Inspection on 21/09/07 for Swinton Hall Nursing Home Ltd

This inspection was carried out on 21st September 2007.

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 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

Swinton Hall Nursing Home Ltd 05/12/06

Swinton Hall Nursing Home Ltd 13/01/06

Swinton Hall Nursing Home Ltd 17/10/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Swinton Hall Nursing Home Ltd 188 Worsley Road Swinton Manchester M27 5SN Lead Inspector Elizabeth Holt Unannounced Inspection 21st September 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 Swinton Hall Nursing Home Ltd DS0000064111.V343076.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. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swinton Hall Nursing Home Ltd Address 188 Worsley Road Swinton Manchester M27 5SN 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) 0161 794 2236 0161 727 0047 Swinton Hall Nursing Home Ltd Mrs Shirley Lawton Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability (10) of places Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 10 persons aged 35 years and over but under 60 may be accommodated within the total numbers. Other service users within the maximum of 62 require either nursing care or personal care by reason of old age. Up to 18 service users who require intermediate care only and who are within the category of old age, may be accommodated within a designated area (lower ground floor) within the overall maximum of 62. Minimum nursing staffing levels as specified in the Notice issued in accordance with Section 25 (3) of the Registered Homes Act 1984 shall be maintained. 6th August 2007 4. Date of last inspection Brief Description of the Service: Swinton Hall provides accommodation for up to 62 older residents of varying categories. The home provides intermediate care for up to 18 residents on the lower ground floor, which is staffed independently from the main body of the home and has dedicated input from the Primary Care Trust. Up to 10 residents of 35 years and over can be accommodated within the overall maximum occupancy of 62 service users. Accommodation is on three floors with access to all areas enabled with ramps, a lift and portable chair lift. There is a large car parking area to the front of the property with enclosed grounds to the rear. The building is set back from the main road and is within easy access to the cities of Salford and Manchester. The fees range from £355.52-£537.31 per week. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection to Swinton Hall took place on the 21st September 2007 and included a site visit. It took place over one day and it lasted for about eight hours. Information was gathered as part of the inspection process, which included a questionnaire completed by the manager, which gave information about the residents, the staff and the building. This selfassessment survey (Annual Quality Assurance Assessment) was received before the inspection.) Information held by the Commission, for example notifications of significant incidents was also reviewed. The time was spent talking to the residents, visiting relatives, the manager and the staff team about day-to-day life in the home and to establish what the home was like for the residents living there. A partial; tour of the premises was undertaken and examination of documents and care files for the individual residents. Questionnaires, asking residents, relatives and staff about what they thought about the home and the care provided were sent out and a high number were completed and returned. Some comments from these have been used in the report. The term preferred by the people consulted during the visit was “residents”. This term is, therefore, used throughout the report when referring to those living at the home. What the service does well: The home ensures that all prospective residents are assessed before the offer of a place is confirmed at the home. The atmosphere within the home was welcoming, friendly and warm. Staff and residents spoken to had a sense of humour and appeared relaxed and comfortable. The communication skills of the staff with individuals was observed to be very positive. Residents and visiting relatives said the staff were generally very kind, helpful and friendly. One relative said, “The staff appear to be very happy in their work”. Comments throughout the surveys were positive and complimentary about the staff team and in relation to the activities provided. The relationships between residents/relatives and staff appeared positive and the residents were treated with respect. The staff were keen and enthusiastic and appeared to have a willingness to learn and further develop their knowledge. The residents enjoyed the food at the home and mealtimes were made to be a relaxed occasion. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 6 Staff training was said to be good by the staff and they were given opportunities to carry out courses that interested them and was in line with their personal and professional development. Staff records were being appropriately maintained. In the service user surveys residents said they received the medical support they required. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Swinton Hall Nursing Home Ltd DS0000064111.V343076.