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Inspection on 11/07/06 for Notintone House Care Home

Also see our care home review for Notintone House Care Home for more information

This inspection was carried out on 11th July 2006.

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

Notintone House Care Home provides a good quality of care to the residents. Residents spoken with reported that they were happy at the home and liked the staff. Staff members spoken with reported that they felt that there was a good quality of care. Staff were observed to be respectful towards the residents and good relationships were observed. The home has a pleasant and relaxed atmosphere. Medication in the home is well organised and all records checked were up to date. The food in the home was very well presented and nutritious. The mealtime was a relaxed social occasion. Residents presented as being well groomed, relaxed and in the home. Residents benefit from a comfortable, appropriately furnished environment, which provides specialist equipment such as hoists. Bedrooms viewed by the inspector were comfortable, clean and personalised. On the day of inspection there was no malodour observed. The standard of cleanness in the area`s viewed on the day of the inspection was good. The health and safety of residents is promoted and protected.

What has improved since the last inspection?

Since the last inspection the home have reinstated regular staff supervision.

What the care home could do better:

Following this inspection there are three requirements arising including one outstanding from the previous inspection. Recruitment practices at the home need to be robust offering protection to the residents. Three staff files were viewed one file did not contain all the information as listed in Schedule 2 of the Care Home Regulations 2001. Three care plans were viewed; there was room to improve the care plans and risk assessments, ensuring complex needs have an appropriate care plan and risk assessment in place. Care plans to be reviewed after consultation with the resident and or representative.

