be deep cleaned. Paintwork along this corridor area must be repainted. 4 OP19 23(2)(b) Carpets in the corridors of the North and West wing and reception area need replacing. PREVIOUS TIMSCALE OF DS0000026954.V316646.R01.S.doc Timescale for action 26/02/07 2 3 OP19 OP19 23(2)(c) 23(2)(b) 26/03/07 26/03/07 26/02/07 Newford Nursing Home Version 5.2 Page 26 30/05/06 NOT MET 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 Refer to Standard OP31 OP33 Good Practice Recommendations It is recommended that dedicated management hours be increased to ensure that standards will be maintained at the home. It is recommended that the home maintain ISO status as this helps to ensure that standards are maintained. Newford Nursing Home DS0000026954.V316646.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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.V316646.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!