Inspection on 03/10/06 for Summerdyne Nursing Home

This inspection was carried out on 3rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Summerdyne Nursing Home 16/06/09

Summerdyne Nursing Home 26/07/07

Summerdyne Nursing Home 10/10/05

Summerdyne Nursing Home 03/05/05

Summerdyne Nursing Home 21/10/04

Summerdyne Nursing Home 28/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Summerdyne Nursing Home Cleobury Road Bewdley Worcestershire DY12 2QQ Lead Inspector Mrs Yvonne South Unannounced Inspection 3rd October 2006 09:30 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 Summerdyne Nursing Home DS0000004147.V309971.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. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerdyne Nursing Home Address Cleobury Road Bewdley Worcestershire DY12 2QQ 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) 01299 403260 Frontsouth Limited Mrs Tuula Anneli Page Care Home 27 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (27), of places Physical disability over 65 years of age (27) Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. There are no more than twelve service users in the home with a primary diagnosis of dementia. 10.10.05 Date of last inspection Brief Description of the Service: Summerdyne Nursing Home is situated on the outskirts of Bewdley on a bus route. It is an adapted house with a purpose built extension. The service provides personal and nursing care for up to twenty-seven older service users of either sex who may have physical or mental frailty that requires continuing care. Accommodation is provided in seventeen single rooms, thirteen of which are ensuite. The remaining rooms are all ensuite double rooms. There is a shaft lift to facilitate movement between floors and there is a small garden and gazebo for the residents. Frontsouth Ltd owns Summerdyne and the registered manager is Mrs Tuula Page. In the pre inspection questionnaire received by the CSCI on 09.08.06 the current scale of charges were given as between £2300 and £2400. Information regarding the home is available from the entrance area in copies of the Statement of Purpose, Service Users’ Guide and Inspection reports. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection incorporates information received by the Commission for Social care Inspection since 10.10.05 and the information obtained during fieldwork on 03.10.06. The fieldwork extended over seven and a quarter hours during which the inspector spoke to three residents, five staff, a relative and the manager. A tour of the premises was undertaken. Phone discussions also took place later with two other relatives. Prior to the fieldwork the home was asked by the Commission for Social Care Inspection to distribute questionnaires to the residents, relatives and health care professionals. These sought opinions on the quality of the service provided. Eight responses were received from residents, seven from relatives and three from health care professionals. This was a key inspection which focused on the key National Minimum Standards and the requirements and recommendation that arose out of the previous inspection. What the service does well: The home provides a warm welcome for everyone. It is clean and tidy, well furnished and comfortable. There are no offensive odours. The staff can be observed assisting residents with kindness and respect. They have been well recruited and are well trained. The residents and relatives commend the quality of care they receive and say the food is excellent. A relative has said that ‘the care is very good. The staff are very kind and respond to the little things that matter. They work very hard and everywhere is very clean. No bad smells.’ Summerdyne Nursing Home DS0000004147.V309971.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. Summerdyne Nursing Home DS0000004147.V309971.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 Summerdyne Nursing Home DS0000004147.V309971.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is obtained prior to admission to enable the home to make a decision regarding a new admission. People are only admitted to the home if their needs can be met. Prospective residents, and their supporters, receive the information they need to help them decide if they wish to live in the home. EVIDENCE: Mixed responses were received from residents regarding the involvement they had had in selecting the care home. Some people said in the questionnaire responses that they had received all the information they needed, others said that they had not received enough and others had ‘left it to their relatives’. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 9 The inspector spoke to three relatives who confirmed that they had visited without appointment and been well received. They had been given all the information they needed to help them make a decision. Their relative had been visited by someone from the home before they had moved in. A letter from a relative received by the Commission for Social Care Inspection (CSCI) said; ‘Purely by chance and completely unannounced we knocked on the door of Summerdyne. The door was answered by a happy smiling young lady. We were invited in and were shown round and introduced to the residents. Everyone chatted easily and was obviously content and happy in their surroundings’. Records for three residents were seen and these indicated that everyone had been assessed before they moved in and the documentation confirmed that care had been taken to ensure the home could meet identified needs. The inspector spoke to three residents. They had either been happy to leave decisions to their relative or were unable to make a decision themselves. Summerdyne Nursing Home DS0000004147.V309971.