Inspection on 26/04/06 for Eton Park

This inspection was carried out on 26th April 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

Eton Park 18/06/08

Eton Park 19/12/07

Eton Park 22/08/07

Eton Park 04/01/06

Eton Park 11/10/04

Eton Park 21/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE North View Care Home Owthorpe Road Cotgrave Nottingham NG12 3PU Lead Inspector Steve Keeling Unannounced Inspection 26th April 2006 08:30 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 North View Care Home DS0000060190.V287942.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. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service North View Care Home Address Owthorpe Road Cotgrave Nottingham NG12 3PU 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) 0115 9899545 0115 9899311 Mr David Hetherington Messenger Mrs Tracy Adams Care Home 82 Category(ies) of Dementia (50), Old age, not falling within any registration, with number other category (76), Physical disability (4), of places Terminally ill (2) North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 82 (OP) That include 4 (PD), 2 (TI) & 50 (DE 55 years & Over) Date of last inspection 4th January 2006 Brief Description of the Service: North View is a large purpose built home on the outskirts of Cotgrave five miles to the south of the city of Nottingham. There are no amenities within walking distance of the home, which is situated at the top of a hill, not far from the A46. North View has a Mini bus service to provide transport to and from the home for service users families and a small fee is charged. In the village there is a library, health centre, shopping precinct, restaurants and café, churches and a leisure centre plus other sporting facilities. The home provides for up to eighty-two people, aged 65 years and over, with nursing and residential care needs, with four beds available for service users with physical disabilities and two beds for those who are terminally ill. Out of 78 single rooms, 18 are en-suite. There are two double rooms, neither of which is en-suite Currently the fees charged at the home for social service funded residential care is £277 with nursing care being £343. Private funded residential care is £286 with nursing care being £355. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 9 hour period and involved one inspector. The main method of inspection was case note tracking, this is a method of selecting residents within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the service users to ascertain if the residents identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion four residents notes were case tracked. Also as part of the case tracking process, staff members within the home are informally interviewed to further evidence the quality of care afforded to the residents. It was evident that the registered manager and the care staff on duty at the time of the inspection are very committed to providing a high standard of care for the service users. The manager and staff within the home were very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. The report indicates comments from the residents and visitors to the home in the day of the inspection to glean further information as to the quality of care afforded to the service users. What the service does well: The manager of the home has attained a degree level Registered Managers Award and is currently studying for an additional qualification, at diploma level, in the care of individuals with dementia. It was demonstrated that the manager of the home also has thorough knowledge of the National Minimum Standards to further aid her abilities to manager the home effectively The internal environment within the home appears very welcoming as a result of resent refurbishments and redecoration. Residents that require assistance with eating can be accommodated in a separate dining room available to allow for individual support to be provided to further promote the residents dignity during mealtimes. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 6 Residents spoken with felt that the staff at the home are polite, caring and respectful and that staff are work hard working and have the best interests of residents at heart. What has improved since the last inspection? What they could do better: The following serious concerns must be dealt with effectively Residents care plans must clearly state how staff should deliver individual care to meet the resident’s needs. Social activities will not be compromised when the social activities coordinator of absent from the home. The corridors within the residential unit are poorly lit and constitute a risk of falls. Staff at the home do not receive an appropriate formal supervision Not all of the electrical equipment at the home had annual portable appliance tests. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 7 The uneven surface in the patio area constitutes a risk of falls. 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. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 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 North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. 6. Quality in this outcome group is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The manager of the home with the support of the residential care coordinator performs pre-admittance assessments but not all identified needs had been addressed with appropriate care plans. The home does not provide intermediate care services. EVIDENCE: Information about the services provided at the home is available prior to admission to enable potential residents to make an informed decision about choosing to live at the home. An assessment process is in place at the home but the case tracking process evidenced that not all the initially assessed needs had been transferred into North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 10 individual plans of care which potentially impedes on the residents needs being met. One resident had been identified as at risk of transient ischemic attacks and susceptible to PR bleeds both of which had not been addressed by care plans. A second resident had been identified, as at risk of self-harm, once again a care plan had not been formulated to ensure the safety of the resident within the home. The registered person will be required to evidence that residents identified needs are be addressed effectively. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7. 8. 9. 