Inspection on 17/08/06 for Old Rectory Nursing Home - Warrington

This inspection was carried out on 17th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Old Rectory Nursing Home -... 05/10/05

Old Rectory Nursing Home -... 27/01/05

Old Rectory Nursing Home -... 29/07/04

Old Rectory Nursing Home -... 10/12/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Old Rectory Nursing Home - Warrington Old Rectory Nursing Home Church Lane Grappenhall Warrington Cheshire WA4 3EP Lead Inspector Anthony Cliffe Key Unannounced Inspection 17th August 2006 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 Old Rectory Nursing Home - Warrington DS0000005153.V300688.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 - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Rectory Nursing Home - Warrington Address Old Rectory Nursing Home Church Lane Grappenhall Warrington Cheshire WA4 3EP 01925 604611 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) Mrs Valerie Anne Eyes Mrs Lynn Sutton Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 39 service users to include: * Up to 39 service users in the category of OP (old age, not falling within any other category). Date of last inspection 5th October 2005 Brief Description of the Service: The Old Rectory is a 39 bedded care home registered to provide nursing care to adults aged over 65 years of age. It has been converted and extended from the 15th century building, which was the original rectory for the adjoining church. Communal areas comprise a large dining room, spacious lounge and conservatory. Facilities are available in the home for hairdressing. The home provides nine twin bedded rooms and twenty-one single rooms, some with en suite facilities. There is wheelchair access to the home and a passenger lift to the upstairs accommodation. It has extensive rear gardens, a veranda to the front of the building and the Bridgewater Canal passes by the grounds. The home is situated in Grappenhall village, which is within easy travelling distance from Warrington, Stockton Heath and Lymm. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A regulatory inspector undertook this unannounced site visit. The Key inspection was arranged as part of the Commission for Social Care Inspection’s (CSCI) regulatory programme under Inspecting for Better Lives. The site visit took place over 16 hours. Feedback was given to the manager. Records were inspected and staff practice was observed. Discussion took place with residents, visitors and staff. A tour of the premises was undertaken. Information was collected from a pre inspection questionnaire and people who returned questionnaires sent out by the CSCI. No requirements were identified at the previous site visit and no complaints had been received by the CSCI about The Old Rectory. What the service does well: What has improved since the last inspection? Staff are provided with training and information on adult abuse during their induction. The results of quality audits are made available to residents. The quality assurance systems within the home continue to develop with themed audits planned for 2006. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 6 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. Old Rectory Nursing Home - Warrington DS0000005153.V300688.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 Old Rectory Nursing Home - Warrington DS0000005153.V300688.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): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available for residents and their representatives. Residents’ needs are assessed prior to moving in. EVIDENCE: Residents were not routinely provided with a copy of the statement of purpose, though a copy of this was available. Relatives confirmed they were provided with a statement of purpose when making enquiries about The Old Rectory. The statement of purpose was not available in large print or different formats but the provider said this could be done on request. Five questionnaires were returned prior to the site visit. Five residents received information about the care home. Three said they had a contract. Two relatives completed questionnaires and said they did not want a contract. There were copies of contracts on file for those residents whose files were examined. Records were examined of three residents who most recently moved into The Old Rectory. A nurse from the Old Rectory had assessed all three residents. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 9 A resident who recently moved in said “ I moved in here recently. My daughter arranged it and dealt with all the information and paperwork. I have thanked her for finding this place. I’m so happy and content. I could not manage at home but it’s been easy to make my mind up about moving in. I asked to share a bedroom. The lady I share with is lovely we get on great, she is older than me and needs some help and I look after her. I get the help I need when I want it”. Equality and diversity was discussed with the deputy manager who said residents’ lifestyle choices would be supported. She gave examples of residents sharing a bedroom. She said this is discussed in detail with residents when a vacancy arises in a double bedroom, as residents’ lifestyles may not be compatible. Residents who had chosen to share a bedroom did not raise any concerns and stated positive experiences. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to the service. Residents’ plans ensure their health and social care needs are recorded, reflect residents’ needs and are reviewed regularly. Medicine management and administration is safe. EVIDENCE: Four care plans showed that a wide range of assessment documents were completed; with a care plan to address residents’ needs. From looking at care plans, observing staff working practices and talking with residents, staff and visitors, the health needs of residents were met. There were examples of good practice regarding the care of residents. The Old Rectory used a core care plan format, which uses standard care plans and risk assessments to identify and address residents’ health needs. These can be individualised to each resident. They cover a wide range of care needs from personal care to mental health. Care plans had been reviewed for two residents who had recently moved in. Staff monitor residents’ health. Residents’ who have heart conditions or take medicines, which affect their blood pressure, are monitored regularly. Blood sugars are monitored for residents with diabetes. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 11 Staff liaise with the General Practitioner (GP) Liaison nurses or GP surgeries for routine tests. Two residents had urine specimens taken by staff as they closely monitor them for urine infections. The GP surgery contacted the home during the site visit to confirm both residents had urine infections and were prescribed antibiotics. A resident recently admitted from hospital improved very quickly after moving in and did not require fluids via a drip. The resident’s weight improved. The resident was reviewed by the NHS nurse assessor for funding and her funding for care decreased as her health had improved. The resident had put on weight, drinking fluids and mobilising with the aid of one staff member. Residents attended routine appointments at GP surgeries and hospital. Three GP comment cards returned prior to the site visit said, “No concerns the standard of care provided seems high”. “An excellent home with experienced caring staff”. “The residents appear happy and well cared for. One of the best nursing homes in the area”. A relative said of the care of her father “ I moved him from another care home where he was left isolated and was not eating and immobile. Three weeks after moving to here he was sitting up and eating by himself. He put on weight and was soon mobile. They really know him well and promote his independence within his capabilities. They will remind him if he is overdoing things. He talks to them about how he feels and trusts them as I do. They have advised me on the right approach with him when his mental health is poor. I worry about him and want to protect him all the time. Recently his brother died and I didn’t want him to go to the funeral. The deputy who he has a good relationship with said he had the right to grieve and talked to him about going to the funeral. He was great at the funeral service and we shared a lot of great memories”. Medicines management and administration was examined. No errors were noted on medicine administration records. A monitored dosage system is used throughout the care home. The manager said medicines audits were to be introduced as part of the quality assurance system. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 12 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, 12, 14 and 15 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. Residents are supported in making choices in their lifestyle and social activities needs so they have control over their lives but improvements in recording activities could be made. Residents have a choice of meals in pleasing surroundings but the recording of alternative meal choices could be improved to reflect residents’ decisions. EVIDENCE: Many positive comments about the provision of social care and activities were made and received from residents and relatives. Residents and relatives said they chose The Old Rectory because of the ‘homely environment’, ‘family atmosphere’ and ‘friendly welcome’. The residents are aged between 75 to 102 years and are physically frail. A number of the residents have some memory problems. Residents receive daily newspapers inclusive of the accommodation fees. Accommodation fees also include chiropody, hairdressing and external activities. A trained nurse coordinates the activities and arranges the activities programme. An activities programme covering a week was in place. One planned activity per day was scheduled. These range from physical exercises to quizzes. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 13 The care assistants are responsible for leading the daily activities. Residents and relatives said they enjoyed both the daily activities and evening social events planned. A resident said, “ I enjoy reading, floor basketball, exercise group and reminiscing with the other residents. We’re never bored. I get a daily newspaper and I enjoy it. There is always music and singing. The other residents are frail and don’t have a lot of energy and join in the exercise groups if they wish. I like to spend my time doing what I want”. A relative said “mum cannot join in many things now. I asked if she could sit in the main lounge, as she is frailer. Staff do activities everyday, not too strenuous. They ask her if she wants to join in but she enjoys watching and listening”. Two visitors commented “our parents have lived here for two years and we have visited everyday at different times to suit us. They are well cared for. Mum has bad arthritis and staff massage her hands daily with aromatherapy oils. Dad’s memory is poor but he finds his way around with staff help. Mum still enjoys the crossword and puzzles in the newspaper, as does dad. The main thing is the consistent staff team. Matron is very experienced and the owner’s philosophy is residents come first nothing is too much trouble and no expense spared. Dad knows his meat and says the meat is very good. We are invited to the evening social events