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Inspection on 10/01/07 for Prospect House Nursing Home

Also see our care home review for Prospect House Nursing Home for more information

This inspection was carried out on 10th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Prospect House is a well managed home. The home has an excellent service user`s guide that provides prospective residents with all the information they need to make an informed choice about whether to take up residence in the home. This is supplemented by verbal information provided by the registered manager during the pre-admission assessment and residents are able to stay in the home for trial periods. The home promotes equality by treating people as individuals and ensuring their diverse needs are met through the assessment and care planning process. Residents are treated with respect and all staff are instructed on how to maintain residents` privacy and dignity. Residents are helped to exercise choice and control over their lives. They are also provided with a varied, well-balanced diet. Residents are confident that any concerns they raise will be listened to and acted upon. The home provides a clean and comfortable environment for residents to live in, with easy access to outside seating areas and local amenities. Staffing levels and staff training ensure that residents` needs can be met. Residents and their representatives are regularly consulted about whether the home is meeting their needs. Residents` health, safety and welfare are promoted.

What has improved since the last inspection?

All staff have received training in how to identify and report any abuse, which will afford better protection for the residents. The quality assurance system has been developed to include drawing up an action plan in response to the residents` survey, with the aim of continually improving the quality of life for the residents.

What the care home could do better:

Staff must not be employed before a satisfactory POVA First check has been received, to ensure that residents are not exposed to unsuitable staff.

