Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 01/04/08 for Northfield Nursing Home

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

This inspection was carried out on 1st April 2008.

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

Before moving into the home people were given information to help them make a decision about whether the home was right for them or not. Medicines were stored and handled safely. People were treated with respect and their right to privacy was upheld. People were involved in activities of their own choice according to their own individual needs and interest. They were encouraged and supported to maintain important personal and family relationships.People were encouraged to make choices and to have as much control over their live as possible. Some People said the food was satisfactory and that they enjoyed it. Complaints were taken seriously and acted upon. The procedures in place protected people from abuse. The environment was safe, clean, well maintained and comfortable. The staff said when the rota was done by management there was always enough staff to meet the needs of the people using the service. People told us they had confidence in the staff. They described the staff as "wonderful, patient, thoughtful, very nice, loving, sweet and funny". They added, "The staff are always run of their feet". People were able to make comments about the service. There were examples of changes being made because of comments received. For example some changes had been made to the menu. There were procedures in place to make sure peoples monies were looked after safely. The staff worked in a way that upheld the health safety and welfare of themselves and of the people using the service.

What has improved since the last inspection?

Care plans were reviewed. People`s health care needs were assessed and monitored. The procedures in place for the administration and disposal of medication were safe. The records showed that all staff now received fire training twice yearly as required by the regulations. In the AQAA the manager highlighted where progress had been made over the last 12 months. She said, management had improved awareness of people`s needs, there was ongoing refurbishment of the home and there had been a review of the activities programme.

What the care home could do better:

Assessments were carried out before people moved into the home. There were some issues about the content of the assessment and the time staff had to read and digest the information before people moved in. Care plans were in place but did not always cover all the care needs of people. The records of care given were not recorded in enough detail.Progress had been made with the activities available, however some people told us they would like the opportunity to go on short outings in small groups. Some people said they were not satisfied with the food but acknowledged the difficulties of satisfying all the people all the time. The food was not always hot and lack of variation was a problem for some people. The staff said when the rota was done by management there was always enough staff to meet the needs of the people using the service. Due to sickness, the required staffing levels were not always maintained. This meant that people`s need were not always met. The overall judgement of this service has been made taking into account the overall outcomes for people using the service. The new manager will need to address some areas promptly to sustain these improvements, for example food and staffing levels.

