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Inspection on 17/08/05 for Patcham Nursing Home

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

This inspection was carried out on 17th August 2005.

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

Patcham nursing home provides a safe, pleasant , caring home for residents. Staff turnover is low, and staff show a commitment to the home and the care of the residents. The ethos of the home is friendly and relaxed and positive comments were received from residents, visitors and an agency nurse. Residents stated that the `staff are very good`, ` the home is lovely`, `everybody does so much to help us`. Whilst visitors stated that they are always made to feel welcome and that all residents always looked well cared for. An agency nurse stated that she felt that the standards at the home were `very high` and that it was a `good home`. The home appears to provide a good standard of care and those residents that were very ill, looked comfortable and cared for. Clear documentation about the care required was in place. The standard of catering is good, the chef has been in post for several years and visits each resident daily to talk about the daily menu. The owner of the home takes a great interest in it and visits on a regular basis, he knows all the residents and is prepared to listen to any concerns or queries from residents or staff.

What has improved since the last inspection?

The majority of staff personnel files now have all documentation in place. Staff have attended fire training and the home is now providing its own moving and handling training. The manager, Mrs Kidd, is now settled in post and provides a strong leadership for the staff.

What the care home could do better:

The manager must ensure that those members of staff who are employed for a few hours a week only receive a basic induction which takes into account fire, health and safety and food handlers course, likewise no member of staff should be employed without two written references. The home used to ensure that all residents had a copy of the service user guide and this has been overlooked recently. This must be put in place and the opportunity taken to produce the guide in a more `user friendly format`, the information required in this guide can be minimal as recommended by the standard and the regulation. Records of weekly fire testing must be kept and further fire risk assessment undertaken on the individual room doors, it is recommended that a professional fire officer undertakes this.

