Inspection on 03/01/07 for Norton Hall Nursing Home

This inspection was carried out on 3rd January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Norton Hall Nursing Home 24/02/09

Norton Hall Nursing Home 11/01/06

Norton Hall Nursing Home 31/08/05

Norton Hall Nursing Home 22/02/05

Norton Hall Nursing Home 08/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Norton Hall Nursing Home Woodbury Lane Norton Worcester Worcestershire WR5 2PT Lead Inspector Unannounced Inspection 3rd January 2007 08.50 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 Norton Hall Nursing Home DS0000004129.V324219.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. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Norton Hall Nursing Home Address Woodbury Lane Norton Worcester Worcestershire WR5 2PT 01905 357766 F/P 01905 357766 enquiries@nortonhall.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) Norton Manor Care Limited Mrs Sally Elizabeth Carter Care Home 30 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (30) Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home may admit three service users under the age of 65 years whose nursing needs outweigh age considerations. Included in this number is the service user named in the application received on 9/10/2006. 11/01/06 Date of last inspection Brief Description of the Service: Norton Hall Nursing Home is located approximately three miles away from the centre of Worcester and a mile from junction 7 of the M5 motorway, with easy access to Pershore and the surrounding rural areas. The home is registered to provide personal and nursing care, and accommodation for a maximum of 30 older people. As part of this registration the home can provide care for up to three older people of either sex who may have a dementia related illness and thirty older people with a physical disability. A maximum of three people under the age of 65 years with nursing needs may also be accommodated. Accommodation is provided over two floors with handrails and a passenger lift providing access through the home. The home has fourteen single bedrooms of which four have ensuite facilities and eight shared rooms. There are communal bathrooms and toilets which are fitted with suitable aids to assist the less mobile, a lounge and a dining room, and access to a level garden. The registered provider for the home is Norton Manor Care Limited and the responsible individual is Mrs Geraldine Cooper. The registered manager is Mrs Sally Carter. In the information provided to the Commission for Social care Inspection on 28.12.06 the registered manager stated that the current fees were between £1900 and £2400 per month. Additional charges were made for hairdressing, chiropody, newspapers, transport and escorts to appointments. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection therefore the focus was on the key standards and the requirements that arose out of the previous inspection. Evidence was gathered from information provided to the Commission for Social Care Inspection since the previous inspection, which took place on 11/01/06. A site visit took place on 03/01/07, which extended over 9 hours during which the inspector talked to three residents and five staff undertook a partial tour of the building and assessed a range of documents. Phone discussions also took place with three relatives. The inspector was assisted principally by the Registered Manager and the Responsible Individual. What the service does well: The home offers a warm welcome to people who visit and has a friendly, relaxed atmosphere. Residents and their relatives are complimentary regarding the standard of care that is provided. One relative said; My father has only been at the home for 5 weeks but we are very happy with the care so far. Another commented; I am extremely pleased with the care and kindness shown to my mother. She has been at Norton for eight months and says she has known nothing but kindness since she arrived. Personal and health care needs are met and there is a strong commitment to provide interesting activities and events that can be undertaken individually or in groups. Staff are well recruited and trained so that they are able to provide the care each person needs. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (An intermediate service is not provided therefore standard 6 is not relevant.) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives receive all the information and support they need so that they can make a decision regarding their choice of home. The home only offers a service to people whose needs they can meet. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 9 EVIDENCE: The care records of three residents were assessed and the inspector spoke to the people concerned and their relatives. They confirmed that they had considered several homes before selecting Norton Hall. They received copies of the home’s brochure, visited the home and discussed the service that the home offered in relation to the needs of the individual. The documents confirmed that a pre-admission assessment had been made by the manager to ensure the home was able to meet the needs of each prospective resident. The information obtained was detailed and informative. An initial care plan had been drawn up based on this information. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information they need and provide the personal and health care residents need with respect and consideration for their privacy and dignity. Medication is well managed so residents receive their prescribed medication safely. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 11 EVIDENCE: Residents’ care plans were on the home’s computer. These were maintained by the trained staff and information received from other staff was included. Paper records were stored securely and only designated staff had access to the computer records. It was observed that records were detailed and evaluated each day. The manager and staff confirmed that they were reviewed by the resident’s named nurse each month or more often if changes occurred. Every three months nutritional assessments, weight, pressure care assessments, blood pressure, pulse and urine and risk assessments were reviewed. A discussion then took place between the manager, nurses and care staff regarding the development of the person’s care and well-being. It was recommended that one element of one care plan needed to be updated and another element would benefit from more information/guidance. The manager confirmed that residents or their supporters were shown copies of the relevant initial care plan and they were asked to comment and sign if acceptable. There was evidence of communication between the home and the relatives and this was confirmed by the relatives who spoke to the inspector, and the questionnaire responses that were completed and returned. Any changes to the care plans were communicated to the resident and family and entered on the relevant evaluation record. A relative commented in the questionnaire; ‘The home has looked after my mum with real care and attention. It seems to be a very happy environment. My brother and I are very happy with the home.’ Medication was well managed. Storage was acceptable and records were well maintained. It was observed that the pharmacist had failed to enter on the record if the person had any allergies. Hand written additions and changes to the medication administration records needed to be double signed to ensure accuracy. There was documentary evidence that only trained staff administered medication and the residents’ reactions to medication were closely monitored and responded to. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 12 Two requirements concerning medication were made following the previous inspection and both of these had been met. It was observed that the staff related well to the residents, and privacy and dignity was respected. Relatives confirmed that staff appeared kind, attentive, respectful and caring. Residents had access to their rooms when they wished and double rooms were fitted with privacy curtains. Most bedroom doors were not fitted with approved door locks that enabled them to be private in safety when they wished. However it was acknowledged that many of the current residents did not have the ability to use such a facility. Some residents had private telephones in their rooms and there were facilities for others to make and take calls in private when they wished. The care plans contained information describing how private mail was to be managed. Residents, relatives, questionnaire responses and records all confirmed that health care was provided, doctors were consulted when necessary and residents had access to a wide range of health care specialists. The care records had clear information regarding the residents’ ‘End of Life’ wishes and the manager confirmed that training in palliative care was provided for staff. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A wide range of group and individual activities and events are arranged so the residents have access to stimulation and interests in the home and the community. A choice of quality nutritious meals is offered daily so residents are able to make a selection or ask for alternatives. EVIDENCE: Residents’ records contained information of their lives and interests. Participation in current events were also documented. The pre-inspection questionnaire completed by the registered manager, stated that a social diversion manager was employed for 30 hours a week. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 14 An activities programme was clearly displayed in the home for the residents and relatives and a large print copy of the home’s newspaper was available. Choice and personal decisions were encouraged and respected. A resident told the inspector that she preferred to stay in her room and watch her television. It was observed that when residents were bed bound or communication was difficult, efforts were made to interact with them through music, massage and relaxation therapies. Residents were able to enjoy the garden and fresh air. There was a gardening club and a Saturday Club. One relative spoke of the efforts that were made to find interests that would be enjoyed. A lovely arrangement of photographs from the Christmas party was displayed in the home. At the time of the inspector’s visit there were no residents from foreign countries. Some current residents professed to belong to various denominations of the Christian faith. The vicar visited each month and administered Holy Communion to those who wished to receive it. Good information was included in individual care plans of their wishes and needs in this area. The home has their own transport so that outings are undertaken. Relatives told the inspector, and stated in the questionnaire responses, that they always felt welcome. Residents were able to receive their visitors in private if they wished. Visiting could take place at any time of the day and the visitors’ book indicated that there was a steady stream of people coming to the home during the day. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information they need so that they are able to raise any concerns with confidence. Staff are appropriately recruited and trained so that the safety and well being of residents is protected. EVIDENCE: All residents or their relatives received a personalised copy of the Service Users’ Guide when admitted to the home. It was observed that a complaints procedure was included that met the requirements. Relatives and residents said that they had no complaints. In a questionnaire a relative said; ‘I have had no reason to complain as the care is excellent. I have a chance to express my views during the annual review. Any request is attended to and I am sure if I asked I would immediately be shown the complaints procedure. My friend, in spite of her confusion, has mentioned the kindness of staff.’ Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 16 The pre-inspection questionnaire indicated that the home had received two complaints since the last inspection and there had been no issues regarding abuse. One complaint had concerned the attitude of a member of staff and the other had concerned personal items belonging to a resident that could not be found. All issues had been investigated and appropriate action taken. The Commission for Social Care Inspection (CSCI) had received no concerns, complaints or allegations regarding the home since the last inspection. The staff that spoke to the inspector confirmed that they had undergone an acceptable recruitment process that had included an interview, references, and checks by the Criminal Records Bureau (CRB). Documents confirmed this. Induction training had included the protection of vulnerable people and the staff demonstrated that they knew the correct action to take should they receive a complaint or become aware of any concerns regarding abuse. Norton Hall Nursing Home DS0000004129.V324219.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of investment in the environment has resulted in deterioration in the conditions in which residents live. The implementation of systems, procedures and training protect the residents from the risks of cross infection. EVIDENCE: A partial tour of the home was undertaken. It was observed to be clean and free of offensive odours. However the general décor and maintenance looked tired and in need of investment. The décor in one bedroom and the carpets in corridors and on stairs were especially poor. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 18 There had obviously been a lack of investment in the building and residents’ environment. The inspector was made aware that there had been progress in obtaining agreement to long term plans to improve the home. However currently, although the utilisation of space available had been cleverly managed, and improvements had been obtained by relocating the director’s office, the manager’s office and the staff office, the serious lack of storage for large items of equipment resulted in hoists and wheelchairs being parked in the corridors and some working areas were very cramped. Most bedroom doors were not fitted with suitable locks. (These enable a resident to be private when they wish without the risk of entrapment but with the reassurance that staff can open the door in an emergency.) It is acknowledged that current residents are not requiring this facility and in the past locks had been fitted when needed. The laundry was small but clean well organised and well equipped. Liquid soap, disposable towels and personal protective equipment were suitably placed around the home. The home had a contract for the collection of clinical waste and the staff had received training in infection control. Following the last inspection the following requirement was made; All the items of furniture specified in standard 24.2 must be provided in rooms occupied by residents. If the provision of any item poses an unacceptable risk to the resident or they decline the provision, details of the discussions and decision about this should be recorded in the assessment of the residents needs. This requirement had been met. Norton Hall Nursing Home DS0000004129.V324219.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, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient suitable staff are recruited and trained to provide the care residents need. EVIDENCE: The pre-inspection questionnaire stated that the staff complement comprised eight first level trained nurses and one second level trained nurse, twenty-four care staff and nineteen ancillary staff. The manager said that each morning shift commenced with one trained nurse and five care staff that were then joined by the manager and a support worker. During the afternoon/evening there was one trained nurse and four or five care staff on duty. At night one trained nurse and two care staff were awake on duty and the manager and clinical team manager were on call and readily available. This was supported by the duty rosters and staff told the inspector that they considered the home was appropriately staffed to care for the current needs of the residents. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 20 Of the of the eight relatives who completed and returned questionnaires, seven said that they considered that there was always sufficient staff on duty. One resident’s questionnaire agreed that staff were always available while the other three said that they usually were. Although there was a strong commitment to training there were currently only 38 of care staff that were qualified in National Vocational Qualifications (NVQ) level 2 or above. The manager said that the training and development co-ordinator was a mentor and assessor for the NHS and the clinical team manager would be undertaking the NVQ Assessors Course. In the New Year (after March) it was expected that two or three students would enrol on the NVQ course. Some of the more mature staff were reluctant to embark on courses but their knowledge and skills were kept up-to-date through in-house training and monitoring. Each member of staff had an individual training record on the computer and the manager confirmed that each March an analysis was made of the team’s achievements and a plan was developed for the staff team for the coming year. The staff that spoke to the inspector confirmed that they received training, and their records contained certificates. The pre-inspection questionnaire confirmed that a wide range of in-house and external training was undertaken in the past year. Three staff were interviewed and their records were assessed. It was clear that they had completed application forms and been interviewed. References for one person who had worked in the home for the past six years were not available and there was only one reference in the file of the person who had been employed since 2004. Two references were available for the third person. Two references are always required. If one is not forthcoming another referee should be approached. Checks had been undertaken by the Criminal Records Bureau as required. The manager said that staff needed to successfully complete a probationary period before they were offered a contract. The pre-inspection questionnaire demonstrated that unsatisfactory staff were not retained. Norton Hall Nursing Home DS0000004129.V324219.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to safe guard the health, well being and safety of everyone. EVIDENCE: The home has a stable staff team and management. The registered manager is experienced and well trained. The atmosphere in the home is positive and residents, relatives and staff confirm that the manager is approachable and easy to talk. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 22 The home is well organised with strong supportive systems in place. Equality and diversity is respected. While none of the residents came from foreign countries necessitating documents or communication in other languages, action had been taken to ensure communication was available in large print for those residents who were visually impaired. Staff came from England, Romania, Nigeria, India, and Poland. The manager said that there were occasional difficulties with communication but work to develop skills was on-going and classes were being undertaken in English by those who needed them. The home had a very good quality assurance system, The Blue Cross Mark of Excellence. This was comprehensive and based on the National Minimum standards. Documentation demonstrated that an annual audit had been undertaken of the service and strengths and weaknesses identified. In addition quarterly audits were undertaken and the results were fed into the annual development plan for the coming year. The views of residents, relatives and health care professionals were sought through annual questionnaires. The computer records demonstrated that residents held personal monies in safe keeping that were managed for them by the home. The manager confirmed that receipts were given for incoming monies and retained for expenditure. The staff and their records demonstrated that they undertook regular training in health and safety subjects and the pre-inspection questionnaire indicated that systems and equipment was regularly serviced and maintained. Accident records were well maintained and demonstrated that the results of accidents had been well managed. The CSCI had been appropriately notified of untoward events. A Fire Risk Assessment of the home had been undertaken in 2006 by the home’s health and safety representative and the records demonstrated that the fire alarm was tested and fire doors were checked every week. Lighting was checked by an external firm quarterly and the fire extinguishers were serviced annually. Staff received fire safety training and participated in fire drills. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 23 The frequency of the fire safety checks and training did not correspond to the guidance previously provided by the Hereford and Worcester Fire Authority. Recent changes to Fire Safety Legislation does not stipulate a required frequency beyond induction and what is perceived by the home to be necessary. However it is recommended that good practice would be to follow the guidance previously give by the Fire Authority. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 24 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X X X X 3 Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 2 Standard OP9 OP19 Regulation 13 13 Requirement Medication records must be fully maintained. The environment must be maintained with due regard to the health and welfare of the residents. There must be a minimum of 50 of the care staff trained to NVQ level 2 or above. Suitable provision must be made for the storage purposes of the care home. For Timescale for action 04/01/07 01/01/08 3 OP28 18 01/06/08 4 OP22 23 01/01/08 Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 26 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 OP38 Good Practice Recommendations It is recommended that previous guidance given by the Fire Authority for registered home be followed. Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Norton Hall Nursing Home DS0000004129.V324219.R01.S.doc Version 5.2 Page 28 - 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!