CARE HOMES FOR OLDER PEOPLE Notintone House Care Home Sneinton Road Sneinton Nottingham NG2 4QL Lead Inspector Rehana Rashid Key Unannounced Inspection 11th July 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Notintone House Care Home DS0000002213.V302673.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. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Notintone House Care Home Address Sneinton Road Sneinton Nottingham NG2 4QL 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 950 3788 0115 959 8604 Salvation Army Mr William Robins Care Home 40 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (40) of places Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons in the category of Old age, not falling within any other category (OP) Male and Female to a maximum number of 40 (OP40) To admit one person with dementia named in the application dated 12/06/05 DE1 (named person) The maximum Number registered remains 40 To admit 1 named Service user aged 61 years within category PD Date of last inspection 18th October 2005 Brief Description of the Service: Notintone House is a purpose built care home for older people registered to accommodate 40 service users. The home is run by the Salvation Army and is situated within the William Booth Memorial complex. This complex includes a day centre, which the home provides with hot meals from the newly refurbished kitchen. The home is situated close to the city centre, with easy access to local community facilities. The service users are accommodated in single rooms on four floors, which are accessible by a passenger lift, with other aids and adaptations available to promote service user independence. There are car parking spaces at the rear of the property. The current weekly fee range is £272.58 to £437.22. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on 11th July 2006 for the duration of six hours. This was the homes first inspection for this financial/inspection year April 2006. The main method of inspection was case tracking, which involved randomly selecting three residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The relief manager gave the inspector a partial tour of the building. Which included the communal areas, 2 bathrooms, kitchen and three bedrooms. The garden area was also viewed. Residents were briefly observed during lunch. Other documentation including health and safety records were also examined. The management of medication was partly assessed for the three residents. During the course of the inspection the Inspector spoke with three residents, the feedback was very positive about the level of care received. These residents spoke positively about the care staff and about the service provided by the home. One relative was spoken with during the inspection. The Registered Manager, relief manager and deputy manager assisted in the inspection process. The registered manager assisted with part of the inspection. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). Requirements set at the last inspection were discussed with the deputy manager What the service does well: Notintone House Care Home provides a good quality of care to the residents. Residents spoken with reported that they were happy at the home and liked the staff. Staff members spoken with reported that they felt that there was a good quality of care. Staff were observed to be respectful towards the residents and good relationships were observed. The home has a pleasant and relaxed atmosphere. Medication in the home is well organised and all records checked were up to date. The food in the home was very well presented and nutritious. The mealtime was a relaxed social occasion. Residents presented as being well groomed, relaxed and in the home. Residents benefit from a comfortable, appropriately furnished environment, which provides specialist equipment such as hoists. Bedrooms viewed by the inspector were comfortable, clean and personalised. On the day of inspection Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 6 there was no malodour observed. The standard of cleanness in the area’s viewed on the day of the inspection was good. The health and safety of residents is promoted and protected. 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. Notintone House Care Home DS0000002213.V302673.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 Notintone House Care Home DS0000002213.V302673.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home. Prospective residents and their relatives and friends have an opportunity to visit the home. Notintone House does take people for short-term care. EVIDENCE: Prospective residents have their needs assessed prior admission. The registered manager stated prospective residents have an opportunity to visit the home prior to moving in. The most recent admission to the home care plan contained a community care assessment. One resident stated she had visited the home prior to the commencement of the placement This is usually done by having a trial day at the home where prospective residents are able to stay for the duration of the day and join residents for lunch. During the inspection the inspector viewed a poster on the residents notice board stating details of a forth-coming open day. The registered manager stated the purpose of this was to allow prospective residents, their family and friends to visit the home. During this inspection the registered manager stated there are three residents at the home for respite. At the end of the respite period they will return home. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 9 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 area is adequate. This judgement has been made using available evidence including a visit to this service. Health care records are well organised within the resident’s files. Resident’s health, personal and social care needs are generally set out in and individual plan of care, which need to be improved. Medication is well organised, and there are policies and procedures in place around medication administration. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Three resident’s care plans were viewed. There was evidence on all three care plans that they are reviewed regularly, the outcome of the review should be clearly documented even when needs have not changed should also be documented. Consultation with residents and or representatives was not evident. Care plans were detailed but continue to require further development. One care plan viewed indicated the resident has diabetes this care plan needs to be improved. There was no provision made on the care plan or risk assessment to indicate at what frequency blood sugar levels are tested or to indicate what action staff would need to take should the resident have low or high blood sugar levels. Another care plan viewed showed that the resident displays aggressive behaviour, the care plan should contain more detail as to Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 10 possible triggers and what works best to manage this behaviour. A risk assessment is also need identifying potential risks and actions to be taken by care staff to minimise the risk. Resident’s files contained detailed daily records, which contained information about significant events relating to the individual residents, these