CARE HOMES FOR OLDER PEOPLE Patcham Nursing Home Eastwick Barn Eastwick Close Brighton East Sussex BN1 8SF Lead Inspector Elizabeth Dudley Unannounced 17 August 2005 10:00 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 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 H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Patcham Nursing Home Address Eastwick Barn Eastwick Close Brighton East Sussex BN1 8SF 01273 501358 Telephone number Fax number Email 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 with Nursing 30 Category(ies) of Terminally ill (TI) 4; Old age, not falling within registration, with number any other category (OP) 30; Physical disability of places (PD) 30 Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service can provide up to thirty (30) nursing places, thirty (30) social care places. The maxinum number of service users to be accommodated is thirty (30). 2. Up to thirty (30) service users with physical disabilities and four (4) service users who are terminally ill may be accommodated. Date of last inspection 23 November 2004 Brief Description of the Service: Patcham Nursing Home is situated in a pleasant resiential 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. Accomodation is provided in either single or double rooms, most of which have views of downland 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 H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 17th August 2005 over a period of six hours and forms part of the annual inspection programme for this home. During the inspection a tour of the home was undertaken, personnel files, care plans; financial records, health and safety documentation and catering records were examined. Throughout the day twenty five residents, seven staff and two visitors were spoken with. All comments received were, in the main, very positive. Resident feedback cards were left with the manager and will be returned to the CSCI in due course. What the service does well: Patcham nursing home provides a safe, pleasant , caring home for residents. Staff turnover is low, and staff show a commitment to the home and the care of the residents. The ethos of the home is friendly and relaxed and positive comments were received from residents, visitors and an agency nurse. Residents stated that the ‘staff are very good’, ‘ the home is lovely’, ‘everybody does so much to help us’. Whilst visitors stated that they are always made to feel welcome and that all residents always looked well cared for. An agency nurse stated that she felt that the standards at the home were ‘very high’ and that it was a ‘good home’. The home appears to provide a good standard of care and those residents that were very ill, looked comfortable and cared for. Clear documentation about the care required was in place. The standard of catering is good, the chef has been in post for several years and visits each resident daily to talk about the daily menu. The owner of the home takes a great interest in it and visits on a regular basis, he knows all the residents and is prepared to listen to any concerns or queries from residents or staff. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4,5,6,The home provides sufficient information to enable residents to be sure in their choice of home, however this information is not always made available to prospective or existing residents. EVIDENCE: The home provides a statement of purpose and service users guide. These include all the information as required by prospective and existing residents. However neither of these documents were readily available to visitors or residents and the manager is required to ensure that a copy of the statement of purpose is kept in a place where it is easily accessed and that all residents receive a copy of the service users guide. The service user guide, although containing all the information required is not in a format which makes the information easily read by residents and this was discussed with the manager. Less information is required, and guidance can be found in National Minimum Standard 1 and Regulation 5. A copy of the statement of purpose should be taken on all preadmission assessments in order that prospective residents can assess the home. A Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 9 brochure, which contains a synopsis of the statement of purpose, is sent to all prospective residents or their relatives when postal enquiries or home assessments are made, but those assessed in hospital settings may not have received one of these. Every resident receives a contract which includes the terms and conditions on their moving into the home. In order to meet this standard the contract needs to show more clarity in the breakdown of fees ( ie who pays which part of the fees and how much is payable by the individual) The manager or another Registered nurse assess all prospective residents personally unless distance is prohibitive. Staff employed at the home are experienced in the care of the elderly person with nursing needs and have received on-going training in meeting the needs of those with special conditions or requiring palliative care. Prospective residents or their representatives are welcomed into the home to look around and meet staff and residents. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10,11 The standard of care planning and training is good and residents are confident that their needs will be met. EVIDENCE: The home has been undertaking much work to ensure that care plans are reviewed on a monthly basis, and this can be simplified. Not all care plans have been signed by the service user or their representative, and where this is not possible, this should be indicated. Care plans contain sufficient information about the physical, social and psychological needs of the residents and it appears that a high standard of care is given. All residents looked comfortable and well cared for and are able to keep their own GP if within the area. The wound care nurse is accessed as required, and it is recommended that the wound care nurse is asked to do a mattress assessment within the home to ensure that the correct and most economical mattresses are used for pressure damage prevention. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 11 Staff can accompany residents on hospital visits if their relatives or friends are unable to do so. Dentists and a chiropodist visit the home, or residents are accompanied to visit their own dentist if able. All medications were seen to be signed for following administration and all medications and creams examined were seen to be within their expiry dates. Legislation relating to the use of drugs in nursing homes states that ‘Oramorph’, used at the strength used in this nursing home, must be treated as a controlled drug. It has been stored as a controlled substance and signatures recorded, but should be registered in the controlled drug register. The home is registered for the care of the terminally ill, and several residents that were very ill were seen on the day. All looked very comfortable and well looked after. Staff attend regular study days at the hospice. Letters seen from relatives of deceased residents were full of praise for the care that had been received and also for the kindness shown to the relatives during this time. During the day many residents spoke about how well looked after they were and both visitors stated that they were pleased with the excellent care given and the kindness received by their relatives. Residents said ‘You couldn’t wish for anything more’, and ‘ they take such good care of us’. Residents also said that their privacy and dignity were upheld and that staff treated them with courtesy and respect. Most residents have their own telephones and are helped to make calls if they cannot manage it. One resident had been left without a call bell or his telephone on this occasion but stated that it did not usually happen. The manager addressed this immediately. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,15The home provides a good quality of life and catering for residents to enjoy. EVIDENCE: Residents stated that they were able to choose their times of rising and retiring and were able to make decisions relating to their preferred activities of daily living. One resident stated ‘you just do what you want to do when you want to do it really’. Although there is no designated activities person, care assistant do help residents with activities and try to incorporate residents past interests. A magician has given a show at the home and there was a fashion show, and preparations were in progress for the annual fete. One resident goes out to a day centre, and there are talking books available. The garden and the birds that visit it, were a subject of interest for three residents, and it was noted that bird tables were placed near these resident’s rooms. One resident had a patch of garden until recently, now she cannot manage this any more, the gardener has placed plants in pots for her interest. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 13 The home has an open visiting policy and visitors stated that ‘we are always made to feel very welcome and the staff are very friendly’. Ministers of religion visit 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 this. Residents can bring in their own possessions to personalise their rooms. The chef visits all residents each day to ascertain their choice of meals for the day, two choices being offered, but more are usually cooked. Some of the fresh vegetables are grown at the home and soups are always homemade. The menu for the day was Mushroom soup, roast beef and Yorkshire pudding or grilled plaice with sprouts broccoli and potatoes, followed by apricots with cream or ice-cream. Supper was planned as egg, sausage and mushrooms, sandwiches and fruit jelly and ice-cream. Cooked breakfasts are provided as required by residents. The kitchen was clean and there was a good supply of fresh, frozen and dried food. Menus are prepared on a monthly basis and appeared well balanced and appetising. All fridge, freezer and food temperatures were undertaken on a daily basis and there is a cleaning schedule in place. Residents said that they enjoyed the food and said they could have ‘ whatever they wished to eat’. The chef has knowledge of special diets and can prepare diabetic or low fat diets as required. It is recommended that the daily menu is displayed in the lounges in order to ensure that residents are aware of the food for that day. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 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 listened to and acted upon within a reasonable timescale and in a fair manner. EVIDENCE: The complaints procedure which meets this standard is given to all residents and their representatives on admission to the home. The home has had no complaints this year. Staff are aware of their responsibilities regarding the protection of those in their care. The home has joined the ‘Action on Elder Abuse’ scheme, and provides training and videos within the home. However in order that the latest protocols for dealing with any suspected abuse are thoroughly understood it is recommended that the manager and some senior staff attend specific training provided by the local authority. Residents are able to see solicitors as needed and take place in the civic process. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 standard(s) 19,20,21,22,23,24,25,26 The home is clean, well maintained and attractively decorated and provides a very pleasant environment for residents. EVIDENCE: Patcham nursing home is well maintained and decorated providing a comfortable home for residents. 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. 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. 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 Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 16 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 meets 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. All parts of the home were very clean and adequate gloves and aprons are provided for infection control purposes. However all staff who are handling food or work in the kitchen must have their food handlers or food hygiene course. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 The home provides sufficient, suitably qualified staff to meet the needs of the residents. EVIDENCE: Both staff and residents stated that there were sufficient staff on duty to meet the needs of the residents and prevent pressure on staff. The off duty rota showed that extra staff are being brought in fairly regularly due to the needs of the residents having increased. Agency staff are used, as are bank staff, however the home uses agency staff that visit the home regularly and therefore provide continuity of care for the residents. Agency staff spoken with stated that they thought that the standards in the home were very high and that they were always happy to work at the home. Although the recruitment practice is fairly robust, there was one instance of only one reference being obtained for a member of staff. Two references must always be in place, even if the member of staff was previously employed at the home. The manager must follow the regulations including amended regulations when checking that all the documentation is in place. The home shows a commitment to staff training. Staff are encouraged to obtain their NVQ level 2 and 50 of the staff have obtained this. One member of staff is studying for NVQ Level 3. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 18 Registered nurses attend ongoing study at the local hospice and other training days and all grades of care staff have training from the ‘Older Persons Nurse Specialists’. All new care staff have an induction, however the induction process for the evening and weekend kitchen assistants has been overlooked and this must be addressed Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37,38. The home provides a safe enviroment for residents, with a positive and friendly atmosphere. Staff turnover is low therefore residents benefit from continuity of care from staff that are trained in the ethos of the home. 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 been in post for 18 months and has completed the Registered Managers Award. Residents, staff and visitors were very positive about the home and felt that there was a comfortable and friendly atmosphere. Staff turnover is negligible and one visitor stated that ‘ It is nice to see the same staff every day’. It was evident that visitors are aware of whom the key worker is for their relatives as Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 20 one was heard to ask the manager why she had not seen this member of staff, to which the manager replied that she was on leave but would have told them if the key worker had changed. There is a quality monitoring system operating within the home and this includes collation of residents 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 residents finances in place, however residents money must be kept in a bank account which allows them to receive interest. There are several banks offering this service at present and the manager is asked to address this. Staff supervision is now taking place at regular intervals but not as frequently as required by this standard. It is recommended that the manager delegates carers supervision to the other registered nurses and that she takes the responsibility for supervising the nurses only. 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. There was no evidence that the fire alarms had been tested on a weekly basis, and although the manager states that this had been attended to records must be kept. 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. Individual room doors are held open by hooks that release as soon as the door is touched. A fire risk assessment must be put in place for these. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 4 4 4 3 4 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 4 3 3 3 3 3 2 Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 22 Yes Are there any outstanding requirements from the last inspection? 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. 2. Standard 1 1 Regulation Reg 4(2) Reg 5 Requirement The statement of purpose is made readily accessible to service users and visitors That the service users guide is produced in a format that is easily read and a copy is given to each service user. Care plans must contain evidence of the serviceusers or their representatives involvement in the care plans unless impractical to do so,when this must be stated. (This was a previous requirement Jan 2005) All persons working in the kitchen or cooking or handling food must be in possession of the food hygiene or handlers course. No staff are employed prior to all the documentation in the regulation and schedule being in place That part time catering staff receive and induction course suitable to the work they perform and health and safety aspects of the home. That service users money is paid into an account in their name which allows them to gain Timescale for action Sept 10th 2005 Sept 10th 2005 Sept 10th 2005 3. 7 Reg 15(2)(c ) 4. 26 Reg 13(3) November 30th 2005 5. 29 Reg 18 Sched 2 Immediate 6. 30 Immediate 7. 34 Reg 20 (1)(a) Sept 30th 2005 Page 23 Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 interest. 8. 38 Reg 23 (4)( c) That the weekly fire testing is recorded and that fire risk assessments are in place for individual room doors. Immediate 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. 5. Refer to Standard 2 8 15 18 36 Good Practice Recommendations That a complete fee breakdown is itemised in the contract to provide further clarity for service users or their representatives. That the manager requests the wound care nurse undertakes an audit and assessment of mattresses within the home That the daily menu is displayed in an appropriate format in the lounges That the manager and senior staff update their knowledge of the adult protection protocols. That the manager delegates supervision of care assistants to the other registered nurses. Patcham Nursing Home H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex 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 H59-H10 S14022 Patcham N Home V240507 170805 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!