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Inspection on 04/09/07 for Old Rectory Nursing Home - Capenhurst

Also see our care home review for Old Rectory Nursing Home - Capenhurst for more information

This inspection was carried out on 4th September 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 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

Information about the home is given to residents/relatives so they can decide whether their needs will be met there. All residents are assessed prior to admission so that the staff know they can meet their needs. Care plans are in place so that the staff know how to care for the residents living at the Old Rectory. Comments such as "the staff are very nice" the staff are caring" were made by the relatives spoken with and on the questionnaires that were sent out prior to the inspection visit. People who live in the home are able to receive visitors at any reasonable time so they can keep in touch with their families and friends. The procedures for dealing with medicines in the home are thorough to make sure that people living there receive their medicines safely as prescribed. The home is staffed with people who are trained to look after older people. Recruitment procedures, staff training and staff supervision ensure that residents are protected from harm. The manager has recently completed his NVQ Level 4 and Registered Managers Award.

What has improved since the last inspection?

An activities co-ordinator has been employed at the home and the activities have improved since the last inspection so that some social needs are being addressed. The recording of staff training sessions has been improved to enable the manager to monitor the staff training needs. All staff have now received training in dementia care and challenging behaviour to enable them to meet the diverse needs of the residents living at the home. All staff are receiving formal recorded supervision sessions to enable their training needs to be met and that the management at the home appropriately supports them. A new cook has been employed and is looking at improving the menus to enable more choice to be given at mealtimes. New equipment has been purchased for the kitchen. Some redecoration has taken place and new carpets and furniture have been purchased for the lounge areas to improve the environment for the residents The home has been working with the infection control nurse and a new policy and procedure is in place to improve the control of infection at the home.

What the care home could do better:

Although the staff have recently had training in dementia care some aspects of communication at the home needs to be improved to maintain the dignity of the residents living there and to give a more person centred approach to care. The organisation of the mealtimes within the lounges needs to be more organised to enable the social aspect of mealtimes to be addressed. Areas of the home need to improve to ensure that residents live in a good environment. The steps and ramp leading up to the front entrance to the home must have non-slip surfaces in place to prevent the risk of slipping/falling to residents and visitors.The double bedrooms must have two wash-hand basins in place to reduce the risk of cross infection. Similar requirements were made at the last inspection.