CARE HOMES FOR OLDER PEOPLE Northfield Nursing Home 2a Roebuck Road Sheffield South Yorkshire S6 3GP Lead Inspector Shirley Samuels Key Unannounced Inspection 1st April 2008 08:45 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 DS0000021798.V361479.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. DS0000021798.V361479.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northfield Nursing Home Address 2a Roebuck Road Sheffield South Yorkshire S6 3GP 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) 0114 268 7827 0114 267 9591 northfield@palmsrow.co.uk www.palmsrow.co.uk Palms Row Health Care Limited Position Vacant Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (63) of places DS0000021798.V361479.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit persons between the ages of 60 to 65 years. Date of last inspection 10th April 2007 Brief Description of the Service: Northfield is a care home providing personal and nursing care. Accommodation is provided for 63 people. The home is owned by Palms Row Health Care and is situated in the residential area of Crookesmoor. It is close to the main bus route and is a short walk away from the Upperthorpe shopping area. The home is purpose built with accommodation provided on two floors, which are accessed, by a lift. There is a garden area that is safe and private for people to enjoy. The grounds are accessible and well laid out, the garden sitting areas are attractive and well maintained. The manager confirmed that from 10.04.08 the weekly range of fees charged for accommodation and care varied from £392-420 For Residential care and £530-618 for nursing care. Additional charges are made for services such as chiropody, newspapers and hairdressing. Further information about the home can be obtained by contacting the Manager. The inspection reports are available in the entrance to the home. DS0000021798.V361479.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 two star. This means people who use the service experience good quality outcomes. This was a key inspection carried out by Shirley Samuels on Tuesday 01/04/08, from 8:45am- 5:30pm. In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. The inspector sought the views of five people using the service, five staff and one relative the business manager (who was responsible at the time for the day-to-day management of the home) and the operations manager who assisted with the inspection. This visit was a key inspection and the inspector checked all the key standards. During this visit we looked at the environment, and made observations on the staffs’ manner and attitude towards people. We checked samples of documents that related to peoples support, care and safety. These included two assessments and care plans, 6 medication records, and three staff recruitment files. The inspector looked at other information before visiting the home. This included the Annual quality assurance assessment (AQAA). The inspector would like to thank everyone for their welcome and help in this inspection. What the service does well: Before moving into the home people were given information to help them make a decision about whether the home was right for them or not. Medicines were stored and handled safely. People were treated with respect and their right to privacy was upheld. People were involved in activities of their own choice according to their own individual needs and interest. They were encouraged and supported to maintain important personal and family relationships. DS0000021798.V361479.R01.S.doc Version 5.2 Page 6 People were encouraged to make choices and to have as much control over their live as possible. Some People said the food was satisfactory and that they enjoyed it. Complaints were taken seriously and acted upon. The procedures in place protected people from abuse. The environment was safe, clean, well maintained and comfortable. The staff said when the rota was done by management there was always enough staff to meet the needs of the people using the service. People told us they had confidence in the staff. They described the staff as “wonderful, patient, thoughtful, very nice, loving, sweet and funny”. They added, “The staff are always run of their feet”. People were able to make comments about the service. There were examples of changes being made because of comments received. For example some changes had been made to the menu. There were procedures in place to make sure peoples monies were looked after safely. The staff worked in a way that upheld the health safety and welfare of themselves and of the people using the service. What has improved since the last inspection? What they could do better: Assessments were carried out before people moved into the home. There were some issues about the content of the assessment and the time staff had to read and digest the information before people moved in. Care plans were in place but did not always cover all the care needs of people. The records of care given were not recorded in enough detail. DS0000021798.V361479.R01.S.doc Version 5.2 Page 7 Progress had been made with the activities available, however some people told us they would like the opportunity to go on short outings in small groups. Some people said they were not satisfied with the food but acknowledged the difficulties of satisfying all the people all the time. The food was not always hot and lack of variation was a problem for some people. The staff said when the rota was done by management there was always enough staff to meet the needs of the people using the service. Due to sickness, the required staffing levels were not always maintained. This meant that people’s need were not always met. The overall judgement of this service has been made taking into account the overall outcomes for people using the service. The new manager will need to address some areas promptly to sustain these improvements, for example food and staffing levels. 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. DS0000021798.V361479.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 DS0000021798.V361479.