Inspection on 21/11/06 for Stamford Court

This inspection was carried out on 21st November 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Stamford Court 15/10/08

Stamford Court 14/12/05

Stamford Court 08/06/05

Stamford Court 08/03/05

Stamford Court 05/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Stamford Court Astley Road Stalybridge Tameside SK15 1RA Lead Inspector Tracey Rasmussen Unannounced Inspection 21st November 2006 08:55 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 Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stamford Court Address Astley Road Stalybridge Tameside SK15 1RA 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) 0161 368 9099 Tameside Care Limited Mrs Christine Evans Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40), of places Physical disability (5), Physical disability over 65 years of age (40) Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: *up to 40 service users in the category of OP (old age not falling within any other category). *up to 40 service users in the category of PD (Physical disability under 65 years of age). *up to 5 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 10 service users in the category of DE (Dementia under 65 years of age) No more than 7 service users must be accommodated between the ages of 60 and 64. The manager must be supernumerary at all times. A minimum of two registered nurses must be on duty at all times. A suitably qualified person must be employed by the home to undertake the clinical supervision of nursing staff. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 14th December 2005 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Stamford Court Nursing and Care Centre is a purpose built care home that was first registered with the Commission for Social Care Inspection in May 2004. Tameside Care Limited owns the home which is registered to provide nursing care and personal care to 40 people, primarily to older people with various disabilities. The home is situated in Ashton approximately two miles away from Ashton town centre and the centre of Stalybridge. Local amenities and access to local bus services are readily available. Stamford Park is situated very close to the home. Outside the home, there are car parking facilities and small garden areas. Accommodation is provided over two floors. Each floor accommodates twenty service users. All bedrooms are spacious single rooms providing en-suite Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 5 facilities. A choice of bathroom or shower is available on each floor. Each floor has lounges and dining areas including kitchen areas to prepare snacks and drinks. Smoking is not allowed in any area of the home. A copy of the home’s last inspection report was available from the main reception of the home. The current weekly fees range from £350.16 to £473.74 dependent on the package of care required. Further details regarding fees are available from the manager. Additional charges are made for hairdressing, newspapers and other personal requirements. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced key inspection site visit on the 21st November 2006. The inspection included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. All key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices, talking with residents; interviewing the manager and other members of the staff team. A tour of the home was also undertaken and a sample of care, employment and health and safety records seen. No requirements were made at the last inspection, however recommendations in relation to improving care planning records were made. These had not been addressed and a number of other recommendations were also made at this inspection. The registered manager of the home was currently working at another home in the Meridian group and a temporary manager was in post. Neither manager is trained as a nurse and the home employs a clinical lead nurse. The clinical nurse at this visit had only been in post for one month and had not been provided with any clarity or guidance relating to her role and responsibilities. A brief explanation of the inspection process was provided to the temporary manager of the home at the beginning of the visit and time was spent at the end of the visit to provide verbal feedback of the findings from the inspection visit. What the service does well: The home was peaceful and offered a relaxed atmosphere. Staff were friendly with residents and went about their duties in a professional manner. One resident said, ‘They do look after you well’; another resident said ‘On the whole I am comfortable’ and a third resident said, “I am comfortable here. I am very happy”. Residents appeared well cared for, although it was reported the hairdresser had not been in the home for a while. Residents said staff did their job well and comments such as, “Staff are alright, you can talk to them and they are not rude” and “Staff are pleasant, polite and respectful”; were heard. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 7 The home was clean and odour free and provided modern single roomed accommodation. Visitors were welcome into the home and meals and food were described as good. Complaints were treated seriously and investigated properly as the home’s procedures requires. Staff had had training to ensure residents were safeguarded as far as possible from abuse and they knew what to do if they suspected abuse. Employment recruitment practices were reasonably safe so staff who may have posed a risk to residents were not employed. Staffing levels in the home were appropriate to meet the needs and dependency levels of the residents. Staff had had a wide range of training and almost all the care staff team had a NVQ 2 qualification. Quality assurance systems were established which means standards of service were monitored and improved when issues were identified. Resident’s personal monies were maintained safely and health and safety practices were safe. What has improved since the last inspection? What they could do better: Care plan documentation needs to be improved and developed so care plans are recorded for all care needs and this information should be ‘person centred’. This means that information about the resident’s personal wishes and preferences should also be