CARE HOMES FOR OLDER PEOPLE
Pennington Court Nursing Home Hunslet Hall Road Leeds Yorkshire LS11 6TT Lead Inspector
Paul Newman & Sue Dunn Key Unannounced Inspection 13th March 2007 9:30 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 Pennington Court Nursing Home DS0000001366.V326755.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. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Pennington Court Nursing Home Address Hunslet Hall Road Leeds Yorkshire LS11 6TT 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) 0113 2284040 P/F 0113 2284040 bronwyn@westwardcare.co.uk Westward Care (Yorkshire) Limited Bronwyn Gregory Care Home 62 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (62) Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. That the category of MD be used only for the person named on the notice that accompanies the certificate. 13th January 2006 Date of last inspection Brief Description of the Service: Pennington Court is a large building offering both nursing and residential care. Both units have a nurse manager in charge and a team of dedicated care staff. The registered manager has responsibility for both units. Intermediate care services are also provided. The home is situated in a residential area of Beeston, accessible by a good bus route to and from the city centre. Accommodation is provided on two floors with the provision of a lift to aid access. A small enclosed quadrangle garden area, with outdoor seating, is available to service users and visitors. There is an enclosed parking area at the rear of the building and off street parking at the side of the building. Local amenities are in close proximity and include a library, public house, supermarket and other small shops. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcomes for service users. The inspection report is divided into separate sections with judgements made for each outcome group. The judgements reflect how well the service delivers outcomes to the people using the service. The categories are “excellent”, “good”, “adequate” and “poor”. More detailed information about these changes is available on our website – www.csci.org.uk. The last key inspection was carried out on 13th January 2006. The manager completed a pre-inspection questionnaire and this information with information supplied by the home during the course of the year was used as part of the inspection process. Questionnaire leaflets were sent to the home to be given to relatives and service users and health care professionals. Completed survey forms were returned by GP’s, health care professionals from the intermediate care team, seven relatives and nine service users from both services. Two inspectors carried out the inspection visit which started at 9:30 am and finished at 16:00 pm. During the visit there was a tour of the building, documentation was examined, service users, visitors, the staff and manager and nurse manager were spoken with and routines and practices were observed. The care files of six service users (three from the residential unit and three from the nursing unit) were closely examined and information cross- referenced from the above sources. The current fees for care were £376 to £514 per week and £595 per week for intermediate care. Personal toiletries and clothing, chiropody, hairdressing are not included in the fees. What the service does well:
The home ensures assessments of need are carried out before people are admitted to the home. In the case of people on intermediate care this is done by the hospital and intermediate care team and gives details about how care is to be given. The staff in the home have earned the respect of other health care professionals they work with because of the level of cooperation and care provided for service users. Service users and their families spoke highly of the care and quality of life in the home. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 6 The home is developing ‘Gold Standard Framework’ protocols to ensure people are well supported as they approach death. They have also worked with a falls prevention worker to provide information which educates people on how to reduce the risk of falls. Staff were knowledgeable about service users, could put names to faces and knew which rooms people occupied. They were observed and overheard to be cheerful and friendly and to spend time communicating with people with sensory loss and actively listening to peoples’ fears. Medication systems were designed to ensure service users were protected. It was clear from overheard conversations that people were given choices and able to make decisions about their daily lives. One person said ‘you can get up when you want, have breakfast when you want and go to bed when you want’. The home supports people to lead their chosen lifestyles within and outside the home. A health professional commented on the home’s ‘culture of encouraging independence’. Some staff had come to work on their day off to take a group of service users out shopping. One person said ‘its not like work, I love it’. Another said ‘I enjoy going out with the residents because they enjoy it so much’. Service users were protected by the homes open and effective complaints procedure and staff trained to understand adult protection procedures. Relatives and service users spoken with said they could ‘raise any little thing with staff and it is put right’. The laundry was well ordered and spotlessly clean. Bedding and personal clothing looked well cared for. The staff spoken with felt it was a good home and said they enjoyed their work. The number of care staff with the NVQ award exceeded the minimum 50 . It was clear that staff put their training into practice. They were seen to be pleasant and helpful and attend to service users needs with compassion and understanding. The home is well managed and run the best interests of the service users. Effective quality auditing systems are in place and the home reviews its practices in accordance with its findings. What has improved since the last inspection?
