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Inspection on 01/06/05 for Prestwood (Coach House) Nursing Home

Also see our care home review for Prestwood (Coach House) Nursing Home for more information

This inspection was carried out on 1st June 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 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

Qualified nurses and well-trained care assistants provided a very good standard of care. The care plans and associated documentation seen evidenced that service user`s needs had been assessed and were being met. There was excellent interagency working and service users had access to a wide range of professionals, such as a chiropodist, dentist, physiotherapist, etc, as required. There was evidence that strenuous efforts had been made to improve all aspects of recording within the care planning process and an ongoing review of policies and procedures had commenced. There was very good interaction between staff and service users, and discussions with residents confirmed that they were very happy with their stay in the home. There was a wide range of activities available for the benefit of the service users and contact with relatives and friends was encouraged. The whole ambience of the home was comfortable and homely and staff were friendly and open. The home was very clean and warm, well maintained and had good quality furniture and fittings in all areas. The gardens were attractively maintained and created a pleasant surrounding for the service users. There was a new home manager at the time of the inspection that had worked within the home prior to her promotion. She was an experienced nurse, very knowledgeable about the needs of the service users and was ably supported by the Director of Nursing, also qualified and very experienced. Staff training was excellent and showed a strong commitment to the continuous development of staff.

What has improved since the last inspection?

A major redecoration and refurbishment programme had been completed throughout the home which had enhanced the internal ambience for service users, staff and visitors alike. A considerable amount of effort had taken place to update some of the policy and procedural documents within the home. This work would be part of an ongoing process and the management of the home were to be commended for undertaking this major review in addition to maintaining a high standard of care for the service users.

What the care home could do better:

Four requirements were raised following this inspection; three of which require more robust systems for recording. The fourth requirement identified further attention was needed in terms of cleanliness in one of the sluices but based on the very high standard of cleaning in the rest of the home, it would appear that this was an isolated incident.

