Inspection on 26/06/06 for Sutton Valence Nursing & Care Centre

This inspection was carried out on 26th June 2006.

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

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

Other inspections for this house

Sutton Valence Nursing & Care... 07/04/08

Sutton Valence Nursing & Care... 04/06/07

Sutton Valence Nursing & Care... 19/12/05

Sutton Valence Nursing & Care... 06/06/05

Sutton Valence Nursing & Care... 22/03/05

Sutton Valence Nursing & Care... 16/08/04

Sutton Valence Nursing & Care... 14/04/04

Sutton Valence Nursing & Care... 27/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Sutton Valence Nursing & Care Centre North Street Sutton Valence Maidstone Kent ME17 3LW Lead Inspector Justine Williams Key Unannounced Inspection 26th June 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 Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sutton Valence Nursing & Care Centre Address North Street Sutton Valence Maidstone Kent ME17 3LW 01622 843999 01622 844364 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) Tamhealth Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Carla Jayne Wilson Care Home 73 Category(ies) of Old age, not falling within any other category registration, with number (73) of places Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home can provide care for up to 8 persons with a physical disability 40 years and over. The home can care for up to 8 persons who are terminally ill. Date of last inspection 19th December 2005 Brief Description of the Service: Sutton Valence Nursing and Care centre provides nursing care and accommodation for seventy-three older people, including eight places for people who are physically disabled and eight for individuals who are terminally ill. Sutton Valence Nursing and Care centre is owned by Tamhealth Ltd, a wholly owned subsidiary of Four Seasons Health Care. The home is located close to the outskirts of Sutton Valence village and local public transport is available nearby. The home is purpose built, set in its own grounds and provides car parking to the front of the main building. Accommodation is over two-storeys, with access to the first floor via two shaft lifts. Some of the rooms on the first floor have balconies that overlook the garden and car park areas and some of the ground floor rooms look onto an inner landscaped courtyard. Sutton Valence has sixty-one single rooms, eleven of which have en-suite facilities and six double rooms ( for married couples or siblings) , two of which have en-suite facilities. All the residents’ rooms are equipped with a nurse call system, television and telephone points. The home’s staffing team is comprised of the manager; one clinical specialist, one deputy manager; staff nurses and carers who work a roster to give 24hour cover. The home also employs other staff for administration, maintenance, catering, housekeeping and laundry duties. The current fees range from £410.16 to £725.00 per week. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on 30th May 2006 between 09.30 am and 1.30pm by regulatory inspector Justine Williams. During that time residents, visitors, staff and the clinical manager agreed to speak with the inspector both in public and privately. This report contains assessments made from observations, conversations and records, and a tour of the premises. Progress toward meeting the requirements and recommendations made at the last inspection and EHO inspection has been made though some areas require further attention and development. Residents said that things were improving at the home, and that they now enjoyed the meals provided, continued to enjoy the activities, and felt listened to. Visitor spoken with said they were happy with the care received by their relative and spoke highly of the staff and the manager. The home is due to be refurbished in November and this is clearly overdue, as many areas of the home are tired looking, in particular the bathrooms, toilets and sluices, which now present infection control issues in part due to the difficulty cleaning them. As part of the inspection process comment cards were sent out to residents, relatives, GP’s and Care Managers, a sample of comments follows: “my (relative) is happy with the home,” “the staff always looked after my uncle who is completely dependent on them” “perhaps another member of staff would allow for more time washing and bed making” the comment cards indicated general satisfaction with activities, food, and the level of care and support. What the service does well: The service benefits from a committed staff team, who provide good standards of hands on care. Residents enjoy the structured activity programme, which provides for a variety of interests. Changes to the menu and support from the head chef of Four Seasons has improved the quality, range and presentation of the food. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 6 Residents felt listened to and that the manager and staff were making every effort to improve the care. The recruitment policy and procedures are robust and protect residents from abuse. What has improved since the last inspection? What they could do better: The home must better evidence its ability to meet the needs of one resident with a specific disability and apply for a variation of category. Updating care plans to encompass the changes made in the evaluation record will offer better clarity and will offer better records of care and specific support or improvement for individuals. Improvements in the risk assessments will better protect residents. Residents would benefit from the repair or replacement of current assisted electrical baths and toilets that are out of order. Residents would benefit from the refurbishment of bathrooms and WC’s to offer facilities that meet the needs and personal preferences of the residents. Residents are potentially at risk due to the infection control issues identified. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 7 Residents would benefit from further development of the quality assurance systems. Residents monies are pooled both in the home’s safe and in a bank account, this can make auditing more difficult, and what is of more concern is that residents are precluded from earning interest due to the home’s banking policy. Alternative incentives and opportunities should be explored to offer confidence and willingness by staff to complete NVQ in care awards. 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. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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 Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,6 Quality on this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. Residents receive a statement of terms and conditions prior to moving into the home. For the majority of residents their needs are fully assessed prior to moving into the home, with the exception of one resident with a specific disability, for which their was little evidence of needs being met. EVIDENCE: Clear information about contracts/terms and conditions, fees and extra charges is available. Consideration should be given to varying formats depending on the needs and abilities of the residents being cared for. Staff spend time with prospective residents to ensure they understand the terms and conditions of the placement. They are regularly reviewed and kept up to date. All new residents receive a full comprehensive needs assessment before admission. Any assessment by staff is carried out by a suitably skilled Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 10 registered nurse. One resident has a specific disability identified in the assessment, which requires specialist care, staff have not received training in this area, and there was no evidence to suggest that current good practice for this specific disability was being followed. Copies of the assessments are requested for residents who are admitted through care management. Intermediate care is not offered at the home. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality on this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. Care plans could be improved by updating the plan itself once the review or evaluation has taken place, and by involving the residents in the process. The health needs of residents are appropriately managed. EVIDENCE: Each resident has a care plan, but the practice of involving residents in the development and review of the plan is variable. The plan in most cases includes the basic information necessary to plan the individual’s care and includes a risk assessment element When developing the plan the home has complied where possible with relevant clinical and social care guidelines. Evidence of updating information and changing actions appears on the evaluation however, this is not put into the care plan itself, therefore to enable staff to understand the care plan all the evaluations/ reviews must be read as well. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 12 Residents have access to health care services that meet their assessed needs both within the home and in the local community. Residents are able to choose their own GP and all have access to dentists, opticians and other community services. The resident’s health is monitored and appropriate action taken. The home seeks professional advice on health care issues, acts upon it and generally is able to provide the aids and equipment recommended. There is evidence in the care plan of health care treatment and intervention, and a record of general health care information including weight monitoring, and nutritional information, waterlow scores etc. The risk assessment for one resident stated that footplates must be used on the wheelchair when mobile, although staff described how they were not used as they present a further danger to the resident. For another resident items were stacked on top of the wardrobe and the room was very cluttered with personal possessions, there was no risk assessment in respect of this. Risk assessments must be expanded upon in scope and accurately reflect working practices The home has a medication policy that is accessible to staff; medication records are generally up to date for each resident and medicines received, administered and disposed of are recorded. There is evidence of some residents administering their own medication safely. Staff are aware of the need to treat residents with respect and to consider dignity when delivering personal care. The home arranges for residents to enjoy the privacy of their own rooms and provides screens in shared rooms. Residents are happy with the way that most staff deliver their care and respect their dignity. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality on this outcome area is good. This judgment has been made using available evidence including a visit to the service. Residents are enabled to maintain contact with family and friends and are helped to exercise choices and control over their lives. They enjoy the structured activity programme in place. EVIDENCE: Regular residents’ meetings provide a forum for residents to influence and feedback how the home is run, daily routines, events etc. The activities co-ordinator has developed a system for displaying information and bringing attention to community events and activities. When residents have particular interests, efforts are made by staff to help the resident maintain their interest and keep up any community involvement. Family and friends feel welcome and know they can visit the home at any time. Staff try to make time to talk to visitors and share information with the agreement of the resident. The design of the home provides seating areas within the communal areas of the home where residents can entertain their visitors, in addition to the privacy of their own room. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 14 Residents may bring in personal effects and manage their own finances for as long as they are able. The cook is familiar with the dietary requirements recorded in the service users care plan and has been supported by the senior chef for the company in providing a diet that meets their individual needs. Care staff are sensitive to the needs of those service users who find it difficult to eat and give assistance with feeding. They are aware of the importance of feeding at the pace of the service user, making them feel comfortable and unhurried. Tables are set attractively with the necessary cutlery and aids to help individuals during their meal. Residents said that the food presentation, and choices have improved, and they enjoy the meals. Residents said they have difficulty remembering what is for lunch, as the menu is only displayed in the lobby. Residents may eat in their own room if they wish. Regular drinks are available and staff will always make a cup of tea at any time when asked. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Quality on this outcome area is good. This judgment has been made using available evidence including a visit to the service. Residents are protected from abuse by the home’s policies and practices. EVIDENCE: Standard 16 was not fully inspected as the manager was absent for the inspection and the clinical manager could not access the complaints file. The pre inspection questionnaire received indicated that 2 complaints have been received since the last inspection and both have been dealt with within the home’s timescale. Residents spoken with were aware of how to complain and felt confident that their complaints would be listened to and acted upon. The complaints policy is displayed on a notice board though this was not in the main lobby. Staff receive regular adult protection and POVA training, and demonstrated awareness of how to manage an allegation. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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): 19,21,26 Quality on this outcome area is poor. This judgment has been made using available evidence including a visit to the service. Residents live in a safe environment, which would benefit from redecoration. Residents do not have sufficient and suitable washing and bathing facilities. Several infection control issues were identified potentially putting residents at risk. EVIDENCE: The service provides a homely environment. It has a rolling programme to improve the decoration, fixtures and fittings, but there is clearly a slippage of timescales. A number of the fixtures and fittings need replacing and the décor requires upgrading. A corner of one lounge was being used for storage of wheelchairs and activity equipment blocking access to the stock of puzzles and games. All requirements following the EHO visit have been completed, including the fitting of the new kitchen floor. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 17 There are a number of single rooms, a few double rooms and a few of these have en-suite facilities, but these tend to be used for married couples and in one case twins, who have chosen to share. Residents can personalise their rooms and choose where they sit in the communal areas. Two bathrooms and one shower room are out of order and all the bathrooms are in need of refurbishment. A number of infection control issues were identified predominantly in sluice rooms, bathroom and toilet areas. The sluice rooms were dirty, with offensive odours. Clinical waste bins were rusty and therefore impossible to clean properly. Sinks and sluices were heavily lime scaled also making effective cleaning impossible. One pedal bin lid was missing, toiletries had been left in bathrooms including a toothbrush and bars of soap, these must be removed to ensure they are not used for several residents. A cleaning protocol must be developed for the Argo hoist belts. Hoists and slings were being stored in bathrooms. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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 on this outcome area is good. This judgment has been made using available evidence including a visit to the service. Residents are cared for by a committed staff team. Residents would benefit from care staff undertaking further core and foundation level training at NVQ level or equivalent. Clear recruitment processes and checks have been implemented to promote the safety and well- being of residents. EVIDENCE: Residents have confidence in the staff that care for them. Rotas show efforts are made to ensure the home is staffed efficiently, with particular attention given to busy times of the day and the changing needs of the residents. The manager has recruited a bank of staff to cover annual leave etc, and to reduce the amount of agency staff used. Staff training is being developed with a training matrix being used and staff being offered a range of core and other more specialised training. The Management team are accessing NVQ training for staff though levels of staff having completed NVQ training is very low. Currently 3 of the 33 care staff have attained an NVQ qualification. Staff receive a structured induction period of training and supervision. Staff files have been reviewed and collated to hold information required under regulation since the last inspection, one file of the three looked at did not contain a photograph, or copy of birth certificate or passport, however these Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 19 had clearly been seen as the CRB had been returned and other documents indicated they had been seen. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 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): 33,35,38 Quality on this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. The home has many aspects of quality assurance in place, however some further development is needed to demonstrate that the home is run in the best interests of the service users. EVIDENCE: The home has various aspects of quality assurance systems in place. The home needs to develop a formal plan of development for the home based on the audits, surveys and other feedback mechanisms; reports based upon this collated information should be produced. If they wish and are able to, residents are helped to take responsibility for managing their own money. They are provided with facilities to keep their valuables and money safe. The home keeps small amounts of money for the majority of residents, and there is a system in place with clear records of Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 21 expenditure and money deposited that are routinely kept up to date and can be used to track individual resident’s finances. Receipts are kept for individuals, it is recommended that the money is not pooled, but held separately, and that the bank account be set up so that it is for individuals and that they may receive interest on their money deposited. Action has been taken to address the health and safety issues identified at the last inspection and by environmental health. The pre inspection questionnaire received indicated that the maintenance servicing and checks are up to date or in hand, although 2 of the baths require attention. Staff spoken with had received the necessary training in first aid, moving and handling infection control etc and updates are planned for those whose training has lapsed. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 22 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 3 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 X 17 X 18 3 1 X 1 X X X X 1 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 2 X X 3 Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 23 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 OP4 Regulation 12 (1)(a) Requirement Timescale for action 15/07/06 2 OP7 15(1) The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users; in that service users with specific disabilities have their needs documented and provided for. (variation to be applied for) The registered person shall, after 30/07/06 consultation with the resident or their representative, prepare a written plan as to how their needs in respect of their health and welfare are to be met. In that all care plans must be up to date and comprehensive as required for service users care needs to be met. This remained an outstanding requirement from the previous inspections, though progress had been made. Written response to be submitted to the commission by the timescale date Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 24 3 OP7 13(4) The registered person shall 30/07/06 ensure that, as far as possible, all parts of the home to which residents have access and any activities in which they participate are free from hazards to their safety and avoidable risks and that unnecessary risks to their health and safety are identified and eliminated. In that risk assessments must be more comprehensive, and accurate. This remained an outstanding requirement from the previous inspections, though progress had been made. Written response to be submitted to the commission by the timescale date 4 OP21 23(2)(c)(j ) The registered person shall having regard to the number an needs of residents ensure that the equipment used by the home is maintained to good working order with sufficient numbers of lavatories, bathrooms and showers fitted with hot and cold running water. In that there remain 2 assisted bathrooms and 1 shower room are out of order. This remained an outstanding requirement from the previous inspections, though progress had been made. Written response to be submitted to the commission by the timescale date 30/07/06 5 OP26 16(2)(j)(k ) The registered person shall having regard to the size of the care home and the number and DS0000026208.V292606.R01.S.doc 30/07/06 Sutton Valence Nursing & Care Centre Version 5.1 Page 25 needs of residents - after consultation with the environmental health authority, make suitable arrangements for maintaining satisfactory standards of hygiene in the care home, keep the care home free from offensive odours and make suitable arrangements for the disposal of general and clinical waste. In that:· Offensive odours were noted in sluice rooms, some bedrooms. Cleanliness of sluices toilets and bathrooms. This remained an outstanding requirement from the previous inspections, though progress had been made. Written response to be submitted to the commission by the timescale date 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 OP33 Good Practice Recommendations It is recommended that care staff be encouraged to undertake NVQ training. It is strongly recommended that the home continue to develop effective quality assurance and monitoring systems using resident’s views and feedback, and to produce an annual development plan. DS0000026208.V292606.R01.S.doc Version 5.1 Page 26 Sutton Valence Nursing & Care Centre 3 OP35 It is strongly recommended that residents’ monies are not pooled either in the homes safe or in a bank account, for ease of auditing and to ensure residents do not miss out on opportunities to earn interest. Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Sutton Valence Nursing & Care Centre DS0000026208.V292606.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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