Some bathrooms had been upgraded. Staff commented on the high quality of bathroom and other furniture provided. One said ‘the furniture is high spec and they make sure that any equipment is right for the staff to make the work easier’.
Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 7 The manager had taken note of matters identified in a complaint investigation, following which, systems were reviewed and changed to reduce the risk of any further difficulties. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides detailed information about the services it provides. Needs are assessed before people are admitted to the home. The information gathered at this time was variable but enough on which to base a simple plan of care. EVIDENCE: A selection of six care files for people in residential, nursing and intermediate care beds was examined. One pre admission assessment had been done by the nurse manager several days before the admission of the service user. This gave information about dislikes, previous occupation and interests, diet and preferences for personal care and routines.
Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 10 A nurse explained that admission to the intermediate care service usually follows a telephone call from the joint care team giving basic details such as name, condition and ward number. More information is then faxed to the home as was seen for a person just referred. A full Easy care assessment carried out by a hospital staff nurse for a person in an intermediate care bed was seen in the file. The information was basic and limited to health care needs. However, the file did contain assessments and action plans by health care professionals from the multi disciplinary care team such as occupational therapist, physiotherapist, and instructions on wound care. Another file for a person recently admitted to the home included an Easy care document and a pre admission assessment by the home which outlined the circumstances leading to the admission. Pre admission assessments for people on the residential unit varied, the earlier ones contained more detailed completion of documentation. Some information, such as how and when families wished to be contacted, had not been completed in the files of the more recently admitted people. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home works well with other health care professionals, service users and their relatives to ensure care needs are met. The principles of dignity, respect and privacy are put into practice. EVIDENCE: Care files were orderly and consistent in layout. An admission checklist for a residential service user showed a named care worker (keyworker) had been allocated, a clothing list completed and the kitchen informed about dietary needs. Some parts of the documentation however had not been completed in a couple of files for people in the residential part of the home, such as consent to photograph, relatives contact information, biographical information and social care needs. In cases where it is not possible to obtain information it should be recorded and included later as staff and service users build relationships and
Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 12 familiarity. However, the staff were able to describe how they met the needs of different people and their preferences. A person living in the nursing unit had been in the home for 10 years and was described as ‘poorly’ on the day of the visit and in bed in her room. Care plans were in place giving guidance on how she was to be cared for and there was evidence these were reviewed monthly. There was little change noted. The most recently amended care plan was for medication and was done at the end of February. A well recorded social assessment in the file gave insight into the service user’s views about voting, spirituality, dislikes and entertainment. Information about resuscitation was clearly shown in red in the front of the file. Keyworker records provided a record of her involvement and enjoyment of social activities in the home. All contact with GP’s, optician and chiropody services were logged and there was a record on file to show all contacts with family even when this had been unsuccessful. She looked comfortable on a pressure relieving mattress with drinks at the side of her bed. Staff had bathed her earlier and were overheard reporting her progress to the manager. The home is developing ‘Gold Standard Framework’ protocols to ensure people are well supported as they approach death. They have also worked with a falls prevention worker to provide information which educates people on how to reduce the risk of falls. The day to day information in the file for a person on intermediate care was far more detailed than in those of permanent residents showing the actions of both the service user and how staff responded. The 10 intermediate care beds lead to a constant turnover of service users but the staff were knowledgeable about service users, could put names to faces and knew which rooms people occupied. They were observed and overheard to be cheerful and friendly and to spend time communicating with people with sensory loss and actively listening to peoples’ fears. Comments from returned surveys from relatives said ‘my relative is very happy in the care home, I would recommend it’, my mother is well cared for, content in herself and the staff are very good’, ‘We found the care very good though my relative was only in the home for a short time’. The pharmacist had given staff in the residential home training on medication. The nurse manager carried out random medication audits in the nursing home. Both units used a pre dispensed medication system and administered medication from a trolley. The lunchtime medication was observed. The nurse manager was well organised before starting to give medication and recorded each medication on the individual recording sheets after she had seen it taken. It was clear that security was second nature to the nurse and the trolley was locked each time it was left unattended. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 13 Medication was checked in on receipt and entered on the record sheets. The trained nurses record any unused medication from the nursing home as the pharmacy no longer takes unused medication. This is kept secure and disposed of by a contractor. The pharmacist continues to take unused medications from the residential home. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to choose their lifestyle and keep in touch with relatives and friends inside the home and in the wider community. The home offers a healthy, varied diet in pleasant surroundings. EVIDENCE: Service users spoken with in the residential part of the home talked about outings and activities. A trip out was planned for the following day to a fish and chip restaurant. Taxis or coaches are booked for outings and are part paid for by service users and subsidised by the amenity fund. One person goes daily to the local pub before lunch, another played solitaire on the computer. There was a buzz of activity in the nursing unit with the space allowing plenty of scope for people to be in groups of their choosing. Some people were going out shopping (with staff who had come in on their days off) and later said they had a lovely time, another small group were going to a local centre for lunch. Some people seen in their rooms had their personal possessions and TV remote controls within easy reach.
Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 15 It was clear from overheard conversations that people were given choices and able to make decisions about their daily lives. One person said ‘you can get up when you want, have breakfast when you want and go to bed when you want’. One relative said that the church services, which had been enjoyed ‘appeared to have been discontinued’ but it was said that one person goes out to church and the clergy come to the home monthly for a communion service. A hairdresser visits the home twice a week and service users were satisfied with the service and social stimulation this offered. Service users made positive comments such as ‘if you find a better home than this, let me know because there wont be’ ‘This doesn’t feel like a residential home, it feels like a proper home.’ The main meal of the day was observed and sampled. People were seated at tables in groups of four therefore able to talk easily to each other. Tables were well set out with cruets and a choice of soft drink. Vegetables and gravy were served at the table from tureens by the staff who explained what was on offer and gave people time to make a choice. Second helpings were available. The food was well presented and tasty but one person in the nursing unit commented ‘it could do with being warmer’. This was confirmed when the food was tasted. This was not a problem in the residential unit. Staff who were assisting people with their food did so in a discrete and unhurried way. Plate guards were fitted for some people to make it easier for them to feed themselves. One person said ‘the chef takes an interest in us and checks what we like and don’t like’. A lot of people were overheard complimenting the chef as she went around the home. A returned survey from a relative said she missed the ‘closeness of things like eating with my mother and having her to myself’. This had been discussed at a review and the home was making provision to meet their needs. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are protected by the homes open and effective complaints procedure and staff trained to understand adult protection procedures. EVIDENCE: The complaints procedures were on display. Relatives and service users spoken with said they could ‘raise any little thing with staff and it is put right’. The home keeps a log of complaints. There has only been one complaint since the last inspection, which has been thoroughly investigated by the home and the CSCI, is longstanding and ongoing. The home has looked carefully at their procedures as a result of this and has made some amendments. The staff handbook includes the ‘whistle blowing’ policy and some information on abuse which is also covered in the induction training. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a safe well-maintained and comfortable environment which encourages independence. EVIDENCE: The lounges, which were bright and well furnished were divided into smaller areas where families could meet and have more privacy. Some people were using their bedrooms from choice others because they were being nursed in bed. Bedrooms contained pieces of personal furniture and other possessions. People in their rooms had the things they needed such as drinks, magazines, tissues and remote controls within easy reach. There was a slight odour in one bedroom and the stair carpet was showing signs of heavy use. The manager
Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 18 has a budget for ongoing replacement and refurbishing which it was understood included these areas. A person in the home for a short stay said ‘you can’t condemn it, you can’t expect a five star hotel in one of these places but I’ve got my own room which is clean and comfortable’. Minutes of a staff meeting showed that the environment was one of the items discussed. The manager has a budget for redecoration and refurbishment. This supports an ongoing programme to ensure standards are maintained. Some bathrooms had been upgraded. Staff commented on the high quality of bathroom and other furniture provided. One said ‘the furniture is high spec and they make sure that any equipment is right for the staff to make the work easier’. The report is awaited from the Fire Safety officer who visited after an incident in the home. The laundry was well ordered and spotlessly clean. Bedding and personal clothing looked well cared for. The sound of the call bell, which was going frequently on the nursing unit, was very intrusive. Whilst it is appreciated that it is necessary to alert staff the noise should not impinge on the lives of people living in the home. The nurse manager said the volume could be reduced at night and perhaps this should be considered during the daytime as well. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Staff in the home were well trained, knowledgeable and in sufficient numbers to meet service users needs in an understanding and compassionate way. Staff morale appeared high. EVIDENCE: Staff on the nursing and residential units were spoken with. All felt it was a good home and enjoyed their work. Some staff had come to work on their day off to take a group of service users out shopping. One person said ‘its not like work, I love it’. Another said ‘I enjoy going out with the residents because they enjoy it so much’. There were sufficient staff on duty over the lunch period for service users to be assisted at a relaxed pace. One person had been at the home on a placement from college before being employed and spent up to two weeks shadowing a senior member of staff whilst going through the induction training. Two nurses were moving and handling trainers and ensure new staff received the training during their first week. Health and safety and fire safety training given during the induction period is reinforced by regular updates. Staff said that additional training is
Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 20 always advertised on the notice board. Adverts for forthcoming Dementia and adult protection were seen. Comments on returned survey sheets were as follows:one person felt that : • ‘more joint training was needed in occupational therapy’. areas of physiotherapy and GP’s said : • • • • ‘there is a warm and welcoming atmosphere where patients needs are a priority’, ‘Staff are always keen to learn’, ‘an excellent nursing and residential home, one of the best I have visited as a GP’. ‘There is a culture of encouraging independence’. The pre inspection questionnaire showed that 68 of staff had the NVQ award. The staff were well organised and there were good systems of shift handovers and staff meetings so that information about the residents was up to date. An oncoming member of staff was able to go straight to a particular service user, though that person was only in the home for a short stay. Staff were pleasant and helpful and attended to service users needs with compassion and understanding. The files of a nurse and a care worker were examined. Both contained recorded evidence that systems had been followed and thorough recruitment and selection checks had taken place. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is well managed the best interests of the service users. Effective quality auditing systems are in place and the home reviews its practices in accordance with its findings. EVIDENCE: The manager, trained nurse has the NVQ4 manager’s award which the nurse manager was close to completing. The senior on the residential unit had completed NVQ3. All her statutory training was up to date and she was doing a distanced learning Palliative care course.
Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 22 The home has used a recognised company for their quality assurance system. This has involved audits of the intermediate care service, falls monitoring, a medication audit and questionnaires for service users. The home is working with the falls prevention team to educate people into reducing the risk of falls. Information about this was seen in the bedrooms. The home carries out satisfaction surveys of residents and relatives and formulates the results into a summary report that is available in the home. The financial records for two people were checked. Records were clear, receipts were kept and the cash held tallied with the records. The following health and safety check records were checked:• Emergency lighting checks – recorded weekly • Fire alarm checks – recorded weekly • Accident records- well recorded and monitored • Fire drill – 4th March 07 • A small fire on 14th Feb had been dealt with in accordance with procedures • Fire training – 6th March Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 x 3 3 4 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 3 4 Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP3 OP7 OP15 OP22 Good Practice Recommendations The standard of detail in pre admission assessments should continue to be maintained as seen in previous files. Daily records should include the level of detail seen in the intermediate care files. Staff should ensure that food should be served at a suitable temperature. Staff should take steps to ensure the sound of the call bell does not cause an irritation for the people living in the home. Pennington Court Nursing Home DS0000001366.V326755.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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