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Inspection on 04/06/08 for Nydsley Residential Home

Also see our care home review for Nydsley Residential Home for more information

This inspection was carried out on 4th June 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

All the requirements from last inspection have been met and the staff in the home have worked hard to make improvements in all areas. A new process for the giving of medication has been introduced, which means tablets are being given out straight from the chemists original packaging, therefore minimising the risk of mistakes. The care planning records have improved and people are involved in drawing up and creating their own care plans. This means care can be delivered in a way that takes into account people`s wishes, needs and abilities. The information relating to existing staff has been up dated and now includes all the information needed to make sure they are suitable to work with vulnerable adults. For example, a complete application form; two written references and a criminal records bureau check were available in the staff files, which were checked. Any new staff are also taken through the comprehensive selection process before they start work. Work is always being done to improve the environment to make sure that it continues to provide a pleasant and comfortable place for people to live.

What the care home could do better:

The staff training programme needs to include relevant courses, which will give staff the necessary knowledge to enhance their existing skills and strengths. In particular safeguarding, moving and handling and NVQ level 2 and above. However, this should not distract from the evidence found. The home is providing a good service and they know what further improvements they need to make. A recommendation is made about the level of recreational activity available to people living in the home.

CARE HOMES FOR OLDER PEOPLE Nydsley Residential Home Mill Lane Pately Bridge North Yorkshire HG3 5BA Lead Inspector Karen Westhead Key Unannounced Inspection 4th June 2008 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Nydsley Residential Home DS0000007797.V365842.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. Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nydsley Residential Home Address Mill Lane Pately Bridge North Yorkshire HG3 5BA 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) 01423 712060 Mr Frank Leonard Hall Mrs Elizabeth Anne Hall Mrs Elizabeth Anne Hall Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th June 2007 Brief Description of the Service: Nydsley Residential Home is a care home, which looks after fourteen older people. The house is a large detached property, which has been extended to provide four additional bedrooms. It is set in its own grounds. There is a lounge, a dining room, a conservatory and five bedrooms on the ground floor. In total there are ten single bedrooms, eight with en-suite facilities, and two double bedrooms. Accommodation is spread over three floors. A stair lift is available to take people from the ground floor up to the second floor. The third floor, where there is one bedroom and a small visitors lounge, is reached using stairs. There is a well-tended garden and a conservatory, which provide views of the local countryside. There is a car park for staff and visitors. The home is located close to the local services and amenities of Pateley Bridge. There is an information pack and service user guide, which informs people about the home. On 4th June 2008 the fees ranged from £350 to £370 per week. Services such as hairdressing and chiropody are available, but an additional charge is made. Copies of inspection reports are available in the home. Nydsley Residential Home DS0000007797.V365842.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 2 star. This means the people who use this service experience good quality outcomes. The inspection process included looking at the information received about the home since the last key inspection on 5th June 2007. The CSCI (Commission for Social Care Inspection) have not had any complaints or concerns about the home since the last inspection. The purpose of this visit was to look at how the needs of people living at Nydsley Residential Home are being met. This unannounced visit was done in one day; one inspector visited the home between the hours of 8.30am and 3.15pm. During the visit people living in the home, visitors, staff and management were spoken to by the inspector. Various records were examined and parts of the building were looked at. During the visit surveys were handed out to people living in the home and their visitors. Some surveys were left with the manager to give out to other people living in the home, staff, relatives and health care professionals. Stamped addressed envelopes were also provided and people were asked to return the forms by 10th June 2008. At the time of writing this report a total of 3 surveys had been completed. A self-assessment form was sent to the home and it was returned to the CSCI. It was clear and contained most of the information asked for. Further information was provided by the manager during the inspection visit. Information from the surveys and the self-assessment form are included in this report. What the service does well: These are some of the things people said about Nydsley Residential Home: • • • • • It “gives a homely caring feel to residents” “Staff have always been kind to all residents in my observation” “I like it here” “A very good place for care” “They serve very good home cooked food” Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 6 • • • • “The laundry is very good” There is “no delay when I need attention” “They get me an alternative if I don’t like what is on for tea” “I feel safe and secure here” There are procedures in place for the employment of new staff that protect people living in the home. All the required checks are now routinely done before anyone starts work; this is to make sure they are suitable to work with vulnerable adults. There is a very low turnover of staff which means people do not have to get used to new members of staff. Health and safety is well managed, which means that the home is a safe place for people to live. The owner/manager works alongside staff, lives on the premises and has a good working knowledge of how the home runs and all the people living there. This means she is readily available and makes decisions in the best interests of those living at Nydsley Residential Home. The home is small, with a maximum of fourteen residents, which