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Inspection on 13/03/08 for South Quay Nursing Home

Also see our care home review for South Quay Nursing Home for more information

This inspection was carried out on 13th March 2008.

CSCI found this care home to be providing an Excellent service.

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

The home has a pleasant atmosphere and the decoration and fabric of the building is good. The care planning and documentation is person centred and very consistently maintained. Staff work very hard to keep the care plans up to date and to a high standard which reflect the residents changing needs. Staff files are very well kept and show that the manager uses effective recruitment practices in line with the company policies. This makes sure that the staff employed are suitable for the roles they are to undertake. Varied and numerous training programmes ensure staff are able to meet the assessed and changing needs of residentsStaff receive formal supervision at least six times a year with records kept. A number of the staff have been employed in the home for a long lime. Staff are competent and confident in their work new staff receive good induction training. The people living in the home are very well supported to have a good fulfilled life and are given opportunities to maintain their social activities as well as good links with their families and the local community.

What has improved since the last inspection?

Only one requirement was made at the last inspection and this remains in place, as it has not been met. (See below) The recommendations identified at the last inspection have been addressed. This was be additional training for the cook and provision of liquid soap for the on suite areas of the resident`s bedrooms.

What the care home could do better:

The requirement remaining from the last inspection is to have the damaged sealed unit windows replaced. In addition to this the doors to the conservatory must be repaired so that they can be closed effectively and maintain the security in this area.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE South Quay Nursing Home Cowpen Road Blyth Northumberland NE24 5TT Lead Inspector Suzanne McKean Key Unannounced Inspection 13th March 2008 10:00 X10029.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 South Quay Nursing Home DS0000000664.V361021.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 and Care Homes for Adults 18 – 65*. 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. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South Quay Nursing Home Address Cowpen Road Blyth Northumberland NE24 5TT 01670 351831 01670 540253 south.quay@fshc.co.uk www.fshc.co.uk Ringdane Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Ms Pamela Towers Care Home 57 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) Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (12) of places South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP, maximum number of places 45 2. Physical Disability, Code PD, maximum number of places, 12 The maximum number of service users who can be accommodated is: 57 31st January 2007 Date of last inspection Brief Description of the Service: South Quay is a purpose built two-storey building of traditional brick built and tiled roof construction. It is situated on a large corner site on the outskirts of Blyth. The home is within walking distance of the shopping area of the town and the local amenities situated in that area. It is on the main bus route. The surrounding area is mainly domestic housing with some commercial properties. The home has two distinct units, the new unit is the Spinal and neuro-disability Rehabilitation suite and the existing one, the Chipchase Unit one that is registered to provide places for older people. Both areas provide nursing care to the people living in the home. All residents are accommodated in single rooms. The home charges fees of between £365.46 and £419.08 per week for the residents on the Chipchase unit depending upon the needs and requirements of the individual residents, and as the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The fees on the Spinal and neuro-disability rehabilitation suite are £865 including the nursing care element. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 31st January 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals, including surveys. The Visit: An unannounced visit was made on 12th March 2008 by the inspector and an “expert by experience”; an additional visit was made on 19th March 2008. During the visit we: • Talked with people who use the service, relatives, staff, the new manager & visitors. • Looked at information about the people who use the service & how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe & comfortable. We told the manager what we found. What the service does well: The home has a pleasant atmosphere and the decoration and fabric of the building is good. The care planning and documentation is person centred and very consistently maintained. Staff work very hard to keep the care plans up to date and to a high standard which reflect the residents changing needs. Staff files are very well kept and show that the manager uses effective recruitment practices in line with the company policies. This makes sure that the staff employed are suitable for the roles they are to undertake. Varied and numerous training programmes ensure staff are able to meet the assessed and changing needs of residents. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 6 Staff receive formal supervision at least six times a year with records kept. A number of the staff have been employed in the home for a long lime. Staff are competent and confident in their work new staff receive good induction training. The people living in the home are very well supported to have a good fulfilled life and are given opportunities to maintain their social activities as well as good links with their families and the local community. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6 (the home does not provide intermediate care) (Older people) 2 (Adults 18 – 65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are appropriately assessed prior to moving into the home so that they can be confident that their needs will be met and they have written contracts of the care provided. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 9 EVIDENCE: Individual residents’ files contained a copy of a needs assessment carried out by the referring care manager as well as a detailed assessment completed by the home staff. The pre admission assessments contained a range of appropriate information. These are used to draw up both these initial assessments and the home’s subsequent service user plans. All prospective service users and their representatives are invited to visit the home prior to admission to the home. Relatives who were in the home during the visit said that they had been given sufficient information prior to their relative’s admission and that it proved to be accurate. Care plans were checked and staff members consulted during the visit. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 (Older People), 6,9,16, 18, 19 & 20 (Adults) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is very good individual care planning and record keeping, this supports the staff to provide very good care which is given in a respectful and sensitive way in line with these plans. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 11 EVIDENCE: The home is organised in two specific areas for different client groups. The older persons unit has not had any significant changes since the last inspection. Mrs Towers remains the registered manager for the whole home and is responsible for the standards. The deputy works predominantly in the older persons unit and is managerially responsible for the care in that area. The care plans examined were up to date and in very good detail. This assists the staff to use them to plan the care they give. A variety of research based assessment tools are used, and all of the care plans are reviewed at least monthly. The manager monitors the care plans to ensure the standards are maintained. The home is registered to provide nursing care for both of the care categories and the home has the necessary equipment to provide for the needs of the current residents. This includes a number of intermittent pressure-relieving mattresses and patient hoists. A skin integrity assessment tool is used and all service users are assessed formally for their nutritional status. Residents are provided with services available to the wider community for example chiropody, dentistry and other therapeutic services according to assessed need. Residents are weighed regularly and staff make changes to the care plan and the care provided to take this into account. The home is currently involved in a national continence audit, which is working to assist residents in returning to being continent. Care plans include good information regarding the cultural and religious needs of residents on an individual basis. This is evident in both the social and health care needs. Dietary needs are identified and met for those residents who have requirements specific to their beliefs. Staff have been recently involved in a Falls Accreditation Training Programme, and they are now looking at risk reduction strategies. This has been used in individual care planning resulting in a resident having a significant improvement in the quality of their life. Environmental issues are being looked at as part of this to try to reduce the risk for all of the residents. The home uses the Liverpool Care Pathway when caring for people who are at the end of their lives. This has been effective and appropriate at this time in a resident’s life. The Manager makes sure that the staff maintain their skills and competencies in this and other clinical areas by good training and support. The medicine records and systems were good, these were completed and staff was aware of the need to manage the medication systems effectively. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 12 Staff were seen knocking on bedroom doors prior to entering and residents interviewed confirmed that this was usual practice. They also said that they felt that they were offered privacy during personal care. Any examinations by medical or nursing staff are carried on in the resident room. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15 (Older People), 12, 13, 15, & 17 (Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported to live satisfying lives in line with their abilities and according to their cultural, social, religious and recreational interests and needs. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 14 EVIDENCE: The home employs an activities co-ordinator working 30 hours per week, who is interested in offering the resident different opportunities. The activities offered include visits to the pantomime, trips to Tynemouth for fish and chips or the local ice cream parlour as well as in house activities. The home has a mini bus, which is really well used. Bingo and dominoes are particularly popular with the current relatives. Two residents asked said “we get lots of things to do” and “I’m really looking forward to the summer as the gardens are lovely”. The records of the activities provided are detailed, and there are detailed social assessments in the care plans. The staff confirmed that residents are able to choose whether or not they are involved in the social programme however due to the dependency level of some of the residents a number of the activities offered are less active and provided on a more one to one basis. The residents described the ways they are encouraged to take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. Staff confirmed that they encourage resident to make choices about how they spend their day. The expert by experience spent time with a number of the residents and received a lot of positive feedback about how they feel about living in the home. Only one concern was expressed and this was regarding the time the resident got out of bed in the morning. This was looked at by the inspector at the second visit and discussed with the staff and manager. It was agreed that the resident was confident that she could get out of bed when she wanted and as she said “could go back to bed” if she chose, either early (before breakfast) or later after she had her breakfast. The outside areas were significantly improved the year before last and remain very pleasant. There are ongoing plans to develop the area further and this again includes the participation of the residents. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Residents said they were satisfied with the arrangements for visitors and that staff welcome them. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 (Older People), 22 & 23 (Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home and their representatives know hoe to complain and confident that they will dealt with effectively. And the home protects the residents from abuse by good safeguarding procedures that are followed if necessary. EVIDENCE: The complaints policy is in the service user guide and is displayed in the home. Residents were asked specifically about how they would make a complaint if they wished to do so. They were all clear about the complaints procedure and said that they would not be worried about speaking to a member of staff if they had any concerns. All residents spoken to during the visit said that they knew Mrs Towers, the Manager, and would speak to her when she tours the home as she frequently did. Records of recent complaints were examined there have not been any since the last inspection. On discussion the Manager confirmed that if any concerns South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 16 were expressed that could be addressed easily and to the satisfaction of the complainant they would not always be recorded, examples being missing slippers. However, if any issue became a recurrent problem she would investigate formally and record it. The home has policies and procedures in relation to the prevention of abuse and whistle blowing; the staff are trained in these areas of practice, which is included in the induction programme and the ongoing in house training programmes. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 (Older People), 24 & 30 (Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable well maintained, clean and a pleasant place for the residents to live. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 18 EVIDENCE: The Spinal and neuro-disability rehabilitation suite is decorated and equipped to a very high standard. It is spacious and suitable for the client group. The main lounge and dining areas are well lit and have wide doors. The bedrooms have individual entrance swipe pads. These activate the door opening devise so that residents can have security and can open their bedroom doors without assistance. There is a resident kitchen, which is well equipped including the ability for the sink and the benches to be lowered to give them access and improve their independence. This also gives them the ability to regain skills. All of the service user bedrooms throughout the home are pleasantly furnished and were personalised to the taste of the occupant, and in line with the National Minimum Standards. The home has a redecoration programme, which is followed and it organised to take into account the priorities of the residents. There are a number of sealed unit double glazed windows, which have become faulty and as a result there is water vapour inside of the gap, this reduces the ability of residents to see clearly outside for that portion of the window. The Manager had planned for this to be undertaken as part of the refurbishment of the Crofton Unit, however it was not carried out. Mrs Towers, the home staff and some relatives worked very hard to improve the garden area at the rear of the premises to give the residents a very pleasant accessible area to enjoy when the weather permits, this can be viewed from inside the home and a number of resident again expressed their enjoyment of it. The ensuites are equipped with disposable paper towels, liquid soap, and waste bins which would assist in control of infection and the Manager agreed that this would be beneficial it remains a recommendation. The staff have training in control of infection and are provided with the equipment to assist them in carrying out the procedures necessary to reduce the risks. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 (Older People), 32, 34, & 35 (Adults) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has very good recruitment and selection procedures and the staff are very well supported and trained to make them competent and confident in the work they do. EVIDENCE: The staff receive training in line with the company policy and statutory requirements for fire training, moving and handling, first aid, food handling and hygiene and a plan is in place to address this on an ongoing basis. Any additional training opportunities are allocated depending upon the individual staff member’s role, previous experience and qualifications. These records show that the Manager maintains the training programme to ensure South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 20 that the staff are equipped with the skills and competencies necessary to care for the residents in the home. The home has a very experienced moving and handling trainer who is involved in the induction training and then as part of the ongoing training programme. It was quite unusual to note that the residents were also aware who the trainer was as he is regularly involved in re-assessing the care and training the staff. Some training is provided in the home and some is carried out by external trainers. Recent examples of training are, falls awareness, podiatry, low vision training, diabetic and Multiple sclerosis training. The staff recruitment and selection records all contained a completed application form, two written references, a completed CRB check and contained the evidence of the equal opportunities policy being followed. All staff commence employment on a trial basis and undertake an induction period depending upon their previous experience and qualifications. New staff work very closely with a mentor for the induction period of three months. This was confirmed by the staff and the by the training records. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 (Older People), 37, 39 & 40 (Adults) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 22 The Manager, Mrs Towers makes sure that there are very good systems in place to manage the home effectively taking into account the needs and wishes of the residents and in line with good health and safety practices. EVIDENCE: The registered manager Mrs Towers has worked it he home for some time. She is a registered nurse and has undertaken a significant amount of training to maintain her skills. She has extensive experience in working with older people and has worked hard to expand her knowledge to the new client group in the home. She is well supported by experienced and competent senior staff and they are continually monitoring the standards of the home through quality audits and seeking the views and wishes of the residents. The manager arranges resident and resident meetings although these not always well attended. The records of these are available. The meetings are varied and for those who do attend they can offer them the chance not only to discuss any changes occurring but also to become involved in the planning of the social activities. Records were examined of the staff meetings, which take place regularly, and the contents of these suggest that there is a broad spectrum of relevant issues discussed. Regular reviews are arranged either by the Social Services departments or by the home and these offer the opportunity to find out the resident and relative views. The personal records kept in the home of residents who are receiving assistance to manage their finances were examined and are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place. The company undertakes internal audits and this includes the resident’s personal finances. The home has good systems for looking after the homes equipment and ensuring that the premises are safe and well maintained. Good records are kept by the handyman of the checks made. Records are in place to prove that the home has contracts for the premises and equipment safety and service certificates are kept. South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 2 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 4 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 X 33 3 34 X 35 3 36 X 37 X 38 4 South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 24 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 OP19 Regulation 23 Requirement The damaged sealed unit windows must be replaced as planned. The doors to the conservatory must be repaired or replaced as necessary. Timescale for action 01/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations South Quay Nursing Home DS0000000664.V361021.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. South Quay Nursing Home DS0000000664.V361021.R01.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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