Inspection on 22/02/07 for Stockingate Nursing Home

This inspection was carried out on 22nd February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stockingate Nursing Home 10/04/08

Stockingate Nursing Home 15/11/07

Stockingate Nursing Home 23/08/07

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 Gillian Walsh Key Unannounced Inspection 22nd February 2007 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.V326532.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.V326532.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 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.V326532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th May 2006 Brief Description of the Service: Stockingate Nursing Home is registered to provide care for 25 elderly people who may have a diagnosis of dementia or other mental health problems. The home was bought from the previous owner by HelpCare Ltd in 2006. A new acting manager has been appointed but is not yet registered with the Commission for Social Care Inspection. The manager is supported by qualified nurses as well as care assistants. Bedrooms are mostly single, although a few double rooms remain, and are beginning to be personalised. The home does not provide en-suite facilities and, as an existing provider, is exempted from any requirement to do so. The communal facilities consist of 2 lounges, a dining room and, to the back of the home, there is an enclosed garden. The provider informed the Commission for Social Care Inspection in February 2007 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.V326532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this key inspection two inspectors from the Commission for Social Care inspection (CSCI) undertook a visit to the home. The visit started at 10 am and finished at 5 pm. Alongside this, the service provider was asked to complete a pre-inspection questionnaire which was returned prior to the site visit. Questionnaires were sent to residents, their relatives, visiting professionals and GPs. None of the residents’ questionnaires were returned; CSCI were informed by staff at the home that none of the current residents had capacity to complete them independently. Three relatives’ questionnaires were returned. Two questionnaires were returned from visiting district nurses but none of the GPs approached had responded at the time of writing the report. Very few specific coments were included in questionnaires but those made have been included in the body of this report. Due to residents at the home having difficulty in being able to express their thoughts about their lives and care at the home, one of the inspectors spent a period of two hours undertaking an observation of their daily experience of life in the home, and findings in relation to this are detailed in the body of the report. In writing this report, information and evidence was not only obtained by way of visiting the home but also from notifications and information obtained by CSCI, from the last CSCI key inspection report and from the findings of the two random inspection visits made to the home since the last full inspection. The first random inspection of the home, since the last key inspection, was made on 28 September 2006. The reason for this visit was to conduct a random inspection to assess service provision and determine to what extent the service was meeting the requirements made at the last full inspection. Requirements relating to the Statement of Purpose and medication systems were made at this inspection. The second visit was made on 10 January 2007. The reason for this visit was to conduct a random inspection to assess service provision, in the light of an anonymous complaint received by the Commission by telephone on 5 January 2007, and concerns raised by a CSCI inspector about the admission of a service user. No evidence of further breaches of Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 6 regulation were found at this visit although the requirements made at the previous random inspection had not been met and were re-issued. In gathering evidence, CSCI undertook case tracking, reviewed documentation, sought feedback from service users and their families, staff, the acting manager and other relevant stakeholders, and undertook relevant observations and discussions appropriate to needs of the service users, taking into account their needs and communication needs. Inspectors would like to thank everybody involved for their time and assistance during this inspection. What the service does well: What has improved since the last inspection? What they could do better: Systems around care planning need to be addressed to give better detail of residents’ needs in relation to pressure care. Residents’ preferences and social and recreational interests should be included in the care planning process. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 7 Staff need to have better regard to residents’ dignity needs. A safe system for medication needs to be put in place. An immediate requirement made in relation to safe systems for medications was made. The manager complied with this requirement during the visit. Staff need safeguarding training to be confident in reporting potential or suspected issues of abuse. A safe system of moving and handling residents must be put in place. 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.V326532.R01.S.doc Version 5.2 Page 8 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.V326532.R01.S.doc Version 5.2 Page 9 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): 1 and 3. Quality in this outcome area is Good. New residents are not admitted to the home without first receiving adequate information about the home and having their needs assessed to ensure that the home is able to meet with their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide have both been revised to reflect recent changes in the ownership and management structure at the home and now contain all of the detail required by regulation. All of the files seen contained completed pre-admission assessments and the manager said that, wherever possible, she does these assessments herself. A professional concern raised to the Commission earlier in the year about the pre admission assessments done by staff from Stockingate nursing home Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 10 highlighted some issues for staff to consider but assessments are being completed to the expected standard. Assessments completed by other professionals involved in the care of the individual are also obtained wherever possible. This includes social workers, nurses and staff from previous care homes. