Inspection on 09/04/08 for Newquay Nursing Home

This inspection was carried out on 9th April 2008.

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

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 11/10/07

Newquay Nursing Home 25/06/07

Newquay Nursing Home 10/01/07

Newquay Nursing Home 27/06/06

Newquay Nursing Home 07/03/06

Newquay Nursing Home 17/11/05

Newquay Nursing Home 22/03/05

Newquay Nursing Home 24/06/04

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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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Newquay Nursing Home 55 Pentire Avenue Newquay Cornwall TR7 1PD Lead Inspector Alan Pitts Unannounced Inspection 9th April 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Newquay Nursing Home DS0000041356.V363070.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.V363070.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 01637 877886 info@newquay7.freeserve.co.uk Mrs Mary Elizabeth Roy Mr 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.V363070.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 11th October 2007 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 and Mr T Roy is the Registered Manager. 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.V363070.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection took place over two days (9th and 24th April 2008) and a period of approximately 12 hours. On the second day there were two inspectors. We looked at the homes documentation, their most recent selfassessment, and survey responses from residents. We looked at the premises; spoke with the registered provider, Mr Roy, and staff; residents; and visiting professionals. We also observed staff carrying out their duties, and their interactions with residents. Overall, the home meets many of the standards required, but it is failing in the key area of care needs assessment, care delivery and care planning. The care staff work hard and well providing personal care, but nursing needs and individual needs are not so well met. There is a need for staffing numbers to be increased. The current fee range is: £466.74 - £550 per week (nursing) £308.09 - £350 per week (residential) The fees do not include additional charges for: chiropody, optician, dentist, daily newspaper, dry-cleaning. What the service does well: The home provides comprehensive information in their Statement of Purpose and Service User Guide. The procedures for the administration and storage of medicines are generally satisfactory. People’s privacy and dignity is respected. The environment meets the needs of the resident in a homely and comfortable way. Visitors are welcomed to the home. Residents enjoy the variety and quality of the meals that are provided. Residents are safeguarded by a robust recruitment procedure, which operates within the home. Staff work very hard to meet the needs of the residents. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Newquay Nursing Home DS0000041356.V363070.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.V363070.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 adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents are not properly assessed prior to admission. The home does not provide intermediate care. EVIDENCE: There is a current and regularly reviewed Statement of Purpose and Service User Guide. These are provided in each room, and are sent out on request to enquirers. Both documents and a copy of the most recent inspection report are displayed in the entrance to the home. The registered provider is considering merging these two documents as they both provide a significant amount of duplicated information. Each service user is provided with a statement of terms and conditions. This document includes the room to be occupied. The contracts include the breakdown of fees to show who is making what contribution. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 9 We inspected two files belonging to residents who had moved into the home recently. One showed some evidence of assessment prior to admission, but the assessment form was not dated or signed. One showed information provided by the referring agency, but no indication of a pre-admission assessment. Both provided sparse and incomplete information (e.g. nutritional assessment – blank, waterlow assessment – blank). 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.V363070.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, 9, 10 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ care needs are not accurately described care plans, and residents’ health care needs are not fully met. Medicines are stored and administered safely. Residents said that staff were kind and respectful. EVIDENCE: Care plans are in place for each resident, but those inspected did not provide an accurate picture of the residents’ care needs and there are instances where identified interventions necessary to meet care needs have not been followedup. There were a number of examples of care needs that were described to the inspector, but these did not appear in the individuals’ plan of care. These were fully discussed with the registered manager and the matron at the time of the inspection. Information provided by visiting professionals shows that agreed interventions are also not being followed-up, and this was supported by the comments of one resident who when asked whether they receive the medical support they need said “a bit inconsistent, depending on who is on duty”. The care plans did not show resident involvement in reviewing their care plans. Overall, the care plans reflected the same approach as the pre-admission Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 11 information with significant information being omitted. Where care needs are identified, the intervention should be more specific, clearly showing the capabilities of the resident to do for themselves as much as possible (e.g. “assist with dressing”). One member of staff said that this was in part due to the fact that the nurses are too busy carrying out duties that could be done by care staff, thus preventing them focusing on their responsibilities. District Nurses regularly visit. Nutritional screening is a part of the home’s admission procedure, but this is not always completed. Assessments are not always dated and signed. All the residents are registered with a local GP, and have access to opticians, dentists, and similar services. All medication is administered by qualified nurses and a Monitored Dosage system is used, though not everything comes in blister packs. The trained nurse on duty administers all medication, and these are dispensed directly from individual named packets or blister packs within the medication trolley to the resident. Medication Administration Records (MAR) are completed in an appropriate manner, though there was one instance were a photocopy of a Medicine Administration Record supplied by the referring agency (a recent admission) was in use rather then a new Medicine Administration Records being commenced on admission. The Medication Administration records are pre printed by the pharmacist, when they are handwritten they are checked and signed by a second person. Each resident has a photograph held