CARE HOMES FOR OLDER PEOPLE Prospect House Nursing Home High Street Malpas Cheshire SY14 8NR Lead Inspector A Gillian Matthewson Unannounced Inspection 09:45 10 January 2007 th 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 Prospect House Nursing Home DS0000018815.V318445.R02.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. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prospect House Nursing Home Address High Street Malpas Cheshire SY14 8NR 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) 01948 860011 01948 860006 www.prospecthousemalpas.co.uk Prospect House (Malpas) Limited Mrs Anne Leslie Care Home 44 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (44), of places Physical disability (4), Terminally ill (1) Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 44 service users to include:* Up to 44 service users in the category of OP (Old age, not falling within any other category) * Up to 9 service users in the category of DE(E) (Dementia over 65 years of age) in receipt of personal care only * Up to 4 service users aged 40 years and above in the category of PD (Physical disability) * Up to 1 service user in the category of TI (Terminal illness under 65 years of age) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of service users at all times and shall comply with any guidance that may be issued through the Commission for Social Care Inspection 22nd February 2006 2. 3. Date of last inspection Brief Description of the Service: Prospect House is a large detached house situated in a village location The majority of the accommodation is provided in a purpose built extension to the home. The home is located on the village high street and is in close proximity to all the local services, public amenities and local transport. Within the home a passenger lift and staircase provides access to bedroom accommodation situated on the ground and first floor. The second floor is used for administration. Bedrooms are mainly single rooms and there are several larger rooms available to accommodate married couples or those who wish to share. The majority of bedrooms have en suite toilet facilities and all have a nurse call system and TV point. Day space consists of six lounges/ sitting areas and a dining room. There are front and rear gardens. Access to the service is located to the side of the building and is accessible to those with mobility difficulties. Residents have direct access to the rear enclosed garden and paved courtyard. Nursing care is provided and in accordance with the statutory requirements there are registered general nurses on duty at all times. The fees are at the locally agreed rate for those funded by the local authority, and from £462 per week for those who are self-funding. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 10th January 2007 and took seven and a half hours. It was carried out by an inspector of the Commission and Mrs Enid Holland, an ‘expert by experience’. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people who have been appointed by Help the Aged, under the direction of the Commission for Social Care Inspection, to take part in the inspection of services for older people. The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but prior to the visit the manager was asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires were also made available for residents, families and health and social care professionals to find out their views. Other information received since the last inspection was also reviewed. During the visit the inspector and ‘expert by experience’ spoke with the manager, staff, residents and visitors. They looked around the premises and the inspector looked at various records held by the home. All of the residents said they were very happy at Prospect House. One resident said she was very unhappy when she first came to Prospect House but is now settled and content, thanks to the kind attention she receives from all the staff. Completed questionnaires were received from ten residents and relatives and two GPs. All the comments were positive. “ Overall standard of care is excellent. Staff very caring to my husband and myself.” “Very satisfactory, caring and considerate staff.” “My mother has been a resident for eight years and during that time has been quite happy. I would have no qualms recommending Prospect House.” Feedback was given to the registered provider and manager at the end of the inspection. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? All staff have received training in how to identify and report any abuse, which will afford better protection for the residents. The quality assurance system has been developed to include drawing up an action plan in response to the residents’ survey, with the aim of continually improving the quality of life for the residents. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 7 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. Prospect House Nursing Home DS0000018815.V318445.R02.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 Prospect House Nursing Home DS0000018815.V318445.R02.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): 1, 3, 5 & 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides comprehensive information to prospective residents in order to help them make an informed choice about where to live. The preadmission assessment procedures and the opportunity to stay for a trial period give prospective residents confidence that the home will be able to meet their needs. EVIDENCE: The home has an excellent service user’s guide, which includes the home’s statement of purpose and information about fees. This document contains all the information a resident would need to understand how the home operates, the facilities and services that are provided and how to raise any concerns. It Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 10 also includes comments about the home from residents. It is detailed, clearly written and a good reference guide. Residents spoken with confirmed that they or their relatives had been provided with this information. Residents spoken with confirmed that the registered manager visited them prior to their admission to the home to assess their needs and explain how the home could meet those needs. Assessment documents were completed and held in residents’ care files. Discussion with managers showed that they understood the life changes that entering a care home brings about and they put a high value on responding to individual needs for information and reassurance. Residents also confirmed that they or their relatives were able to visit the home prior to their admission, and some said they had stayed in the home for a trial period before making a decision to take up permanent residence. At the time of the inspection the home had one resident placed for intermediate care. The inspector spoke with a manager of the local NHS Primary Care Trust who said that the home provides an excellent service for those requiring intermediate care. Prospect House Nursing Home DS0000018815.V318445.R02.