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Inspection on 16/10/07 for Norman Hudson Nursing Home

Also see our care home review for Norman Hudson Nursing Home for more information

This inspection was carried out on 16th October 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What has improved since the last inspection?

The home now has a manager and deputy manager, which should help to improve the management of staff in the home, and care of people living there. The enclosed garden with raised flowerbeds is in the process of being developed, and whilst providing a safe environment should be one of pleasure and interest to the people living at Norman Hudson.

What the care home could do better:

The care plans and risk assessments need to be kept up to date and the daily record needs to show the care given to the person each day. To show that the lifestyle of people experienced in the home matches their expectations andpreferences and satisfies their needs, the records need to include the person`s spiritual and social involvement, and their involvement in recreational activities. To ensure that people are protected, all staff employed to work at the home must have up to date references prior to them starting work. In the interest of staff and the safety of people in their care, all staff should have up to date fire lectures, and movement and handling training. The movement and handling training needs were identified at the previous inspection visit approximately 6 months ago.

CARE HOMES FOR OLDER PEOPLE Norman Hudson Nursing Home Meltham Road Lockwood Huddersfield West Yorkshire HD1 3XH Lead Inspector Karen Summers Key Unannounced Inspection 09:10 16th & 17th October 2007 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 Norman Hudson Nursing Home DS0000045225.V352817.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. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Norman Hudson Nursing Home Address Meltham Road Lockwood Huddersfield West Yorkshire HD1 3XH 01484 451669 01484 426960 NormanHudson@parkhomesuk.co.uk 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) Park Homes (UK) Ltd Care Home 42 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (42) of places Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Can provide accommodation and nursing care for one named service user under 65 years. Can provide accommodation and care for one named service user, category DE(E). No more than 21 beds can be used for the category DE(E) Date of last inspection 3rd April 2007 Brief Description of the Service: Norman Hudson Care Home is a stone, purpose built home set back from the main road in the Lockwood area of Huddersfield. The home provides care and nursing for up to twenty people; twenty-one of the places are registered to provide care and nursing for people with dementia care needs. All the bedrooms have en suite facilities. Thirty-four of the places in the home are in single rooms, with the remaining beds provided in four double rooms. Bedroom accommodation is provided on the first and second floor, with lounge and dining areas on the ground floor. All floors are accessed via a passenger lift. The home is within a few minutes’ walk of the local amenities, including a bus route. There is a garden to the rear of the building, which people can use. There is ample parking at the front of the home. The provider informed the Commission for Social Care Inspection on 16/10/07 that fees range from £368.12 to £599.58 Additional charges include hairdressing, private chiropody, newspapers, dry cleaning and some selected activities. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an inspection, which included an unannounced visit to the home by two inspectors on Tuesday 16th and 17th October 2007, commencing at 9.10am, and the length of the inspection was 10 hours. Prior to the visit, the manager was asked to complete an annual quality assessment document. This he did, and the document provided the Commission with a lot of information about the way the home is run, and what they hope to achieve in the future. During the visit the inspectors spoke with members of staff, people who receive care and relatives to obtain their views. The inspectors also looked at a sample of policies and procedures, quality assurance audits, care records, staff recruitment records, and staff training records and looked around the home. One of the inspectors also spent two hours sitting in the lounge with people who have dementia, and watching how people living at the home and staff interact. This was to get a picture of peoples well being and the amount of activity that takes place. The atmosphere was relaxed, and the experience was positive as staff were seen to demonstrate good interactions between them and the people in their care. Staff maintained the privacy and dignity of people and spoke to people in an appropriate manner. To enable people who use the service to comment on the care it provides, ten surveys were sent out to people, one of which was returned, ten to their next of kin, three of which were returned and two people telephoned the inspector. The feedback the commission received about the home was very positive. Local doctors and health care workers (social workers, community nurses) were also sent surveys but none of these were returned. Below are some examples of the feedback we received: • “The staff are always very nice.” • “I find staff are all very capable.” • Staff made my relative very welcome and she has been a lot happier in herself. She has been encouraged to make decisions on small things herself which is very important. When asked, “What do you feel the home does well?” People said; “They appear to look after the residents very well.” When asked, “How do you think the care home can improve?” one person said; Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 6 “There is always room for improvement, but Norman Hudson do a good job, and if there is anything I am not happy with I feel confident I can take it to the staff.” The commission would like to thank all the people who gave feedback about this home, and would like to thank Mr Sykes and