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): 1, 2 ,3 and 6 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People received information about the home and in the main their needs are assessed before they move in. The home did not provide intermediate care. EVIDENCE: People told us they did receive written information about the home before they move in. Information was also available in each bedroom. This made sure that people had the information they needed to make a decision about whether the home was right for them or not. Some people told us they could not read the information, as the print was too small. DS0000021798.V361479.R01.S.doc Version 5.2 Page 10 Two people’s files were checked a contact of care was found on one of the files. This meant, not all people knew the terms and conditions of their stay at the home. In the AQAA the manager told us assessments were carried out by qualified staff at the home or by social workers if the person is in hospital. Social workers are kept up to date about the changes to the service so that people can be properly informed. The home recognises that information about funding can be confusing so they want to improve the way they do this. We saw assessments on the files. The staff said they did not always have enough detail and did not always fully reflect the person who was admitted. They also said assessments were not always submitted to the home in time for staff to look at the information and digest it before the person moved in. DS0000021798.V361479.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. In the main people’s needs are set out in a care plan and their rights are upheld. EVIDENCE: We saw two care plans, which in the main set out his or her care needs. There were some examples of care needs not being identified, for example there was no mention in the care plan of a person wearing an hearing aid and the action staff needed to take to meet their need in this area. Care plans were reviewed regularly. The manager said efforts had been made to involve relatives in care planning and reviews. We discussed other options for encouraging people to get involved. Records of care given were written by the Qualified nursing staff. In the main the notes stated “all care given as per care plan” and did not in enough detail DS0000021798.V361479.R01.S.doc Version 5.2 Page 12 record specific events, the mood, responses, and views of the person receiving the care or support. In the AQAA the manager told us, people are given a choice in all aspects of their care such as gender of person caring for them, choice of bath or shower, to eat meals in dining room or in their bedroom. Care staff who provided the majority of the hands on care to people were not encouraged to record on the care notes. The value of care staff contribution to written care notes were discussed with the manager who said this could be looked at in more detail. One relative contacted the CSCI to say they did not feel the home had kept them fully updated about the deteriorating health of their relative. People told us their health care needs were met. They said if they needed a Doctor this was done without delay. One person told us “I have kept the Doctor I was with before moving into the home, that was important to me”. People told us they received visits from the dentist optician and chiropodist. There was evidence on the files to show that appointments were made with health care professionals and details were kept of the outcome of their visits. This made sure that people’s health care needs were met. Staff told us they promoted the health of people by providing the care needed, making observation, reporting and accessing health care professionals when needed. In the AQAA the manager told us medication management training is available for all nursing staff. Qualified nursing staff administered medication. We saw two medication rounds. These were carried out in a safe and controlled manner by confident staff. Appropriate records of administration were kept and the medication system was monitored. This made sure that people were protected by the procedures for dealing with medicines. People were able to administer their own medication and there were systems in place to monitor this. People told us they were treated with respect. One person said, “They are a lovely set of carers”. Another said “There is always someone around I never feel alone, Staff really do take care I often wonder how they do it”. Staff were observed talking to people in a gentle manner. Staff joked with people who joked with them. There was lighthearted banter. The atmosphere was relaxed and friendly. DS0000021798.V361479.R01.S.doc Version 5.2 Page 13 The overall judgement has been made taking into account the overall outcomes for people. However the new manager will need to address some areas promptly to sustain the improvements. DS0000021798.V361479.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People are encouraged to make choices and exercise control over their lives. EVIDENCE: In the AQAA the manager told us there is a varied activities programme. There is an activities coordinator employed at the home. The company provides financial support for activities and that all people have an activity care plan. The manager told us trips for smaller groups and time spent with people having meaning full conversation with staff could be improved. One person told us she had talking books and newspapers. She added that every Sunday (weather permitting) someone collects her and takes her to the church she used to go to before came into the home. Another person told us they passed the time by doing puzzles, reading and chatting with other people. DS0000021798.V361479.R01.S.doc Version 5.2 Page 15 Some people told us they would like the opportunity to go on short outings in small groups. People told us activities were provided, they could choose whether or not to take part and could spend time alone if they wanted to. One person told us “I play cards, the activities lady comes, we make things and play bingo twice a week” another said “we have a very creative activities lady”. This makes sure that people have the opportunity to be involved in activities of their own choice according to their own individual needs and interest. People