included. Evaluation of the care plans should also be undertaken so that the effectiveness of the care provided to residents is reviewed and changed if necessary. Residents should also have full continence assessments and advice sought from professionals to ensure residents health and welfare is promoted. Also staff need to ensure medication records are recorded accurately. Social stimulation and support needs developing as a priority. Records of activities that residents joined in should be recorded and information about whether the resident enjoyed or benefited from these noted. This would help the staff to continue to organise activities which residents enjoyed and wanted to join in with. The home needs to ensure residents are offered a choice of meal at meal times. All residents spoken with said the food was good but they did not have a choice. One resident’s comments sums other all the residents and these were “You never know what the lunch is until it comes. If you don’t like it,it’s too bad”. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 8 Menus were available but these were not accessible to residents with physical or sensory disabilities. Staff said they thought the menus had changed and the lunchtime meal provided did not match the menu. Menus do need to accurate and available to residents. Attention is also required to ensure that employment vetting records are obtained before employment commences and the new clinical lead nurse needs to be informed of her role and responsibilities so she can do her job properly. 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. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 9 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 Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 10 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): 3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s needs were assessed before they moved into the home and the home confirmed they could meet the needs of the resident on admission. EVIDENCE: Three resident care files, were looked at to see if information about the care and support needs of each resident had been assessed by the home before the ‘new’ resident moved into the home. All the care files had a ‘pre-admission’ assessment of care needs. The manager and the clinical nurse both confirmed that they went out to meet potential new residents to assess their needs and assess their suitability for the home. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 11 Residents spoken with said their relatives visited the home on their behalf before admission. One resident also said, “I was given a booklet of information about living here”. The home’s information guides (Statement of Purpose and Service User Guide) which provide information about the services the home offers were reported to be being updated. The quality of the pre-admission assessment information was generally good and there was also further information available in the form of a social work and or nursing assessments. Not all care needs identified from the pre admission assessments had a written plan of care and the manager should ensure this is addressed. Comments from three different residents included; “On the whole I am comfortable. You’ve got to make the best of what you’ve got”; ‘We are looked after here’; and “They’ve been very good here. It’s not perfect but yes it’s very good here really”. Intermediate care (standard 6) is not provided. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 12 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, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive care and support in a respectful and dignified manner. Some of the care planning documentation was sufficient to meet the personal and health care needs of residents. Some medication recording practices could be better. EVIDENCE: The home provides nursing, care and support across a range of needs. A number of residents were spoken with and all provided positive feed back about living in the home. One resident said “They do look after you well” , another said, “I am comfortable here. I am very happy”. And another resident said “staff are alright, you can talk to them and they are not rude”. One resident confirmed equipment to move and transfer him safely was used correctly. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 13 The home was calm and peaceful. Staff chatted with residents in a calm and relaxed manner. Residents were on the whole presentable and dressed according to their preference. A number of residents had bare legs- one resident said the staff were busy and if she asked they would put on some pop socks another resident said she did not wear anything on her legs. Resident’s said the hairdresser had not been in the home for a while. The manager confirmed that the hairdresser was on holiday. Some residents were cared for in bed and this was reported to be in response to their care needs. Records of contact with community health services such as GP, tissue viability and optical support were available. Staff spoken with were positive about working in the home. Staff said they were trained and supported to do their job and almost all care staff had achieved a NVQ 2. Three care planning records were seen and a number of areas of development were identified. A recommendation, made at the last inspection to ensure meaningful evaluations about the quality of care being delivered and it’s effectiveness had not been implemented. This should be undertaken. Daily written records seen for three residents were very ‘clinical’ which means that the picture provided about the resident daily life referred only to the care tasks undertaken, very little information about the resident’s mood or frame of mind was recorded. Care plans viewed contained assessment information based on the activities of daily living, moving and handling, nutritional, falls, skin and Waterlow assessments. However where a risk or need was identified a care plan had not been consistently recorded for the prevention of pressure areas and falls. Care plan interventions were generalised and did not explain how care was to be given according to the diverse needs and wishes of the resident (person centred care). Information about the social needs and preferences of the resident was also minimal. These areas of care planning do need developing. Care plans did include references to promoting privacy and dignity. A significant number of residents had not had a full continence assessment and remained catheterised following discharge from hospital. It was strongly recommended that the services of a continence adviser were sought to review these residents. Medication recording practices were not always safe in that handwritten additions to the medication administration sheet had not been signed or dated by the person adding the information. There was also an occasional omission Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 14 of administration signature on the medication sheets. The manager should review medication recording practices and ensure all staff work to a consistent safe standard. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 15 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 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social activities and stimulation needs to improve to ensure the diverse needs of the residents are met. Residents are not offered a choice of meal at mealtimes although the quality of the food was good and nutritious. Visitors were welcome. EVIDENCE: Residents spoken with all said there was very little do in the home. One residents said –“a chap comes once a week- does different games” and “sometimes there is a singer –it drives me mad all modern songs”. Another resident said, “I’ve played bingo once or twice. A gentleman comes in on Thursday and he plays games. On other days I sit talking, read the paper if you buy one. There’s no other activity” And a third resident said she had the TV but there was “no papers, no activities and no one talks to me”. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 16 The manager confirmed that an activity person did come into the home on Thursdays to undertake activities and it was acknowledged that there was no documentary evidence in resident’s care plans or generally in the home to confirm this. The manager did say that she had asked staff to try to get information from resident’s family’s to record family trees, that she had arranged library sessions and that they were going to see Wizard of Oz in December. The manager must as a priority ensure residents are offered stimulation such as group activities or one to one stimulation according to wishes and preferences and records of this are maintained. Residents confirmed that the daily routines were flexible; “I go to bed when I want, usually 10pm” and “We get up about 8 8-30am - it’s a good time”. However every resident spoken with said that they were not offered a choice at mealtime. The following comments were from different residents; “I never know what the lunch is until it comes. If you don’t like it it’s too bad”. “No choice in food and we are not asked the day before either” “There’s no choice either take it or leave it” Staff spoken too said that they did ask the resident’s the day before what they wanted to eat. A list was available for the residents on the top floor – the same option was recorded for all residents. The list for the residents living on the ground floor had not been completed and only one option had been provided. Meal menus were not accessible to residents with physical and sensory disabilities and the lunchtime meal provided was not the same as the menu stated. Menus should be accurate, offer choices proactively and residents should be able to see and read them. Residents did say the food was good. Comments such as ‘Overall the food is good” were offered. Meal were served attractively and staff provided assistance to residents discreetly. Visitors were seen coming and going in the home. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 17 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that staff are trained to respond appropriately to suspected abuse. Residents can also be confident that all complaints will be treated seriously. EVIDENCE: Since the last inspection visit the manager had received three complaints and these had been responded to, according to the home’s complaints procedure. Records were available of all complaints and issues and the actions undertaken in response to each complaint were recorded. Residents spoken with said they had no complaints and felt able to discuss their concerns with the manager or the nurse. Staff said that they would inform the manager or nurse if they received a complaint. Most staff reported that they had received training in abuse and the protection of vulnerable adults and were able to discuss the content of their training and relate it to the home environment. Records were available of staff training. Staff also confirmed they had undertaken NVQ training and this also included information and training in abuse. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well maintained home that was clean and odour free. . Specialist equipment is available which means the different needs of each resident could be met promptly. EVIDENCE: The home was clean and odour free and domestic staff were observed to be thorough in undertaking their duties. Residents bedrooms were warm and bright and had been made homely with their possessions Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 19 Patio doors had been fitted off one of the down stair lounges and a decking area for residents to sit out created. The kitchen and laundry areas are situated on the lower ground floor of the home were not seen at this visit. The maintenance man was observed working in the home in the home and he was reported to be available on Tuesdays, Thursdays and Fridays. His duties included attending to the day to day repairs and general maintenance of the home. Service reports were available which detailed the on going maintenance in the home and this included fire safety records. A variety of equipment was available in the home to ensure the physical care needs of the resident s could be met in a timely manner. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment vetting practices, staffing levels, training and skill mix were on the whole, appropriate to meet residents’ needs and promote their health and safety. EVIDENCE: The home had a peaceful atmosphere and all staff spoken with were pleasant. Staff were positive about working in the home. Comments from resident included “Staff are pleasant, polite and respectful”; “Staff are alright, you can talk to them and they are not rude”. And “Some (staff) are very nice and some are not so nice- on the whole considering what they’ve got to do they are very good”. Three employment files for newer staff to the home were seen and two of these contained the required pre-employment checks such as Criminal Record Bureau (CRB) disclosures, Povafirsts and references. This means that the home has ensured as far as possible that new staff working in the home do not have a history of abusing people. However, one employment file had evidence to indicate that a CRB and Povafirst had been sent for but the actual CRB and Povafirst were not available. A second reference was also not available on this employment file. The manager did contact the inspector a few days after this Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 21 site visit to inform that the CRB disclosure had been found in a drawer and the result of the Povafirst had not been printed off the computer. The manager should review administration procedures to ensure that records and documents are obtained and are filed correctly. Records were available to indicate that the home did train staff from the start of employment with induction training to on going training and NVQ. One staff member confirmed he was working through his induction folder. Other staff members detailed various training courses they had attended and these included health and safety, fire safety, abuse, care and clinical training and equality and diversity training. It was reported almost 90 of care staff had got their NVQ2. Four out of the five care staff on duty had a NVQ. Observation of care practices indicated staff did follow procedures for moving and handling and one resident confirmed that ‘staff did use the hoist properly’ The staffing rotas were available and indicated that staffing levels were maintained at appropriate levels to meet resident’s care needs. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 22 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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home, on the whole, promotes the health, safety and wellbeing of the residents. Residents do have a say in how the home is run so they are provided with opportunities to contribute to the daily routines of the home and arrangements are in place to ensure resident’s money is safe. EVIDENCE: At this visit the registered manager was working in another home and a temporary manager was in post. This arrangement was a short term arrangement lasting a maximum of six months. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 23 The temporary manager was not a nurse, but had benefited from one months induction before the registered manager departed. To ensure the nursing care needs are met safely the home has a designated clinical lead nurse. At this visit a new clinical nurse had been appointed and had been in post for about one month. Interviews with this nurse identified that she had not had a job description nor had she been made aware of her role and responsibilities as the clinical nurse lead. This needs addressing quickly so resident’s nursing care needs are not compromised. The home has well established quality monitoring systems which include monthly auditing of various aspects of the service provided and visits by a operations manager on a monthly basis. Service user questionnaires had undertaken in November 2005 and July 2006 and reports were available for both these audits, generally they contained very positive feedback. Staff meeting had been undertaken and minutes were available. Systems were in place to hold resident’s personal money safely. Fire safety records and maintenance records were available these were up to date and indicated regularly monitoring and checks were undertaken in the home. Practices observed in the home followed health and safety guidelines. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 24 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 OP3 OP7 Good Practice Recommendations The registered person should ensure all needs identified before admission to the home have an appropriate care plan recorded. The registered person should ensure that all assessed needs have a comprehensive care plan to meet that need and that care plan evaluations are recorded and detail the effectiveness of the plan. The registered person should ensure that care plans and daily written records become more person centred and provide information about the resident as a person. The registered person must ensure that all resident with catheters benefit from a full continence assessment and advice from the continence nurse is sought. The registered person should ensure that handwritten medication details on the medication administration records are signed and dated by the person writing the record and the details are validated by the staff member DS0000060723.V320465.R01.S.doc Version 5.2 Page 26 3 4 5 OP7 OP8 OP9 Stamford Court 6 OP12 7 OP14 8 OP15 9 OP29 10 OP31 and an additional member of staff. The registered person should as a priority ensure residents are offered stimulation such as group activities or one to one stimulation according to wishes and preferences and records of this are maintained. The registered person should ensure that residents are offered choices proactively in the routines of daily living and this includes being able to choose a meal from a list of alternatives The registered person should ensure that menus detailing the meal choices available in the home are easily accessible to residents living in the home with diverse physical and sensory disabilities. The registered person should ensure all the required employment vetting documentation is filed appropriately so that the required amount of information is obtained to enable informed decision making. The registered person should ensure that the clinical lead nurse is made aware of her role and responsibilities by providing a copy of her job description, through training and clinical support. Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Stamford Court DS0000060723.V320465.R01.S.doc Version 5.2 Page 28 - 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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