CARE HOMES FOR OLDER PEOPLE Prestwood Coach House Nursing Home Coach House Prestwood Stourbridge West Midlands, DY7 5AL Lead Inspector Lynne Gammon Announced 01 June 2005 10:30 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. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Prestwood (Coach House) Address Coach House Prestwood Stourbridge West Midlands DY7 5AL 01384 877111 01384 877900 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) Completelink Limited Jayne Tatler Care Home 40 Category(ies) of OP - 40 registration, with number PD 40 of places PD(E) - 40 Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) OP Minimum age 60 Years 2) PD Minimum age 60 Years Date of last inspection 13 December 2004 Brief Description of the Service: Prestwood Coach House occupies a delightful rural position on the 48 acre Prestwood Estate. The home is situated off the main A449 close to the village of Kinver, which can be accessed by the local volunteer transport. Service users enjoy the well-tendered gardens and views of the extensive countryside. The home provides full nursing care given by fully trained care staff and registered nurses. The home caters for long-term service users over 65 years of age and for short-term visitors staying for respite or convalescence. Stays can be long or short term. The beds are organised over two floors and the home has 20 single and ten double rooms for married couples or those who prefer to share. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on the 1st June 2005 at 10.30am. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 12hrs. On the day of the inspection, both the registered care manager, who is the Director of Nursing for both homes on the Prestwood site, and the home manager of the Coach House, was present for the whole of the inspection. The home manager, an RGN, was also supported by another registered nurse and seven care assistants. Ancillary staff employed within the home included; 3 domestic staff, 2 catering staff, maintenance and handyman and a gardener. The home shared a full time activity coordinator with the other home on the Prestwood site. There were 30 service users living in the home and these staffing levels were adequate to meet their needs. The inspection included a tour of the building, inspection of records, observation and discussions with service users and staff. Since the last inspection on 13th December 2004, one complaint had been received by the home and managed in accordance with the home’s complaints procedure. The Commission had received no complaints nor any incidents or reports of abuse of any kind and no requirements or recommendations, against the regulations or the minimum standards, were outstanding from the last inspection report. It was clear that aspects of care had been considered and addressed well, and residents had been able to make a choice about the home following an assessment and invitation to visit the home. Care plans were well documented and evidenced that health, personal and social care needs had been met. Service users spoke highly of the quality of care provided by the staff and said that they were treated with dignity and respect and that their request for privacy was supported when required. Recently, the home had been redecorated to a high standard throughout and was very well maintained, warm and clean. The home had a comfortable, homely atmosphere and provided a safe and happy environment for the service users. Some bedrooms had their own kitchenette where service users could make their own drinks and snacks if able and safe to do so for themselves and their visitors. The communal areas were very clean, warm and tidy. Menus were seen to contain meals that were varied and nutritious, with choices available to meet a range of needs. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 6 Staff training was well recorded and managed, and staff were able to speak privately to managers at any time. However, no formal supervision took place for staff to enable them to have dedicated one to one time with their manager to address current and training issues. The home was generally well managed and organised, and service users were able to make their own choices and decisions about the day-to-day activities within the home. Good systems were in place to safeguard service user’s health, safety and welfare but all evidence checks must be undertaken to confirm the identity of all staff during the recruitment process. What the service does well: What has improved since the last inspection? A major redecoration and refurbishment programme had been completed throughout the home which had enhanced the internal ambience for service users, staff and visitors alike. A considerable amount of effort had taken place to update some of the policy and procedural documents within the home. This work would be part of an ongoing process and the management of the home were to be commended for Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 7 undertaking this major review in addition to maintaining a high standard of care for the service users. 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. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 5. Initial assessments were carried out for all potential service users and trial visits were available for them to ascertain if the home would be appropriate to meet their needs. EVIDENCE: Three individual service user’s records were examined and all had received a pre-admission assessment carried out by a senior member of staff. Service users confirmed that they were offered the opportunity to visit the home before they moved in to determine the suitability of the home. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 and 10. The care planning processes within the home were clear and concise providing adequate information for staff to meet the needs of the service users. The administration and handling of drugs was overall, well managed and documented to protect the service users but needs to be more stringent in the recording of those drugs not administered. There was a friendly ambience within the home and service users were treated with dignity and respect and their requests for privacy supported. EVIDENCE: A number of service user care plans were examined and although there was some intermittent recording in the daily report included in the care plan, it was evident that there had been substantial efforts made to improve the care planning processes. Staff should be credited for these efforts but must ensure that the daily records are kept up to date. Risk assessments were completed and reviewed regularly. The health, personal and social care needs of the service users were well documented and up to date. There was extensive evidence to show that service users had access to a wide range of health professionals such as the dentist, optician, physiotherapist, and chiropodist, GP etc. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 11 On inspection, there was, overall, a safe and well-organised system for the receipt, storage, administration and disposal of medicines. All documentation was checked and a few gaps were identified in regard to the recording of the non-administration of drugs i.e. eye drops. The care manager confirmed that this had been highlighted previously and therefore, a reminder sheet for staff had been placed at the front of the MAR records to reinforce the need for stringent recording at all times. It will be a requirement of this report that this takes immediate effect. No controlled drugs were prescribed at the time of the inspection and the controlled drugs register confirmed nil quantities. Only one person within the home was self-medicating at the time of the inspection and a locked drawer facility within his room enabled the safe storage of his medication. Staff were observed addressing service users in a respectful manner and knocking on doors before entering service user’s rooms. Service users confirmed that they were treated politely and that their privacy was respected. They stated that they saw their GP in their own room and were able to speak privately to their family and friends in their bedrooms if they so wished. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 and 13. The home provided a range of activities and events to satisfy the needs of the service users and family and friends were welcomed and encouraged to maintain contact with the service users in the home. EVIDENCE: Pre-admission documentation identified the personal interests of the service users. For example, one initial assessment showed that the service user was a volunteer with the CAB and a singer in the choir. These interests were supported and maintained once the person was admitted to the home. A fulltime activities co-ordinator was employed to work between the Main House and the Coach House, and arranged for a wide range of activities to take place for the benefit of the service users. These included foot massages and entertainers, hairdresser, bingo etc. A greenhouse was also provided and used by a service user who had an interest in gardening. Religious needs were also accommodated and included a monthly Holy Communion service for those service users who wished to attend and a weekly visit to the home by a local Vicar. There was an open door policy operating within the home and relatives and friends were encouraged to maintain contacts with the service users. The home had many links with the local community, including the British Legion Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 13 and the Women’s Institute and events were organised outside the home, sometimes using the ring and ride bus service or the community bus. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 and 18 Service users felt assured that if they had to make a complaint, it would be resolved as far as possible to their satisfaction. The home’s policies, procedures and induction training protected residents from aspects of abuse. EVIDENCE: A number of service users spoken to stated that they did not have any complaints about the service within the home. One lady said ‘It’s lovely here, the staff are so nice, they can’t do enough for you’. They also confirmed that if they did have a complaint, they were certain that their complaints would be listened to and resolved if at all possible. The Commission had received no formal complaints since the last inspection and one that had been received by the home, had been responded to within the required 28-day timescale and partially substantiated. The complaints procedure was not inspected on this occasion. No incidents of neglect or abuse of any kind had been reported. The home had an Adult Protection procedure and a handbook on abuse was available for all staff. The policy documentation seen, and a discussion with staff confirmed that service users were protected from all forms of abuse. It was also noted from training files that the 8-week induction period for all staff contained abuse training. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 and 24. The internal and external communal facilities were well maintained and provided a comfortable and safe environment for those living within and visiting the home. There were adequate washing and lavatory facilities within the home and each bedroom provided a ‘home from home’ environment for the service users. The rooms were personalised with ample facilities to enable independence and choice. EVIDENCE: The location and layout of the home was well suited to the service users. The rural setting provided a quiet and pleasant environment and the home enabled easy access for all service users including those requiring wheelchairs. The home and gardens were maintained to a high standard. The windows and doors within the home were in the process of being re-varnished during the inspection and the whole home had recently been redecorated and had new, quality carpeting throughout. The curtains looked like new having been cleaned and lined, and new pole fittings contributed to the overall high standard of refurbishment and redecoration. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 16 The corridors were bright, airy and had sufficient grab rails to support the service users. The communal areas i.e. lounges and dining rooms were decorated to a high standard, very clean and homely. The first floor landing area had been converted into a computer area. Service users were able to access the grounds and outdoor seating was available. Toilets and washing facilities for the service users were, overall, very clean and odour free. However, one of the sluice facilities was cluttered and the cleaning was not to the same high standard as the rest of the home. It will be a requirement of this report to rectify this problem. The door lock to the sluice was also broken and should be repaired. The lift within the home had been recently serviced, the hoists were checked weekly, and variable height beds had been ordered with the intention of having 5 every alternate month at each of the two homes on the Prestwood site. The bedrooms were decorated to a satisfactory standard and each included an en-suite facility and a fully equipped kitchenette. One service user said ‘It’s so nice here, it’s more like living in a hotel than a home’. Each bedroom was of a good size and accessible for wheelchairs. Each contained a range of personal items of the individual service user and a locked drawer to hold medication, if the service user wished to self medicate, or money if they chose to manage their own finances. It was evident that staff made every attempt to ensure that the service users were in a ‘home from home’ environment. One service user had been used to sleeping in a double bed before coming to the home and could not adjust to the single bed that had been made available for her. The staff had put two single beds together and two single mattresses across the beds, horizontally, to prevent the beds from ‘splitting’. A risk assessment had been completed and recorded accordingly, and the service user was very happy with the ‘double’ bed. Within each bedroom, it was observed that radiators were protected, adequate numbers of sockets were available and smoke detectors were fitted. A good standard of furnishings and fittings were witnessed. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 and 30. The needs of service users were met by an adequate number of suitably trained staff. The procedures for the recruitment of staff needed to be more robust in order to contribute to the protection of service users. The home had a strong commitment to staff training and development. EVIDENCE: On the day of the inspection there were 31 service users living in the home. The duty rosters were seen, and a discussion with the registered care manager and the staff, evidenced that overall, adequate numbers of staff were on duty to meet the needs of the existing service users. There were, however, occasions when there were shortfalls, in particular with core staff at night. Recently, there had been a recruitment drive to try to address this problem and three carers had been recruited to work nights. The registered care manager confirmed that the home had over 50 of care assistants trained to NVQ level 2 or above. The care manager was also continuing with the NVQ Level 4 manager’s award. The home recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff asked stated that they had job descriptions and contracts of employment. Two staff files were examined and each had been subjected to POVA/CRB comprehensive checks. The files evidenced records of the interviews, two references and a Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 18 contract of employment. Qualifications and training history were also included. The staff files did not, however, contain a photograph of the individual staff member or proof of identity as required in Schedule 2 of the Care Home Regulations 2001. It is a requirement of this report that a photograph is obtained for all staff members, and all future employees must have copies of proof of their identity held within their individual staff files. The home had a firm commitment to the training and development of its staff. A Training Co-ordinator, who works 30 hours per week between the two homes on the site, met with the inspector and provided details of all training undertaken and planned for all staff groups. The training programme was prepared three months in advance and included all mandatory training requirements and others such as abuse training etc. Documentation relating to the training facility within the home was professionally organised and well managed. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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) 32, 33, and 36. The ethos and leadership of the home was committed to meeting the needs of the service users. The home was clearly run in the best interests of the service users but regular, formal supervision of staff should take place to safeguard the service user’s health, safety and welfare, and to provide staff with the opportunity to have regular, documented, one-to-one discussions with their line manager. EVIDENCE: Throughout the inspection, the registered care manager, Jayne Tatler (Director of Nursing), was present with the new home manager, Carol Lloyd, an RGN. Carol had worked at the home for almost a year, and had recently been promoted and was responsible for the day-to-day running of the home. The other Directors of the home also spent time talking to the inspector and it was evident that the overall commitment to providing a high standard of care for the service users was one of the key objectives of the company and staff. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 20 The service user feedback form was in the process of being redone, however suggestion boxes were in place in the home for any service user or relative to use at any time. Regular staff meetings took place each month with minutes taken and action recorded. A requisition sheet had also been designed to ensure that staff members were not waiting unnecessarily for equipment or stock. Formal supervision sessions did not take place for care staff, and although there was an open door policy for staff to meet with the registered care manager or the home manager at any time, the meetings that did take place were not recorded or used for training and development purposes. It is a requirement of this report that staff are appropriately supervised and a recommendation that formal staff supervision sessions take place 6 times per annum. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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 x x 4 x 4 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 x 15 x COMPLAINTS AND PROTECTION 4 4 3 3 4 4 x x STAFFING Standard No Score 27 3 28 3 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 4 4 x x 2 x x Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 22 NO 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. Standard OP9 Regulation 13(2) Requirement To ensure that all nonadministration of medicines be recorded to determine reason for non-administration. The sluice areas to be kept clean at all times. Proof of a persons identity, copy of their birth certificate and passport (if any) is obtained for all new members of staff. To ensure that all care staff receive appropriate supervision. Timescale for action 01/06/05 2. 3. OP26 OP29 23(2d) 19(1bi) 01/06/05 01/06/05 4. OP36 18(2) 01/06/05 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 OP36 Good Practice Recommendations To ensure that all care staff receive formal supervision at least 6 times per annum. Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Prestwood Coach House Nursing Home v225645 e09 e51 s22362 prestwood coach house v225645 010605 stage 4.doc Version 1.30 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. 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