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Inspection on 14/09/05 for St Mary`s Nursing Home Hull

Also see our care home review for St Mary`s Nursing Home Hull for more information

This inspection was carried out on 14th September 2005.

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

The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Resident`s and visitor`s comments indicate they hold the staff in high regard, one individual said that `the staff were friendly, helpful and always supportive`. Two residents said that they `enjoy living at the home and that it has a very welcoming and pleasant atmosphere`. Meals are well presented and offer people at the home a choice and variety of different foods. One resident said that `staff are very helpful, they will get you a drink whenever you need one and always ask what you want to eat at each meal time`. Residents are provided with a warm, safe and comfortable environment that welcomes visitors and makes them feel at home. The home is clean and staff work hard to make sure the building is odour free. The staff and manager are extremely professional about their care duties and work hard to make sure the paperwork at the home is well written and up to date. This has helped the home exceed the minimum standards in a number of areas and feedback from the residents and visitors is very positive about the home and its service. One individual said `this is one of the best nursing homes in Hull and it would be hard to find a more dedicated team of staff`.

What has improved since the last inspection?

People working at the home are offered daily support and advice on their work within the home. They are offered formal and informal guidance from a more experienced individual and have the chance to talk to this person about their work and any problems they may have. This helps improve the levels of care being given and makes sure that residents health, safety and welfare needs are promoted. Communal and bedroom areas have been painted and had new curtains and carpets fitted, making the environment clean and welcoming for the residents and visitors. Special beds and mattresses for nursing ill people have been bought so residents are more comfortable when in bed.

What the care home could do better:

Medication recording needs to be improved to ensure all signatures are in place for medications received by the staff, so that there is no mishandling of medication and the residents health is looked after.