told us they were able to receive visitors at any reasonable time. Relatives said they were made welcome when they visited and were offered refreshment. This made sure people were able to maintain contact with family and friends. People told us they were able to make choices about clothing, food when they got up, went to bed and generally how they spent their day. Some people told us they were satisfied with the food provided. Other told us there was not enough variety and the food was not always hot. One person said, “They always put too much on my plate it just puts me off”. One person Said, “well I’m a bit funny, I don’t eat much, I’m not complaining, they do their best. On the day of the visit it was shepherds pie, peas and mixed vegetables. The meat looked pale the vegetables were frozen and in general the meal looked unappetising. After lunch people were asked if they enjoyed their lunch some said it was nice, others said it was ok some made no comment. This indicated that people did not always receive a varied, tasty and nutritious meal that was satisfying to them. The meal was served on small dinner plates. For people who had a smaller potion this was ok. For people who were served larger potions the food was almost overflowing, this resulted in poor presentation. We were told that the food hot cupboard was not working properly and it did not keep the food hot enough. There were some people who needed assistance with eating. Staff were observed offering this help in a sensitive and respectful manner. This showed that people were treated with dignity. DS0000021798.V361479.R01.S.doc Version 5.2 Page 16 The manager acknowledged that some improvements could be made regarding food. The manager told us action had been taken and is ongoing to improve this. DS0000021798.V361479.R01.S.doc Version 5.2 Page 17 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 the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Complaints are taken seriously and people are protected from harm. EVIDENCE: In the AQAA the manager told us the complaints procedure was clearly visible and posted in all bedrooms. She said the home had received 18 complaints in the last 12 months. 16 were dealt with in the 28 days and 2 were upheld. People told us they had someone to talk to if they were unhappy. They said they were given written information on how to make a complaint and these were posted in each bedroom. Meetings were held were people using the service were able to share their views and make comments about the service. One person said, “I have been here for nearly a year and I don’t have any complaints”. We saw records of complaints, they detailed the content of the complaint, the outcome of any investigation and whether the complainant was satisfied. This shows that complaints are taken seriously and acted upon. DS0000021798.V361479.R01.S.doc Version 5.2 Page 18 In the AQAA the manager told us staff received adult safeguarding training but recognised that further training was needed to help staff recognise unusual behaviours, which may be indicators of a problem. One member of staff had been dismissed from the home following an investigation into an allegation of verbal abuse. People told us they felt safe. Staff were able to tell us the action they would take if they became aware of any protection issues. Staff had received training on adult protection updates and refresher training was needed for some staff. This makes sure that people are protected from harm, where issues are raised these are reported to the proper agencies. DS0000021798.V361479.R01.S.doc Version 5.2 Page 19 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 and 26 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The environment meets the needs of the people using the service. EVIDENCE: In the AQAA the manager told us the environment was kept clean and well maintained. She added the home has an excellent housekeeping team who all have National Vocational Qualification Level 2 in infection control. She said that visitors to the home always comment on how nice the home smells. They also comment on the décor and on how clean the home looks. The home employs a maintenance person and gardener who make sure that repairs are carried out quickly and that the gardens are well maintained. DS0000021798.V361479.R01.S.doc Version 5.2 Page 20 The manager recognises that people using the service could have more of a say about the décor of the home, particularly where their bedrooms are concerned. The manager told us, in the last 12 months all communal areas and corridors have been re carpeted and decorated. More showers have been installed as a direct response to what people using the service were saying they wanted and preferred. People told us they were very happy with there bedrooms. We observed that the home was clean and safe for people to move around. This makes sure that people live in a home that is clean, pleasant and hygienic. Bedrooms were in the main personalised and people told us they were able to bring personal items into the home with them. DS0000021798.V361479.R01.S.doc Version 5.2 Page 21 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 and 30 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. There was not always enough staff on duty to meet peoples needs. People were in safe hands and were protected by the recruitment procedure. EVIDENCE: In the AQAA the manager told us, the home has a skill mix of senior mature care staff. They are managing to keep agency staff to a minimum. In an effort to make sure the staffing levels are maintained the manager said the organisation has introduced an enhanced rate of pay for staff who work below the required level when sickness accrues. The potential negative outcome of this was discussed with the manager. Staff said the rota done by managers included enough staff to meet the needs of people. Staff said there had been shortfalls due to staff sickness. This meant on occasion only peoples basic needs were being met. DS0000021798.V361479.R01.S.doc Version 5.2 Page 22 The staff said there had been improvements in the way the staff team worked together. They said communication had improved but acknowledged that