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 11 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 Poor. Improvements have been made to ensure that health care needs are met appropriately but staff are not always respectful of residents’ needs in relation to dignity. Systems in relation to medication are not safe and this has particularly affected the overall judgement. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The majority of care plans examined during the visit contained details about residents’ physical needs and how these needs should be met. It was noted however that, although care plans are signed as being reviewed on a monthly basis, the review is not always considering whether or not the care plan is effective. An example of this was where a care plan had been developed in August 2006 saying that the resident had a swollen and painful knee for which Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 12 the GP had prescribed Paracetamol. Subsequent reviews over a six month period showed that the problem was ongoing and the most recent review stated that the resident “still cries out in pain when moved”. MAR (Medication Administration Record) sheets showed that the resident had been receiving Paracetamol four times a day. Discussion took place with the acting manager about how care plan reviews should be used to consider the effectiveness of the prescribed care and, where this is not working, look at how the care and treatment should be reviewed. In this case, none of this had occurred and no re-referral had been made to the GP. It was disappointing to find that, despite some work being done to find out about resident’s preferences and recreational and social interests through developing life histories, care plans have not yet been developed to include these details. Where needed, care plans are in place for looking after residents’ skin integrity. Concern was expressed however about entries in daily records for two people which said that broken areas of skin had been noticed and dressings had been applied. Neither of these had been followed up with the development of a care plan and no further mention of the problem had been made in the daily records. It was also of concern that one of the dressings applied had been prescribed for another resident. The acting manager explained that she was aware that this practice had previously been common at the home but had instructed all nursing staff that it must stop. Neither the acting manager or the nurse on duty were aware that these dressings had been applied but action was taken on the day of the visit to establish the pressure care needs of both residents concerned. All of the care plans seen included moving and handling assessments but these did not include all of the detail necessary to maintain the individuals’ safety. Although it was stated where hoists should be used, it did not detail which sling should be used. Staff were also observed using a handling sling to lift a resident in a chair. This is inappropriate use of the handling belt and has the potential to cause injury to both the resident and the staff involved. Generally, documentation is available to demonstrate that residents’ healthcare needs are met appropriately. A completed questionnaire returned to the Commission by a community nurse practitioner said, “Clinical and medical knowledge of staff to addressing patients needs are excellent”. The acting manager also said that the staff had been congratulated by the specialist palliative care nurse about how they had cared for a resident who had recently died at the home. Care plans do address residents’ needs relating to maintaining their dignity but some observations during the visit suggested that care staff do not always consider these needs. An example of this is that two male residents were seen in the dining room, both leaning heavily out of their chairs and both with their trousers not properly pulled up. The result of this was that both residents’ incontinence pads were clearly visible. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 13 Systems for the receipt, storage, administration and disposal of medications were checked. Some of the medications checked had been accurately recorded as received and administered and the remaining balance of medication tallied with documentation. Another of the medications checked was an antibiotic which, according to the MAR, had not been administered as prescribed. Up to the point of the inspection, the resident concerned should have been administered the medication on 27 occasions. However, only 21 administrations had been signed for. The amount of tablets left in the box did not tally with either 27 or 21 administrations as 28 tablets had been received and 9 were still in the box. Neither the acting manager nor the nurse on duty could offer any explanation for this. Further concern was expressed over the administration of medication from a monitored dosage tray which had been received at the home from a recently admitted resident’s previous care home. Several of the seals over the tablet pockets had broken and the tablets had become mixed up which made it difficult to accurately establish exactly which of the tablets were to be administered. The acting manager said that she was aware of the problem and had contacted the GP who had refused to supply another prescription for the medication. Following advice from a CSCI pharmacy inspector, an immediate requirement was made that no further administrations should be made from this tray. During the visit, the tray was returned to the dispensing pharmacy who replaced it with a properly sealed tray containing tablets as prescribed by the GP. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 14 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. There are some improvements in meeting residents’ social and recreational needs although residents could be supported more fully to make choices and decisions within their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full time activities organiser is now employed at the home and a programme of activities is available. The activities organiser was not on duty during the visit but care staff were seen to engage a small number of residents in an activity. Photographs of a recent Valentine’s party held at the home were on display and the acting manager showed some of the Valentine’s cards residents had made for the occasion. Positively, life histories of residents are being developed which look into their interests, hobbies and social preferences. This has been useful for one person Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 15 in particular who staff have supported to renew their connection with the Royal British Legion. As stated in the previous section of this report, residents’ social and recreational preferences need to be included in their care plans. As many residents have difficulty in expressing their views about their lifestyle within the home, part of this inspection involved one inspector spending a period of time sitting in the lounge making observations. Five service users were observed over a 2 hour period. Some showed signs of positive wellbeing which was demonstrated by way of laughter, talking to others, showing interest in objects and positive body language. Some service users were observed to be asleep for almost 2 hours, and 2 people in particular showed signs of negative wellbeing which was demonstrated by way of painful expressions on their faces, shouting out and aggressive outbursts. These were reported back to the manager. Staff were seen to interact with the service users in both positive and negative ways, however the positive outweighed the negative. Staff were seen to talk to people in pleasant ways, offering them drinks and talking to them about their day. However, it was pointed out to the acting manager that there were periods of time when none of the staff interacted with the service user group. Staff were seen to walk into the lounge without saying a word. One member of staff who supported a person to have a drink did not interact with the person apart from the initial contact when they said, “here’s a cup of tea”. A group of very able service users were seen to take part in an activity in the dining room, this left those service users who were less able, due to their age and mental state, with nothing to do. The acting manager agreed with the inspector that the staff need to pay greater attention to other aspects of caring like interaction and engagement with people, in particular those who do not have the capacity to engagement in social contact and meaningful activity. Of the three relatives questionnaires received by the Commission, one person felt that the home always supported people to live the life they choose, another said usually but the third thought only sometimes. No relatives were visiting on the day of this visit but on previous visits relatives have said that they are made to feel welcome at the home. It was disappointing to see that, despite one of the residents celebrating their 99th birthday on the day of the visit, no effort had been put into making an occasion of this. No birthday cards or presents were on display and no particular activity had been planned for the occasion. The acting manager said that a birthday cake had been made but the resident was observed to be taking their tea sitting alone in the lounge. There have been some improvements in the way meals are organised with the introduction of two sittings so that staff can be available to offer assistance as needed. This did not appear to be particularly well organised on the day of the visit with residents wandering around rather than being supported with their Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 16 meal. Staff also need to be reminded about good practice when assisting people to eat, particularly not to mix the meal all together as this affects the taste and appearance and to tell people when they are about to introduce the spoon or cup to their mouths. Finger foods, for those who find this of benefit, have been introduced. It was noticed, however, that residents who often eat with their fingers had not been provided with cutlery at all. Stockingate Nursing Home DS0000066612.V326532.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 adequate. Complaints are managed appropriately but staff need further training to ensure that residents are safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last full inspection, one complaint has been received by the Commission about care issues at the home. A visit was made as a result of this but no evidence could be found to substantiate the complaint. A complaints procedure is in place at the home and all three relatives who responded in questionnaires said that they would know how to make a complaint. The acting manager said that she has undertaken interagency training in Safeguarding Vulnerable Adults and has been doing some in house training for other staff in this subject. Staff are also receiving training from the Local Authority in local procedures relating to safeguarding vulnerable people. A recent event at the home was referred through the local interagency for safeguarding adults and has not yet been concluded. This has raised issues of concern as staff involved did not use the home’s own whistle blowing procedures. The acting manager said she is already ensuring that all staff Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 18 receive refresher training in use of the whistle blowing procedure and a member of staff confirmed this. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 19 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, 24, 25 and 26. Quality in this outcome area is Adequate. Generally, the home is clean and comfortable although some improvements are required to ensure residents’ comfort. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager said that plans are in place for the refurbishment of the dining room which will include new furniture and the development of a sensory garden. Both of these will enhance the present environment of the home. A tour of the home was undertaken and, although generally maintenance and levels of hygiene were of an acceptable level, there were a number of bedroom carpets which were stained and odorous. Furniture in some bedrooms is also in need of repair or replacement, with some handles on bedside cabinets broken or missing. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 20 Concern was expressed to the acting manager about incorrect residents’ names being on bedroom doors. In one instance, the name on the door was of a male resident but a lady occupied the room. Lounges were clean and tidy but some of the chairs are stained and in need of replacing. The visit took place on a cold and rainy day but residents were having breakfast in the dining room where one window was open. The room felt cold and some residents were wearing short- sleeved shirts and blouses. When asked about this, staff said that the heating was on but it was confirmed that all of the radiators in the home had been turned off. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 21 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. Some improvement is needed to ensure that an appropriately checked and trained staff team supports residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas showed that staffing levels are appropriate to meet the needs of the current residents. A programme for staff training is in place but evidence, prior to and during the inspection, suggests that more training is needed in relation to safeguarding people and in moving and handling. The acting manager should also consider training in dementia care for general trained nursing staff. Induction procedures are in place and any new staff will receive the new induction in common standards in line with the Skills for Care Council. Some of the induction documentation seen for staff already working in the home had not been completed. National Vocational Qualification (NVQ) training is now being arranged for care staff but the target of 50 of staff holding the level 2 award is yet to be achieved. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 22 Recruitment policies and procedures are generally being followed, with three of the four staff files seen holding all of the documentation required by regulation to protect residents. One of the files for a qualified nurse did not contain appropriate references or evidence that their registration with the Nursing and Midwifery Council (NMC) had been checked. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 23 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 Poor. Some good management systems are now in place at the home but this judgement is particularly affected by the potential risk to residents’ safety caused by poor moving and handling practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager has been at the home for seven months but is yet to submit her application to become registered with the Commission for Social Care Inspection. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 24 The acting manager said that she had started to use a quality assurance system and some feedback from relatives and visiting healthcare professionals gathered during January 2007 was seen. The acting manager is yet to compile a report detailing the outcomes of the survey. The home holds small amounts of personal allowance on behalf of some of the residents. The amounts of money and relevant documentation were checked and found to be correct. Some records relating to health and safety, risk assessments and certificates relating to servicing of equipment etc, were seen during the visit. The acting manager had confirmed to the Commission, prior to the visit, that records and safety checks were up to date. Records relating to fire safety checks had been completed but it was of concern that the checks to be completed the day following the visit and dated for that day, had already been signed as being done. Despite staff having received training, poor systems for moving and handling are being followed by staff at the home. Care plans and risk assessments do not give accurate details of which hoist or sling is to be used and observations on the day were of residents with varying weights and needs being lifted using the same sling. Two staff were also observed to lift a resident with a handling belt, this causes discomfort to the resident and is potentially unsafe for both the resident and the staff involved. It was also clear from the observation that staff did not know how to use the belt correctly. Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 25 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 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 2 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 2 2 X X X X 2 2 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 1 Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? YES 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 OP8 Regulation 15(1)(2) Requirement Care plans must be developed whenever residents have particular needs in relation to prevention or treatment of pressure sores to ensure adequate care is provided. A safe system of recording, handling and administration of medication must be followed by staff at the home. Stained and odorous carpets must be replaced if cleaning proves unsuccessful. Personnel files must contain all of the information specified in schedule 2 of the Care Homes Regulations. The registered person shall, through staff training, make suitable arrangements to provide a safe system for moving and handling service users. Timescale for action 31/03/07 2. OP9 13(2) 22/02/07 3. 4. OP19 OP29 16(j)(k) 19(b)(i) schedule 2 12 (1)(a)(b)) 13(5) 30/04/07 31/03/07 5. OP38 31/03/07 Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 27 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. 3. Refer to Standard OP7 OP10 OP15 Good Practice Recommendations Care plans should give clear details of residents’ needs and how staff are to meet these needs. This should include personal preferences and recreational and social needs. Staff should ensure that residents are supported to maintain their needs in relation to privacy and dignity. Further improvements should be considered to the organisation of mealtimes and the delivery of meals to the residents. To promote and retain abilities, unless a risk assessment indicates otherwise, all residents should be provided with cutlery at mealtimes. Staff understanding of procedures for protecting vulnerable adults should be tested and, where necessary, further training put in place. Broken furniture should be repaired or replaced. Heating in the home should be appropriate to the needs of residents. Training should continue until at least 50 of care staff have achieved level 2 NVQ in care. Staff training should continue to ensure all staff are competent in moving and handling procedures. The acting manager should submit an application for registered manager, to the Commission for Social Care Inspection without further delay. 4. 5. 6. 7. OP18 OP19 OP25 OP28 OP30 8. OP31 Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Stockingate Nursing Home DS0000066612.V326532.R01.S.doc Version 5.2 Page 29 - 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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