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive the individual care they need in a manner that respects their dignity and privacy. EVIDENCE: The home has a strong ethos and focus on involving residents in all aspects of their life. All residents have a care plan that includes issues relating to health and personal needs. The care plan is reviewed four weekly and evaluated every eleven weeks with the resident and their representative. Management of risk takes into account the needs of individuals balanced with the impact on other residents. Residents are encouraged to be as independent as possible in carrying out their activities of daily living. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 12 Staff promote the residents’ right of access to health services. Staff have the skills to recognise when residents need input from other health professionals, such as the GP or a dietician or dentist, and make the necessary arrangements. Arrangements for the receipt, storage, administration and disposal of medication, including controlled drugs, were satisfactory. Recording was generally good, but the medicine administration record for a recently admitted resident did not include the start date or quantities of each medication received from the hospital. The manager said she would address this with the nurse who had completed the chart. The service users’ guide, staff booklet and policy documents all emphasised the importance of maintaining residents’ privacy and dignity. Arrangements for privacy within the service included private rooms and secluded sitting areas. Cordless telephones were available and a number of residents had their own telephone line. Residents received their mail unopened. Residents said that any personal or nursing care was provided within their own rooms or in bathrooms and that staff were very respectful of their privacy and dignity. Screens were available for privacy in shared rooms. Staff were seen to be courteous and caring towards the residents. A visitor said they had been visiting the home for two years and “ the home does an excellent job, residents always look clean and well cared for”. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 13 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. Residents have control over their lives, can take part in a range of activities, and are offered a well balanced diet that suits their tastes. EVIDENCE: The home employs an occupational therapist and three other staff to plan and assist with residents’ activities. On the morning of the inspection an occupational therapist and another member of staff were working with residents designing small posters advertising future events and cleaning wheelchairs. Residents were seen to be enjoying the activities. The notice board in the hall held posters advertising forthcoming events, including keep fit, handicrafts and an antiques roadshow. One resident said that he regularly goes out on the bus and if he is late for lunch he knows a meal will be ready for him when he gets back. Another Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 14 resident said she preferred to stay in her room but the home provided her with a daily paper and books and she watches TV in the evening. She also had a telephone in her room. A third resident said that she is taken out by her relatives, but enjoys the activities in the home. She particularly enjoyed painting and handicraft sessions and her room was decorated with her work. The dining room was light and airy, with a fish tank and art work providing some interest. Tables were nicely set and jugs of fruit juice were available on the tables at lunchtime. Lunch was a three course meal that was well presented and served by cheerful, caring staff. There were two sittings, the first being for residents that needed assistance with eating. Staff were seen to be gentle and patient assisting these residents. There was a special diet board in the kitchen, where residents’ dietary preferences and requirements were recorded. Residents said they were given menus to choose from the day before. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The promotion of the home’s complaints procedure gives residents confidence that any complaints will be addressed and staff training makes it clear that any form of abuse will not be tolerated. EVIDENCE: The home has a satisfactory complaints procedure, which is displayed on the notice board and in the service user’s guide. Residents spoken with said they would know who to complain to if they were not happy with any aspect of the service. There had been no complaints since 2003. Staff were provided with verbal and written information at induction about how to treat residents with respect and the standards of care expected of them. They were informed that any deviation from this could result in disciplinary action. The home had a copy of Cheshire County Council’s ‘No Secrets’ policy and procedures, a satisfactory in-house whistle blowing policy and a copy of a video on abuse in care homes. Since the last inspection, all existing staff had received training in adult protection and training in this area had been included in the home’s induction for new staff. There was information on the staff notice board about the Department of Health’s ‘No Secrets’ policy. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 16 As at the previous inspection, the home’s adult abuse policy was rather brief, and contained very limited information on types of abuse and reporting procedures. The manager said that this had been expanded, but was unable to locate the new version at the time of the visit. Prospect House Nursing Home DS0000018815.V318445.R02.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 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents a pleasant, comfortable and well-maintained environment in which to live. EVIDENCE: The location of this service is within a small rural town on the main street and in close proximity to all local services, amenities and public transport. The house is maintained to a high standard and a maintenance schedule was available and audited weekly. The internal dimensions of the house and the use of space created several areas for residents to spend time in company or alone throughout the day. Residents are able to bring small items of personal Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 18 furniture into the home. The overall ambience was homely, fresh and clean. The grounds were tidy and safe and allowed access for residents and visitors. A tour of the premises that included communal areas, bathrooms and some bedrooms confirmed a high standard of cleanliness and hygiene throughout the home. The flooring in one bathroom was split in places. The registered provider said this had happened when the flooring was taken up to carry out some work underneath and he was obtaining quotes to replace it within six months. Bedrooms were varied in size, shape and outlook, most having en-suite toilets. Prospect House Nursing Home DS0000018815.V318445.R02.