CARE HOMES FOR OLDER PEOPLE Old Rectory Nursing Home - Capenhurst Rectory Lane Capenhurst Chester Cheshire CH3 6HN Lead Inspector Joan Adam Unannounced Inspection 25th September 2007 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 Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.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. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Rectory Nursing Home - Capenhurst Address Rectory Lane Capenhurst Chester Cheshire CH3 6HN 0151 339 4810 0151 339 7231 old.rectory@onetel.net 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) The Old Rectory Limited Robert M`Connell Care Home 35 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (35) of places Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Maximum of 35 persons accommodated aged 65 years and above Date of last inspection 27th February 2007 Brief Description of the Service: The Old Rectory is registered to accommodate 35 service users with a diagnosis of dementia. The home is a detached house which has been extended and converted. Accommodation consists of twenty three single bedrooms and six double bedrooms on two levels. Access between floors is via a passenger lift or stairs. None of the bedrooms at the home have en-suite facilities, washhand basins are fitted in all rooms. The home is situated in the village of Capenhurst with easy motorway access. Long and short -term placements are offered and the home employs a team of 1st level registered nurses and support workers for the provision of nursing and personal care. The current charges for the service are from £417 to £440. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 25th September 2007and lasted 8 hours. The visit was carried out by two Regulatory Inspectors. This visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for people who live at the home, families, health and social care professionals such as doctors, nurses and social workers, to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. People who live at the home, relatives and staff were spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 6 An activities co-ordinator has been employed at the home and the activities have improved since the last inspection so that some social needs are being addressed. The recording of staff training sessions has been improved to enable the manager to monitor the staff training needs. All staff have now received training in dementia care and challenging behaviour to enable them to meet the diverse needs of the residents living at the home. All staff are receiving formal recorded supervision sessions to enable their training needs to be met and that the management at the home appropriately supports them. A new cook has been employed and is looking at improving the menus to enable more choice to be given at mealtimes. New equipment has been purchased for the kitchen. Some redecoration has taken place and new carpets and furniture have been purchased for the lounge areas to improve the environment for the residents The home has been working with the infection control nurse and a new policy and procedure is in place to improve the control of infection at the home. What they could do better: Although the staff have recently had training in dementia care some aspects of communication at the home needs to be improved to maintain the dignity of the residents living there and to give a more person centred approach to care. The organisation of the mealtimes within the lounges needs to be more organised to enable the social aspect of mealtimes to be addressed. Areas of the home need to improve to ensure that residents live in a good environment. The steps and ramp leading up to the front entrance to the home must have non-slip surfaces in place to prevent the risk of slipping/falling to residents and visitors. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 7 The double bedrooms must have two wash-hand basins in place to reduce the risk of cross infection. Similar requirements were made at the last inspection. 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. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.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 Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.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): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A robust admissions procedure ensures that all prospective residents have their needs assessed, and are assured that the home has the capacity to meet their needs, prior to admission. EVIDENCE: Pre assessment documents were seen in the care plans. These enabled the manager to assess the person’s needs and ensure that the home was able to meet the needs prior to admission. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 10 Due to the specific needs of the people who use the service, the service users guide was not given to them but was given to families and social workers. The information was explained to the people who use the service by relatives, social workers or the staff team. The home does not provide intermediate care therefore standard 6 was not assessed. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans of care ensure that residents’ health and personal care needs are met. Some aspects of communication at the home needs to be improved to maintain the dignity of the residents living there. EVIDENCE: Four care plans were looked at. The files were divided into five sections: admission, assessment, care plans, progress and supplementary. They were clearly written, easy to understand and had all the information staff would need to support people who use the service. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 12 The daily records were seen and appropriate records were made and signed by the staff team. Health care needs were seen in the care plans and visits from healthcare professionals was recorded. Medication management at the home was looked at and was found to be satisfactory to enable all service users to receive their prescribed medication in a safe manner. The storage and recording of medications were satisfactory. During the inspection a group of residents were observed for two hours. The observation was carried out in a small lounge where people who use the service have dementia and mainly no verbal communication. The room had no television or radio playing. These observations along with other information collected during the visit helped to assess the quality of the care environment, and gave an opportunity to represent the experiences of care for people who struggle to speak out for themselves. With regard to staff in general they were kind, courteous and friendly towards the residents. When assisting with meals or drinks they sat beside them and encouraged them to take what was offered. Staff were seen knocking on the doors of residents before entering and talking to the people who live in the home in a respectful manner. However, during this session on many occasions staff passed in the corridor and didn’t look in or looked in but didn’t speak to the residents. Staff entered the room with a drinks trolley and gave drinks of tea to residents but didn’t offer them a choice. Drinks were left in front of sleeping people and one was left out of reach of one the residents. When it was near to lunch- time a staff member put an apron on a sleeping resident ready for their dinner and as he awoke he became aggressive. The staff member never spoke to him. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 13 The information gathered during the observation is be used to inform future practice and the caring process. The period of observation highlighted numerous examples of friendly interaction and positive exchanges. It also highlighted a need to be less task orientated and to focus more on a person centred approach to care giving. Staff members need to reminded to give the residents choice when offering drinks, speaking to residents before putting aprons on them and not leaving people unattended for long periods in the lounges, to observe people cared for, to enable them to identify, anticipate and respond to their changing needs. Although the staff have recently had training in dementia care some aspects of communication at the home needs to be improved to maintain the dignity of the residents living there. These issues were discussed with the manager on the day of inspection. Visitors spoken with said that they felt their relative was treated well. One said, ” The staff have a hard job but they are very caring” another said, “I have no complaints the staff are lovely” Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Activities have been improved to enable some stimulation for residents living at the home. Menus have improved however the organisation of meal times needs to be addressed so that the social aspect of dining can be improved and choices of residents are supported. EVIDENCE: The home has employed an activities co-ordinator and some aspects of the stimulation for the residents living at the Old Rectory have improved. A file has been completed for each resident with points of interest and all activities undertaken are recorded. Some residents have been able to be taken out to local garden centres and pubs or for a walk around the village if they are able. Entertainers are now booked on a regular basis. There are one to one sessions with residents that are unable to be taken out or join in group activities. The” Zoo Lab” from Chester Zoo has been in the home bringing exotic creatures such as snakes and tarantulas for the residents to see and touch if Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 15 they so wished. The manager stated that the activities co-ordinator would be commencing NVQ level training in this subject in the near future. Visitors can come to the home at any reasonable time and people can choose to receive their visitors in the privacy of their bedrooms or in one of the communal areas around the home. A new cook has been employed and is in the process of compiling new menus to give the residents more choice. Since she has started at the home there is now a choice of a hot meal at night as well as the soup and sandwiches on offer. Some equipment has been replaced in the kitchen such as a large fridge and freezer and a dishwasher. The standard of cleanliness and organisation in kitchen was of a high standard. The main meal is at lunch -time and residents that sat in the dining room were seen to enjoy hotpot. The observation of residents in a small lounge was continued over the lunch time period and staff members brought meals into the lounge one at a time, which meant that residents were not all eating at the same time. A discussion was held regarding all residents receiving their meal at the same time. The manager stated it was better this way as staff could feed residents who needed assistance. However, as far a socialising over a meal this was not good practice as the meal took a long time and some people were watching others eat. It was discussed with the care manager that supporting a lounge at a time could be an option. Some residents could manage the meal themselves (hotpot) and others had sandwiches. Where residents were assisted they were not told what they were eating and very little communication was noted. One resident had their meal pureed – which had been done all together. On discussion with the care manager he stated that the individual ingredients are usually pureed separately but was difficult with stew. It was suggested that the potato could have been removed and pureed separately making the meal look more appetising. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 16 One resident who was feeding himself had the table and meal away from him and was dropping the food. Staff noticed this but did not put the table or food nearer. One resident was asleep when the hot food was brought and this was left in front of him until he woke which was ten minutes later. These findings were fed back to the care manager at the end of the inspection who said he would review the meal times. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know how to complain and are confident that any concerns will be taken seriously. Robust systems are in place to protect residents from harm. EVIDENCE: There have been three recorded complaints received at the home since the last inspection. The home has a satisfactory complaints procedure that was on display. The complaints had been investigated appropriately and the response and action taken was recorded. There are policies and procedures to guide staff on how to make sure that the people who live at the home are protected from harm or abuse. There is also a whistle blowing policy that tells staff how they can make any concerns known. The manager for the home said that all of the staff have received training on safeguarding adults from abuse. Staff spoken with said that they had received the training and this was recorded in staff files. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. 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. Areas of the home need to improve to ensure that residents live in a good environment. EVIDENCE: There has been some redecoration in the home since the last inspection with one lounge being decorated, re-carpeted and some new furniture in place. The furniture is of a more homely style and residents looked comfortable. The second lounge has also been redecorated and re-carpeted and the new furniture is on order. The manager stated that the third lounge is also to be redecorated in the near future. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 19 The lounge in which residents were being observed was small with no TV or radio in evidence. The room was warm and the door to the corridor was propped open so that easy access was available. The décor was adequate but the furnishings were worn and tired looking. The carpet in the main corridor outside the bedrooms on the ground floor is looking worn and needs to be replaced. The lighting in these corridors is poor and makes the home look dark and it is not easy for staff to see when giving out medication to residents especially at night. In two bedrooms the wallpaper was peeling off the walls and in one bedroom the carpet was faded and worn, these were discussed with the manager on the day of inspection so he would be aware of which rooms they were. Some over bed tables in the home had chipped laminate tops, which made it hard to clean. A review of all the over bed tables in the home should be made and all worn ones replaced. Outside the main entrance to the home the front steps were slippy underfoot. Some non -slip strips were in place on the ramp, however, some have come off and there were none on the steps. This was discussed with the manager and maintenance staff who said that it was difficult to replace the strips due to the bad weather and this would be attended to as a priority. The gutters were to be cleaned within the next few weeks as there were some weeds growing out of them. The manager stated that a conservatory was to be built and some internal alterations to lounges and bedrooms on the ground floor were to be made, however a date has not been given for commencement of these works. In the upstairs double rooms work was not complete on putting two sinks in each bedroom to minimise cross infection, however, all bowls in the resident’s rooms were named correctly and the home had been working with the infection control nurse to up-date the policy and procedures in place to improve the infection control within the home. This was a requirement at the last inspection and has not been met. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. 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. The numbers and skill mix of staff are adequate to meet residents’ needs. Staff recruitment ensures that residents are protected. Training is in place to ensure the diverse needs of the residents are met. EVIDENCE: A review of the current staffing rotas showed that there are enough members of staff on duty to meet the needs of the people living at the home. There is still use of agency staff at the home, however, the manager has contacted one agency and requested the same staff members to aid continuity of staff at the home. A rota from the agency was seen and three agency staff members were rotared to work at the home. The care manager has added a twilight shift to utilise staff hours at peak times in the home. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 21 The home has 92 of staff qualified to NVQ level 2 in care. The manager has put a matrix in place so that all staff training is recorded. Staff have received up to date training in infection control, fire awareness, moving and handling, food hygiene, the Mental Capacity Act and dementia care and challenging behaviour. Three staff personnel files were seen during the visit. These showed that thorough recruitment procedures are in place including two references for each member of staff and a Criminal Record Bureau Check. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems for resident and staff consultation are good and the health safety and welfare of residents is protected. EVIDENCE: The manager of the home is an experienced Registered Mental Nurse and a Community Psychiatric Nurse cert. and is registered with the Commission for Social Care Inspection. He is an experienced manager and has managed the home for a number of years. He has achieved the NVQ level 4 in management. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 23 Since the last inspection the home has implemented a quality system and satisfaction surveys were sent out to service users, families and health care professionals who are involved and visit the home. A reasonable response has been received and a report has been compiled of the findings. The overall views of people visiting the home were positive with regards care and food on offer. Questionnaires received by CSCI also had positive comments. Staff are able to put forward their views at regular staff meetings. The home does not have any responsibility for any resident’s finances. Staff supervision has been taking place regularly since June 2007 and sessions are recorded. Training has now been undertaken by all staff with regard to dementia care and challenging behaviour. The proprietor or his designated representative now visits the home on a monthly basis, unannounced, to check on all health and safety, property and equipment and staffing issues and a report of the visit is sent to CSCI. Accidents are recorded appropriately. During the visit the following safety and service records were seen: fire safety records, portable appliance tests, passenger lift service record, hoist service record. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 25 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 OP19 Regulation 23(2)(b) Timescale for action The carpets and lighting in the 31/01/08 main corridors outside residents’ bedrooms must be replaced to improve the environment for the residents. The wallpaper and carpet in the 31/12/07 identified bedrooms must be replaced to improve the rooms for residents living in them. The worn over bed tables in the 30/11/07 home must be replaced as these are a risk of infection. The double bedrooms must have 31/12/07 two wash-hand basins in place to reduce the risk of cross infection. (Similar requirements were made at previous inspection 27/02/07) The steps and ramp leading up 30/11/07 to the front entrance to the home must have non slip surfaces in place to prevent the risk of slipping/falling to residents and visitors. Requirement 2 OP19 23(2)(b) 3. OP19 2(2)© 2. OP26 13(3) 4 OP19 23(2)(b) Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.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 2 Refer to Standard OP10 OP15 Good Practice Recommendations Communication at the home must to be improved to ensure choice and to maintain the dignity of the residents living there. People who use the service must be served and assisted with meals in a more organised manner to enable the social aspects of mealtimes to be addressed. Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Old Rectory Nursing Home - Capenhurst DS0000018750.V344349.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. 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