CARE HOMES FOR OLDER PEOPLE St Marys Nursing Home 344 Chanterlands Avenue Kingston upon Hull East Yorkshire HU5 4DT Lead Inspector Eileen Engelmann Unannounced 14 September 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Marys Nursing Home Address 344 Chanterlands Avenue Kingston upon Hull East Yorkshire HU5 4DT 01482 348158 01482 348158 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Private Medicare Limited Mrs Karen Lesley Hay Care Home with Nursing 48 Category(ies) of OP Old age (48) registration, with number PD Physical Disability (48) of places TI Terminally ill (48) St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Registration includes eight stroke rehabilitation patients and two intermediate care. Date of last inspection 25th November 2004 Brief Description of the Service: St Mary’s Nursing Home is a single storey, purpose-built home, situated in its own extensive grounds in a residential area of west Hull. There are a variety of local community facilities close to hand. The home offers ample parking and a bus stop is very close to the home. The home offers long term care with nursing to a maximum of 48 older people of either gender. There are also two intermediate care beds and eight stroke rehabilitation beds which people occupy for relatively short stays. There is a rehabilitation kitchen for these individuals to help them to regain daily living skills before moving home. Accommodation is offered in 30 single bedrooms and nine double rooms all on one level. The home has pleasant wheelchair-friendly grounds for the enjoyment of the service users. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out with the registered manager (Karen Hey), staff, visitors and residents of St. Mary’s Nursing Home. The inspection took 4 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. Eight of the residents and three visitors were spoken to in an informal manner; their comments have been included in this report. What the service does well: What has improved since the last inspection? People working at the home are offered daily support and advice on their work within the home. They are offered formal and informal guidance from a more experienced individual and have the chance to talk to this person about their work and any problems they may have. This helps improve the levels of care St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 6 being given and makes sure that residents health, safety and welfare needs are promoted. Communal and bedroom areas have been painted and had new curtains and carpets fitted, making the environment clean and welcoming for the residents and visitors. Special beds and mattresses for nursing ill people have been bought so residents are more comfortable when in bed. 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. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6. The needs assessment process at the home is robust and thorough, enabling residents to be confident that their needs can be met by the service. Intermediate care facilities and service are excellent, with individuals receiving the care and support needed to maximise their independence and return home. EVIDENCE: Each resident has their own individual file and those looked at had a full needs assessment completed within them. The homes needs assessment for selffunding individuals is very comprehensive and includes risk assessments as part of the information gathering process. Discussion with the manager indicated she carries out a needs based assessment on all residents prior to admission, except the stroke rehabilitation and intermediate care individuals, who have the assessment completed by the specialist community care team. The information from the assessment process is used to formulate the individuals care plan. Three residents spoken to were able to give detailed information about their care needs and the input they required from the staff, service and outside professionals, and this was found to be accurately documented within their care plans. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 9 Residents at the home who receive nursing care have undergone an assessment by a NHS registered nurse from the Health Authority, to determine the level of nursing input required by each individual. The home has two intermediate care beds and eight stroke unit beds (two double rooms and six singles). These are located together at one side of the home and the unit facilities include a small sitting room, one shower room and a bathroom. There is a kitchen provided for residents to enable them to practice their domestic skills, and this is open to visitors when not being used for therapy purposes. The physiotherapist and other members of the Multidisciplinary team have a therapy room equipped with treatment tables and a range of aids used on a daily basis. Physiotherapists and an occupational therapist visit the home most days and involve the staff working within the stroke unit in some of their therapeutic techniques, enabling the staff to undertake certain therapies in their absence. The staff working within the stroke unit, receive regular training sessions pertaining to stroke residents from a variety of sources, but more commonly, the National Health Service (NHS) nurse consultant. Discussion with the manager indicated that most people admitted onto the stroke unit stay on average around 6-8 weeks, but this can be extended if needed. Comments from the residents in this unit were extremely positive about the care being given and the attitudes of the staff. One individual said the staff were ‘wonderful’ and ‘the care is excellent’. A computer has been installed in the stroke-unit lounge since the last inspection and the manager said that it is being used to provide speech and language therapy as well as other activities. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11. The health care needs of the residents are well met, with evidence of good multi disciplinary working taking place on a regular basis. Staff have a good understanding of the resident’s support needs and offer personal care in a way that promotes the residents privacy, dignity and independence. EVIDENCE: Individual care plans are in place for all residents and clearly set out the health, personal and social care needs identified for each person. Three of the plans looked at have been evaluated on a monthly basis and any changes to the care being given is documented and implemented by the staff. The care plans are well written and include detailed information about the needs and expectations of the residents and the care being given on a daily basis. Risk assessments around daily activities of living have been carried out and are recorded, where appropriate, within the individual resident’s plan. Six residents said that they are aware of their care plans and are able to input to the records through talking to their key worker and attending reviews with their Social Worker and family (where applicable). Self-funding residents also have a yearly review held with the home manager/nurse in charge and any others they wish to invite to the meeting, such as family members or advocates. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 11 Five residents said that they have good access to their GP and staff are very efficient at arranging visits, they also enjoy regular input from the local dentist, chiropody service and optician. Information in the care plans indicates that outside professionals are contacted on an as and when needed basis including Macmillan nurses, tissue viability nurses and dieticians. Physiotherapy and occupational therapy are available to the stroke-unit residents on a weekly basis and other residents in the home can access these services through a GP referral. The medication policy for the home says that individuals can self-medicate if they want to and after a risk assessment has been completed and agreed. Seven of the residents spoken to prefer to have staff administer their medication and are happy with the way this is carried out. Staff need to ensure they sign every time for medication administered to residents, and that transcribed medication is counted in and two staff signatures are obtained to indicate the written information is correct on the MAR chart. Verbal comments from eight residents and three visitors revealed that they are happy with the way in which personal care is given at the home, and they feel that the staff respect their wishes and choices regarding privacy and dignity. Individuals said that ‘the care is marvellous’ and ‘you would be hard pushed to find a better home in Hull’. The residents said that staff are always available for assistance with washing, bathing and toileting and that care is given in a cheerful and friendly manner. Two individuals commented that staff helped them to remain as independent as possible and they were offered choices throughout their daily routine of what they wanted to do, how, where and when. Two visitors praised the staff for their care and support in helping their relative to make such good progress. They were delighted with her improved health and put it down to the dedicated staff and their high standards of care and attention. Discussion with the manager indicated the home follows the Liverpool Pathway of Care for the Dying. This process has been in place over the past year and focuses on the needs of the individual person and ensures they are able to die with dignity, with their wishes and choices being respected at all times. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15. Residents are provided with choice and diversity in the meals and activities provided by the home. Relatives and visitors are made welcome at the home and good links to the community enrich the residents social and leisure opportunities. EVIDENCE: There are activities and events going on within the home, which are suitable and in keeping with the fact that many residents are bed bound or very frail. Information about activities/events is published within the homes newsletter and is also discussed at the relative/residents meetings held three times a year. Seven residents and three visitors were in the lounge before lunch; the residents were busy reading newspapers and magazines and enjoying a chat with each other. They commented that there had been a Raffle and Cream Tea event the previous week and that this had been very enjoyable, and they looked forward to the musical events held each month. One individual liked to read and received a regular supply of books from the local library, others said that they enjoyed following sport and news on the television. Three visitors spoken to come to see their relatives on a regular basis, one person came every day and stayed for lunch with his wife. Open visiting hours at the home enable individuals to come at times suitable for the residents and which fit into their own busy work schedules. Two visitors said that ‘the staff St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 13 are very good at keeping us informed about our relative, letting us know if she is unwell or if she needs anything bringing in’. One individual said ‘ the staff are very welcoming and include you in all aspects of the residents care. The atmosphere within the building is friendly and makes you feel at home’. Discussion with the cook on duty indicated that the home is currently revising the menus and this is done on a regular basis. Observation of the meal for lunchtime indicated that this was homemade from fresh ingredients. Comments from the residents and visitors were positive about the choice of meals provided and the good quality of the food. Visitors are welcome to stay for meals and these can be taken in the dining room or in the resident’s own rooms. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The home has a satisfactory complaints system with evidence that residents’ views are listened to and acted upon. Staff and residents are confident about reporting any concerns and the manager acts quickly on any issues raised. EVIDENCE: The home has a complaints policy and procedure that is found within the statement of purpose and service user guide. It is also on display within the home. Three residents showed a clear understanding about how to make their views and opinions heard and said ‘the manager comes round every day to see us and will discuss any problems at this time. She will take immediate action, if needed, to resolve any issues brought to her attention’. The complaints records show that there have been no formal complaints made since the last inspection and the manager told the inspector that she deals with any niggles or grumbles on a daily basis. The eight residents spoken to said they felt safe and well protected at the home. The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, physical intervention and restraint and management of resident’s money and financial affairs. Information in the staff training files showed that they have received Protection of Vulnerable Adults (POVA) training and that this was an ongoing part of the homes staff development programme. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26. Continuous investment in the home has created a comfortable, safe and pleasant environment for those living there and visiting. EVIDENCE: The home has an ongoing programme of routine maintenance and refurbishment. Since the last inspection every bedroom has had new curtains fitted and a number of bedrooms have been repainted and had carpets replaced. All areas seen by the inspector were in a good state of repair/decoration, clean and tidy. There have been additional ‘specialist’ beds and pressure relieving mattresses bought to ensure residents are comfortable whilst in bed and make it easier for staff to give the care needed. Three residents said how much they enjoyed sitting outside in the patio area. This facility has been provided with raised flower boxes and baskets, creating a pleasant and relaxing place where individuals can go and enjoy the sunshine. The home is clean, warm and comfortable and no malodours were present. The residents and visitors said that they were ‘pleased with the level of St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 16 housekeeping within the home, and that the domestic staff work hard to keep the home fresh smelling and hygienic’. Three residents spoken to were very satisfied with the laundry service at the home, saying that ‘ our clothes are returned by the next day, are washed carefully and staff help us put them away’. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The standards of recruitment, induction and training of staff are very good with appropriate checks being carried out and staff demonstrating a clear understanding of their roles, ensuring that residents are protected from risk and looked after by motivated and knowledgeable people. EVIDENCE: Inspection of the rota indicated that on average the home is working with four nurses and nine care assistants from 8am to 1pm, two nurses and eight care assistants from 1pm to 4pm, one nurse and five care assistants from 4pm to 9pm and two nurses and three care assistants from 9pm to 8am. Residents and relatives spoken to are very happy with the amount of staff on duty and said ‘they are always helpful and available to see to anything you need doing and nothing is too much bother’. The home has a comprehensive recruitment policy and procedure and when four staff files were checked it was evident that the manager follows the procedure, and ensures the interview process, police/CRB checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. Nurses at the home undergo regular registration audits with the Nursing and Midwifery Council to ensure they are able to practice. There is an induction and foundation course that meets National Training Organisation (NTO) specification for new members of staff, and 49 of the St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 18 care staff have achieved an NVQ 2 or 3, with five other staff members going through the training. The home offers staff a wide range of training including mandatory and specialist subjects, aimed at meeting the needs of the residents. There is a designated training officer at the home who has two days a week assigned for this purpose. This individual has achieved a teaching qualification in the past year and undertakes staff supervisions in addition to training sessions. Stafftraining files are in place and each staff member receives in excess of three paid days training a year. Nurses are supported in maintaining their own professional portfolio of practice in order to keep their Personal Identification Number (PIN) from the Nursing and Midwifery Council (NMC) up to date. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36 and38. The manager is supported well by the senior staff in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. The safe working practices carried out within the home protects residents’ health, safety and wellbeing. EVIDENCE: The home has an up to date quality assurance award from the local council (QDS 1 and 2). Feedback is sought from the residents and relatives through regular meetings and satisfaction questionnaires. Resident and relative meetings are held on a regular basis and minutes are circulated to people living in the home. Residents’ comments indicate that they are able to express ideas; criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. Policies and procedures are up dated and reviewed as an ongoing practice and action is being taken to ensure the requirements of the inspection reports are met. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 20 The manager completes in-house audits of the home and its service on a monthly basis, and the registered individual does spot checks and completes the regulation 26 visits. A copy of the monthly visit is sent to the commission. Discussion with the manager and training officer for the home indicates that staff supervision is ongoing and focuses on the skills and abilities of the care staff. The home is committed to ensuring residents are kept safe and are looked after by well-trained staff. The high staffing levels of the home are deliberate, so that every new employee is able to work with an experienced member of staff and is supervised constantly throughout their induction period. The training officer (who is a registered nurse) works with all staff members in order to observe their care practices, ensure standards are kept to a high level, and see that residents health, safety and welfare are maintained. Maintenance certificates are in place and up to date for all the utilities and equipment within the building. Accident books are filled in appropriately and regulation 37 reports completed and sent on to the Commission where appropriate. Staff have received training in safe working practices and the manager has completed generic risk assessments for a safe environment within the home. Risk assessments were seen regarding fire, moving and handling, cot sides and daily activities of living. St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 x x 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 2 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 4 x x 4 x 3 St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 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 9 Regulation 17 Requirement Accurate records must be kept of all medications,recieved administrated and leaving the home or disposed of, to ensure there is no mishandling. Timescale for action 12/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Not applicable St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Marys Nursing Home 20050914 St Marys Nursing Home IR J54 v221254 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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