staff and people spoken to thought was small enough for there to be a ‘personalised’ delivery of care. What has improved since the last inspection? All the requirements from last inspection have been met and the staff in the home have worked hard to make improvements in all areas. A new process for the giving of medication has been introduced, which means tablets are being given out straight from the chemists original packaging, therefore minimising the risk of mistakes. The care planning records have improved and people are involved in drawing up and creating their own care plans. This means care can be delivered in a way that takes into account people’s wishes, needs and abilities. The information relating to existing staff has been up dated and now includes all the information needed to make sure they are suitable to work with vulnerable adults. For example, a complete application form; two written references and a criminal records bureau check were available in the staff files, which were checked. Any new staff are also taken through the comprehensive selection process before they start work. Work is always being done to improve the environment to make sure that it continues to provide a pleasant and comfortable place for people to live. Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 7 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. Nydsley Residential Home DS0000007797.V365842.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 Nydsley Residential Home DS0000007797.V365842.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 5. Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are given the information they need to help them decide if Nydsley Residential Home is the right care home for them and their needs are assessed before they move in. EVIDENCE: People living in the home are given enough information before moving in and everyone is provided with a contract within four weeks of admission. There is a Statement of Purpose and Service User guide and this is given to people when they contact the home. Pre-admission assessments are carried out before people are offered a place and move in. Staff said they get plenty of information about prospective Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 10 people, so they have some understanding of what their care needs will be at the time of admission. The home encourages people and/or their relatives to visit before making a decision about the suitability of the home. Some people told us they had visited, others said they had not been able to because they had needed to move in immediately. The home attracts local people and the majority of those living at Nydsley Residential Home knew each other when they lived in their own home in the community. The manager said the home operates a waiting list and is very popular, so the home runs at full capacity most of the time. If possible people stay at the home on a respite basis prior to making the decision to stay permanently. This allows them to get to know the routines and what it might be like to live in a care home in the longer term. It also allows staff to get to know the person and make sure they are able to meet their needs. Nydsley Residential Home DS0000007797.V365842.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, 10 and 11 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s care needs are met in a way that takes account of their preferences, abilities and respects their privacy and dignity. EVIDENCE: Everyone living in the home has a care plan. The care plans are detailed and have information on people’s personal, health and social care needs. People living in the home and/or their relatives are involved in drawing up the care plans if appropriate and are kept informed about any changes. Evidence of this was seen in the 5 care plans looked at. The care plans are informative and had been reviewed on a monthly basis. The manager and deputy manager have worked hard since the last inspection to improve the monitoring of care plans to make sure they are kept up date. People living in the home said they always get the care and support they need. One person told us they are “very contented” and “well looked after”, they said Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 12 they can always get to see their GP if they need to. They also said they felt “safe and secure”. One person living in the home said, “The staff are very good and work very hard”. Another person said “I knew the owner and this home before I came in so I wasn’t coming to a strange place”. Relatives said they feel people are well cared for and that they are usually kept informed of important issues affecting their relative/friend. These are some of the comments made by relatives: • • A visitor talking about a person with Alzheimer’s disease said “The staff deal with this the best way they can.” “They always tell me if there have been problems and what they have done to solve it.” One person said they did not know how many staff had qualifications to deal with people who had dementia, however, they thought staff “treated residents well.” The care plans show that people have access to a range of NHS services. Medicines are managed safely in the home now that the new procedure has been introduced. Tablets are delivered from the chemist in a pre-dispensed package and given directly to the person named. This means there is a very low risk of medication being given at the wrong time to the wrong person. Only staff who have been trained and are competent to do this task give out the medication. The home provides care for people with terminal illnesses, if staff can continue to meet the persons’ needs. Staff said they had good support from doctors, district and specialist nurses. This helps to make sure that the needs of the dying person and their family/friends are dealt with in a sensitive, professional and consistent way. Nydsley Residential Home DS0000007797.V365842.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 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s individual social and leisure needs are met and people are supported to keep in touch with family and friends. EVIDENCE: Daily routines are flexible, for example people can get up and go to bed when they choose and can stay in their rooms if they choose not to use the communal areas. The home does not have an activities organiser, but they make an effort to encourage people to join in activities, which people said they enjoyed. People living in the home said they were satisfied that there are activities for them to take part in if they want to. Staff talked about the difficulty in getting some people involved in activities and confirmed an entertainer visited every few weeks to play music and sing. One person said they used to walk to the local shops but had stopped recently. Some people said staff would take them to the local shops if they wanted to go out. Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 14 Two people said they thought people needed to be stimulated more and have more to do which keeps their minds active. On the day of the visit one person went out to a local group for a coffee morning and returned just before dinner. They said they had enjoyed the ride out. Information about people’s social care needs and preferences is included in the care plans. Visitors are welcome at any time. Relatives said the home meets people’s different needs, one person said they had always found the manager and staff to be “very kind and caring” not just to their relative but to other people as well. People’s spiritual needs are identified and representatives from local Christian churches visit people in the home. A local priest, visiting during the inspection, said that he thought the home was “marvellous”. He said people were “well looked after” and that this was a “home for life”. He remarked that the television wasn’t on with people asleep in front of it. He said he regularly saw people from the home in the village and that they were often escorted by staff. People said they liked and enjoyed the food. One person said they really appreciated the “good home cooked food”. Another person said staff knew what they liked and didn’t like, they said staff gave them an alternative if they didn’t like what was being given for tea. People choose what they want to eat on the same day it will be served. This means people aren’t making a choice the day before and might be inclined to forget what they ordered. The inspector watched the lunchtime meal being served in the dining room. The tables were nicely set with tablecloths, napkins, place mats, drinking glasses, cups and saucers, condiments and fresh flowers in vases. People were offered a cold drink with their meal and a hot drink afterwards. The meal was nicely presented, it looked and smelt appetising. Staff were available to help or prompt people and this was done discreetly. The meal was served and eaten in a relaxed and unhurried manner, giving people time to eat at their own pace. Some meals were also plated and taken to people who wished to dine in their own rooms. Nydsley Residential Home DS0000007797.V365842.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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Complaints are taken seriously and acted on. People are protected from abuse but staff need to be trained in the protection of vulnerable adult procedures, to make sure they are following up to date practices. EVIDENCE: Information about the complaints procedure is available in the home and is also contained in the service user guide. People living in the home, who completed the survey or talked to the inspector, said they know who to speak to if they are not happy. One person said, “I can speak to any of the staff if I don’t like something, or I’m worried”. One visitor said they knew how to make a complaint, but had never had cause to bring anything up. One relative said they were not aware of the complaints procedure and that when they raised something, which was not a serious matter, it was dealt with on the same day. The home told us they have had no complaints since our last inspection. The manager said they would record details of any complaints and that these would be dealt with within 28 days. CSCI has not been contacted directly about any complaints or concerns. The home has a policy on the protection of vulnerable adults, (safeguarding). At the time of the visit none of the staff had received formal training on Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 16 safeguarding. All staff have induction training, where safeguarding is referred to, but not in sufficient detail. All staff must be trained in this area to make sure vulnerable adults are protected and staff are aware of the signs and procedures to be followed in cases of abuse. It is worth noting however that staff spoken to did have a good understanding of their responsibilities to protect people and had a basic understanding of what they would do if they had any concerns about people’s welfare. Nydsley Residential Home DS0000007797.V365842.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 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean, comfortable and pleasant environment, which is well equipped to meet their needs. EVIDENCE: The home was clean, tidy and odour free on the day of the visit. People living in the home said it is always clean and fresh. It was evident that a lot of improvements have been made since the last visit and there is an ongoing programme of refurbishment, including new carpets and redecoration. There are decked areas, with balcony, outside the conservatory and dining room on the ground floor. This provides a pleasant and safe place for people Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 18 to sit outside. On the day of the visit it was very hot outside, the patio doors from the conservatory were open and people were seen walking onto the balcony and said they were enjoying the fresh air. People had lots of their personal belongings in their bedrooms. Which one person said gave them a “sense of home”. One person said they had found it hard to adapt to their new surroundings and that living in a care home was “inevitably very different to living in your own home”. They said the transition from home to Nydsley Residential Home had proved difficult but that was down to the situation and not the staff, she said staff had been “kind, patient and understanding” and that she felt “well looked after”. The inspector got the impression that people living in the home had been consulted about colour schemes, for example they had helped to choose the lounge carpet and one person said they had been asked about the wallpaper used in their bedroom. The home is well equipped to meet the needs of people with physical disabilities, there is a stair lift to the first floor, the corridors are wide and there is a banister on the stairs for those able to climb them. There are assisted bathing facilities. The home does all the laundry, including linen and towels. Every person spoken to said the laundry was good, that their clothing was returned to them within 24 hours and rarely did anything go missing. Staff said because there are 14 people living at the home they are able to recognise which clothing belongs to each individual, this means laundry is returned to the right person. Clothing and linen seen on the day of the visit was clean, ironed and well presented. Nydsley Residential Home DS0000007797.V365842.