staff for their co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? What they could do better: The care plans and risk assessments need to be kept up to date and the daily record needs to show the care given to the person each day. To show that the lifestyle of people experienced in the home matches their expectations and Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 7 preferences and satisfies their needs, the records need to include the person’s spiritual and social involvement, and their involvement in recreational activities. To ensure that people are protected, all staff employed to work at the home must have up to date references prior to them starting work. In the interest of staff and the safety of people in their care, all staff should have up to date fire lectures, and movement and handling training. The movement and handling training needs were identified at the previous inspection visit approximately 6 months ago. 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. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 Standard 6 - the home does not take people who require intermediate care. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are assessed prior to them moving into the home and are able to visit the home to establish whether or not it is the right place for them. EVIDENCE: The care records of three people who use the service were examined, all of which contained a pre-admission assessment carried out by the funding local authority. Each assessment contained detailed information about the person’s current needs, and in addition to this there was evidence that the home had also carried out an assessment of the persons needs. The information in the annual quality assessment document confirmed that people are able to visit the home and spend some time there before making a decision to move in. The survey received from the person living at the home also said that they received enough information about the home before they decided that it was the right place for them. Norman Hudson Nursing Home DS0000045225.V352817.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 -10 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s care plans are not always been kept up to date to show the level of support and care they require to ensure that their health, welfare needs, social and spiritual needs are been met. People’s privacy and dignity, are supported by caring staff. EVIDENCE: One of the inspectors spent two hours sitting in the lounge with people who have dementia, and watching how people and staff interact. This was to get a picture of peoples well being and the amount of activity that takes place. The atmosphere was relaxed, and the experience was positive as staff were seen to demonstrate good interactions between them and the people in their care. Staff maintained the privacy and dignity of people and spoke to people in an appropriate manner. Surveys received from a person living at the home stated that they receive the care and support they need, staff listen and act on what they say and they receive the medical support they need. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 11 Relatives survey also commented: • “My mum has always been very well looked after.” • ...”Norman Hudson has been the best home that my sister has been in.” • “Care as if they are part of a big family.” Three people’s care plans were examined. The general assessments of the persons needs were recorded and included movement and handling assessments, nutritional assessments, risk assessment and information about their health care needs. Discussions were held regarding improving the documentation, to include risk assessments relating to moving and handling people at night, and the support needed for people to get in and out of the bath. Information also discussed with the acting manager includes the following: In one of the care records the hygiene needs had been recorded and the level of support required, but it did not mention oral health even though on their pre admission assessment it had been identified that this person needed assistance. A care plan had been written on wound care (regarding the treatment of a pressure sore) and instructions that the plan should be reviewed on the 27th September. The review had not been recorded. Records showed that on the 12th September, the results of a blood test had been shared with the doctor, and that the home would wait for the doctors’ decision. No further entry had been made. Another person’s plan said that they were to be weighed weekly. The person was last weighed on the 18th September. The same person was at risk of falls, but the assessment had not been reviewed since 28th August. The movement and handling plan should be up to date to reflect the care that the person needs. In relation to behavioural plans (includes information about how to best manage challenging behaviour), one of the records refers to a person having 30 minutes of one to one care but there were no recorded evidence that this takes place. The care plans and risk assessments need to reflect the changing needs of the individual, and be up to date. The daily outcome of the care/ needs identified should also be recorded. The medication and records of three people were inspected and found to be correct. Records were clear, and medication was stored correctly. To ensure that safe practices are maintained staff are advised to regularly audit the medication. The list of staff signatures for the recording of medication needs to Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 12 be updated. The medication storage room temperature was 38°C. According to manufacturers instructions medication should not be stored above 26°C. There is already a mechanical cooling machine in this room. Discussions were held regarding the need to monitor the temperature inside of this room and take steps to maintain the temperature below 26°C Norman Hudson Nursing Home DS0000045225.V352817.