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Inspection on 08/02/07 for Priory Court Nursing Home

Also see our care home review for Priory Court Nursing Home for more information

This inspection was carried out on 8th February 2007.

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

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

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

All residents were assessed before entering the home. There is an educated, committed and competent care team. There was a thorough assessment and review of care with wherever possible resident and relative/family involvement. There was a recreational and activity programme provided which provided stimulation for the majority of residents. Those residents who were spoken to were very pleased with the care provided by the home. There was a comprehensive programme of education provided which ensured that staff knew how to care and support people living in the home. People living in the home lived in clean and safe accommodation.

What has improved since the last inspection?

Considerable efforts had been made to improve the information in care records. They were more consistent and information was clearer to understand. All beds for those people who required nursing were now specialised and designed to meet their needs. The home received in November 2006, 5 stars (excellent) award from South Kesteven District Council in recognition of the quality of the homes` catering service.

What the care home could do better:

The home is let down by the lack of effective management caused by the manager spending only one to two days in this home. This must be addressed as it is affecting the whole ethos in the home and not serving the residents, visitors or staff. Although the decorative state is acceptable, a decoration programme needs to be identified as parts of the home need redecoration and some of the furniture and carpets are worn. Although there are quality assurance internal audits, the quality of fixtures and fittings and the quality overall service needs to be addressed. The manager must follow the correct procedure to ensure that complaints received are investigated correctly. Where there are staffing shortages at short notice, the procedures to obtain additional staff must be reviewed to ensure that this can be speedily addressed.