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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are enough staff to meet people’s needs and people are protected because all the required checks are done before staff start work. The staff training programme needs extending to include courses which supports staff in gaining the knowledge and skills they need to continue to care for people properly. EVIDENCE: The home has a well-established staff team, who have worked there a long time and live locally. Staff often knew the person before they move into the home and felt this was of benefit to the person and that they were able to provide them with the care they wanted, in a way they preferred. People living in the home said staff are usually available when they need them. One person said there is “no delay when I need attention”. There is a call bell system and this was heard several times during the visit. The time taken to attend to the call was short and the alarm is cancelled at source, this means staff cannot switch the bell off on a display board without going to where it was activated to attend to the caller. Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 20 Most people spoke positively about the staff describing them as “caring” and “kind”. One person said the night staff are very kind. Another person said, “the staff are very helpful”. Other positive comments made about staff were: “Staff have always been kind to all residents in my observation” The home “gives a homely caring feel to residents” “I feel safe and secure here” People said that staff listen to them and take notice of what they say. Staff were seen being kind and respectful to people, there was also a warmth in the way they approached and spoke to people. Staff did not ignore anyone they came across in the course of their work; a gentle smile or greeting was given to each person to acknowledge them or reassure them of the time or event about to take place. This made people feel included and help orientate others. There were 14 people living in the home at the time of the visit. There are usually 3 carers on duty in the morning and 2 in the afternoon and evening until the night staff arrive for work at 9pm. There is a short hand over at each shift change and there is always a manager or deputy manager on duty or on call. The home employs staff for housekeeping, catering and maintenance. The manager lives on the premises and is available at all times. When she is not available then staff know who is on call. During the night shift there is one person on duty with the manager available on the premises should she be needed. There is a procedure in place for lone working and this is reviewed regularly to make sure it is still effective. If an emergency occurs during the night, for example if a person needs to go to hospital, there is a procedure in place which allows the injured/ill person to be accompanied and for the home to retain the staff on duty. Four staff files were looked at and they showed that all the required checks had now been completed in line with the requirements made at the last inspection. All new staff will now be taken through the comprehensive interview and selection process to make sure they are suitable to work with vulnerable adults. All staff are taken through induction training and have a mentor to support them while they are learning the job. Only 3 care staff have achieved an NVQ (National Vocational Qualification) at level 2 or above. This is an area, which needs to be improved. The manager agreed to pursue local courses where possible, which would include NVQ, moving and handling and safeguarding. Nydsley Residential Home DS0000007797.V365842.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, 32, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed; people are given the opportunity to share their views of the service and kept informed about changes. The environment is safe for people and staff because appropriate health and safety practices are carried out. EVIDENCE: The manager keeps up to date with current good practice in both care and management. The manager works alongside staff and is supported in her role by the deputy manager. They both monitor various aspects of the home and involve staff Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 22 and people using the service in the running of it. If an area is identified as needing improvement this is act upon promptly. For example, the seating arrangements during mealtimes had been altered because people using the service had made a suggestion and staff had noticed matters, which needed attention. The manager sends questionnaires to relatives and people who use the service at least once a year. The replies are analysed and if necessary things are changed. The manager felt this could be further improved and had plans to address this. The home continues to promote an open culture that encourages people to express their views about the home. The home does not hold money for people. All financial transactions are dealt with through invoicing and accounts are administered and audited using a clear tracking system. The manager provided written evidence that showed that equipment is maintained and serviced at the required intervals. There is system in place for recording and monitoring accidents. Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 24 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 Standard OP30 Regulation 18 (c) (i) 13 (5) Requirement The registered person is required to make sure that staff have the necessary training to enable them to care for people safely. Such as moving and handling; adult protection and NVQ level 2 and above. Timescale for action 01/10/08 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 OP12 Good Practice Recommendations People should be offered daily and social activities, which will help keep them stimulated and independent. The register person should make sure all the people in the home are offered the opportunity to engage in local recreational activities. Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 25 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 Nydsley Residential Home DS0000007797.V365842.R01.S.doc Version 5.2 Page 26 - 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. 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