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 – 15 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Written evidence does not show that people’s social and recreational needs are being met, but the home has arrangements for activities and promoting contact with relatives and friends. Meals are varied and nutritious. EVIDENCE: A new activities coordinator has been employed to work Monday to Friday, 9am – 4pm, and occasionally at weekends. Examples of activities that were to take place for the week included, bingo, a trip to a local public house, painting, a trip to Blackpool to see the lights and an evening meal, making Halloween decorations, one to one time with individual people, baking, etc. The activities calendar for the coming months also included a Halloween party, a visit to the National Coal Mining Museum, Leeds Christmas lights and Christmas shopping. At the time of the visit people were encouraged to join in with ball games, and blowing bubbles of which they looked to be having fun. There was information in the pre admission records of people’s social and recreational interests and needs however, not all the care plans included the person’s spiritual and social care needs. The records of one person did not show that they had social contact and support from their family even though the family visited on a daily basis. The records also need to include the Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 14 information about the activities that people take part in and enjoy daily. This will show whether or not the lifestyle experienced in the home matches their expectations and preferences, and satisfies their needs. Comments received from the surveys of people who use the service include: • There are usually activities that I can take part in. • “Needs more in ways of activities to help with boredom.” • Church services take place of different faiths and people are not made to attend. • Staff have been really good at letting me know about important issues that affect my relative. A minister from the local church visits every two weeks, and also another minister visits twice weekly and provides a communion service for those people who wish to take part. The food looked appetising, and the cultural needs of people had been catered for, including a hot and spicy Caribbean dish, and also specialist diets. The chef has a basic food hygiene certificate and two staff that work in the kitchen have been booked to attend a basic food hygiene course in November 2007. Norman Hudson Nursing Home DS0000045225.V352817.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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: The home has a complaints leaflet and the information is in the statement of purpose that is given to each person when they are admitted to the home. The information in the annual quality assessment document said that the home has robust policies and procedures for managing complaints and adult protection issues, and that staff receive regular training to provide them with knowledge in these areas. Staff that were spoken with on the day knew the complaints procedure and the procedures to follow for safeguarding (protection of vulnerable adults.) Two relatives were spoken with both of who had raised concerns about the recent care of their relatives. They both said that their concerns had been handled quickly and properly. Without exception every one who completed the survey said that they knew how to make a complaint and that the complaint had been responded to appropriately. One person commented, “Yes Norman Hudson staff have usually taken on board any concerns I have had in the past and dealt with them appropriately.” Records showed that with the exception of three staff everyone has had safeguarding training. Further training has been arranged to take place in Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 16 November 2007, and January 2008 to update existing staff and for those staff who have not had the training. Norman Hudson Nursing Home DS0000045225.V352817.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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People who use the service live in a homely, clean and well-maintained environment. EVIDENCE: I had a general tour of the building, including five people’s bedrooms, communal areas and the laundry. Apart from one bedroom that had an unpleasant odour, which the acting manager talked about the steps he is going through to address the situation, the standard of cleanliness was good. The décor was also discussed and the fact that it was a dull day and some of the bedroom looked quite dark. Some of the rooms were personalised to reflect individuals tastes whilst other people had chosen not to personalise their rooms. The acting manager also said the relatives group had given permission for monies raised at the summer fayre to be used to set up a 1916 era reminiscence room. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 18 The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. The information in the annual quality assessment document said that one of the things that the home does well is provide care in spacious surroundings, and what they could do better include the redecoration and garden areas. Comments received from the surveys of people who use the service include: • The home is always fresh and clean. The home has been successful in gaining a capital grant from Kirklees Metropolitan Council, and it was being used to establish raised flower beds and improve the gardens, making them more accessible to people. Norman Hudson Nursing Home DS0000045225.V352817.