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Inspection on 10/01/06 for Patcham Nursing Home

Also see our care home review for Patcham Nursing Home for more information

This inspection was carried out on 10th January 2006.

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

The inspector 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

Patcham Nursing Home provides a safe, pleasant and caring home for residents. The provider and manager demonstrate a commitment to staff training. Residents and visitors stated that `the care is very good`, ` the staff are friendly` and " we had a lovely Christmas, everyone worked so hard for us`. Residents stated that they can make choices about their activities of daily living and that their visitors were always made welcome. The standard of catering is good, however two residents stated that they were disappointed with the supper menus offered, one said " we are not a fast food generation, we want good old fashioned stuff, not baked beans and such", whilst another resident stated his dislike of the chicken dish on offer. Some staff also stated that the supper menu on some days was not too good. However this was not typical of the general views of residents who found the food good and were impressed that the cook makes his own soup and takes pains to ensure they are happy with the choice of food. Residents are listened to and this was evident on talking to staff who knew what resident`s liked and wanted.

What has improved since the last inspection?

The home complied with all the requirements and recommendations made at the last inspection. It now makes the statement of purpose and service users guide available in the front hall, involves residents or relatives in the formation of the care plans and has found interest bearing individual bank accounts for resident`s money. Staff personnel files now include all documentation as required by the regulations and the administrator is aware that staff cannot commence work at the home until two written references and the POVA first have been received. All catering staff now have a food hygiene or handlers course. The daily menu is now displayed in the front lounge and relatives commented on this saying that it enabled them to see what the residents were having for lunch and provided a discussion point.