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed information is available to the staff to enable them to meet individual care needs relating to health and social care. Medication is well managed so that residents receive prescribed medication safely. Residents are treated with courtesy and respect. Written information is not available to ensure residents’ end of life care wishes and religious needs can be met. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 11 EVIDENCE: The records of three residents were assessed and were well maintained. Care needs had been identified, plans drawn up and reviewed. There was no written evidence of involvement by resident or relative. However one relative confirmed that she had discussed the care in a general way with the manager. The records confirmed that there were good links with the primary health care team and residents were able to see hospital specialists, opticians, speech therapists, dieticians and other health care professionals when they needed to. Generally the standard of recording was good. Suggestions were made where more detailed information would be of use in some areas. There was very little information available regarding residents’ end of life wishes and religious needs. Medication was seen to be well managed. Storage and records were acceptable and medicines were only dispensed by trained nurses. The homely remedies document had been updated as recommended at the last inspection. It was observed that residents were treated with courtesy. Staff knocked on doors before entering and confirmed that they drew curtains and closed doors when necessary. Records were stored in the office and were only available to the staff that needed to consult them. Mail was delivered to residents unopened or retained for relatives. Only bedrooms and ensuite facilities in the purpose built extension were fitted with door locks. However the locks on these bedroom doors did not fit the criteria agreed with Fire Authority. The correct locks enable a resident to obtain privacy without the risk of becoming trapped, and enable staff to have emergency access should the need arise. The manager said that currently none of the residents had requested a bedroom door key and many would be unable able to use one. These keys therefore were not used in the home. Relatives and residents who spoke to the inspector said that in their opinion the standard of care was excellent. Doctors were called and consulted when necessary, specialist equipment was provided and communication was good. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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. There is limited information regarding an activities programme but the residents are happy with what is provided. Residents’ cannot be confident that their religious needs will be met, as staff do not have the relevant information. Residents exercise choice in their lives. Visitors are always welcome and choices of good quality nutritional meals are provided. EVIDENCE: Information was available in residents’ records regarding their interests and activities. However there was little information regarding religious needs and how they would be met. None the less the manager confirmed that a local vicar visited regularly and the Roman Catholic priest visited when needed. There were currently no residents of other religious persuasions. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 13 There was one resident from Poland who was fluent in written and spoken English and the one resident who was hearing impaired wore a hearing aid effectively and did not sign. The manager said that the activities programme was usually maintained by the activities organiser. On the day of the fieldwork it was observed that the hairdresser’s visits were recorded and a visit from a musician. The musician visited during the fieldwork and it was observed that the staff and residents were involved, it was very interactive and the concert was enjoyed. A relative said that she had been encouraged to stay and join in, and had enjoyed the experience very much. The manager said that because of the frailty of many residents a lot of interaction was undertaken individually. Residents told the inspector that they enjoyed watching the television, reading and knitting. One lady said how much she had enjoyed the warm weather in the garden by the pond listening to the waterfall. The staff had also taken her out to the shops and for a wheelchair walk. Of the eight questionnaire responses received from residents three people said that there were always activities they could participate in, three people said that there usually were and two people said there sometimes were. Residents who spoke to the inspector confirmed that they were happy in the home and were able to stay in their bedrooms or the communal rooms according their wishes. Relatives were seen to visit and the inspector spoke to two people who came to the home daily. They both expressed their satisfaction with the care their relatives received and the good communication the home maintained with them. A choice of meals was offered and the records indicated that nutritional assessments had been undertaken. Residents were weighed monthly and appropriate action was taken when weight changes were identified. A relative confirmed that her relative had been given an extra nutritional diet when her weight dropped. Residents and relatives commented that the food was ‘good’, ‘excellent’. One relative said how much she had appreciated being invited to dine when she visited the home and what excellent quality the meal had been. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives have the information and support they need to enable them to raise their concerns. Suitably recruited, well-trained staff look after the residents. EVIDENCE: It was observed that the Statement of Purpose and Service Users’ Guide contained copies of the Complaints Procedure. Staff were aware of their location and relatives confirmed that they had had copies. The manager confirmed that all residents or their relatives were given copies on admission. One complaint had been received from a relative in the past twelve months concerning clothing. Appropriate action had been taken and all was well documented in the individual resident’s file. It was recommended that a complaints register be maintained of all complaints received in addition to the individual records to aid monitoring and auditing. Relatives confirmed that they knew how to raise their concerns and residents confirmed in their questionnaires that six of the eight respondents were able to make a complaint with varying degrees of confidence. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 15 The records of three staff were assessed. They had all been recruited from the Philippines. Appropriate checks had been made regarding identity, qualifications, police checks and references. All staff had been interviewed prior to appointment and had undertaken training relating to the protection of vulnerable adults. During interviews with the inspector they demonstrated that they were aware of the correct action to take should they be concerned about anyone’s actions. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are able to live in a clean, warm comfortable home that suits their needs. However signs of wear and tear in some areas indicate the need for some investment in maintenance and décor before the deterioration has an adverse effect on the residents. Cross infection is generally addressed to reduce the risks to residents however there is a higher risk to staff in the laundry. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 17 EVIDENCE: During a short tour of the home it was observed that everywhere was clean and free from offensive odours. Comments made by relatives in questionnaire responses and personally to the inspector confirmed that they were very pleased with the standard of cleanliness in the home. One person said ‘Not a speck of dust to be seen anywhere’. Another person wrote ‘The atmosphere was fresh, clean and inviting.’ The standard of furniture and furnishing was good but some areas of décor were showing signs of wear and tear. There was considerable damage to the wall of one room seen, cracks in the wall of a communal toilet and cracks in the wall of a bedroom. One bedroom windowpane was cracked. Window frames outside were free of paint and open to damage by the elements. This work had been required in both previous inspection reports and dead lines had not been met. Most of the residents used either a wheelchair or a walking frame. This caused difficulties in the lounge and dining room, as space was needed. Social grouping of furniture was not possible and many of the dining tables could only be used by couples. The hall, landing and dining room had recently been redecorated. The location of the laundry was not convenient as access was via the kitchen or an exterior door. Access via the kitchen was banned for hygiene reasons and laundry transported via the other route necessitated staff going in and out of the front door and across the front path before re-entering the home via an external door. There was no shelter to this area. The manager said that there had been plans at one time to construct a covered walk way but nothing had come of the idea. The laundry room was clean and tidy and equipped with two commercial washing machines. A commercial tumble dryer was located in the converted garage next door to the laundry. This area was also used as storage. The laundry did not have a hand basin. Personal protective equipment was provided and the staff confirmed that this was always available. However the lack of hand washing facilities increases the risks of cross infection. Liquid soap and disposable towels were appropriately available elsewhere for use in the home. The cook said that an environment health inspection had recently been undertaken of the kitchen and all requirements and recommendations had been complied with. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Suitable trained staff are employed that understand and deliver the care each resident needs. EVIDENCE: The duty rosters indicated that the home was appropriately staffed. However it was noted that the residents’ needs were considerable. Two relatives and one doctor said in their questionnaires that they did not consider there were sufficient staff. The manager said that currently there were three vacant places for residents so the pressure on the staffed had eased. A vacancy existed for a full time care assistant and interviews had been arranged. Once this appointment had been made the situation would improve. The pre inspection questionnaire indicated that six registered nurses, fourteen care staff and seven ancillary staff were employed. Six care staff (40 ) had qualified to NVQ level 2. This is under the 50 required by standard 28 but three care assistants were currently undertaking training at the Hereford College. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 19 Staff came from the Phillipines, India and England. Support and assistance had been given by the providers and the manager to those who had come from abroad, to settle in. They understood and spoke English well. Concern had been expressed by one health care professional that strong accents made communication by telephone difficult at times and communication with elderly people who were hard of hearing could also be a problem. No problems were observed during the fieldwork however relevant staff need to be aware of this and work to ensure there was understanding on both sides. The manager praised all the staff had said that she had confidence that the home was always well managed in her absence. A relative wrote ‘Summerdyne provided highly skilled nursing care in respect of medical needs but this was surpassed by the tenderness, compassion and care shown by every member of the Summerdyne team’. The inspector interviewed three staff and assessed their records. The staff demonstrated a sound knowledge of care practice and the residents’ needs. Their records indicated that they had been recruited and checked through an agency. Some documents were not easy the check. However each file had evidence of identity, visa, work permits, contracts, police checks and the trained nurse’s PIN number. There was evidence of pre appointment experience and training that also acted as references. Documents indicated that the staff had undertaken induction and care training in a range of subjects. It was recommended that the induction training programme be updated to meet the new requirements that came into effect in September. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed so that the staff use the structures and procedures to deliver the care the residents need. The quality assurance system needs to be implemented so that areas of weakness can be identified and addressed and the service can develop. The residents’ personal monies are well managed for their protection. Health and safety is generally addressed for the well being of people in the home. However more training would raise the level of safety for all. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home is managed by an experienced and well-trained person who is committed to ensuring the residents receive a high quality service. Staff, residents and relatives confirmed that she was approachable and supportive. Staff confirmed that they received regular supervision sessions and in addition were able to talk to her at any time. Annual questionnaire surveys were undertaken by the home with the residents and their relatives to gauge their opinion of the service. Evidence was seen that the most recent survey had been analysed providing information where the service could be developed and improved. The manager showed the inspector a quality assurance manual purchased from Mercia Business Associates. It appeared comprehensive and logical to use. This should be implemented without delay, as the requirement deadline set in the previous report is out of date by ten months. The management of service users’ monies was acceptable. Storage was secure and records well maintained. Two requirements were made in the previous inspection report relating to health and safety. One was that staff receive health and safety training, and the other that there be a suitably qualified person to take the lead in health and safety in the home. The manager confirmed that she had received health and safety training and took the lead in health and safety matters. The staff that spoke to the inspector confirmed that they had had training in moving and handling and their records supported this. However they had not had training in risk assessment, COSHH and other health and safety topics. Therefore this requirement had not been met in full. Personal risk assessments were available in the individual residents’ files and a risk assessment manual was available regarding the home. Fire safety checks had been undertaken at the required frequency and a Fire Risk Assessment was available. Staff had undertaken training and participated in fire drills. It was recommended that the recording format for monitoring this training be improved to ensure full staff participation every three months. Equipment and services had been appropriately maintained and checked with the exception of the gas equipment. The pre inspection questionnaire indicated that the last service was carried out on 29.10.04. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 22 The manager confirmed that the gas tumble dryer was under contract and was service annually as were the central heating boilers. The gas oven had been repaired this year but not fully serviced. All gas appliances in a care home should be checked for safety at least once a year and servicing at the same time is advisable. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 23 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 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 2 X X X X X X 2 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 2 X 3 X X 2 Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 Care plans must be drawn up with the involvement of the resident or their representative and signed wherever possible. 2 OP11 12 The resident’s wishes regarding terminal care and arrangements after death must be discussed and recorded in order that they can be carried out. 3 OP19 23 The programme of routine maintenance and renewal of fabric and decoration must be implemented to ensure the home is safe and well maintained. 4 OP19 23 The outside window frames must be attended to and repainted. This requirement is outstanding. The timescale of 30/09/05 has not been met. 01/04/07 01/04/07 01/01/07 Requirement Timescale for action 01/11/06 Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 25 5 OP33 24 The quality assurance system must be implemented to ensure the service develops and improves This requirement is outstanding. The previous timescale of 30/03/06 has not been met. 01/11/06 6 OP38 4 Staff must receive training in the full range of health and safety topics. This requirement is outstanding. The previous timescale of 10/10/05 has not been met. 01/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP30 OP26 Consideration should be given as to how access and laundry facilities can be improved. 3 OP38 A programme should be drawn up and implemented for the fitting of approved bedroom door and ensuite door locks that provide privacy and safety for residents. Good Practice Recommendations The induction training program should be updated in line with the standards listed by Skills for Care. Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Summerdyne Nursing Home DS0000004147.V309971.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!