further improvements could be made. People told us they had confidence in the staff. They described the staff as “wonderful, patient, thoughtful, very nice, loving, sweet and funny”. They added, “The staff are always run of their feet”. One person said, “I am happy and content and have been since I came in. I came in a cabbage could not walk, talk, feed myself, read or write. With the help of the staff and my own determination I am able to do all those things now, I just worked my way up”. This showed that people felt cared for by staff that cared, valued and respected them and had their best interest at heart. The manager said 16 of staff had been trained or were working towards NVQ level 2 in care. She added the home had experienced difficulties keeping staff ones they had obtained their NVQ. There is a rolling programme for staff to be enrolled on the NVQ level 2 in care. The manager said further training was recognised as being needed for staff this included self-awareness and the development of good communication skills. In the AQAA the manager told us, strict recruitment checks are carried out before employment. The staff files showed that all the required checks were carried out including references, criminal records, and health checks. This made sure people were protected by the home recruitment procedures. DS0000021798.V361479.R01.S.doc Version 5.2 Page 23 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 and 38 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The home is well managed, the procedures, ensure the health safety and welfare of people using the service and the staff. EVIDENCE: The registered manager left in January 2008. A new manager has been appointed and is due to start at the end of April 2008. Since the manager left, the business manager who is familiar with the home and worked alongside the previous manager has overseen the day-to-day DS0000021798.V361479.R01.S.doc Version 5.2 Page 24 management of the service. In addition the operations director has monitored the standards of the service. The operations manager said visits were regularly made to the home and people and their relatives were able to comment on the standard of the service. This made sure people were able to contribute to the way the home was run. Staff responsible for managing and leading other staff said they would benefit from management training. This would help develop their leadership skills and lead to better communication. The operations director told us reports were completed which detailed the outcome of these visits; these however were not available to see at the time of the inspection. The manager told us in the AQAA that, she had identified that management could spend more time with service users on an informal basis. And that more checks on the floors were needed to monitor and make sure that good standard of care was being delivered. In the AQAA the manager told us Policies and procedures were reviewed annually. This makes sure they are in line with current thinking and practice. The manager told us records of people’s finances were stored safely. People told us they were satisfied with the arrangements for the management of their finances. The manager told us in the AQAA that all health and safety checks had been carried out on equipment, gas, electricity etc. The records showed that staff received regular fire training and the fire system was checked weekly. All staff received health and safety training and told us they understood their responsibility for their own health and safety as well as for the people in their care. They told us that hazards and safety risks were reported and action was taken quickly to resolve any problems. They gave us examples of how they kept people safe which included, observation, bed rails for those who needed them, training on the safe use of equipment and offering support to people according their needs. This made sure that people were safe. DS0000021798.V361479.R01.S.doc Version 5.2 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 3 2 2 x x 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 2 28 2 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 DS0000021798.V361479.R01.S.doc Version 5.2 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. 1 Standard OP2 Regulation 5 Requirement A contact of care detailing the terms and condition of their stay must be in place for all people using the service. Care plans must include details of all peoples care needs. Records of care given must be in enough detail to demonstrate that the care has met people’s needs and reflects their response. Action must be taken to make sure that people receive a varied, tasty and nutritious meal that is satisfying to them. There must be sufficient numbers of competent and experienced staff on duty at all times. Previous time scale 01/07/07 not met The new manager must apply to the Commission for social care inspection to be registered. Timescale for action 10/05/08 2 3 OP7 OP7 15 17 10/05/08 10/05/08 4 OP15 16 10/05/08 5 OP27 18 10/05/08 6 OP31 8,9 01/06/08 DS0000021798.V361479.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 8 9 Refer to Standard OP1 OP3 OP7 OP8 OP12 OP15 OP28 OP30 OP33 Good Practice Recommendations Written information fir people using the service should be provided in a font size they can see. Staff should be given enough time to read and digest the assessments of individuals before they are admitted to the home. Care staff should have some responsibility for recording the details of the care they have provided to people. NOK should always be kept informed of changes and deterioration in people’s health. The opportunity for short outings with small groups of people should be arranged. The food hot trolley should be repaired or replaced. To make sure that food is always served hot. 50 of care staff must be trained to NVQ level 2 or equivalent. Senior care staff and team leaders should receive leadership training. Reports on the conduct of the home should be made available for inspection. DS0000021798.V361479.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 DS0000021798.V361479.R01.S.doc Version 5.2 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!