CARE HOMES FOR OLDER PEOPLE Patcham Nursing Home Eastwick Barn Eastwick Close Brighton East Sussex BN1 8SF Lead Inspector Elizabeth Dudley Unannounced Inspection 10th January 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 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. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Patcham Nursing Home Address Eastwick Barn Eastwick Close Brighton East Sussex BN1 8SF 01273-501358 01273-542028 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) Eastwick Barn Ltd Sheila Kidd Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30), Terminally ill (4) of places Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service can provide up to thirty (30) nursing places, thirty (30) social care places. The maximum number of service users to be accommodated is 30. Up to thirty (30) service users with physical disabilities and four (4) service users who are terminally ill may be accommodated. 17th August 2005 Date of last inspection Brief Description of the Service: Patcham Nursing Home is situated in a pleasant residential area on the outskirts of Brighton, close to a bus service and all main routes to the city centre. It provides nursing care for thirty service users over 65 within the categories of elderly care, physically disabled and terminally ill. Care is provided in exceptionally well-maintained and comfortable surroundings with access to a well-maintained and interesting garden. A high standard of catering is provided. The home was extended from a converted barn and has exposed beams in some areas. Accommodation is provided in either single or double rooms, most of which have views of down land or the garden. There are two lounge areas, one large and one relatively small, both of which give access to the gardens. Garden access is also available from some ground floor rooms. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 10th January 2006 over a period of 5 hours. It was facilitated by Ms Sally Bensaid, Registered nurse, Ms Susan Matthews, Administrator and Mr Chris Dauncey Registered Provider. During the course of the inspection, at tour of the home was undertaken, personnel files, care plans, financial records and medicine charts, and catering and health and safety documentation was examined. The majority of the standards were examined during the day, but this report should be read in conjunction with the report from the unannounced inspection, which took place on the 17th August 2005. During the day, ten members of staff, four visitors and eighteen residents were spoken with, positive comments being received. Resident feedback cards from the last inspection were positive and there were no issues which required discussion with the manager. What the service does well: Patcham Nursing Home provides a safe, pleasant and caring home for residents. The provider and manager demonstrate a commitment to staff training. Residents and visitors stated that ‘the care is very good’, ‘ the staff are friendly’ and “ we had a lovely Christmas, everyone worked so hard for us’. Residents stated that they can make choices about their activities of daily living and that their visitors were always made welcome. The standard of catering is good, however two residents stated that they were disappointed with the supper menus offered, one said “ we are not a fast food generation, we want good old fashioned stuff, not baked beans and such”, whilst another resident stated his dislike of the chicken dish on offer. Some staff also stated that the supper menu on some days was not too good. However this was not typical of the general views of residents who found the food good and were impressed that the cook makes his own soup and takes pains to ensure they are happy with the choice of food. Residents are listened to and this was evident on talking to staff who knew what resident’s liked and wanted. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 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 Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 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): 1,2,3,4,5 The home provides sufficient information to enable prospective residents to make an informed choice as to whether Patcham Nursing Home is the right home for them. Existing residents benefit from a clear concise information package and the ongoing training of staff ensures that their needs can be met. EVIDENCE: The home produces a statement of purpose and service users guide, which complies with these standards and the regulations, these are made easily accessible in the entrance hall and all residents receive a copy of the service users guide. Each resident receives a copy of the terms and conditions of residence on their point of admission to the home; this contains the relevant information required including the breakdown of fees, detailing the amount payable by respective parties. All residents are assessed by the manager or one of the registered nurses prior to being considered for admission to the home. This ensures that the resident’s Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 9 needs can be met by the home, both by the skills of the nursing and care staff and by the home’s category of registration. It also provides an opportunity for the prospective resident to meet with the manager or registered nurse and gain information about the home. The registered nurse on duty states that a copy of the statement of purpose is shown to all prospective residents on assessment. Information regarding the residents clinical and personal needs is gained by meeting with the resident, their family and other health care professionals, and this information provides the basis for the plan of care. Staff employed by the home have experience in the general nursing care of the older person, and receive on-going training to ensure that the care given is in line with latest developments. All prospective residents, their relatives or representatives are welcomed into the home to look around and meet staff and residents. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 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): 7,8,9,10,11 The standard of care planning and training is good. Care plans identify fully the care required by the resident, but need to identify in more detail how this is to be given. Good interaction between staff and residents were seen and it was evident that residents care needs were being met. EVIDENCE: Much work has been undertaken on care plans to ensure that the residents or their representatives understand what is contained in their plan of care and that all parts of the care plan are reviewed on a monthly basis. Eight care plans were examined and these were found to address all physical, psychological and social care needs, however each care need assessed requires a care plan detailing the care to be given, and this was discussed with the registered nurse on duty. There was evidence that risk assessments were in place for bedrails and consent obtained for these. General risk assessments for other needs were also in place in the care plans, and evidence of GP, dental and optician visits Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 11 were in place. There was evidence of visits from the wound care specialist nurse and wound care plans. Staff receive training relating to the needs of individual residents from specialist staff including the wound care nurse, the Parkinson’s disease society and the Older Persons Nurse Specialists. That this training was being implemented was evident both in