Inspection on 19/10/06 for St David`s Nursing Home For Disabled Ex-servicemen and Women
Also see our care home review for St David`s Nursing Home For Disabled Ex-servicemen and Women for more information
This inspection was carried out on 19th October 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Other inspections for this house
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
Service users are comprehensively assessed prior to admission to the home to ensure that the home can meet their needs. Staff care for service users in a gentle, courteous and professional manner, respecting their privacy and dignity. End of life care is well managed at the home. The home has an open visiting policy and visiting is encouraged. Visitors spoken with said that they are made very welcome at the home. There are robust systems in place for the management of complaints and POVA. There is evidence of ongoing redecoration, refurbishment and upgrading of the premises to provide a high standard of accommodation. The bedrooms and communal areas are spacious, plus work has taken place to make the grounds throughout easily accessible to service users and a pleasant environment to frequent. The home is appropriately staffed to meet the needs of the service users and of the home in general. Service users personal monies are being well managed, with systems being reviewed to ensure good management in this area is maintained.
What has improved since the last inspection?
Door closures have been fitted to the laundry room doors. The heating in the corridor area by the dining room has been reviewed to ensure this area is pleasantly warm and draughts have also been addressed.
What the care home could do better:
Whilst it is acknowledged that the environment in the intermediate care unit has been built to a high standard, additional staff training, a review of the documentation in use plus recruitment of an occupational therapist need to take place in order to provide effective and ongoing rehabilitation for each service user accommodated therein. Repeated delays in the formulation of service user plans, lack of updates in some areas, lack of information being included in the service user plan and repeated issues with bedrail assessments not being appropriately completed give cause for concern. Action must betaken to ensure the systems in place for the formulation and review of service user plans, to include input from the service users. Shortfalls in the management of medications continue to be found, and again, this needs to be robustly addressed and effectively managed thereafter. The home has an activities co-ordinator who works hard to meet the service users interests, however there needs to be in place individual activities programmes for each unit with the staff available to ensure these programmes are effectively carried out. Information regarding advocacy services was not freely available to service users and their visitors, and this is to be addressed. Some bathroom areas were being used for storage. Systems for ensuring the kitchenette fridges are regularly checked, cleaned and defrosted had broken down. Shortfalls in the staff employment records viewed were found, and there have been previous shortfalls identified in this area. The system being used to ensure all required documentation is in place prior to employing a new member of staff must be adhered to, and reviewed if found not to be fully effective. The Registered Manager has been very involved with the building works, both for the intermediate care unit and also the new 18 bedded unit in the process of construction. It is clear from the shortfalls identified at this inspection that the home has not been being fully audited and managed, and this needs to be addressed as a priority. Although overall systems for the management of health & safety in the home are good, shortfalls in staff training and fire drills for night staff need to be addressed.