and they are a good family event”. A satisfaction survey regarding the activities programme was completed in 2005 and residents were satisfied with the range of activities within the home. The Old Rectory do not use a social care plan or routinely keep records of residents participation in social events other than care staff reporting to the trained nurses to record this information in daily records. Only a few residents’ families had produced a life history or life story for their family members. Residents’ key workers are responsible for ensuring they have sufficient toiletries, their clothes well maintained and bedrooms tidy, not for liaising with families about residents’ health or social care. Residents discussed the provision of meals prior to them having lunch. Residents said they knew what was on the menu as it was written on the menu board. Residents said staff came and asked them what they would like to choose from the options available. Residents said at lunchtime there was one main choice with options available if they wished to choose them. The main menu did not indicate an alternative at lunchtime but did for the evening meal. The cook said residents could choose what they wished at lunchtime but she did not routinely keep a record of their choices other than for the evening meal. The chef said that residents’ meal preferences were recorded when they moved in and she had details of these. She said she prided herself on using fresh produce to make meals including homemade soup. Relatives and visitors said they saw meals being served and eaten and they always looked appetising. Lunchtime was seen as a social occasion. Tables were set with flowers and condiments. Residents chose where they ate their meal. The frailer residents sat in the main lounge and staff were available to assist them. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are acted on appropriately. An informed staff group and manager protect residents from abuse. EVIDENCE: No complaints using the provider’s complaints procedure had been recorded. A relative raised an issue about a picture in her mother’s bedroom, which her mother did not like, and the deputy manager assured her the picture would be moved. This was treated as a concern and recorded in the complaints book. Residents talked about their awareness of the complaints procedure. Residents said they were satisfied with the care they receive and would talk to the owner or matron if they were not satisfied. Relatives spoke very positively about how any matters were responded to and said they did not feel as though they had to raise any concerns as the matron or provider positively responded to all matters. A relative said, “ If I have ever had to ask about anything or a minor grumble they put it right instantly. They listen to you and respond. I asked about her health and received an update. They tell me if anything changes. They communicate well. You can talk to any staff and they listen. I have never had to make a complaint but would be very confident matron or the owner would put it right. My wife visits regularly and knows every item of clothing and it’s well cared for. Every resident looks smart whenever I visit. Staff who have contact with mum know her. The laundry lady has a great relationship with her and talks to her. If I give her any information it’s passed on”. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 15 As part of the training partnership with the local council over 50 of staff had attended the local authority adult protection training. Prior to this all staff had training from the provider. Staff discussed this and knew what to do if they suspected a resident had been abused. A staff member said “ if it was a carer I would report it instantly to the trained nurse. If it was a trained nurse the matron or owner. If it was the matron or the owner, social services or police”. As part of the recruitment procedures all staff had an enhanced Criminal Records Bureau (CRB) check completed. A programme of supervision had commenced. Supervision between the trained nurse and care assistant is recorded as a formal one to one session. Staff had a supervision contract in place and supervision is seen as a developmental process. Where care staff had been supervised as part of their work this was also recorded. Examples of this were an observed practice or discussion about relevant policies and procedures. The manager and lead nurse for supervision had undertaken training in the supervision of staff. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is assessed as good. Residents live in a safe and well-maintained home, which is clean and hygienic but the décor in a ground floor bathroom and lighting on a ground floor corridor could be improved to benefit residents’ safety. EVIDENCE: Two bedrooms and the main lounge had been decorated and new furniture purchased for some bedrooms. The bathroom on the ground floor corridor leading from the main entrance is in need of repair. The paintwork is marked and there is a hole in the wall. Repair to the flooring had been identified but repair to this not planned. On the main ground floor corridor adjacent to the nurse station the lighting is poor. This corridor has no natural lighting and the diffuser lights were not bright. Residents asked if the connecting door to the smaller dining room was the correct door. Brighter lighting would aid residents to see in this corridor. A relative said, “ The only improvement I would say is the lighting in the corridor by mum’s bedroom. There is not natural lighting and it looks dark. The lights are on all day”. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 17 During a tour of the building it was noted to be clean and hygienic with no odours present. A relative said, “ the home is always clean and smells nice it’s really homely. When you visit on a Sunday you can smell the aroma of Sunday lunch when you arrive”. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. The numbers, training and skill mix of staff are adequate to meet residents’ needs. Staff recruitment ensures residents are protected. EVIDENCE: The staff rota confirmed sufficient registered nurses and care assistants were employed to meet the residents` needs. Additional staff are on duty to serve and assist residents to eat their breakfast. Staff do not wear name badges to identify themselves. Care staff interviewed said residents who were confused repeatedly asked them their names and name badges would help residents recognise them. Staff said they were proud that they did not use agency staff and were provided with suitable training. Additional professional support is available to residents from the local Primary Care Trust (PCT) and local authority staff with referrals made when necessary. The manager confirmed that she has eighteen supernumerary hours a week. The deputy matron has six hours a week and the lead nurse on tissue viability has time to attend a local wound care forum. The staff group are stable. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 19 The Old Rectory had joined the local council training partnership. They had been offered places on the adult protection-training course with 50 of staff attending dates. Staff had completed an NVQ level 2 in health and safety. Staff had completed mandatory training in moving and handling, fire safety, protection of vulnerable adults, continence, first aid and food hygiene. Two staff had completed NVQ training and another one was completing an NVQ level 2 qualification. The manager and deputy completed training on supervision and five staff trained as moving and handling trainers. Four staff had commenced employment and had been supervised through an induction programme, which included training on the protection of vulnerable adults as recommended at the last visit. The records of these staff were examined. All contained appropriate identification documentation and completed Criminal Record Bureau disclosures. All files had two written references. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 20 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 and 38 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. Robust quality assurance systems ensure residents are safeguarded. Financial procedures safeguard residents. The maintenance of the building and equipment ensures the safety of residents. EVIDENCE: The registered manager demonstrated that quality assurance had improved. A formal quality assurance system is not used but a quality assurance system is in place. Care staff were provided with copies of the care needs of residents. Staff confirm in writing when they had read details on residents’ needs. Key workers record their checks of residents’ bedrooms and that clothing was stored correctly. A range of quality audits had taken place of the provision of meals, range of activities and communication between relatives and staff. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 21 Further monthly audits were planned on laundry services, excursions, décor of the building and daily routines. The outcomes of the audits were available to residents as recommended at the last visit. The July 2006 audit on communicating with relatives consulted twenty relatives who gave an excellent score for communication. Monthly meeting were held between the registered manager and provider to discuss the operation and management of The Old Rectory. The report identifies action to be taken in response to identified issues. Questionnaires received from residents, relatives, General Practitioners and health and social care professionals made positive comments on the standards of care, communication and professionalism of staff and homely environment at The Old Vicarage. The were many thank you cards from relatives, praising and thanking staff for their care. No personal monies were held on behalf of residents. Residents or their relatives manage finances. Residents keep their own monies and the proprietor and manager do not have responsibility for their finances. Additional services such as chiropody, hairdressing and daily newspapers are inclusive of the service fees. Only three accidents had been recorded since the last visit in October 2005. Information provided by the manager in a pre inspection questionnaire was examined. Portable electric appliance testing and water chlorination were in the process of being completed. Maintenance and testing of fire equipment was completed. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 22 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 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 4 17 X 18 3 2 X X X X X X 3 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 4 X 4 X X 3 Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP12 OP12 OP19 OP27 Good Practice Recommendations Residents should have individual care plans identifying their social preferences and details of their participation in social activities recorded. Life stories or life histories of residents should be recorded. Redecorate the downstairs bathroom and improve the quality of lighting in the downstairs corridor. Staff should wear identification badges to aid residents or visitors to identify them. Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Old Rectory Nursing Home - Warrington DS0000005153.V300688.R01.S.doc Version 5.2 Page 25 - 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. 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