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 adequate. This judgement has been made using available evidence including a visit to this service. Staff morale is high, resulting in an enthusiastic workforce that works positively with the residents to improve their quality of life. Staffing levels and staff training ensure that residents’ needs can be met, but a lapse in recruitment procedures could have potentially put residents at risk. EVIDENCE: There were 42 residents at the time of the inspection, three of whom did not require nursing care. The registered manager was supernumerary. The home provided two registered nurses and seven care staff from 7am to 2pm, one registered nurse and five care assistants from 1.30pm to 8.30pm, and one registered nurse and three care assistants from 8pm to 7am. There were also catering, laundry and domestic staff in addition to these numbers. No agency staff were used. The home employs fourteen registered nurses and twenty nine care staff. Sixteen (55 ) of the care staff hold an NVQ Level 2 in Care. Two more staff were undertaking NVQ training at the time of the visit. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 20 The home’s induction training covers all the Skills for Care induction standards. New staff spend one or two days on a supernumerary basis when they commence employment, and are supervised until they have completed the induction training (approximately three months). In the previous year fourteen staff had undertaken the Alzheimer’s society training course Yesterday, Today & Tomorrow. Staff had also received training in continence management, verification of death, management of medicines, pressure sore risk assessment and skin care, mentorship, professional accountability and care of the dying. The staff files of the four most recently employed staff were reviewed. All had completed an application form and two written references had been obtained, including one from the last employer. Criminal Records Bureau checks (CRB), including POVA First checks, had been applied for, but in two cases staff had started work before the POVA First checks had been received and one had not been applied for until a week after commencement of employment. The manager said the usual procedure was to complete the forms and send them off on the first supernumerary day, but the latter had been delayed because the provider was away and it had to wait for his return for a cheque to be issued. The provider said that in future he would make arrangements to prevent this happening again. The provider said that if they had to wait to receive a POVA first check before employing a new member of staff, residents would be put at risk because of low staffing levels. They showed examples of where it had taken up to three weeks to receive a POVA First check following submission of the CRB application form. Following discussion the manager obtained information on how to track a CRB application and apply for an on-line POVA First check. A commitment was given that earlier applications would be made to ensure that the checks were completed prior to employment. Residents and visitors said that nurses and care staff were very skilled in providing care. One resident said “the nurses are super, very attentive.” Another said “the manager must be very good at recruiting staff. I’ve been here seven years and there hasn’t been one that wasn’t very good.” Prospect House Nursing Home DS0000018815.V318445.R02.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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home regularly reviews its performance through consultations with residents and their representatives. The registered manager ensures, as far as is possible, the health and safety of residents and staff. EVIDENCE: Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 22 The registered manager is a registered nurse with supporting nursing qualifications in care of the elderly. She has attained an NVQ level 4 in management and has undertaken training to support her role as manager of Prospect House, an example of which is in the specialist area of Palliative Care. On the day of the visit it was clear that there was an open and positive relationship between all members of staff, with clear lines of communication between different levels and grades of staff. There was also, from conversation with residents, a high and positive regard for the manager and her staff team. Policies and procedures are reviewed and updated on an ongoing basis. Any changes are cascaded to the relevant staff. All residents and their representatives are invited to an evaluation meeting every eleven weeks, where the care plan is reviewed and updated as required and their views on the service are sought. In addition, relative questionnaires are sent out annually and all responses included in the service user guide. This year the provider had produced an action plan to address minor identified shortfalls, which was also to be included in the service user guide. This was in the spirit of being open and transparent. As a matter of routine the financial affairs of residents are not managed by the service. All expenditure undertaken on behalf of residents was paid for by the service and then invoiced to the resident or their representative. Staff are supervised on a day to day basis to ensure that their practice is satisfactory. The registered nurses are supervised by the manager and her deputy and the care assistants are supervised by the registered nurses. However, there was no documentary evidence that staff had received supervision from their supervisor on a regular basis. All staff receive a documented annual appraisal to identify any training or development needs. The pre-inspection questionnaire indicated that all equipment was serviced and maintained at the required intervals. In the previous year staff had received training in fire safety, first aid, moving and handling, food hygiene and infection control. Staff had also attended fire drills at frequent intervals. There were no hazards or risks identified at this inspection. Prospect House Nursing Home DS0000018815.V318445.R02.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 4 X 4 X 4 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 2 X 3 Prospect House Nursing Home DS0000018815.V318445.R02.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. 1 Standard OP29 Regulation 19 Sch. 2 Requirement The registered person must not allow a new member of staff to commence employment until he has received a POVA First check in respect of that person. This is to ensure that residents are protected. Timescale for action 10/02/07 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. Refer to Standard OP18 OP36 Good Practice Recommendations The adult abuse policy should be expanded to include all types of abuse and reporting procedures. There should be documentary evidence of staff supervision. Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Prospect House Nursing Home DS0000018815.V318445.R02.S.doc Version 5.2 Page 26 - 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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