on their medication sheet to ensure their correct identification during the administration of medicines. Records of medication received into the home and disposed of are kept. The home’s control drugs are stored properly and were checked. Medicines are stored securely. The medicine trolley was seen to be very full and its capacity to cope with more medicines if the home’s occupancy increased was discussed with the registered provider. Residents informed the inspectors that they are treated with respect and their right to privacy is respected. There are Policies and Procedures relating to privacy, dignity, and choice. The double rooms are usually only occupied by two persons who express a wish to do so. Screening is provided in double rooms. The individual’s preferred names is recorded, however this was observed not always to be the name used. One resident was seen and heard to be complaining about being called “darling”, and the situation was not helped when the next member of staff asked “how are you darling”. The same member of staff was also observed to use inappropriate language or interventions on two other occasions. These matters were discussed with the registered provider. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 12 Newquay Nursing Home DS0000041356.V363070.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 good. This judgement has been made using available evidence including a visit to this service. The activities provided are sufficient to meet the individual and collective needs of all the residents, though improvements can be made. Visitors are welcomed to the home. Residents enjoy the variety and quality of the meals that are provided. EVIDENCE: There is an activities coordinator employed Monday to Friday for a period of approximately 3 hours per day. The weekly activity plan and record of activities reflects almost daily activities. There is an activity record for each resident, and the member of staff responsible agreed to include a record of when activities are offered but refused by an individual. Activities are varied and include gardening, crafts, and music. Reference should be made to earlier comments about care needs assessments and care plans, where residents’ personal choices, likes and dislikes, and wishes should be included. Several people visited the home throughout the inspection. The visitors’ book confirms that there are regular and frequent visitors to the home. The home has several seating areas and these are available to residents and visitors, including residents’ own rooms. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 14 There is some evidence of choice and autonomy from residents’ comments and records, but this is contradicted by similar evidence of a task orientated approach to care (e.g. bath list setting out when residents are due a bath, rather than care plans showing the residents’ preference). Two residents have their own telephone, and a cordless telephone is available to the other residents. There are regular visits and services provided by church clergy. Residents’ monies are handled by themselves or a family member, small amounts are available via the administration office. Residents are able to bring in personal possessions and furniture with them. Rooms are personalised to varying degrees. The home provides three varied, nutritious meals each day and a snack supper. The menu is regularly reviewed and operates on a four-week rotation. Food records are kept and show that residents have a choice. The daily menu is displayed in the reception hall and staff discuss daily choices with the residents. Five or six residents enjoy a cooked breakfast when they like it. Fresh fruit and vegetables are available. On the days of the inspection there was a Chef, Kitchen Porter and a waitress on duty at lunchtime. At teatime, the care staff serve the meals to residents in their rooms. The home’s chef has completed the Chartered Institute of Environmental Health Level 3 Award in Supervising Food Safety in Catering. Newquay Nursing Home DS0000041356.V363070.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 good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes’ complaints procedure and safeguarding procedure. EVIDENCE: There is a current complaints procedure included in the home’s Statement of Purpose and Service User Guide, both of which are displayed in the reception and are provided to each resident. These documents are regularly reviewed. There have been no complaints received since the last inspection. The home maintains a complaints record and the registered provider understands that this is to be used to record any complaints and any subsequent action taken as a result. Residents said that they did know how to make a complaint, though one did say “it is difficult to get hold of someone sometimes”. Safeguarding training is included in the home’s induction training for new staff. Twelve staff have completed safeguarding training provided by the local authority (there are 37 staff in total), and the registered provider said that more staff would be doing this soon. There is a relevant and appropriate procedure in place, which staff have signed to say they have read. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment meets the needs of the residents in a homely and comfortable way. Individual accommodation is personalised to varying degrees. Residents stated that they liked their accommodation. EVIDENCE: The home is accessible, 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 others enjoy far reaching countryside views. Residents said that they liked their accommodation. 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 is parking to the front and rear of the home, the former for approximately 6 vehicles. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 17 The home provides a range of shared facilities. These comprise the dining room, a large main lounge and a sea view lounge. The entrance hall is spacious and also provides a small seating area. Residents were observed choosing to sit in this area during the day. The furniture in communal areas is of a satisfactory standard and domestic in nature. There is plenty of natural lighting and adequate ventilation. There are no gardens but there is a patio area to the rear of the home with a pergola. There are two bathrooms with assisted baths on the ground floor. On the first floor there is a bathroom with assisted bath and a level entry shower. There is a shower chair for this facility. Most of the rooms have a toilet and wash hand basin. Additional toilets are located near the communal areas of the home. The rooms are individualised by their different shapes, sizes and décor. Rooms on the first floor have attractive sea or countryside views. There are a number of double rooms within the home, not all double rooms are occupied by two residents and suitable screening is in place in these rooms to afford privacy to both. The amount and style of the furniture is dependent on the size of the room – most were observed to have two chairs and a table plus adequate storage for clothes. Individual rooms are personalised and residents stated they were able to bring what they wished into the home depending on the space available. All rooms have a lockable space. A call bell system is in place. The laundry is located within the home, suitably placed away from where food is prepared or served. Hand washing facilities, supplies of gloves and aprons are available for staff. Laundry staff are on duty daily. Two industrial and one domestic washing machine are available. There are sluice facilities on the ground and first floor. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents’ needs are mostly met by the numbers and skill mix of staff, but improvement is needed. Residents are protected by the home’s recruitment practices, and staff are trained to do their jobs. EVIDENCE: At the time of the inspection there were 36 residents served by 2 nurses (including the registered manager) and 5 care staff. The duty rota is accurate, but confusing in it’s current layout. This was discussed with the registered provider and the administrator who agreed to amend this at the time of the inspection to clearly show who is actually on duty and in what capacity. The duty rota does not currently show the registered manager’s hours or in what capacity the registered manager is on duty (e.g. managerial or on the floor). Shifts are generally: 7am-2:30pm (1 nurse plus 4/5 carers) 2:30pm-10pm (1 nurse plus 3/4 carers) 10pm- 8am (1 nurse plus 2 carers) There are additional staff that work at peak times. On the face of it there were sufficient staff at the time of the inspection, but the numbers do vary and there have been significant comments made earlier in this report regarding care planning and care delivery, and comments made by one of the nursing staff. This is supported by comments from one relative Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 19 who said “I feel on occasions there could be more staff on duty”, and a resident who said “they [staff] come when they can, but they seem hard pressed”. In addition a visiting professional has also made comment about the dependency of some of the residents and the type of support needed (dementia care). In addition the numbers are lower than at previous inspections, and staffing numbers have been an ongoing issue at this home. There is no doubt that residents care needs are not being fully met at the moment, and it would be beneficial to increase the numbers of care staff on duty during daytime shifts by at least one, preferably two, to ensure that nurses are enabled to carry out their responsibilities, leaving the care staff to deliver individualised personal care and allowing them to better respond to needs. The inspectors were advised that the home are anticipating a new nurse and two new care staff starting employment in the next few weeks. There are 17 care staff, of which 10 have achieved NVQ Level 2 or above and a further 3 staff are undertaking this training. There is a rolling programme for training in 1st Aid, Safeguarding, Food Hygiene, Diet and Nutrition, Health and Safety, and Infection Control. Certificates of training are obtained and a copy kept. Three staff personnel files were inspected and were seen to show that the home adheres to a robust employment procedure, though areas for improvement were discussed, including: • Ensure referees named on the application form also includes job title. • Letters requesting references should be addressed to the named referee, including job title, at the workplace address. A National Training Organisation compliant induction programme was seen to be in use for a staff member who recently started at the home. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. There are areas of administration and management within the home that require urgent attention. The health and welfare of residents is promoted and protected. EVIDENCE: The Registered Manager is a registered nurse and has completed the Registered Manager’s Award. There has been significant improvement since the last inspection in many areas, as shown by the reduction in the number of requirements made. However the home is failing in its primary role of meeting the health care needs of the residents, and this is partly due to a lack of effective leadership, and partly due to insufficient staff numbers. This was discussed at length with the registered manager, who accepted that changes needed to be made in order to do this. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 21 Regular staff meetings are held and minutes are recorded. No regulation 26 reports have been provided to the Commission since the last inspection. The home has received responses from an annual quality assurance survey carried out in 2007, and the registered manager has prepared a summary of the findings. The registered manager undertook to include an annual summary in the Service User Guide. The home has no involvement with residents’ money, operating a system where funds can be drawn from the home’s resources and subsequently invoiced to the individual. Receipts are kept and provided with invoices. Supervision records were seen to be kept in individual personnel files. Supervision is happening at least six times a year, though discussion took place about how the responsibility for supervising staff could be delegated amongst the senior staff. There are comprehensive policies and procedures developed in conjunction with external consultants, which are regularly reviewed. There are individual and environmental risk-assessments in place, which are regularly reviewed. There is appropriate insurance in place and contracts for repair and maintenance of equipment and systems. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement The registered manager must ensure that all potential admissions to the home are fully assessed prior to admission to ensure that the home has the skills and capacity to meet their care needs. The registered manager must ensure there is a current and accurate care plan that is regularly reviewed with the residents’ involvement (where possible). The registered manager must ensure that entries in care plans designed to meet the care needs of the individual are adhered to. The registered manager must ensure that the home is conducted so as to promote and make proper provision for the welfare of residents, and that staff maintain good and professional relationships with residents. The registered provider must increase the staff numbers in order to meet the care needs of DS0000041356.V363070.R01.S.doc Timescale for action 01/05/08 2. OP7 15 01/06/08 3. OP10 12 01/05/08 4. OP27 18 01/06/08 Newquay Nursing Home Version 5.2 Page 24 the residents. The registered manager must ensure there is a current and accurate duty rota that also shows the registered manager’s hours and whether in a managerial role or working as one of the numbers. The registered provider must visit the home at least once a month and provide a written monthly report to the Commission for Social Care Inspection on the conduct of the care home. 5. OP33 26 01/06/08 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 OP9 Good Practice Recommendations The registered provider should consider the options available to increase storage capacity in the medicine trolley. Newquay Nursing Home DS0000041356.V363070.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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