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Inspection on 10/01/07 for Newquay Nursing Home

Also see our care home review for Newquay Nursing Home for more information

This inspection was carried out on 10th January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is accessible and generally well maintained. The location on the edge of Newquay, and the layout of the home are suitable for its stated purpose. Many rooms have excellent sea views. The home and staff work hard to meet the needs of the Service Users. There is a friendly and welcoming atmosphere. The Registered Manager is accessible. The Service Users informed the inspector that, without exception, the staff were very caring and worked hard to help them meet their needs. They liked their individual accommodation and were observed to be personalised. The service users commented on the approachability of the Registered Manager. Staff commented that they feel listened to and there have been some positive changes in the home. The inspector observed evidence of improvements in the home.

What has improved since the last inspection?

The Acting Manager has been registered since the last inspection as the Registered Manager. There have been improvements in some of the managerial issues within the home e.g. supervision, training. An activities coordinator has been appointed and is starting to provide a range of activities. This requires further planning based upon service users wishes. Care documentation is being kept up to date and there is evidence of service user involvement.

What the care home could do better:

The Registered Manager has identified the minimum staffing levels within the home, however on the day of the inspection the additional staff required for mealtimes were not available in the morning or afternoon. The Registered Person shall having regard to the size of the care home and the number and needs of the Service Users ensure that at all times suitably qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of Service Users. The registered person must inform the Commission without delay in writing of the occurrence of the events listed in Regulation 37. Staff must receive training appropriate to the work they are to perform and suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work. e.g. Prep, Moving and Handling, POVA. The core care plans that are used are sometimes not individualised. Service user`s choices and preferences should be explored as part of their social history and recorded to ensure that the care delivered meets individual needs.