entries are signed and dated by the author. The files indicated that service user health needs are addressed and when appropriate or necessary the home seek input from local health care professionals such as GP or District Nurse. Visits by health professionals are recorded within the daily communication records. Medication was observed to be stored securely in a lockable trolley. The home uses a dosette box system for the majority of the medicines. The inspector directly observed a member of staff dispensing and administering medication. The home had good policies and procedures in place with regard to the administration of medication and the inspector observed that staff were adhering to these during the ‘medicine round’. The staff completing this task was efficient and competent. The administration of the medicines was handled by the staff in a way, which promoted independence and dignity. The MAR sheets were found to be well organised in a file and there was no gaps in the entries containing photographs of residents. The deputy manager stated as they have changed the pharmacy where they order medication from, the pharmacist from the new pharmacy has been to the home and has left good practice recommendations. These recommendations were not viewed during the inspection and no evidence was viewed confirming consultation with the pharmacist. During the inspection staff were observed to preserve the privacy and dignity of residents. When the Relief Manager was showing the inspector around the home, he knocked on the resident’s bedroom doors prior to entering. Residents stated staff are respectful and polite towards them. They stated staff knock on their bedroom door prior to entering. Residents advised that staff are welcoming towards their visitors. A relative who was present at the inspection commentated that staff are polite and friendly. Residents spoken with stated their correspondence is delivered to them unopened. Residents have access to a pay phone Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 11 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 area is good. This judgement has been made using available evidence including a visit to this service. The home’s staff match the residents lifestyles, cultural, religious and recreational interests as closely as possible. Friends and family are welcomed at any time. Residents do exercise choice and have control over their lives and receive a wholesome, balanced diet in a pleasant dining room. EVIDENCE: Three residents spoken with stated they are happy with the level of social activities. During the inspection service users were observed socialising in different areas of the home. Some were interacting with staff and fellow residents. On the day if the inspection there was a residents meeting which some of the residents were looking forward to attend. The Salvation Army runs the home and religion plays an important role with morning prayers and a Sunday service, which service users can choose to attend if they wish. The residents spoken with talked about the different activities on offer at the home. Some residents attend Salvation Army’s day centre adjacent to Notintone House, residents spoken with confirmed this. forth coming social outings include a visit to Ruddington. The resident’s notice board contained details of social activities to take place at the home, which included an open day and flower festival. There were photographic displays of Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 12 both residents and staff taking part in social activities including a boat trip, Easter bonnets and Thursday night fellowship. The home has a welcoming and friendly atmosphere, which was witnessed at the inspection. Throughout the inspection visitors were observed to come and go. Residents spoken with confirmed that visiting times were flexible and staff are welcoming of visitors. One relative spoken with stated staff are friendly and welcoming. Residents informed the Inspector that they are encouraged to make their own choices including meals. One resident stated “you can please yourself here, it’s like being at home.” Resident’s rooms were personalised, which was observed when three bedrooms were viewed. The meal on the day of the inspection was freshly prepared and looked appetizing. The menu for the day was displayed outside the dining room, which was lamb hot pot or cod and cheese sauce with cream potatoes, peas, runner beans. The dessert was chocolate sponge and custard. Residents spoken with said that the food in the home was of a good standard and there are alternative choices. The home has a four weekly menu in place. The kitchen was clean, and orderly, and a good selection of fresh vegetables were available. Food storage areas viewed were clean. Residents said that they were asked what they would like to eat. The kitchen supervisor stated the menu is taken round to residents to decide what they wish to have for lunch and tea. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 13 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 area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident that their complaints are taken seriously. Staff members spoken to during the inspection were aware of the issues of protection of service users from abuse EVIDENCE: The homes complaints procedure is in place, which was on display alongside other relevant information on a notice board. Residents spoken with confirmed that they were aware of the complaints procedure. It was clear from residents that they would feel confident to complain and that they felt any concerns would be dealt with immediately and appropriately. Notintone House have a complaints book recording all complaints received and previous complaints have been listed, with outcomes. Since the last inspection the home has received no complaints. Staff members spoken with demonstrated an understanding of the whistle blowing procedure and were aware on the seriousness of the issues around abuse. Staff training records viewed showed that staff had received training in adult protection. One staff member spoken with confirmed that she had covered adult abuse as part of NVQ 2. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 14 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): 19,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a wellmaintained environment, which is clean, pleasant and hygienic. The home was clean. Bedrooms are well equipped and personalised according to personal choice with resident’s own possessions around them. EVIDENCE: The home is well decorated and maintained and there is an on-going programme of repairs and redecoration. Redecoration work was taking place along the ground floor corridor on the day of the inspection. The communal areas are homely, and everywhere was uncluttered with adequate storage areas for wheelchairs and walking aids, within reach of communal areas. Residents spoken with stated they liked their rooms. One resident stated she prefers to spend time in her room as she has everything she needs. All rooms are ensuite with sink and toilet and there are a number of bathrooms and toilets within the communal areas. All of these facilities are clean and well maintained. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 15 Notintone House care home offers its residents a clean and well-maintained environment. The atmosphere in the home is welcoming and homely. During the partial tour of the premises it was evident that the home was clean and free from offensive odours. The home has a laundry room, which contained an industrial washer and dryer. There is a passenger lift. The home has appropriate equipment including hoists, commodes, and wheelchairs and bathing aids. The dining room is spacious and well decorated. Three bedrooms were viewed these were personalised to meet individual needs containing personal possessions to include photographs. Call alarms are in situ in. One bedroom viewed had a walk over mat placed on the floor next to the bed, as the resident is at risk of falling without appropriate walking aid and maybe at risk of wandering. This is to notify the staff at night should the resident get up, this is used to safe guard the residents well being. Two bathrooms were viewed which contained appropriate equipment to include a parker bath. The kitchen area was clean and well organised. On the day of the inspection it was a fairly warm day, one residents room viewed was very warm. The room had two fans in place; the residents relative stated usually in the afternoon the room becomes cooler. This residents relative stated the home do everything possible to ensure the room is not to warm by providing fans and opening windows. The other two rooms viewed were cool. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 16 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 area is adequate this judgement has been made using available evidence including a visit to this service. Residents are in safe hands. The homes recruitment practices need to be robust ensuring residents are protected. Staff are trained and competent to do their jobs EVIDENCE: Staff were friendly and welcoming to the inspector and had positive relationships with the residents, demonstrating a caring attitude. One resident commentated “ all staff are very good and helpful, but one staff member is exceptionally better than the rest.” Two staff members were spoken with who stated they enjoyed working at the home, but feel staff levels in their opinions are not satisfactory due to the different levels of needs of the residents. There are 31 residents at present but when the home is full there are 40 residents. The manager informed the inspector that three residents are at the home are there on respite stays which will end over the next couple of weeks. Staff did appear to be very busy during and after lunch. Domestic, catering and a handyperson are also employed. Residents spoken with reported there were enough staff on duty to meet their needs; they also said that the staff were kind, caring and considerate. During the inspection one relative was spoken with who stated that staff are busy and it is very rare for there to appear that not enough staff are on duty. Staff files were well organised and presented and three files were inspected in detail, which contained details of current enhanced CRB checks, proof of ID and certificates of training. One of the files did not contain all the items as Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 17 listed in schedule 2 and schedule 4 of the Care Home Regulations 2001. This was discussed with the manager at time of the inspection. A staff member spoken with confirmed she has just completed NVQ 3 and is currently undertaking training in Dementia Care. Staff files viewed confirmed training had been received in the following by some of the staff which included medication handling, Dementia Care, first aid, Minibus escort and Intermediate care practice which covered areas to include abuse and care. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 18 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 area is adequate. This judgement has been made using available evidence including a visit to this service. Notintone House Care Home is run and managed by a person of good character who is fit to be in charge. Resident’s financial interests are safeguarded. The health & safety of residents and staff at the home are promoted and protected. EVIDENCE: The Registered Manager is registered with the Commission for Social Care Inspection. Members of Staff spoken with on the day of the inspection stated the manager is approachable. On the day if the inspection there was a residents meeting which are reported to take place quarterly. Notintone house Care Home have a quality control audit tool, which the registered manager stated needs to be implemented fully, the last audit took place August 2005 and the focus was around dignity. He stated there is a quality assurance team, which is made up staff including catering staff and care staff. The process to collect feedback is via speaking Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 19 with residents and relatives and observations. During a quality audit the registered manager stated the team focus on one area for instance privacy and independence. A good practice recommendation has been made that results of resident surveys are made available to current and prospective residents, their representatives and other interested parties including CSCI. Resident’s financial interests are safeguarded by the homes financial procedures. Resident’s money is kept in a secure lockable safe. On the day of the inspection three financial records were viewed, which were satisfactory. The administrator maintains these records and keeps all the receipts for amounts spent. All money is kept individually and all actions are logged and signed. During the inspection the inspector randomly viewed a selection of records relating to health and safety. The Employers Liability Insurance Certificate and registration certificate were displayed in the home. On the day of the inspection records viewed regarding fire testing showed that tests take place at regular intervals as advised by the fire officer. The passenger lifts were serviced May 2006. Water outlet temperatures are recorded regularly. Portable appliances testing (PAT) had taken place on February 2006. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(2)abc Requirement To keep all service user’s plan under review and after consultation with the service user, representative and revise the plan and make it available to the service user. (Outstanding from the last inspection). Ensure complex needs have an appropriate care plan in place as to how the named service user needs in respect of health, social and personal care are to be met. The registered manager must ensure all staff files contain information as set out in schedule 2 and schedule 4 of the care homes regulations 2001. Timescale for action 31/08/06 2. OP7 15 31/08/06 3. OP29 17 11/09/06 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 OP33 Good Practice Recommendations Fully implement the quality audit tool. Results of resident surveys are made available to current and prospective residents, their representatives and other interested parties including CSCI. Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 22 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 Notintone House Care Home DS0000002213.V302673.R01.S.doc Version 5.2 Page 23 - 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!