the care plan and in the interactions seen between staff and residents. All MAR charts had been signed following the administration of medication and controlled drugs were stored and recorded correctly. The home was not aware of the new legislation regarding the disposal of medication from nursing homes, this was discussed with both the registered nurse on duty and the provider and the CSCI pharmacy inspector is to be asked to contact the home to clarify the situation. The risk assessments relating to self-medication need some improvement, these must include regular reassessment by the registered nurse to ensure that the resident is still able to self medicate safely. This must be done a minimum of monthly, and show that all medications have been taken as prescribed, that they are stored safely and that the residents cognitive ability relating to the awareness of self-medicating is unchanged. It was noted that one resident that was self-medicating was not keeping her medication in a locked drawer, this must be addressed. The home is registered for the care of the terminally ill, and letters seen from the residents of deceased residents were full of praise for the care that had been given and the kindness shown to relatives at this time. One resident that was ill on the day of this visit appeared comfortable and well cared for. Staff attend study days at the local hospice. Residents spoken with stated that ‘I feel very well looked after and well cared for’, “ If they think I need a doctor they get one right away, I don’t have to ask them, they just know I need one, they are wonderful”. “ Its perfect here, my privacy is respected, the staff are polite, I can please myself what time I have nursing care and my dressing done and what time I get up or go to bed”. One gentleman stated “ Its lovely here, these girls are good, so are the blokes, you people don’t need to come to places like this, although its nice to see you”. One resident requires and extension to her call bell cord and the bell left within her reach. This was discussed with the registered nurse on duty. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 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): 12,13,14,15 The home provides a good quality of life for residents and the majority of residents felt that the standard of catering was good. EVIDENCE: The home now employs an activities co-ordinator for two days a week. It was seen that an activities programme is now in place, which includes musical entertainers, organ recitals, library books, painting and one to one chats. Full records are kept of these and it is recommended that the activities person uses the information she has obtained and that she is responsible for the social needs part of the care plan. One resident attends a day centre on a regular basis. One resident stated that “ I do just what I like which is nothing, that is what I want of a nursing home, that they do not make you do anything or take part in anything if you don’t want to”. Feedback cards received by the CSCI following the last inspection identified that they felt that they had a choice of lifestyle and knew what was going on in the home. One resident stated that they would like to be more involved in the decisions made within the home. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 13 Residents can choose their times of rising and retiring and state that they have the choice of whether to stay in their rooms or go into the lounge. The home has an open visiting policy and a minister of religion attends the home. Residents are encouraged to maintain control over their finances and affairs for as long as possible, and the manager contacts advocates, solicitors and financial advisors for those that require these. Residents can bring in possessions to personalise their rooms. One resident stated that “ I never thought that the first home I came into would be perfect, but this is, I am so lucky. The food is variable but I dare say I will get used to this, but the cook says they don’t have free range eggs” Further discussion with residents about the food provided was very positive and they said that in the main the food was “ very good”, “ the cook comes around and asks us every day what we want to eat and it is always fresh and well cooked”, “ the food is beautiful, you couldn’t wish for better”, “ we’ve got chicken nuggets today and I hate those, I’m having a sandwich instead”. The lunch meal served on the day of inspection was watercress soup, sausage and mashed potatoes or grilled cod and fresh mixed vegetables, followed by bread pudding with ice cream. The supper meal was chicken nuggets and tinned tomatoes, sandwiches and toffee cake. The menu is rotated on a monthly basis and shows a good variety of food, the majority of which is fresh and homemade. The supper menu was on the whole good, although on some days could be improved, and this was verified by nursing staff. The chef said that he was using the last of his supply of the chicken as he was finding it unpopular with the residents. All soups, cakes and puddings are homemade and the on previous occasions it has been noted that the cook has been preparing up to six different dishes to satisfy various residents tastes. All staff undertaking kitchen duties have the food hygiene or food handler’s course and the cook is a trainer for these courses. All recording relating to food and fridge temperatures was in place and the kitchen was clean. The home has recently purchased a heated food trolley to ensure that food served to those having meals in their rooms is of a good temperature. They are to be commended for this, which was following the suggestion of a resident. Residents can take their meals in the lounge on either over chair tables or at the main dining room table or in their rooms. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 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): 16,17,18 Staff have sufficient knowledge to protect those residents within their Care. The complaints procedure gives residents the security that complaints will be listed to, and acted upon in a fair manner and within a reasonable time scale. EVIDENCE: The home has a complaints procedure, which meets this standard, and this is given to all residents on their admission to the home. It is also displayed in the entrance hall. Staff are aware of their responsibilities toward those in their care and receive training in the protection of the vulnerable adult, by videos, through the ‘ Action on Elder Abuse Scheme. Senior staff are now attending training on adult protection run by the social services scheme. Residents are able to see solicitors as required and vote by postal votes. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 15 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): 19,20,21,22,23,24,25,26 The home is clean, well maintained and attractively decorated, providing a pleasant environment for residents. EVIDENCE: Patcham nursing home is well maintained and decorated providing a comfortable home for residents. New carpets have recently been purchased for the main lounge and for some bedrooms and plans are in place to re-carpet other rooms. New curtains, bed linen, some beds and a hot food trolled have been purchased. The home has two lounges, one of which is a large lounge/dining room, the other a smaller quiet lounge, both having access to the garden. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 16 A new pond has been put in the garden and residents appeared to be quite proud of this and stated that it had given them a lot of enjoyment. The garden is landscaped to maximise resident’s enjoyment and to allow them to take part in the gardening if they wish to do so. There are bird feeders around the garden and residents stated that this gave them a lot of pleasure. There are sufficient toilet, washing and bathing facilities to meet the needs of the residents. All individual resident’s rooms have en-suite facilities consisting of w.c and washbasin and one of the double rooms has a bath that can be used with a hoist. There are two assisted Parker baths and one assisted shower. Individual door locks and locked facilities are provided in most rooms, a list of residents, who do not wish to have keys or whose risk assessments show that they should not have a key, must be in place. Individual rooms are comfortable and homely, with the carpets, linen and curtains being in good condition. The home has had an assessment by a qualified occupational therapist and a copy of the report was passed to the CSCI. This stated that the occupational therapist was impressed with the home and the facilities offered and that it is well equipped with sufficient adaptations for the needs of the residents. The heating, lighting and ventilation of the resident’s accommodation meet the standard. Water temperatures have been recorded on a regular basis and are within recommended parameters. The home has two disinfector sluices and the washing machine has a sluice cycle. A new laundry process has now been implemented and in view of the additional chemicals and equipment involved, the door should be locked when no member of staff is in attendance. All parts of the home were very clean and adequate gloves and aprons are provided for infection control purposes. All staff that are handling food or work in the kitchen have their food handlers or food hygiene course. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The home provides suitably trained and qualified staff in sufficient numbers to meet the assessed needs of the residents. Staff recruitment practices ensure that the safety of residents within the home is maintained. EVIDENCE: Both staff and residents stated that there are always sufficient staff on duty, extra staff being brought in if the needs of the residents identify the need for this. Only agency staff that visit the home on a regular basis and know the residents are used. Staff spoke positively about the home and stated that they enjoyed working there. Staff turnover is low and staff felt that standards in the home were high and that they had plenty of training. Staff training files were available and these showed that staff have a full induction course which meets the NTO guidelines (Skills for Care) and that ongoing training takes place, for all grades of staff. Over 50 of staff have gained the NVQ2 qualification and three members of staff have NVQ3. Staff recruitment files identified that all documentation was now in place and all staff are in possession of the GSCC handbook. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 The home provides a safe environment, which is run in the best interests of the residents. Staff turnover is low therefore ensuring that residents benefit from continuity of care from staff with whom they are familiar. EVIDENCE: The manager, Mrs Sheila Kidd is a registered nurse with many years experience in acute medical and surgical nursing, midwifery and care of the elderly. She has completed the Registered Managers Award. The ethos within the home is excellent, residents, staff and visitors all made positive comments about the home stating that the care was good and the management was approachable. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 19 There is a quality monitoring system operating within the home and this includes collation of resident’s comments, the manager stated that they act on information received in the comments. Comments from relatives and friends should also be obtained. All policies and procedures were reviewed last year and the manager is aware of the need to review these regularly. The home always meets the requirements made in inspection reports within the given timescale. Public liability insurance and insurance for a limited amount to protect resident’s possessions in place, and financial records for the business were seen last year. There is a robust system for dealing with resident’s finances in place. The home now keeps resident’ monies within individually named interest bearing accounts. Staff supervision is now taking place at regular interval. Registered provider visits take place on a monthly basis and reports are always received by the CSCI. All personnel files and financial details are kept in a locked office and residents care plans are kept securely in the manager’s office. All certificates relating to the servicing of equipment and utilities were in place and in date. Individual room doors are held open by hooks that release as soon as the door is touched this has been discussed on previous inspections and although a fire risk assessment is in place for these, they should be replaced with an alternative method or a closed-door policy implemented within the home. The provider assured the inspector that he is at present looking at other means of keeping doors open. Staff have attended all mandatory lifting and handling and fire training, and one of the registered nurses is in the process of undertaking training to become a moving and handling trainer. A resident was seen to be sitting in her wheelchair without foot rests in place, and another resident being pushed in her wheelchair without these. In both cases this could present a risk to the resident and must be addressed by the manager. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 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 3 18 3 4 4 4 4 3 4 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 3 3 3 3 2 Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 21 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 OP7 Regulation Reg 15 (1) Reg 13(3) Requirement That the care plans will identify in depth how the individual care requirements identified, will be met. That service users who self medicate store their medications in a lockable facility. That the risk assessments for service users that self medicate are amended to include the issues identified in the main body of the report and are reviewed on a very regular basis That all call bells have leads of a length to enable service users to reach them when sitting in their chairs and that the call bell belonging to the resident identified to the nurse on duty, receives prompt attention. That the CSCI is informed of how the provider intends to address the issue of service users doors being open, and the time scale to implement this. That the laundry door is kept locked when not in use. That wheelchairs are not used without their foot rests in place. DS0000014022.V273739.R01.S.doc Timescale for action 30/03/06 2 OP9 10/01/06 3 OP8 Reg 13(4) 10/01/06 4 OP38 Reg 23(4) 01/03/06 5 6 OP38 OP38 Reg 13(4) Reg 13(4) 10/01/06 10/01/06 Patcham Nursing Home Version 5.1 Page 22 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 OP24 Good Practice Recommendations That the manager provides evidence that service users have been consulted regarding having keys to their rooms. Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Patcham Nursing Home DS0000014022.V273739.R01.S.doc Version 5.1 Page 24 - 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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