Inspection on 10/04/08 for Stockingate Nursing Home

This inspection was carried out on 10th April 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Stockingate Nursing Home 15/11/07

Stockingate Nursing Home 23/08/07

Stockingate Nursing Home 22/02/07

Stockingate Nursing Home 26/05/06

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOMES FOR OLDER PEOPLE Stockingate Nursing Home Stockingate South Kirkby Pontefract W Yorks WF9 3QX Lead Inspector Tony Brindle Key Unannounced Inspection 10th April 2008 10:00 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 Stockingate Nursing Home DS0000066612.V362679.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. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stockingate Nursing Home Address Stockingate South Kirkby Pontefract W Yorks WF9 3QX 01977 648683 01977 648683 janet.db@btconnect.com 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) Helpcare Ltd Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (25) Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2007 Brief Description of the Service: Stockingate Nursing Home is registered to provide nursing and personal care for 25 elderly people who may have a diagnosis of dementia or other mental health problems. HelpCare Ltd bought the home from the previous owner in 2006. Bedrooms are mostly single, although a few double rooms remain. The home does not provide en-suite facilities and, as an existing provider, is exempted from any requirement to do so. However, there are bathroom and toilet facilities on both levels of the building. Other communal facilities consist of two lounges, a dining room and, to the back of the home, there is an enclosed garden where a sensory garden has been developed. Communal TVs are in the two lounges and activities are available. The provider informed the Commission for Social Care Inspection in April 2008 that fees range from £359 to £492 per week. Additional charges include hairdressing, private chiropody and newspapers. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. A copy of the most recent inspection report is available in the entrance hall. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to this site visit, and Commission issued a Statutory Requirement Notice to the home’s owner, requiring that he ensure there is a safe system of the handling and administration of medication which is followed by staff at the home. In order to check compliance with this notice, a Commission pharmacy inspector and enforcement inspector checked the medication system along with other aspects of care the support in the home. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced visit started at 10:00 am and ended at 3:30 pm. This was a very positive and enjoyable visit. There was the opportunity to speak to people living at the home as well as visitors, the new acting manager, members of the management team and care staff. The care plan files of people living at the home were seen and included assessments, care plans, daily and medical records and the record of activities. Staff records were also seen and included application forms, references, police checks and training records. A sample of people’s medications and monies were checked and a look around the home was undertaken. Other information considered was the home’s returned Annual Quality Assurance document. The inspector would like to take the opportunity to thank the new acting manager and her staff team for their hospitality, and people using the service and their relatives for their patience and co-operation throughout the visit. What the service does well: People seeking to move into the home are not admitted until they have received satisfactory levels of information about the home and an assessment to ensure that the home is able to meet their needs. The way in which people’s social and recreational needs are identified mean that people are supported well in this area. People are safeguarded by complaints being managed appropriately and staff are trained on adult abuse and protection. People live in a clean and comfortable home. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People seeking to move into the home are not admitted until they have received satisfactory levels of information about the home and an assessment to ensure that the home is able to meet their needs. The assessment process should be further enhanced by the involvement of a nurse specifically trained in dementia care. The home does not provide intermediate care. EVIDENCE: Feedback from visitors indicated that they were satisfied with the information they had been given about the home prior to moving in and were happy about the way their move had been carried out. All of the files that were looked at contained completed pre-admission assessments and the new acting manager said that at the moment she does the assessments herself. She admitted that it would be better if a nurse trained in dementia care were to undertake the Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 9 pre-admission assessments, as her background is in general nursing. However, the new acting manager has undertaken some training in dementia care so understands the issues facing people with dementia. The issue of nurse recruitment is covered later on within this report. The files included a basic pre-admission assessment based on activities of daily living, which includes past medical history as well as current needs. The new acting manager said that that people are welcome to visit the home and have a meal before they make a decision to move in. Staff on duty said that people are welcome to visit before they make a decision to move in. The home does not provide intermediate care. One person living at the home briefly spoke about coming to visit the home before they moved in. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. People’s healthcare needs are now being met by good care planning, good links to external healthcare services and by an improved system relating to the administration of medication. EVIDENCE: The records show that care plans are in place and that improvements and development have been made to ensure there is sufficient information for staff to follow to meet people’s health, personal and social needs. Examples of this include risk assessments showing when a person is at risk of falling when getting out of chairs and walking around the home. The care plans detail how the person should be supported and assisted safely when mobilizing. Another care plan contained details of how a person with dementia can, from time to time, become verbally aggressive. The care plan now detailed how this person Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 11 should be supported, what actions the staff should take to assist and reassure this person, or how the needs other people in the room should be supported should they become distressed. The updated care plans that were seen to contain information about how to manage people’s behaviour and the support people should be given if they become distressed or aggressive, and information was seen about how the staff are to specifically support people with dementia, with particular reference to mental health issues they may experience such as depression or isolation. The new acting manager explained that the new care plans are now being reviewed monthly, and evidence of this was seen. At previous inspections it was pointed out that lack of care planning and risk assessment had been putting people at risk. It was good to see that risk assessments are now in place for people’s medication and mobility needs, and information was found within the plans about what people’s pain thresholds were and how to gauge when to give medication prescribed as PRN, which could result in people being in pain. The new acting manager said that the staff are expected to make sure that the daily records will evidence the care received and need. The daily records were seen to contain better levels of information about the care people had received during a 24-hour period. Evidence was seen of actions being taken by the staff such as referrals to a dietician following weight loss. The new acting manager explained that care and comfort is given to people who are close to death, and appropriate medical interventions are made such as visits by GPs or admission into hospital. The records confirmed this. Prior to this site visit, and Commission issued a Statutory Requirement Notice to the home’s owner, requiring that he ensure there is a safe system of the handling and administration of medication which is followed by staff at the home. In order to check compliance with this notice, a Commission pharmacy inspector and enforcement inspector checked the medication system along with other aspects of care the support in the home. The current Medication Administration Record (MAR) charts were looked at. Photographs of people are now attached to their MAR chart. This helps to reduce the risk that a person may be wrongly identified and given incorrect medication. The amount of medication remaining after each administration is recorded. This means that a check is made of the quantity available so a prescription can be ordered in plenty of time to prevent people being without their medication. When a prescription is required during the 28 day cycle a note is made in the Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 12 diary to inform the staff when to collect the prescription. This helps to prevent delays in getting a new supply. A medication check sheet has been developed for staff to use on a daily basis. The previous day’s records of administration are checked to make sure that they are complete. This is an example of good practice as it can be used to make sure staff are correctly following procedures. Some medicines that are regularly given are not supplied in enough quantity for the 28-day cycle. It was explained to the new acting manager that contact should be made with the prescriber and supplying pharmacist to request a change to the quantity of medication. This will help to reduce the number of prescriptions requested. Accurate and detailed records of any changes to medicines are now made. This helps to make sure the medication is given correctly. There are two systems in place for the disposal of medication; some medicines are returned to the pharmacy others to a waste contractor. It was explained to the new acting manager that the use of two systems may cause confusion amongst staff resulting in medication not being disposed of correctly. The date of opening on medication with limited use once opened has improved. This reduces the risk that people may receive medication that was no longer safe to use. A number of medicines prescribed with as dose of ‘when required’ were supplied in a monthly dose system. It was explained to the new acting manager that it is better to have such medicines supplied in original packs so that information such as expiry dates are available and the medication can be used from one month to the next. The medication policy was seen to be in needs of an update. This means that staff have access to up to date information and guidance on the safe management of medication. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The way in which people’s social and recreational needs are identified mean that people are supported well in this area. EVIDENCE: People’s individual files showed that the work on developing life histories of people continues, this looks into their interests, hobbies and social preferences. The staff rota shows that an activities organizer is employed at the home and a programme of activities is available. The activities organizer was on duty during the visit and was seen to engage a small number of people in an activity which was a table top activity looking at photos and in the afternoon people were seen to take part in a game of bingo which they appeared to really enjoy. Prizes were on offer, and large print bingo cards were available. The large print bingo cards were seen to be a really sensible idea, and very person centered. The game was played at the pace of the people playing it. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 14 Photographs of recent events held at the home were on display. The records of the various activities that people had been involved in was seen, and contained some good information. People living at the home said that they enjoy the activities that are on offer, and that they enjoy spending time with other people doing arts and crafts, and “remembering the good old days”. Staff were seen to interact with people positively and seen to talk to people in pleasant ways, offering them drinks and talking to them about their day. People living at the home said that the meals are nice. The mealtime observed showed that meals are presented in an attractive manner and that people living at the home were enjoying their food, and being supported appropriately. One staff member said that there is always enough food on the premises and a look at the pantry confirmed this. The staff member said that food and supplies are usually ordered online via a local supermarket, and delivered twice a week. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 15 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. People are safeguarded by complaints being managed appropriately and staff are trained on adult abuse and protection. EVIDENCE: Feedback from visitors indicated that they were satisfied that the staff at the home knew how to respond to incidents or complaints. The records relating to complaints were seen and found to be in good order. The records show that complaints are usually responded to, and dealt with, within the appropriate timescales. People living at the home said that they felt safe and comfortable and knew who to speak to if they were unsure about a situation or the way someone was behaving. The training records show that staff have had satisfactory training in the area of safeguarding vulnerable people, but some updates are required by some staff. The records show that there are appropriate procedures for responding to the suspicion, or evidence of, abuse or neglect. One member of staff said that, if allegations of abuse are made or incidents take place, they are followed up promptly and the action taken by the staff is recorded. The records confirmed this. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 16 The new acting manager said that the court case, which is to be held against a suspended staff member who it is alleged abused a person living in the home, has still not taken place. She said that she would keep the Commission informed of the progress of the case. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 17 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. People live in a clean and comfortable home. EVIDENCE: The new acting manager said that no further refurbishments to the home have taken since the dining room and lounge was completed prior to the last visit. She added that people like to use the sensory garden. People at the home confirmed this. The maintenance of the home, and the levels of hygiene were found to be of an acceptable level. The lounges were clean and tidy. Feedback visitors was that the home is kept clean and tidy. The new acting manager said that soiled articles of clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. This was confirmed by a look around the home. Appropriate hand washing facilities are available; the Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 18 records show that there is an appropriate infection control policy and procedure in place. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using available evidence including a visit to this service. Further training for both nursing and non-nursing staff, and the achievement of NVQ awards, would ensure that a well-trained and competent staff team supports people living in the home. EVIDENCE: Staff rotas showed that staffing levels are appropriate to meet the needs of the people living at Stockingate. However, due to only 4 nurses being employed by the home (after the manager and another nurse resigned), some staff are working long shifts, and others are splitting their shifts, working in the morning, then returning at night to complete a night shift. It was explained to the acting that this was not good practice to due to the strain put on the nursing staff, and potential for mistakes to take place when people have been working for long periods of time. The new acting manager explained that a Mental Health nurse has recently been recruited, and that she was waiting for their pre-employment checks to be completed. Once these were returned satisfactorily, then they would start work. People living at the home said that they think there are enough staff on duty to “help us and care for us”. Observations on the day found that there were Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 20 sufficient numbers of staff on duty that were able to meet the needs of the people living in the home. The new acting manager explained that there is a programme for staff training in place, and was able to show that a training matrix had been devised to log training and identify gaps in people’s learning. Some gaps were seen and the acing manager explained that training in areas such as health and safety, fire safety, movement and handling, safeguarding, and food hygiene had been arranged or is being arranged. She added that as the company has 2 other homes in the local area, then training resources are to be pooled so that staff from Stockingate could attend training in-house at the other company homes, and vice versa. The records show that induction procedures are in place and that new staff receive the new induction in common standards in line with the Skills for Care Council. One staff member discussed the induction process and was able to talk at length about topics such as understanding principles of care, maintaining safety at work and recognising and responding to abuse and neglect. The records show that National Vocational Qualification (NVQ) training has been arranged for care staff but the target of 50 of staff holding the level 2 award is yet to be achieved. The records show that recruitment policies and procedures are being followed. The manager explained that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. The records confirmed this, and show that new staff are confirmed in post only following completion of a satisfactory police check and Protection of Vulnerable Adults register. However, no record of checks being made against the Nursing register could be found. The new acting manager said that those records were held at a sister home. The operations manager explained that he would ensure that the checks were redone to ensure people’s safety. Following the visit, the operations manager confirmed that the Nursing Register checks had been undertaken via the Internet, and that all the nurses were appropriately registered. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 21 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 34 35 36 37 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some good management systems are now in place at the home, and improvement made in the leadership provide by the management team ensure that the potential risk to people’s safety is minimized by better care planning, satisfactory medication systems, and an effective quality assurance system. EVIDENCE: There has been no registered manager at the home since the company achieved registration in April 2006. The previous acting manager resigned in March 2008. CSCI records show that the owner of Stockingate has previously been informed that people managing a home must be registered. Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 22 There is evidence to show that the home has a quality assurance and quality monitoring system which is based on the views of people living in the home. Feedback from relatives and visiting healthcare professionals gathered during January 2007 was seen but the new acting manager said that she has not yet compiled a report detailing the outcomes of the survey. The new acting manager said that she is not aware of an annual development plan for the home. The records show that there is suitable insurance cover put in place and the certificates are displayed in the office of the home. The CSCI records show that, in August 2007 the company, HELPCARE (LTD), that runs Stockingate, was subject to a Winding Up Order, which was later rescinded. As a result of the winding up proceedings, the owner of the home was asked to supply the Commission with information relating to the financial viability of the company. He has supplied the Commission with a set of accounts, signed off by his accountant, however, the Commission has asked the owner for further information regarding the finances of the company which he has not yet supplied. This issue is to be dealt with separately to this report. The new acting manager explained that, where the money of individuals is handled at the home, she makes sure that the personal allowances are not pooled and that appropriate records and receipts are kept. The records confirmed this. The new acting manager said that she is not appointed as agent for any of the people living at the home. The new acting manager said that the monies are kept in a securely locked safe. This was seen to be satisfactory, and when a random check of people’s monies was made, they were found to balance and the records were in good order. The records show that, on the whole, care staff have received formal supervision. One staff member said that supervision usually involves talking about the care people need, how the home should operate and their own training needs. The new acting manager said she has informal supervision with the operations manager or a visiting manager from one of the company’s other homes. No records of these were seen. The records show that the staff have had training in health and safety, fire, movement and handling, food hygiene, safeguarding, infection control and First Aid. The records show that the home has had checks completed in relation to: • risk of Legionella, • risks from hot water/surfaces • Gas and electric • Fire safety Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 23 • Maintaining equipment, eg hoists Risk assessments within care plans were found to be incomplete. The new acting manager does notify the Commission of significant incidents within the home such as falls, deaths or admissions to hospital. Feedback from visitors indicated that they feel that their relatives are safe living in the home, and that they believe it is well run. Stockingate Nursing Home DS0000066612.V362679.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 1 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 1 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 X X 3 Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 25 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 OP31 Regulation 8 9 Requirement The registered person shall appoint a manager to manage and the home, and their application to be registered should be forwarded to the Commission for consideration. The registered person shall not provide accommodation to a service user at the care home unless (so far as it shall have been practicable to do so) the needs of the service user have been assessed by a suitably qualified or suitably trained person, such as a nurse with qualifications and training in the care of people with dementia. The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such DS0000066612.V362679.R01.S.doc Version 5.2 Page 26 Timescale for action 10/07/08 2 OP3 14 10/06/08 OP27 18 Stockingate Nursing Home numbers as are appropriate for the health and welfare of service users such as a nurse with qualifications and training in the care of people with dementia. 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 OP9 Good Practice Recommendations The medication policy needs to be updated. This means that staff have access to up to date information and guidance on the safe management of medication. Training should continue until at least 50 of care staff have achieved level 2 NVQ in care. To ensure that all staff training is up to date, all staff should have refresher training as and when required To ensure that all staff training is up to date, all staff who deal with medication should receive appropriate training from an accredited source. 2. OP30 Stockingate Nursing Home DS0000066612.V362679.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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