10. Quality in this outcome group is poor. This judgement has been made from evidence gathered both during and before the visit to this service. Elements of care within the case tracked case plans had not been fully addressed which would compromise the residents care provision as health care needs are not fully met. The arrangements for medication are safe and residents get their medication as prescribed by their GP. The privacy and dignity of residents is compromised at the home. EVIDENCE: The care plans examined on the day of the inspection contained specific instructions and guidance but not all these elements of care were being evaluated effectively North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 12 A resident that had been identified as requiring monitoring due to poor dietary intake. The resident’s daily records only evidenced one entry appertaining to this issue and the entry in the daily record was not dated. The care plan relating to loss of hearing stipulated the need to check and change the hearing aid batteries weekly if needed and to check the resident’s ears for earwax. The daily records had no reference to these elements of care. The care plan relating to limited mobility requested a full physiotherapy assessment; once again this element of care had not been performed. The care plan also stipulated that the residents pressure areas were to be protected and checked daily, once again no mention of pressure area checks were evident within the evaluation process. The care plan relating to maintaining own standard of hygiene requests that staff should ensure the residents level of understanding, using verbal and non verbal cues, explain who they were, assess level of needs of assistance, collect all toiletries that the client needs, observe and report any changes in skin tone and condition, clear away and leave client comfortable with nurse call bell, encourage the resident to express any concerns or needs and to maintain dignity at all times. The evaluation of this care plan was performed once on 13. 4. 06 and stated that the residents needs assistance with her personal hygiene daily and dressing, check skin condition daily and support. The aforementioned id not an effective evaluation as it simply reiterates elements within the care plan. The care plan relating to double incontinence specified that the Bristol Stool Chart should be utilised, and to encourage a fluid intake of 1000mls per day and observe for symptoms of urine infection. None of the above elements of care had been performed. A care plan relating to another residents susceptibility to urinary tract infections stipulated that the residents urine should be observed to identify possible infection and that fluid should be encouraged together with a fluid intake and output record. The evaluation of the aforementioned care plan performed on 13/4/06 simply reiterates the elements of care in the care plan and as such the aforementioned elements were not being addressed effectively. Further examination of the case tracked care plans evidenced similar shortfalls within the care planning process. The registered provider is required to evidence that residents identified needs will be addressed effectively within the care planning process. At the time of the inspection no service users were responsible for the selfadministration of medicines. The manager at the home stated that should a service user wish to be independent in the administration of medicines the North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 13 manager would perform a risk assessment, if the service user was deemed as being safe, the service user would be supported to be independent in relation to self-administration of medication if they choose to do so. Medication Administration Charts were examined at the time of the inspection and were appropriately filled out. It was evident that the local pharmacist had recently provided training at the home in relation to the safe receipt, storage, administration and disposal of medicines and that the informal training sessions are repeated as required. Medication fridges are temperature monitored daily and recorded and medications, dressing and medical equipment is stored effectively. Residents spoken with were very complimentary in relation to the staff at the home. Residents stated that staff knock on the resident’s bedroom door before entering and stated that all staff within the home are very pleasant, friendly and attentive to their needs. A resident raised concern in relation to privacy and dignity, stating that, “some residents can wander into rooms and take stuff”. Only a small percentage of resident’s bedroom doors have approved safety door locks fitted. To ensure residents respect and dignity is maintained whilst in their own bedrooms the residents should be consulted and their preference determined as to the fitting of two way approved safety lock to their doors. This is an ongoing issue and was identified in the last two inspection reports as a shortfall in the home. The registered person is required to evidence that the residents privacy will be enhanced and that bedroom doors have appropriate lockable facilities provided. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 14 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): 12, 13, 14, 15, Quality in this outcome group is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Residents at the home are not afforded the opportunity to satisfy social and recreational needs due to staff shortages. Residents are able to maintain contact with family, friends, and representatives from the local community as they wish. Resident’s ability to exercise choice and control over their lives is compromised. Residents are not provided with a wholesome, appealing and balanced diet and the resident’s ability to choose from a daily menu is compromised. EVIDENCE: The designated activities co-ordinator employed at the home was on “long term” sick leave and is due to return back to work in two weeks. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 15 Residents indicated that the social activities within the home had been compromised. One resident spoken with stated that she “never leaves the home, I have witnessed residents playing bingo, playing cards and entertainers come in to play music but nothing recently”. Another case` tracked resident stated that “I was always going on trips from the home to the seaside and Derbyshire but nothing is happening at the moment”. The registered person is required to evidence that the residents’ social activities will not be compromised at the home in the absence of the social activities coordinator. The manager at the home stated that no restrictions are in place in relation to visiting times. At the time of the inspection relatives and friends were visiting residents. A relative confirmed the open access policy at the home, as she stated, “ I can visit whenever I want to, I am always made welcome and the staff are friendly and respectful”. The inspector did not witness the lunchtime meal being served but residents were concerned as to the quality of the food at the home. One resident stated “ its always tinned peas or frozen vegetables”. The resident also stated that she does have a choice of main meals but believes that the food could be improved. Another resident stated that “the food is poor and badly cooked, I am not always given a choice of a menu and no menu on display”. The manager at the home confirmed that the menu was not on display as it is currently being revised. The registered person is required to evidence that residents receive a wholesome, appealing and balanced diet and are given the ability to choose from a daily menu. Two case tracked residents had concerns in relation to their ability to choose when to take a bath. A resident stated “I have no choice as to when I can have a bath and no showers are available in home and my bath time on Thursday mornings only”. Another resident stated that he could have a bath only at specified times and he would prefer a shower as he feels dirty”. The registered person is required to evidence that residents have the opportunity to choose when to take a bath at a time that is convenient to them. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 16 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): 16, 18. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The relatives and friends of service users are confident that their complaints are listened to, taken seriously and acted upon thus protection the residents from abuse. EVIDENCE: The complaints procedure is given to residents or their representatives on admission, the complaints procedure is also on display in the foyer of the home and throughout the home at prominent positions. Since the last inspection the Commission for Social Care Inspection has not received any complaints in relation to the service at the home. It was established that the manager at the home is not investigating any complaints at this time; any complaints that are received are documented effectively together with resulting outcomes and actions. A resident’s friend, was spoken with, she stated that she was not aware of the complaints procedure but admitted that she had not had cause to examine it, as she was satisfied with the service provision at the home. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 17 Residents and visitors to the home were asked about their confidence in the manager’s ability to deal with complaints. All stated that they would feel comfortable in highlighting any concerns or complaints they might have to any of the staff members working at the home. A staff member was spoken with at the time of the inspection and it was evident that she had and appropriate knowledge of the complaints procedure within the home. She confirmed that she had received training in relation to complaint procedures within her initial induction period and it was evident that if she suspected abuse was happenings at the home she would act accordingly to protect the vulnerable adult. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 18 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): 19, 26. Quality in this outcome group is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The safety of service users is compromised at the home The home is maintained to a satisfactory level of cleanliness EVIDENCE: A partial inspection of the home evidenced that overall, the home appears to be benefiting from the ongoing refurbishment as most areas were well decorated clean and odour free. It was evidenced that requirements from previous inspections have not been fully addressed to ensure the safety of residents at the home. The corridors within the residential unit continue to be poorly lit and constitute a risk of falls to the residents. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 19 The slabs are uneven within the resident’s patio area. The uneven surface constitutes a risk of falls and will require rectifying to ensure the residents are safe within this area. The registered person is required to evidence that residents are afforded a safe environment that specifically addresses the aforementioned issues. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 20 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. Quality in this outcome group is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Staffing levels and skill mix at the home are appropriate in meeting the needs of the service users. The home utilises an appropriate recruitment policy, which is not fully adhered to. The Staff training records did not fully evidence that staff receive appropriate training to do their jobs effectively. EVIDENCE: On the day of the inspection 77 residents were accommodated at the home. 25 of which were nursing and 52 being residential. Staffing levels were appropriate to meet the needs of the service users. Eleven carers and two qualified nurses were on duty throughout the morning period, ten care staff and two qualified nurses throughout the afternoon period, and six carers and one qualified nurse covered the night period. The manager’s hours are not included within the care staff rotas so as to provide the opportunity to effectively manage the home North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 21 The recruitment documentation of the last two members of staff to be employed at the home was checked and found to be satisfactory, both members of staff had undergone appropriate police checks and had provided two written satisfactory references. The documentation is well organised and clear. It was evident that whilst examining the personal files that no contracts of employment were evident. The manager of the home stated that no staff at the home has a contact of employment. The registered person is required to evidence that all staff employed at the home are provided with a contract of employment. The manager could not adequately demonstrate that the staff have been given the mandatory training required from an accredited trainer to enable them to maintain their own and the service users safety as the dates of training events were not evident within the training matrix. The registered person is required to evidence the dates that training has been provided in relation to Basic Food Hygiene, Basic First Aid, Moving and Handling, Prevention of Cross Infection and Health and Safety, together with evidence of the National Vocational Qualifications (NVQ) status of care staff at the home together with any planned training events within the year 2006. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. It was evident that the manager at the home is professional, fit to be in charge and of good character. The consultation processes within the home are insufficient to ensure the home is run in the best interests of the service users and their health and welfare promoted and protected. Service users are protected from financial abuse and their financial interests are safeguarded. EVIDENCE: North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 23 The manager at the home first qualified in 1988 as an Enrolled Nurse and gained her Registered General Nurse qualification approximately ten years later. Having undergone a “Fit persons” Interview at the Commission for Social Care Inspection in June 2002 she was assessed as competent to perform a managers role within the health care arena. The manager has recently finished her Registered Managers Award (degree level) and is currently studying for a diploma in dementia care, which will be completed in August 2006. It is evident that the manager at the home is committed to the residents but due to the size of the home and the amount of residents within the home she would benefit from the employment of a deputy manager so she can discharge the managers responsibilities effectively in her absence. It is a requirement that all staff at the home receive formal supervision sessions Bi- monthly to identify shortfalls in practise and allow staff the opportunity to speak about professional and other related issues with the manager. Currently this management element is not being performed effectively due to the workload placed on the manager. The registered person is required to demonstrate that all staff employed at the home is to be provided with appropriate supervision. The consultation processes within the home is poor. The activities coordinator normally performs this role but in her absence the consultation process has been compromised. Residents should be afforded an opportunity to express concerns and influence the development of the home at all times irrespective of staffing difficulties. The registered person is required to demonstrate that the resident’s consultation process is effective at all times. At the time of the inspection it was evidenced that the residents monies are effectively managed. The home maintains separate written records of all monetary transactions and the resident’s monies are not “pooled” thus protecting the service users from potential financial abuse. It was also evident that secure facilities are available in which resident’s monies are stored on individual in poly pockets. In relation to the promotion of health and safety at the home the manager could demonstrate that appropriate maintenance and testing has been carried out in the home in relation to Lift Servicing, gas Servicing, electrical systems tests, hoist and Parker baths maintenance, hot water outlets monitoring, emergency lighting tests and Environmental Health visits (20th April 06). Not all of the electrical equipment at the home had annual Portable Appliance Tests (PAT), which compromises the resident safety. An example being the residents television in residents lounge and electrical equipment within the North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 24 offices. The registered person is required to demonstrate that all electrical equipment in the home is safe. North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 25 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 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 1 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 2 North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 26 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. 2 Standard OP7 Regulation 15 Requirement The registered person shall ensure an accurate plan of care is implemented based on the assessment carried out by the home and the Care Management summary. Outstanding requirement The registered person shall ensure all areas are safe with regard to lighting within the home and the resident’s patio area. Outstanding requirement Timescale for action 26/04/06 5 OP19 23 26/04/06 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 Refer to Standard OP3 Good Practice Recommendations The registered person should ensure that the assessment of the service user’s needs is kept under review and revised at any time when it is necessary to do so having regard to any change of circumstances The registered person should ensure all service users DS0000060190.V287942.R01.S.doc Version 5.1 Page 27 2 OP10 North View Care Home 3 4 5 OP12 OP14 OP15 6 7 8 9 OP29 OP30 OP32 OP33 10 OP38 individual wishes are to be respected and valued. Residents should be consulted as to their preference in relation to the fitting of approved safety door locks to promote privacy and dignity. The registered person should ensure social activities will not be compromised when the social activities coordinator is absent from the home. The registered person should ensure residents individual wishes are respected and valued in relation to the provision of bathing times The registered person should ensure residents at the home are supplied with adequate quantities, suitable wholesome and nutritious food that is varied and properly prepared and be available at such time as may be reasonable required by the service users. The registered person should ensure all staff at the home are provided with a contract of terms and conditions The registered person should provide evidence of the mandatory training provision for all staff. The registered person should ensure that all staff within the home will receive appropriate structured supervision at least six time per year. The registered person should ensure that feedback is actively sought from service users (with support from independent advocates as appropriate) about services provided through e.g. anonymous user satisfaction questionnaires and individual and group discussion, as well as evidence from records and life plans and this informs all planning The registered person should ensure that all parts of the home to which the service users have access are so far as reasonably practicable free from hazard to their safety and all electrical equipment has undergone appropriate PAT testing North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 North View Care Home DS0000060190.V287942.R01.S.doc Version 5.1 Page 29 - 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!