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 – 30 People who use the service experience poor quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The staffing levels are sufficient to meet the number of people living in the home. People are potentially at risk as recruitment practices are not thorough enough. EVIDENCE: The information in the annual quality assessment document said the things that the home does well are, staff training, staffing levels and staff interaction with residents and relatives. What they could do better includes staff supervision and staff induction training. The list of staff on duty were sufficient in number to meet the needs of the people in their care and the acting manager confirmed this. There is a qualified nurse on duty at all times. Five care staff have an NVQ (National Vocational Qualification) level two, and further staff are working towards the qualification. Information supplied by the manager showed that eighteen staff have received induction training. There was evidence in the induction workbooks examined to demonstrate that inductions with new staff take place. It was discussed with the acting manager that all staff should have induction training within 12 weeks of appointment, and foundation training Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 20 within the first 6 months to ensure that staff are trained and competent to do their jobs. Three staff recruitment records were looked at and two out of the three did not have two references, which is required to ensure that people are protected. The acting manager confirmed that he would ensure the records are brought up to date. In the sample of records inspected, all other information relating to the recruitment of staff were up to date, and included equal opportunities monitoring forms. Comments received from the surveys when asked, “Do the care staff have the right skills and experience to look after people properly. One said, • “I find staff are all very capable.” And two other people said usually. One said I should hope so, whenever I visit my relative they appear presentable, comfortable and the staff appear very friendly and helpful. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 21 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 & 38 People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The home is run in the best interests of people who live there. People’s financial interests are safeguarded. Some staff need refresher training in fire safety and movement and handling in order to protect people living at the home. EVIDENCE: A proposed manager has been appointed, and the acting manager said that the new manager is presently having a week’s training on dementia care before commencing her induction at the home. She also has the Registered Manager’s Qualification. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 22 The information in the annual quality assessment document said the things that the home does well are, Quality Assurance Monitoring, giving information to people to keep them up to date, and residents’ personal allowances. Surveys are sent out by the home to people who use the service and their relatives every three months, and a sample is sent to different people each time. The surveys are returned and looked at by the Company Operations Director and then the home has to respond to the information that has been received. Feedback is given at the monthly peoples and relatives meetings, and minutes were seen. Surveys are also sent out with the home’s welcome pack. This is to monitor and improve the quality of the pre admission assessments and admission procedures. A sample of returned surveys were seen, and the comments were positive. Small amounts of personal monies are kept on behalf of people living at the home, and the three records and monies that were checked were correct. Information provided by the home prior to this inspection indicates that the servicing of equipment takes place on a regular basis. Two people test the emergency lighting and fire alarms. Records showed that between the 4th of June and 10th October the alarms were tested at periods of between three and eleven days, and on one occasion they were not tested for sixteen days. Satisfactory monthly records are been maintained for the emergency lighting. Fire drills have been recorded as taking place on a regular basis. According to the training matrix provided by the Company Operations Director, eighteen staff employed at the home have not had formal fire training in the last six months. In the interest of staff and people’s safety the Operations Director should ensure that all staff receive training at regular intervals during the year. Staff who were spoken with said that they knew the procedure to follow in the event of a fire and that they had had a fire drill. The inspector was assured that those staff that had not had a fire lecture had been shown the procedure to follow during their induction training. There was also evidence to suggest that not all staff have had movement and handling training within the last twelve months. Staff who were observed moving and handling people carried out the procedure correctly. The Operations Director said that he would ensure that all staff have the up to date training in the near future. Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 Requirement The care plans and risk assessments need to reflect the changing needs of the individual, and be up to date. To ensure that people are protected, prior to employment each person must have two written references. You are requested to confirm in writing that this has been addressed. Timescale for action 30/11/07 2. OP29 19 (1)(b)(i) Schedule Paragraph 5 30/11/07 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 OP7 Good Practice Recommendations • • 2. OP9 • The daily outcome of the care/ needs identified should be recorded. To ensure that people are moved safely, movement and handling assessments should include all areas of care. The drug storage room temperature should be maintained below 26°C as advised by drug DS0000045225.V352817.R01.S.doc Version 5.2 Page 25 Norman Hudson Nursing Home • 3. 4. 5. OP15 OP28 OP38 • • • manufacturers instructions. Medication should be regularly audited to ensure that safe practices are maintained. All staff that prepares food should receive food hygiene training. A minimum of 50 of care staff should have an NVQ 2 in care. In the interest of staff and people’s safety, all staff should have fire training at regular intervals during the year. For the health and safety of staff and people in their care, all staff should have annual movement and handling training. 6. OP38 • Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Norman Hudson Nursing Home DS0000045225.V352817.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!