CARE HOMES FOR OLDER PEOPLE Priory Court Nursing Home Priory Road Stamford Lincs PE9 2EU Lead Inspector Mr Toby Payne Key Unannounced Inspection 8th February 2007 08:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Priory Court Nursing Home DS0000002565.V328893.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. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Court Nursing Home Address Priory Road Stamford Lincs PE9 2EU 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) 01780 766130 01780 766148 www.schealthcare.co.uk Southern Cross Healthcare Services Limited Mrs June Walters Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (62), Physical disability (3) of places Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users in Priory Court Nursing Home with nursing needs does not exceed 22 and the maximum number of service users with personal care only, does not exceed 40. To be able to admit into Priory Court Nursing Home the named person of category PD, SI and LD named in variation application number V35269 dated 22nd September 2006. To be able to admit into Priory Court Nursing Home the named person of category LD named in variation no. V36840 dated 28 November 2006 12th April 2006 Date of last inspection Brief Description of the Service: Priory Court Care Home is purpose built and provides nursing and personal care for 62 persons including older persons aged 65 years and over and up to 3 physically disabled persons under the age of 65 years. On the day of the inspection there were 57 people in the home. The home is one of a number of homes owned by Southern Cross Healthcare Services Ltd. It is within half a mile of the centre of the town of Stamford and within easy reach of a wide range of services and facilities. Car parking is available in the grounds of the home. There are also garden and patio areas. All bedrooms apart from 2 are single and most have en-suite facilities. Accommodation on the first floor is served by two shaft lifts. Fees at the home on the 8/2/2007 ranged from £600 to £750 per week. Extras were hairdressing which ranged from £7.50 to £30, chiropody £12 to £15 personal newspapers and toiletries. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second key inspection visit was unannounced. It took any previous information held by the commission into account about Priory Court. The first key inspection took place on the 12/4/2006 and as a result of continued concerns about the level of staff in the home further random unannounced inspections took place on the 13/7/2006 and 9/10/2006. As a result of two concerns about staffing in the home raised with the commission it was decided that this second key inspection was required. This key inspection was started at 8.00 am. It was undertaken using a review of all the information available to the inspector regarding our service history about Priory Court. It took place over 7 hours. The inspector spoke to 9 residents, 3 visitors, 8 staff, one nursing student on placement and the deputy manager. The main method was called “case tracking”. This involved selecting 2 residents and tracking the care they received. This was done through the checking of records, discussion with them, the care staff and observation of how care was delivered. What the service does well: What has improved since the last inspection? Considerable efforts had been made to improve the information in care records. They were more consistent and information was clearer to understand. All beds for those people who required nursing were now specialised and designed to meet their needs. The home received in November 2006, 5 stars (excellent) award from South Kesteven District Council in recognition of the quality of the homes’ catering service. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People coming into the home receive information to allow them to make a choice whether or not to come to the home. People are assessed by a competent person before coming into the home. EVIDENCE: The statement of purpose and service user’s guide were comprehensive documents, which described clearly what was available at the home, its philosophy of care and how the home met the needs of the residents it accommodates. A copy of the service user’s guide was given to each person. This could also be made available in audio if requested. Copies of both documents were in the entrance to the home. Records from 2 residents showed that they had received a detailed assessment by the manager before coming into the home. They had also been involved in the assessment. Records were very detailed and written confirmation that the home could meet their needs was sent to each person. The home does not provide intermediate care. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 9 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): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans have improved and are now easy-to-read documents that clearly describe the care that staff need to provide, are kept up-to-date, reviewed regularly and show evidence of resident or relative involvement wherever possible. Medication is safely administered. EVIDENCE: Efforts had been made to improve the content and information in care plans. These had improved from the last key inspection and contained a photograph, details of the resident’s life history, detailed care plan outlining the care and support required. There were detailed risk assessments, nutritional risk assessment, weight record, moving and handling assessment and falls risk assessment. There were reviews and signatures of staff and residents wherever possible to signify their involvement. Records were very detailed with evidence of review. The manager completes internal medication audits every month. There were no concerns. The company have introduced dedicated medication administration periods. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 10 Staff wore very distinctive tabards with “do not disturb medication round”. Registered Nurses administered medication for nursing residents and senior care assistants who had done specific training administered medication for residential residents. Two medication rounds were observed. Medication was administered in a professional manner. The home had nurses who specialise and link with other nurses concerning nutrition, infection control, tissue viability and palliative care. Residents felt that staff respected their privacy and dignity and the home had policies and procedures covering this important subject. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 11 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): Standards12, 13, 14 and 15 Quality in this outcome area is average. This judgement has been made using available evidence including a visit to this service. Residents are provided with a wide variety of activities and a varied selection of foods of which there is a choice. However attention still needs to be paid to providing more suitable activities for people who have a physical and/or learning disability. Visitors are made to feel welcome and supported. Residents have choice and receive varied and nourishing meals. EVIDENCE: The activity programme for the week commencing 5/2/2007 was displayed throughout the home. Activities included, scrabble, tea and friendship, painting and crafts, trips to Morrison’s, mobile library and carpet bowls. There was also a hairdressing room and the hairdresser was in the home on the day of the inspection and residents were enjoying this. On the notice boards at the entrance and in the home were clear posters about the cost of hairdressing and St George’s church service every 3rd Monday of the month. There was a visiting lay preacher in the home who spoke of the support she received when visiting the home. There was a jigsaw on a table and the activity staff were in the home. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 12 However staff felt that once again there were not enough activities for the residents who were young physically disabled and for the person with learning disability, the activities programme did not indicate any specific activities for younger people. Following an Environmental Health Officers inspection in November 2006, the home was awarded 5 stars (excellent award) for food hygiene from South Kesteven Distrct Council in November 2006. This was displayed at the entrance to the home. The inspector saw breakfast and lunch served. There were tables in the dining rooms with clean tablecloths and crockery and the menu displayed. Meals were served in an unhurried manner with staff assisting those people who needed help in a quiet and sensitive manner. None of the residents had any concern about the food. They commented, “the food is very enjoyable and I am asked by staff what I wish to eat and “I have no concerns about the food”. Staff in the kitchen were appropriately dressed. Visitors were welcome to visit whenever they wish to do so and local churches have links with the home. They commented, “My mother was unwell and I was kept fully informed of her condition” and “I can visit whenever I wish to do so”., However they also commented that they rarely saw the manager in the home. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 13 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): Standards 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although people living in the home can express their views regarding the care there is a risk that complaints may not be dealt with properly if procedures are not followed correctly. There are systems in place to ensure that residents are safe as a result of abuse training for staff. EVIDENCE: The complaints procedure was very detailed in the service user’s guide. A copy of which was given to each resident and made available at the entrance to the home. None of the residents, staff or visitors had any complaints about the home on the day of the inspection. Since the last random inspection in October 2006 records showed the home had received 2 complaints, which had been dealt with under their policy. One of the complainants expressed dissatisfaction over the way the complaint had been investigated. It later was discovered that one complaint had not been investigated in line with the company’s complaints procedure. Records showed a clear audit trail with letters and complaints acknowledged. The commission received 2 complaints about staffing levels and management of the home (for further information please see standards 27 to 30). All staff received information about adult protection during their induction and a copy of Lincolnshire’s adult protection procedure was in the home. Staff Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 14 confirmed this and knew about what they should do if abuse was suspected. Staff also confirmed they had been recruited correctly with Criminal Records Bureau (CRB) checks and a supported induction. None of the residents or visitors on the day of the inspection had any concerns about the approach or care and support from staff. Staff were seen to be friendly to both one another and residents. They showed confidence and a professional attitude in the way they went about their work. A visitor commented, “I have confidence in the staff” and “I am quite satisfied”. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and safe with a variety of communal areas. However there are areas of the home, which need general maintenance and updating. EVIDENCE: Residents said how satisfied they were with the decoration and cleanliness of the home. They all spoke of how much they liked their bedrooms. The housekeeping staff monitor how clean the home is. The home has under floor heating. This further reduces the possibility of any resident being scalded by being in contact with a hot surface. There were however areas of the home, which require redecoration in the future and some carpets and furnishings, were worn. Two people expressed concerns about the state of linen in the home specifically mentioning some of the linen was thin and worn. The inspector examined a sample of linen in cupboards and found some linen worn and thin Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 16 but found other linen not in that state and towels and sheets. He also spoke to the person in the laundry who confirmed that new replacement sheets etc were on order. Two people referred to the state and cleanliness of the wheelchairs. There were wheelchairs in the home. There was one (not in use) which needed cleaning as it had food on the footplate. Other wheelchairs were seen in a store. A number did not have footplates on them and staff explained that they did not use wheelchairs, which did not have footplates on them. There was evidence to show this was happening. Chairs, which needed attention, were referred to the wheelchair service. The responsibility for the day to day cleaning of the chairs was the care staff. It was noted that a resident’s meeting on the 14/11/2006 had made reference to the footplates on a wheelchair not locking correctly. It was confirmed the maintenance person was not working and the home was receiving one day a week from a maintenance person from another care home. The home was also noticed to be odour free throughout. Staff had gloves and aprons when attending to residents. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Despite improvements in the level of staff available in the home and reviews of deployment there are still times when there are insufficient levels of staff to meet the needs of the residents. There are occasions when communication difficulties may impact on the quality of care received by residents. Robust recruitment procedures are in place and the staff receive induction when starting at the home, therefore residents are protected.. EVIDENCE: The last random inspection in October 2006 showed that the staffing levels had improved. However during this inspection process a relative expressed concern that staff had been in tears saying they just could not cope with the workload and they could not book agency staff. Another relative observed since October 2006 that the levels of staff had dropped and staff have become stressed. Normally the person would see the senior floor manager but she left in December 2006. There was no one in a senior position. The person had also learnt that the handover of staff had been reduced from 30 minutes to 15 and had seen the person’s relative’s care records had not been filled in as the staff said they did not have time to do so. The relatives meeting records state that there have been issues with difficult communication with certain members of staff, the registered manager was Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 18 present at this meeting. The inspector observed no communication difficulties between staff and residents during the inspection. All the staff who spoke to the inspector felt that if everyone turned up for work as required (and evident on the day of the inspection) then they could manage the needs of residents. Staff were supported by the catering, domestic, laundry and entertainment staff. Residents said they were got up at the time they wished to get up. Staff did say that found it difficult to run a home without a manager. Staff were seen to talk, laugh and joke to residents. Call bells were responded to in under a minute. Statistics were being kept of the number of staff working in the home every day. The deputy manager later explained that when there were staff shortages the procedure was for this to be notified to the manager, who then would ask them to contact another of the company’s homes to see if they could assist and then an agency would be contacted. This could cause considerable inconvenience. All staff received a comprehensive training programme following their induction and individual training issues were identified and a training plan was produced. Each employee was given a mentor to assist them through their induction and ongoing training programme. Comments from staff were, “I received a warm welcome when I came here and a supported induction programme” and “we can do our work if everyone turns up for work”. Training since the last random inspection in October 2006 had included Control On Substances Hazardous to health (COSHH), safety and bedrails, moving and handling, first aid, infection control and sensory training. This training was in addition to National Vocational Qualification training. The home had 40 of staff who had obtained a care qualification. This was under the required standard of 50 . The home was also a centre for nurses from other European countries undertaking an adaptation programme to enable them to be registered by the Nursing and Midwifery Council. The home also provides training for nursing students. There was a nursing student who was ending her placement and spoke of the benefit she had received and that it had been a very good learning experience and she had a very supportive mentor. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is insufficient leadership, guidance and direction provided for staff to ensure that residents receive consistent satisfactory standards of care. EVIDENCE: Since November 2006 the manager has been required by the company to both manage this home and other homes operated by the company. Over the last couple of weeks she had been working one to two days a week at Priory Court and the other days at another care home. There was clear evidence from staff, residents and visitors that this lack of direction was affecting the quality of the overall service. Staff also expressed concern that the handover period of 30 minutes had been reduced to 15 minutes. They felt this hindered communication taking place. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 20 Staff said that they found it difficult to run a home without a manager. There was a deputy manager for the home. Whilst in the home several phone calls were received from people wanting to speak to the manager who was unavailable. Staff and visitors commented they now rarely saw the manager. Comments were made that people no longer had confidence in the manager. Despite these shortcomings there was evidence of quality assurance monitoring undertaken by the manager. There was also a regular manager’s audit, which was very detailed and last done on the 19/1/2007. The audit covered the exterior of the home, medication, care records (4 records examined), pressure sores, complaints, statutory records, human resources, personnel files, maintenance, health and safety and training. The report also acknowledged that as she was managing another care home it was putting constraints on her time. All staff and records confirmed that supervision was taking place. There were regular staff, resident and relatives meetings. The home also received monthly unannounced monitoring visits by the company and copies of the reports were sent to CSCI. Surveys were also carried out to obtain the views of people living in the home. Equality and diversity, was mentioned in the new brochure and there was a policy on this subject. It was noted that there were not suitable activities to engage residents who were younger physically disabled and had a learning disability. This still needs to be addressed. The home had comprehensive health and safety procedures which included risk assessments and essential equipment serviced regularly. The inspector saw domestic staff cleaning and vacuuming the home. All areas were clean. Gloves, aprons were available and being used and alcohol hand rub was available throughout the home and at the entrance with signs asking visitors to use it when entering and leaving the home. Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 1 2 x x x x 3 Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 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 OP31 Regulation 10 (1) Requirement Timescale for action 29/03/07 2 OP16 22(3) 3 OP27 18(1)(a) 4 OP12 16 (2) (n) The registered manager must be present in the home to support/manage staff, be available to speak to relatives and residents and monitor the overall quality in the home. All complaints received are 29/03/07 investigated by following the procedure outlined in the homes policy. At all times there must be 29/03/07 arrangements in place to ensure that there are sufficient staff to meet the assessed needs of the residents. 29/04/07 The manager should provide more suitable activities for the younger people who have a physical disability and/or learning disability. Efforts should be made to provide specific activities for these people in consultation with them or their relatives/advocates. This in order to promote the equality and diversity of all people living in the home Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 23 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 OP19 Good Practice Recommendations It is recommended that an audit is made of the environment in the home to include, the decorative state, condition of furnishings, wheelchairs and bedding. As a result of this a programme of refurbishment needs to be introduced. The manager must also review the recent change introduced to reduce the handover period from 30 minutes to 15 minutes. 2 OP27 Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 © 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 Priory Court Nursing Home DS0000002565.V328893.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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