Inspection on 09/07/07 for Stamford Nursing Centre

This inspection was carried out on 9th July 2007.

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 Nursing Centre 03/08/10

Stamford Nursing Centre 13/01/10

Stamford Nursing Centre 14/07/08

Stamford Nursing Centre 15/08/06

Stamford Nursing Centre 13/02/06

Stamford Nursing Centre 04/07/05

Stamford Nursing Centre 08/12/04

Stamford Nursing Centre 02/07/04

Stamford Nursing Centre 26/02/04

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE Stamford Nursing Centre 21 Watermill Lane Edmonton London N18 1SU Lead Inspector Daniel Lim Key Unannounced Inspection 9th July 2007 09:15 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 Nursing Centre DS0000027823.V341866.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 Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stamford Nursing Centre Address 21 Watermill Lane Edmonton London N18 1SU 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) 020 8807 4111 020 8807 9479 ANS Homes Limited Helen Jean Moriarty Care Home 90 Category(ies) of Dementia (33), Old age, not falling within any registration, with number other category (43), Physical disability (14) of places Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide nursing care and accommodation to service users of both sexes whose primary care needs on admission to the home are within the following categories:Old age not falling within any other category (Category OP) (no more than 43 persons) Service users with dementia who are over 50 years of age (Category DE) (no more than 33 persons) Service users with a physical disability who are between 21 and 65 years of age (Category PD) (no more than 14 persons) The maximum number of service users who can be accommodated is 90 15th August 2006 2. Date of last inspection Brief Description of the Service: Stamford Nursing Centre is a care home registered to provide nursing care for older adults and a specified number of younger adults with physical disabilities. The home was previously owned by ANS Homes Limited. BUPA purchased the home in October 2005. BUPA is a national organisation and owns other care homes across the country. The home aims to provide a high quality of nursing care to adults convalescing after surgery or illness, older people who require nursing care, adults aged over fifty with physical disabilities and those requiring palliative care. The home is a large modern purpose built three storey building. The kitchen, laundry, reception and administrative offices are all located on the ground floor. The bedrooms are located on all three floors. All bedrooms have en-suite facilities. Floors are connected by stairways and a passenger lift. Each floor has a lounge and separate dining room. There are two additional smaller lounges. Fourteen younger adults are accommodated in a separate wing on the first floor. The home is located close to the North Middlesex Hospital and along the North Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 5 Circular Road. It is within walking distance of shops; restaurants and transport facilities located the High Street in Edmonton. The fees charged by the home range from £620 - £955 each week. The provider must make information about the service available (including reports) to service users and other stakeholders. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 9 July 2007 and took a total of seven hours to complete. A second visit was made to the home on 10 July 2007 to view documents not seen on the first day. The inspector found that the overall quality of the service provided was satisfactory. During this inspection, the inspector was assisted by registered manager (Ms Helen Moriarty) and her deputy/ head of care (ms Samten Chadon). The inspector was able to interview six residents and a relative. The feedback received from them indicated that they were satisfied with the care provided. Statutory records were examined. These included five residents’ case records, the maintenance records, accident records, complaints’ records and fire records of the home. These were generally well maintained. The premises including residents’ bedrooms, communal bathrooms, laundry, kitchen, gardens and communal areas were inspected. Five staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. In addition, the minutes of residents’ and staff meetings were examined. What the service does well: The feedback from residents indicated that they had been treated with respect and dignity by staff. The home had two activities organisers. There is a good variety of social and therapeutic activities to meet the needs of residents. Examples of residents’ artwork were on display and residents were noted to have been encouraged to be as active as possible. The premises are modern and well equipped. All bedrooms have ensuite facilities. Flowers were placed on dining tables. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 7 The garden was attractive and well maintained. Food deliveries were now taken straight into the kitchen stores instead of being left outside. This was aimed at reducing potential health & safety risks. The home had a comprehensive training programme for staff. Staff were knowledgeable regarding their roles and responsibilities. Staff said they worked as a team. The manager and her staff co-operated fully with the inspector and the required pre-inspection information was provided promptly. What has improved since the last inspection? The home had a fire risk assessment and improvements had been made in fire safety to comply with requirements made by the LFEPA on 16 August 2006. Racks (in the kitchen) used for drying cutlery were not placed on the floor. Improvements had been made in the staffing arrangements. A review of staffing levels had been carried out and staffing levels had been increased. Staff had been provided with training in the management of challenging behaviour and adult protection. The home had an action plan for ensuring that staff are not subject to abuse from residents and their representatives. Effort had been made to ensure that care plans address the holistic needs of residents. Residents were aware that they can have a choice of main dish at meal times. The statement of purpose and service users’ guide had been updated. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 8 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. Stamford Nursing Centre DS0000027823.V341866.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 Nursing Centre DS0000027823.V341866.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, 6 People who use this service experience a good outcome. This judgement has been made from evidence gathered both during and before the visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken by the manager or a sufficiently skilled and experienced member of staff. Admissions only take place if the service is confident that the needs of people to be admitted can be met. This ensures that the admissions to the home are appropriate. EVIDENCE: The six residents who were interviewed indicated that they were well cared for and their care needs had been met at the home. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 11 Comments made by them included, “I am happy with the care provided,” “staff are helpful and come when I ask for help” and “satisfied with the care provided”. A sample of five residents’ case records which were examined, contained comprehensive pre-admission assessments. Risk assessments (such as risk of falls and pressure sores) together with strategies for minimising risks had been prepared. Residents in the home were noted to be clean, appropriately dressed and appeared well cared for. The manager stated that the home does not provide intermediate care. Stamford Nursing Centre DS0000027823.V341866.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, 10 People who use this service experience an adequate outcome. This judgement has been made from evidence gathered both during and before the visit to this service. Residents have access to healthcare services both within the home and in the local community. There is evidence in the care plans of healthcare provided. Care plans are generally well prepared. However, there are gaps in the information provided in care plans. The arrangements for the administration of medication were satisfactory and medication records were up to date. Residents had been treated with respect and dignity and they were happy with the care provided. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 13 EVIDENCE: Residents interviewed, indicated that their healthcare and personal care needs had been met. Comments made by residents included, “I have seen the doctor”, “I have been given my medication”, “staff treat me well” and “happy with care”. The sample of five case records examined were up to date and plans of care examined, had been reviewed monthly. People who use services have access to healthcare and specialist services. A record of medical and healthcare visits / appointments had been kept. These included GP, chiropody, dental and optician’s appointments. The case records of a resident with a pressure sore were examined. A relevant care plan and guidance to staff on how this resident’s pressure sore should be managed had been provided. Monitoring charts had been provided. The inspector however, noted that the position turn charts had not always been filled in. This was brought to the attention of the manager. A requirement is made for the registered person to ensure that position changes for the resident with a pressure sore are carried out and the form is filled in. The manager stated that the pressure sore of a resident had been healed as a result of careful and effective intervention by staff. Documented evidence of this example of good practice was provided. The case records of a resident with diabetes was examined. A comprehensive care plan (including sugar / glucose monitoring and diet requirements) with documented guidance to staff on how this resident’s diabetes should be managed had not been provided. This was discussed with the manager and a requirement is made for this to be rectified. The manager explained that this was due to a misunderstanding by her staff regarding what was expected. The arrangements for the administration of medication were noted to be satisfactory. A record of daily fridge and room temperatures had been kept. These were satisfactory. Medication administration charts (MAR) were appropriately filled in. Residents were clean and appropriately dressed. Residents who were interviewed indicated that staff were responsive and they had been treated with respect and dignity. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 14 Stamford Nursing Centre DS0000027823.V341866.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, 15 People who use this service experience a good outcome. This judgement has been made from evidence gathered both during and before the visit to this service. The daily life, meal arrangements and routines of residents were on the whole, well organised. The service has a strong commitment to enabling residents to remain as independent as possible and engage in meaningful activities. Personal and family relationships are being maintained. This ensures that the personal, cultural and social needs of residents are met. EVIDENCE: The home had a varied programme of weekly social and therapeutic activities. The programme which was available for inspection included exercise sessions, painting, bingo, music sessions, religious services and gardening. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 16 Residents interviewed were of the opinion that the activities were appropriate. On the first day of inspection, residents were involved in a music session organised by a local church. The deputy manager (head of care) informed the inspector that residents had also been enabled to attend their local places of worship and staff escorts had been provided. The inspector was invited to view pictures that residents had painted. These were on display in their bedrooms. Residents concerned were able to discuss their interests with the inspector. To assist staff and residents, the daily routines and preferences of residents with communication difficulties were displayed on the walls of their bedrooms. The kitchen was clean and well equipped. A record of fridge and freezer temperatures had been kept. These were satisfactory. The mixer in the kitchen had a defective switch. This was brought to the attention of the manager. A requirement is made for this to be repaired or replaced. Some kitchen windows did not open adequately. Kitchen staff complained that ventilation was poor and the kitchen was excessively hot at times. This was brought to the attention of the manager. A requirement is made for the kitchen windows to be repaired so that they can open adequately to provide sufficient ventilation. The manager stated that food deliveries were now taken straight into the kitchen stores instead of being left outside. This was aimed at reducing potential health & safety risks. The menu which was examined, appeared varied and balanced. Residents interviewed indicated that they were satisfied with the meals provided. Special meals had been provided for those who needed them. These included special meals for residents with diabetes and swallowing difficulties. A large number of the residents were from ethnic minorities. Three of these residents were able to confirm that their ethnic food preferences had been responded to. Food hygiene training had been provided for staff and documented evidence was available in staff files. Residents stated that they had been visited by friends and relatives. One relative who was interviewed was able to confirm that she had been welcomed by staff. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 17 Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 18 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, 17, 18 People who use this service experience a good outcome. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. This ensures that residents are well treated and protected from abuse. Residents and others involved with the service say they are happy with the service provision. EVIDENCE: Five complaints had been documented in the complaints book since the last inspection. There was documented evidence that they had been promptly responded to. The issue of equalities and valuing diversity was discussed with the manager and her staff. They informed the inspector that they had been instructed to treat all residents with respect regardless of disability, gender, race, religion or sexual orientation. Residents interviewed were able to confirm that they had Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 19 always been treated with respect and dignity and they had not been discriminated against. The home has an equalities and diversity statement which indicated that the home aims to treat all residents with respect and dignity. There was documented evidence in the staff records to indicate that staff had been provided with adult protection training. The manager and staff who were interviewed were aware of the procedure to be followed when responding to allegations of abuse. Two adult protection issues were recorded. These had been reported to social services and appropriately responded to. CSCI had been notified. A record of compliments received by the home had been kept. These indicated that relatives were thankful to staff and they were satisfied with the care provided. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 20 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, 20, 21, 22, 23, 24, 25, 26 People who use this service experience a good outcome. This judgement has been made from evidence gathered both during and before the visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well-maintained environment provides specialist aids and equipment to meet the needs of people who use the service. Residents stated that they were pleased with their accommodation. EVIDENCE: Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 21 Residents interviewed stated that they were satisfied with the accommodation provided. The premises were inspected and found to be clean and well furnished. All bedrooms have ensuite facilities and were well equipped. The laundry was inspected and arrangements for the laundering of soiled linen were found to be satisfactory. Linen which had been washed were noted to be clean. Some odour was detected in the home on the first day of inspection. The manager explained that this was because some soiled pads had not been properly wrapped and the air freshener had not been refilled by the home’s contractors. No odour was detected during the second visit to the home. The gardens were attractive, colourful and seating had been provided. Specialist equipment for the care of residents with nursing needs was available in the home. On each floor of the home there were 3 hoists, 2 assisted baths, numerous pressure relieving mattresses and cushions. The manager stated that the home was awaiting delivery of twenty new adjustable beds for those with nursing needs. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 People who use this service experience a good outcome. This judgement has been made from evidence gathered both during and before the visit to this service. The staffing arrangements were satisfactory. People who use the service and their representatives have confidence in the staff who care for them. Rotas indicate that the staffing levels were good and staff had the required training. This ensures that residents are well cared for. The service has a good recruitment procedure that is followed in practice. EVIDENCE: Four staff who were on duty were interviewed on a range of topics associated with their work (such as fire safety, adult protection, care of residents with dementia and mental illness, equality & diversity, staffing arrangements, team work). They were noted to be knowledgeable regarding their roles and responsibilities. Staff stated that they had been instructed to treat all residents with respect and dignity regardless of their race, religion or sexual orientation. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 23 This was confirmed in the induction programmes seen. Residents who were interviewed indicated that staff were respectful and they had been well treated. This was confirmed by two relatives present. The duty rota was examined. Staffing levels were as follows: - 22 staff (including 6 nurses) during the morning shift - 18 staff (including 6 nurses) during the afternoon and evening shifts and - 12 staff (inclding 4 nurses) on waking duty during the night shifts. The manager and her deputy (Head of Care) were supernumerary. Ancillary staff working at the home were : 5 kitchen staff, one maintenance person, several domestic assistants, an administrator and several administrative staff and two activities organisers. Staff indicated that they were able to perform their duties. No concerns regarding staffing levels were expressed by those interviewed. The training records examined, indicated that staff had been provided with the required training (such as health & safety, care of residents with dementia, fire training, food hygiene and adult protection). Recruitment records examined indicated that the required recruitment procedures (including obtaining of satisfactory CRB disclosures and two references) had been followed. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 24 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, 38 People who use this service experience an adequate outcome. This judgement has been made using available evidence including a visit to this service. The manager had an understanding of the key principles and focus of the service. She is working to improve services and provide an increased quality of life for residents. Arrangements were in place to ensure the safety and welfare of residents in the home. However, further improvements are required. EVIDENCE: Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 25 The registered manager had the required qualifications and was knowledgeable regarding her responsibilities and the needs of residents. She was supported by a head of care /deputy manager. The deputy manager was newly appointed and undergoing her induction. There was evidence that staff and residents meetings had been held. The minutes of these meetings were available for inspection. The fire log book was examined. The weekly fire alarm tests had been carried out and evidence was provided. Fire drills and fire training had been documented. Changes had been made in the fire safety arrangements since the fire risk assessment was carried out (Aug 2006). Additional safety measures were in place. This risk assessment must therefore be updated. A minimum of four fire drills had been done in the last twelve months. None of them were carried out after dark. This is required to ensure that staff are fully aware of the procedures to be followed. Windows inspected had been fitted with window restrictors. These were engaged. Safety inspections had been carried out on the portable appliances, gas & electrical installations, lift and hoists. Significant incidents had been reported to CSCI via Regulation 37 report forms. The home had a current certificate of insurance. The accounts of four residents whose money were kept by the home were examined and noted to be satisfactory. Receipts had been provided for items or services purchased on behalf of residents. The home had an effective quality assurance and monitoring system. A recent consumer survey report of the services provided by the home was available for examination. This was positive and the satisfaction level was high. Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 26 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 2 Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 12 The registered person must ensure that the pressure area change of position charts are fully completed to indicate that the required care has been given. 2 OP7 12, 15(1) The registered person must ensure that a diabetes care plan is prepared for the resident with diabetes, identified to her. 3 OP15 13(4)(c) 23(2)(c) The registered person must ensure that the defective switch of the food mixer in the kitchen is repaired or replaced. 21/08/07 13/08/07 Requirement Timescale for action 13/08/07 4 OP15 13(4)(c) 23(2)(b) The registered person must ensure that the kitchen windows are repaired so that they can open adequately to provide sufficient ventilation. 13/08/07 5 Stamford Nursing Centre DS0000027823.V341866.R01.S.doc 31/08/07 Version 5.2 Page 28 OP38 23(4) The registered person must ensure that at least one of the fire drills organised during a twelve month period is done after dark. 31/08/07 6 OP38 23(4) The registered person must ensure that the fire risk assessment is updated. 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 Stamford Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Harrow Area Office 4th Floor, Aspect Gate 166 College Road Harrow London HA1 1BH 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 Nursing Centre DS0000027823.V341866.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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