CARE HOMES FOR OLDER PEOPLE Newquay Nursing Home 55 Pentire Avenue Newquay Cornwall TR7 1PD Lead Inspector Kerensa Livingstone Key Unannounced Inspection 10th January 2007 09:30 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 Newquay Nursing Home DS0000041356.V318066.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. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newquay Nursing Home Address 55 Pentire Avenue Newquay Cornwall TR7 1PD 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) 01637 873314 Mrs Mary Elizabeth Roy Teelucksing Ram Persad Roy Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (41) of places Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To admit one named service user under the age of 65 years for respite for a period of approximately three months. Total number of service users not to exceed a maximum of 41 Date of last inspection 27th June 2006 Brief Description of the Service: Newquay Nursing Home is registered to provide accommodation and nursing care for up to 41 Service Users who fall into the categories of Old Age (OP), Old Age nursing (OP (N)), Physical Disability (PD) and Terminally Ill (TI). The home is situated on Pentire Avenue in Newquay and the location offers some of the service users a scenic view over the beach and out to sea, others can enjoy distant countryside views. Service user rooms are situated on the ground floor and the first floor. The registered provider is Mrs M E Roy. Mr T Roy has been registered as the Registered Manager since the last inspection. There is a shaft lift, which can take wheelchair users to the first floor. There is a small patio area to the rear of the building where Service Users can sit with a pergola. There is a small parking area to the front and rear of the building. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced key inspection that was undertaken by one inspector over a full day. The Inspector looked at records, care documentation, Policies and Procedures and inspected the environment. The inspector met with the Service Users, Registered Manager, staff and relatives. Casetracking and direct observation were used. Pre inspection information was gathered prior to the inspection. A random inspection was conducted in September. The current fees range from £444.25 to £550.00. What the service does well: What has improved since the last inspection? What they could do better: Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 6 The Registered Manager has identified the minimum staffing levels within the home, however on the day of the inspection the additional staff required for mealtimes were not available in the morning or afternoon. The Registered Person shall having regard to the size of the care home and the number and needs of the Service Users ensure that at all times suitably qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of Service Users. The registered person must inform the Commission without delay in writing of the occurrence of the events listed in Regulation 37. Staff must receive training appropriate to the work they are to perform and suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work. e.g. Prep, Moving and Handling, POVA. The core care plans that are used are sometimes not individualised. Service user’s choices and preferences should be explored as part of their social history and recorded to ensure that the care delivered meets individual needs. 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. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 7 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 Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 8 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): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive information about the home is available and Service Users are generally provided with the information to assist them in making an informed choice about where to live. There is evidence that all Service Users are assessed prior to moving into the home to ensure that there individual needs can be met. EVIDENCE: The statement of purpose includes the required information, this and the Service user’s guide is due to be updated. The Service User’s Guide is provided in all Service Users rooms, this includes a copy of the inspection report. As identified at the previous inspection this information must be provided to all service users prior to them moving into the home, to enable them to make an informed choice about whether the home meets their needs. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 9 The inspector and Registered Manager discussed the importance of ensuring that this information was provided. The Inspector observed evidence that a full assessment is undertaken for all new service users, by the one of the nursing staff or the Registered Manager. This forms the basis of the plan of care. There was evidence that additional information is gathered from the Department of Adult Social Care and/or a health assessment, depending on the individual’s needs. Intermediate care is not provided at this home. There are no designated rehabilitation facilities and staff are not received rehabilitative training. Respite care is offered. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Inspector believes that the Service Users health needs are being met and service users confirmed that this was the case. Care plans have improved since the last inspection and meet minimum standards, they need to include all aspects of care. Service Users privacy and dignity is respected. EVIDENCE: Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 11 A plan of care is compiled for all service users, these were observed to be up to date and there was evidence of service user and/or representative involvement. There has been an improvement in this area, however there seems to be reluctance from some team members to participate in this process. The Inspector and Registered Manager discussed the current use of core care plans, which are computer generated and how this may depersonalise the plan of care. They are updated monthly as required. Health and personal care needs are included, the need to include social aspects was discussed. A comprehensive needs assessment is undertaken by a registered nurse. Assessment tools evident were the Barthel Scale, Residents Mobility and Handling Profile and Waterlow Pressure Sore Prevention. As required from the previous inspection, there was evidence that Service Users needs assessment are being kept under review. A nutritional assessment is undertaken on admission and developed further depending on need. All service users are registered with a General Practitioner, one service user told the inspector how pleased they were that they could keep the same one that they had at home. A risk assessment is completed and the action needed is planned. A domiciliary Dentist visits the home as required and the Chiropodist visits six weekly. One service user informed the inspector that they could see the Doctor when they wanted to, if they just asked it was arranged and were aware of their next chiropody appointment. Information gathered must include psychological, social and spiritual needs. Although standard 11 was not formally assessed, it was observed that little or no information was obtained in relation to death and dying. Advice is sought from Clinical Specialists such as the Community Psychiatric Nurse, Tissue Viability Nurse, as required. All medication is administered by qualified nurses and a Monitored Dosage system is used. The administration of medicines were not formally assessed at this inspection, however they were during the Random inspection in September and the Key inspection on the 27th of June. The local pharmacist had attended within the previous week to undertake an inspection of the storage of medicines, evidence of this visit is to be obtained. Service Users need for privacy was observed to be respected e.g. use of preferred name and knocking on doors. There are Policies and Procedures relating to Privacy and Dignity and Choice. At previous inspections it has been identified that double rooms should only be occupied by two persons who express a wish to do so e.g. a couple. Screening is provided in double rooms. Staff are instructed on how to treat Service Users with dignity and respect their privacy. Service users informed the inspector that they are treated with respect and they have a right to privacy. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 12 Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There has been an improvement in the planning and providing of activities within the home, this must be sustained and developed further to ensure that it meets the needs of all the service users. Service users are able to maintain contact with friends and family as they wish. Personal choices about daily living must be recorded. The food provided is varied and well-presented, service users informed the inspector that they liked the food. EVIDENCE: Since the last inspection the Registered Manager has employed a member of staff for activities on weekdays afternoons. The activities coordinator is starting to consult with Service Users about the programme of activities arranged by or on behalf of the care home, this requires further development. A record is kept of the activities; this needs to include service user’s names. Service users’ interests should be recorded and the opportunity for choice in relation to food, mealtimes, personal and social relationships, leisure and social activities and routines of daily living should be documented as part of the personal social history. Up to date information about activities should be circulated to all service users in a format that is suited to their capacities. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 14 Visitors are welcomed to the home at any reasonable time. There is a lounge area where relatives can visit if they are occupying a shared room. The Inspector was informed that there is a separate lounge/dining area where Service Users may and do invite a family member for a meal. Visitors told the inspector that they were able to visit when it suited them. Service Users are encouraged to handle their own finances for as long as they wish. Service Users are able to bring in personal possessions and furniture with them and this is agreed during the admission process. The personal choices and wishes of Service Users must be documented in the records, these in turn should be reflected in the routines of the home. The home provides three meals each day and a snack supper. Service users informed the inspector that for lunch there is always a choice of meat or fish. One service user commented that the catering team work hard to meet their needs. The daily menu is displayed in the hall and staff discuss daily choices with the Service Users. On the day of the inspection there was a Chef, Kitchen Porter and a waitress on duty at lunchtime. The dining room is compact and comfortably decorated. The Service Users were satisfied with the food, some spoke highly on what was available. The Environmental Health Officer visited the home on 11.1.06 and had generally found everything satisfactory. The inspector was informed that all staff involved in the preparation of food are undertaking the recognised Foundation Food Hygiene training and the Intermediate Food Hygiene Certificate or equivalent is due to be completed by the home’s Chef. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users are able to express their concerns and these are acted upon. Staff have been provided with training on the action that they must take in the event of an allegation of abuse. EVIDENCE: There is an established complaints procedure for the home which includes the timescales and stages for making a complaint. The inspector and Registered Manager discussed the need to include the Department of Adult Social Care. All complaints and concerns are recorded, including the action taken and the outcome. Service Users informed the inspector that they are aware of who they would speak to if they had a complaint and that the Registered Manager was very accessible. A recent complaint to the Commission for Social Care Inspection was referred to the Registered Manager for investigation, the procedures were observed to be followed. The Protection of Vulnerable Adults policy and procedure informs staff of who to contact if an allegation is made. The inspector was informed that all staff have been provided with video training on the procedures and policies for the Protection of Vulnerable Adults internally, however only three staff including the Manager have attended the externally facilitated training. It is recommended that all staff attend this training. There are clear Policies and Procedures for the handling of Service Users monies. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 16 Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment meets the needs of the Service User in a homely, hygienic and comfortable way. Improvements are being made to increase the size of the sluice on the first floor. EVIDENCE: Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 18 The home is accessible and generally well maintained. The provider has continued a programme of redecoration, refurnishing and refurbishment. The location on the edge of Newquay and the layout of the home are suitable for its stated purpose. Many rooms have excellent sea views and other enjoy far reaching countryside views. There is a maintenance record book and a person is employed to do the maintenance in the home. Alarms are fitted on external doors. There are no gardens but there is a patio area to the rear of the home with a pergola. There is limited parking to the front and rear of the home. The environment was explored during this inspection, but not fully inspected as it was at the last key inspection. The home provides a range of shared facilities. These comprise the dining room, a large main lounge, a smaller lounge and a sea view lounge. The entrance hall is spacious and also provides a small seating area. The furniture in communal areas is generally of a good standard and domestic in nature. Although there are signs of wear and tear, the inspector and Registered Manager discussed the furniture in the main lounge. There is plenty of natural lighting appeared adequate. There are two small paved areas outside for Service Users. The premises were clean and generally free from odours. There are designated cleaning staff. Toilets, basins, baths and the shower were clean and hygienic. Hand-washing facilities for staff provide liquid soap and paper towels were available throughout the home. Protective clothing was provided for infection control purposes. The need to ensure that the cushion covers in the lounge area and the hoists are kept clean was discussed. There are several policies and procedures relating to this area including one for infection control. There are two industrial standard washing machines. The laundry is sited well away from the kitchen and has an impermeable floor. There are sluice facilities on the ground and first floor. As recommended at the last inspection the Registered Provider is adapting the upstairs office to increase the sluice room, this is to provide staff with adequate space to work in and storage, to reduce the risk of infection. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Minimum staffing levels are not being maintained and this places pressure on the existing staff to meet the service users needs. Service users are safeguarded by a robust recruitment procedure. Training is being provided, the records must be kept up to date and the gaps identified. EVIDENCE: Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 20 On the day of the unannounced inspection there was one nurse on duty with five carers (07.00 until 14.30), for thirty-one service users. In addition to this there was the Registered Manager and administrator, supported by catering staff, a maintenance person and ancillary staff. In the afternoon (14.30 until 22.00) there is one nurse and three carers. There are three staff on duty at night including a qualified nurse. The number of carers has dropped from sixteen to thirteen since the last inspection. It has been identified that additional staff are required at mealtimes, however neither of these shifts were covered on the day of the inspection. No agency staff are used. These shifts are left uncovered. The Registered Manager and inspector discussed the importance of maintaining minimum staffing levels, the Manager plans to recruit more staff to fill the extra hours. At previous inspections there have been eight staff on duty in the morning and five staff on an afternoon, including at least one trained nurse. This was with 38 Service Users. There is a staff rota which reflected the staff on duty. Staffing has been an ongoing issue that must be addressed. Service Users informed the inspectors that the staff were very good, but short staffed at times. Nine out of thirteen care staff have completed their National Vocational Qualification Level 2, this equates to sixty-nine percent. There is always a qualified nurse in charge of the shift. There are no staff employed under the age of eighteen years of age. The recruitment procedure within the home includes completion of an application form, an interview, health declaration and obtaining three written references. The staff files were observed to contain the required information listed in Schedules 2 and 4 of the Care Homes Regulations. The Registered Manager has commenced making a record of interviews. Criminal Records Bureau checks are completed for all staff. No volunteers are employed within the home. All nurse registrations are checked with the Nursing and Midwifery Council. All staff have contracts and there are job descriptions for the Care Assistants, Trained Nurses and Registered Manager. A training and development programme has been developed, this must be continued to ensure that new staff receive training in all areas e.g. moving and handling. There is a rolling programme for training in first aid, Protection of Vulnerable Adults, Food Hygiene, Diet and Nutrition, Health and safety and infection control. Over fifty per cent of staff have completed their National Vocational Qualification Level 2. One of the staff provide fire training supported by an annual training session by the Fire officer. The Registered Manager is considering a staff member becoming a designated fire warden. Training records are kept, however these require updating. Since the last inspection, the Registered Manager has obtained the Skills for Care induction and updated the home’s induction. There was evidence that this was being completed for the newest member of staff. This must be completed within the required timescales to ensure that staff have the training that they require. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 21 Qualified nurses must be provided with opportunities to undertake professional updating training, due to the small number of nurses employed in the home it is often difficult to release staff for training. Newquay Nursing Home DS0000041356.V318066.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): 31, 33, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the service users and staff are promoted. There is evidence for the need for clear decisive leadership. Improvements are observed and must be sustained. There is evidence of quality monitoring systems. All staff must be supervised. EVIDENCE: Since the last inspection the Acting Manager has becoming the Registered Manager after a prolonged period of advertising. He is a registered nurse and has completed the National Vocational Qualification Level 4 in Management, the certificate is due to arrive. There are lines of accountability; the clinical and managerial aspects are becoming more integrated to ensure effective care. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 23 After a period of time without an established manager, clear leadership is needed. There is an annual development plan for the home, which will require reviewing for the New Year. The Manager published the results of the Stakeholder’s quality survey in May this year, service users were provided with a copy of the report. The Registered Manager aims to make himself accessible to service users and their families. There is evidence that Policies and Procedures are reviewed as required. This is an area that will require further attention with a substantive Manager in place. The Provider does not hold any personal spending money for Service Users, any expenditure is invoiced to a family member e.g. hair appointment or chiropody. Service users have a lockable drawer in their rooms. A facility is available for the safe storage of valuables on behalf of service users, but this is not currently in use by any service users. The Provider does not act as an appointee or agent for any service users. The records were not checked for this area at this inspection. There is evidence that supervision is taking place, records are kept. One staff member however had not received any supervision. All staff must be provided with supervision covering all aspects of practice, philosophy of care of the home and career development needs. Care staff must receive this six times a year and all other staff must be supervised as part of the normal management process on a continuous basis. The inspector was informed that environmental risk assessments have been completed for risks within the home and grounds. The radiators were observed to be covered to reduce hot surfaces. The windows have been fitted with restrictors. All accidents are recorded in the accident book. There is evidence that servicing of equipment takes place, the electrical hardwiring was checked in December 2005. The Registered Provider must ensure safe working practices by ensuring all staff receive Moving and Handling training. New staff are provided with induction training. There was evidence to show that staff are provided with Fire safety and induction training. Further training is planned to include Infection control and Health and Safety. The Fire Officer visited the home in May 2005, the home has a Fire prevention risk assessment. Door alarms are fitted on external doors and the front door is locked. The Commission for Social Care Inspection must be notified under Regulation 37 of the Care Homes Regulations 2001 of any death in the home. Newquay Nursing Home DS0000041356.V318066.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 25 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 OP27 Regulation 18(1a) Requirement Timescale for action 01/02/07 2. OP30 18(1c) 3. OP38 37 The Registered Provider is required to maintain minimum staffing levels. The Registered Person shall having regard to the size of the care home and the number and needs of the Service Users ensure that at all times suitably qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of Service Users. The Registered Provider is 01/09/07 required to ensure that persons employed at the care home receive training appropriate to the work they are to perform and suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work. e.g. Prep The registered person shall give 01/02/07 notice to the Commission without delay in writing of the occurrence of the events listed in Regulation 37. Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations Service users’ interests should be recorded and the opportunity for choice in relation to food, mealtimes, personal and social relationships, leisure and social activities and routines of daily living should be documented as part of the personal social history. It is recommended that all staff attend Protection of Vulnerable Adults training facilitated by Cornwall County Council. 2. OP18 Newquay Nursing Home DS0000041356.V318066.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Newquay Nursing Home DS0000041356.V318066.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. 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