Inspection on 07/03/06 for Newquay Nursing Home

This inspection was carried out on 7th March 2006.

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

Newquay Nursing Home 25/02/09

Newquay Nursing Home 09/04/08

Newquay Nursing Home 11/10/07

Newquay Nursing Home 25/06/07

Newquay Nursing Home 10/01/07

Newquay Nursing Home 27/06/06

Newquay Nursing Home 17/11/05

Newquay Nursing Home 22/03/05

Newquay Nursing Home 24/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Newquay Nursing Home 55 Pentire Avenue Newquay Cornwall TR7 1PD Lead Inspector Kerensa Livingstone Unannounced Inspection 7th March 2006 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.V277387.R01.S.doc Version 5.1 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.V277387.R01.S.doc Version 5.1 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 M E Roy Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (41), Terminally ill (10) of places Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of service users not to exceed a maximum of 41 Date of last inspection 17th November 2005 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 is currently acting as manager as an interim arrangement, the permanent post has been advertised for over a year. 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.V277387.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection that took place over a full day. The Inspector looked at records, care plans, Policies and Procedures and the environment. The Inspector met with the Acting Manager, staff and spoke with the Service Users and a relative. What the service does well: What has improved since the last inspection? What they could do better: The clinical staff should gather the Pre admission information to ensure that the needs are assessed as a basis for planning the care to be delivered. There are inadequate care and nursing staff on duty to meet the needs of the Service Users. This must be addressed immediately. Service Users autonomy and choices are not being respected with the existing reduction in staffing, the staffing levels must be raised to the previous levels with immediate effect. Staff are not being provided with the training to ensure that they have the knowledge and skills to meet the needs of the Service Users. The Registered Person shall having regard to the size of the care home and the number and needs of the Service Users ensure that the persons employed to work at the care home receive training appropriate to the work that they are to perform. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 6 At the last inspection there was requirement for all staff to be provided with moving and handling training, this has not been done no staff have been provided with this training. The Registered Provider must ensure safe working practices by ensuring all staff receive Fire safety, First Aid, Food Hygiene, Moving and Handling and Infection Control training. Induction and foundation training must be provided to all staff. 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. Service Users must be protected from the risk of potential abuse by staff receiving training on the actions to be taken and with a robust recruitment procedure. The Inspector concluded that the Service Users views and opinions in relation to certain issues such as food are not being listened to and acted upon. The Inspector was concerned during this inspection that there are aspects of staff management and administration that are not being addressed. This maybe partially due to the inability of the home to attract a suitable candidate for the post of Registered Manager, this requires urgent action as the decline in standards is not acceptable. 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. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 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.V277387.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&4 The Service Users needs are assessed prior to moving into the home, this appears to be performed as an administrative task and should be undertaken by clinical staff. Staff must be provided with the training to ensure that they have the skills and experience to deliver the services and care which the home offers to provide. EVIDENCE: The Acting Manager informed the Inspector that a full assessment is undertaken by the Manager who is a Registered Nurse accompanied by one of the Administrators, prior to a Service User moving into the home. The Inspector and Manager discussed the importance of this information forming the basis of the plan of care, as it is not undertaken by the clinical staff. Specialist services are sought as required. The documentation is indicative that the service user’s care needs are being met, however there are issues that were raised during the inspection which suggest that the training and staffing levels are effecting the quality of care delivered, this was supported by Service Users comments. The Inspector was concerned about the apparent lack of Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 9 training that is being offered to staff and supervision has stopped since the last inspection. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 & 11 Service Users health and personal care needs are set out in an individual plan; this should be done by staff that are delivering the care, rather than as an administrative task. Medicines are stored and administered safely. Service Users must be provided with the opportunity to discuss their wishes in relation to ageing, death and dying. EVIDENCE: All Service Users have a plan of care that cover aspects of their care, there is evidence that these have been discussed with the Service User and/or their representative and are being reviewed monthly or sooner as required. The plan of care is being be planned, reviewed and evaluated by the Acting Manager who is a qualified nurse. These should be written by clinical staff, however it appears that the staffing levels would not enable this. Concern was expressed about the number of staff on duty at the previous inspection and has not been addressed. A daily record is kept. A copy of the care plan is kept in the Service Users room and the plan is for carers to sign the care delivered. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 11 Qualified nurses administer all medication and a Monitored Dosage system is used. No service users are self administering their medications, at this time. One nurse held responsibility for the ordering of medications. Records were maintained for the receipt, administration and disposal of medications. Controlled drugs are stored in a suitable cabinet and there is a Controlled Drugs Register. There is a designated drug fridge which should be kept locked and temperatures should be checked regularly. There were copies of the NMC code of conduct and guidelines for the administration of medicines in the staff office. Medicine Administration Records were observed to be up to date. There are up to date Medicines Policies and Procedures including a Home Remedies Policy and a Pharmaceutical Waste Procedure. Medicines are administered in a professional manner. Family and friends are encouraged to visit service users at any time. Service Users wishes are generally documented, although this requires further development. Staff were observed to work with the service user in a sensitive manner to identify their needs. There is an up to date Death and Dying Policy. All staff should receive training on death and dying. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 There are some issues regarding food and the ability of the staff to respond to individual wishes, which require attention. The Provider aims to provide a good standard food and choice for the Service Users. EVIDENCE: Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 13 The home provides three meals each day and a snack supper. There is a range of choices available for breakfast. The menu specifies three choices for lunch main course with a choice of puddings and cheese and biscuits. A glass of wine is available with lunch. A choice of savouries is provided for tea. Hot and cold drinks are provided between meals, and jugs of drink are available at lunch. A record is kept of the diet taken by the service users, the Inspector discussed with the Chef and Acting Manager the need for greater detail in the recording and it was agreed that this would be done. A recent reduction in Kitchen hours has resulted in care staff doing the afternoon drinks. The daily menu is displayed in the hall and staff discuss daily choices with the Service Users on the previous day. On the day of the inspection there was a Chef, Kitchen Porter and a waitress is employed at lunchtime. The dining room is compact and comfortably decorated. Service users had some concerns about the quality of the food, stating that some food was not satisfactory and repetitious. The Manager advised the Inspector that these issues would be addressed. One Service User informed the Inspector that ‘the food is very good’. Concern was expressed that at times it was difficult to give the Service Users the support that they require during meal times due to the numbers of staff on duty. The Inspector concluded that the Service Users views and opinions in relation to certain issues such as food are not being listened to and acted upon. Fridge and Freezer temperatures are recorded daily. The Environmental Health Officer had recently visited the home (11.1.06) and had generally found everything satisfactory, however the Chef is required to undertake some further training, who has the Royal Society of Health and Hygiene certificate. No one in the home has the Intermediate Food Hygiene Certificate. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Further training for staff must be provided to ensure that Service Users are protected from abuse. EVIDENCE: The Protection of Vulnerable Adults policy and procedure meets the standard. One member of staff has attended the training provided by Cornwall Social Services, five staff are booked to attended over the next four months. The Inspector was informed that all staff see the No Secrets training video, although did not appear to be aware of the action that was needed. The importance of staff receiving training on the action that they must take if an allegation of abuse is made was discussed with the Manager. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 Service Users live in safe, comfortable surroundings. EVIDENCE: The home has gas central heating. Radiators are guarded. Rooms are naturally ventilated with opening windows fitted with restrictors. There is natural light and ventilation throughout the building. A couple of areas were noted to be quite cold, one being a Service Users room. The Manager reassured the Inspector that this would be addressed. There is an emergency lighting system. The Inspector was informed that there is a legionella risk assessment and hot water is tested to ensure that it is not delivered at above 43 degrees. Generally the home was free odours. Rooms are individually decorated, a couple of carpets appeared to need replacing. The lounge is comfortable and homely. Access to the conservatory lounge has become more difficult for Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 16 Service Users as the door has been moved, it was also noted to be locked on the day of the inspection, this reduces the amount of communal space available to the Service Users. There are two sluices in the home, the one on the first floor remains out of action, it reduce the risk of infection and odours within the home, it has been recommended at previous inspections. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 There are inadequate care and nursing staff on duty to meet the needs of the Service Users. Staff are not being provided with the training to ensure that they have the knowledge and skills to meet the needs of the Service Users. EVIDENCE: Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 18 Service users felt that staff provided skilled care. Staff stated that it was a good team. The concern raised by service users and staff was that when a member of staff is absent at short notice through sickness no cover is provided, as they are not able to use agency if there is no one else available and therefore full staffing level is not maintained, the quality of service provided to service users suffers noticeably. In the previous week two staff had been sick on a shift and this had reduced staffing levels to an unsafe level. Service users stated that there could be long delays in responses to the call bell provided evidence for this and generally stated that the home was short staffed. At previous inspections there have been eight staff on duty in the morning seven carers and one nurse and five staff on an afternoon, including at least one trained nurse. This was with 38 Service Users. On the day of this Unannounced Inspection there was one nurse and four carers on duty and one nurse and three staff on duty in the afternoon with twenty-eight Service Users and another admitted on the day. The care staff are supported by eight ancillary, managerial and administrative staff. The Inspector had serious concerns about the ability of the nursing/care staff to meet the needs of the Service Users; this was evidenced during the inspection. Service User choice, the Inspector was informed, could not be respected with existing numbers e.g. request for a bath could not be accommodated, staying in bed later. The routines within the home have to be kept to; to ensure all the work gets done the Inspector was informed. An immediate requirement to increase staffing levels was issued to ensure that the needs of the Service Users can be met, one extra care was arranged for the following morning shift as a starting point. It is required that the Registered Provider restores minimum staffing levels. The rota reflected the staff working. Staffing has been an ongoing issue that must be addressed immediately. At the last inspection five staff had completed National Vocational Qualification Level 2, this remains the same. One member of care staff has level 3. There is always a qualified nurse in charge of the shift. All nurse registrations are checked with the Nursing and Midwifery Council. All staff have contracts. There are job descriptions for the Care Assistants, Trained Nurses and Registered Manager. The recruitment procedure within the home includes completion of an application form and the interview process. Generally staff files were observed to contain the required information listed in Schedules 2 and 4 of the Care Homes Regulations, however two files had only one reference. Criminal Records Bureau checks are completed for all staff. No volunteers are employed within the home. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35, 36, 37 & 38 EVIDENCE: Evidence of financial viability has been requested as a routine part of the annual inspection process. Due to under occupancy of the home there are issues about how much can be reinvested into the home. Employer’s Liability Insurance is in place. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 20 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. The Administrator and Inspector discussed the fact that the Service User had no access to money outside office hours. 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. Staff have an appraisal annually, however no staff had received any supervision for some time. 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. Staff meetings have been recommenced as recommended at the last inspection. Separate meetings are held for Carers, Nurses and Catering. At the last inspection there was requirement for all staff to be provided with moving and handling training, this has not been done no staff have been provided with this training, no dates are booked. Ten staff completed training in May 05 and previously it was done in 2004. There are a number of staff that have not received an indication or training on First Aid, Health and Safety or Foundation Food Hygiene. The Fire Officer visited the home on the 24/5/05 and found the fire precautions satisfactory. Staff must be provided with Fire training, three times a year for day staff and four times a year for night staff. Staff are professionally attired in a uniform and were observed to use appropriate protective clothing. All visitors to the home sign a Visitor’s Book. The home is registered under Data Protection legislation. Environmental risk assessments have been completed for individual rooms, this must be reviewed and extended to include all risks within the home and in its grounds. There is evidence that servicing of equipment takes place, the electrical hardwiring was checked in December 2005, the certificate is to be forwarded to the Commission for Social Care Inspection. The Registered Provider must ensure safe working practices by ensuring all staff receive Fire safety, First Aid, Food Hygiene, Moving and Handling and Infection Control training. Induction and foundation training must be provided to all staff. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 21 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 2 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X 3 X STAFFING Standard No Score 27 1 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 2 3 2 2 2 Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 22 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 OP4 Regulation 18(1c) Requirement Timescale for action 07/03/06 2. OP15 17(2), Sch. 4 3. OP18 13(6) 4. OP27 18(1a) The Registered Person shall having regard to the size of the care home and the number and needs of the Service Users ensure that the persons employed to work at the care home receive training appropriate to the work that they are to perform. The Registered Provider shall 01/05/06 ensure that records of food for Service Users are in sufficient detail to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual Service Users. The Registered Provider shall 01/05/06 make arrangements by training staff or by other measures to prevent Service Users being harmed or suffering abuse or being placed at risk of abuse or harm. The Registered Provider is 07/03/06 required to maintain minimum staffing levels. The Registered Person shall having regard to the size of the care home and the DS0000041356.V277387.R01.S.doc Version 5.1 Newquay Nursing Home Page 23 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. Previous timescales not met 01/12/05 5. OP29 19 Sch. 2&4 6. OP30 18(1c) 7. OP30 18(1c) The Registered Person shall not 07/03/06 allow a person to work in the care home unless the employer has obtained the information and documents required in paragraphs 1 to 7 of Schedule 2. The Registered Person shall 07/03/06 having regard to the size of the care home and the number and needs of the Service Users ensure that the persons employed to work at the care home receive training appropriate to the work that they are to perform. The Registered Provider is 01/05/06 required to provide an Annual training and development plan for all the staff, records of training must be kept and it must comply with the National Training Organisation requirements (TOPSS). Previous timescales not met 01/02/06 8. OP31 26 9. OP31 9 (1)(2b) The Registered Provider shall conduct an unannounced visit to the home monthly in accordance with this regulation and supply a report to the Commission. The Registered Provider or Manager who has or is working towards the National Vocational Qualification Level 4 in Management. Previous timescales not met 01/02/06 01/04/06 01/08/06 10. OP33 24 The Registered Provider shall DS0000041356.V277387.R01.S.doc 01/05/06 Page 24 Newquay Nursing Home Version 5.1 supply the Commission with a report of any review conducted and make this available to Service Users. Previous timescales not met 01/02/06 11. OP34 25 12. OP36 18(2) 13. OP37 17(2) Sch. 2&4 23(4e) 14. OP38 15. OP38 13(5) The Registered Provider shall provide the Commission with information confirming the financial viability of the home as a routine part of the annual inspection process. The Registered Person shall ensure that persons working at the care home are appropriately supervised. The Registered Person shall maintain in the care home the records specified in the Schedules. The Registered Person shall make arrangements for persons working at the care home to receive suitable training in fire prevention. The Registered Provider shall make suitable arrangements for the moving and handling of service users. Previous timescales not met 01/01/06 01/04/06 01/05/06 01/05/06 01/05/06 01/05/06 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 OP3 OP7 Good Practice Recommendations For the pre admission information to be gathered by the clinical staff to enable it to provide the basis for the plan of care for the Service User. For the clinical qualified staff to assess, plan and review the care as well as implement it. DS0000041356.V277387.R01.S.doc Version 5.1 Page 25 Newquay Nursing Home 3. 4. OP9 OP15 5. 6. 7. 8. OP20 OP26 OP28 OP38 For the drugs fridge to be locked and temperatures to be checked regularly. For all staff involved in the preparation of food to undertake the Foundation Food Hygiene training and for the Intermediate Food Hygiene Certificate to be undertaken by a designated member of staff. For the Registered Provider to improve access to the conservatory lounge to restore the amount of communal space available to Service Users. The sluice facilities on the first floor should be made available for all staff to reduce the risk of infection being spread within the home. For there to be a minimum of 50 National Vocational Qualification Level 2 staff. For the electrical hardwiring certificate to be forwarded to the Commission for Social Care Inspection. Newquay Nursing Home DS0000041356.V277387.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 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.V277387.R01.S.doc Version 5.1 Page 27 - 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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