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 Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are given information about the home and pre admission assessments are carried out to ensure the care needs of the prospective resident can be fully met. EVIDENCE: The home’s Statement of Purpose and Service User guide provides some information for prospective residents about the services the home provides to meet there needs. The information booklet should show more clearly how the service meets the needs of residents receiving continuing care and should demonstrate the training and expertise the staff have in managing residents who require palliative care and/or the End of Life care pathway. Pre admission assessments are carried out to ensure the care needs of the prospective resident can be fully met. A review of three admission assessments highlighted that information was gathered, however the detail entered on the form varied dependent upon the individual who had carried out Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 9 the assessment. The manager said this had been identified and some staff training had been carried out and they had plans to change the format of the pre-admission assessment form. Residents requiring additional nursing and therapy input before returning home from hospital or those requiring a short period of nursing but do not require hospital admission are cared for on the Intermediate Care Unit. The assessment information on this unit was detailed and person centred. Residents who were admitted through a social worker had a care management assessment and copies of these assessments were available with each resident’s care plan. The manager said that relatives and representatives are invited to visit the home and are encouraged to look around before making a decision to move into the home. One new resident said, “I am really liking it here, the staff are very kind and they showed my husband round because he chose this home for me”. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system in place provides staff with the information they need to meet the resident’s needs. Some shortfalls in medication administration and recording have the potential to put resident’s at risk. EVIDENCE: A sample of care plans was reviewed on each unit. The care plans contained information about a wide range of personal and health care needs. The home has a team nursing system in place where the registered nurse, senior carer and care worker provide the care required for the individual residents. The care plans included evidence these had been signed and agreed with their relative. A relative responded in the relatives survey that;” We are involved in the care plan and more recently the advanced care plan. Staff at the home have reacted positively to my father’s complex care needs and understand the decisions that have been made for his care”. Care plans were case tracked for four residents as part of the inspection process. The care plans showed detailed and personalised care needs; these Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 11 were updated and reviewed as required. There was evidence of GP visits, including action to be taken. Improvements could be made in the audit trail of the care plan, for example staff were verbally up to date and aware of the residents condition however the wound record for a resident showed a low grade wound on admission to the home and then the form had not been updated to show the improvement. The records showed that advice is sought from appropriate health care workers and professionals allied to medicine as the residents’ health care needs required. Health and safety risk assessments were available and were well completed. Other risk assessments included nutrition and pressure relief. Bed rails were in place for a number of residents with the appropriate risk assessments in place. Staff commented there were always plentiful supply of gloves and aprons as required to carry out procedures and personal care. Staff spoken to were aware of the importance of the prevention of infection. There were social profiles in the care plans sampled. This included the residents likes and dislikes, hobbies or interests and some examples of their past working life. One resident’s sister stated, “They keep my brother clean, well cared for and he has good food. I can’t ask for anymore and he is very happy where he is.” From observations made throughout the home on the day of the inspection the staff showed attention to the personal grooming of the residents. Resident’s hair looked combed and gentlemen were clean shaved. Residents spoken to said they had been supported to get dressed in a pleasant manner and were given choice in their preferred clothes to wear. In the lounge areas staff were seen to address residents in a respectful manner. Staff showed care and support to residents and were seen chatting or just holding resident’s hands. The atmosphere in the home was warm, homely and friendly. The home had policies and procedures in place for the management of medication. Examination of a sample of medication administration charts (MAR) showed these had not been appropriately signed for on the chart when they had been received into the home. This appeared to have been a shortfall for this particular month and the manager was going to address this with the registered nurse responsible. It was noted that some of the medications had been handwritten onto the record sheet (MARS) and these were not signed and witnessed by the staff members. Medication was observed to be given by staff to a resident during their main meal; this practice is not acceptable unless the drug is required to be taken specifically with food. Staff must be reminded of the guidance in relation to the safe administration of medication in line with the Nursing and Midwifery Council and the home’s policies and procedures. Swinton Hall Nursing Home Ltd DS0000064111.V343076.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given support and the opportunity to exercise choice and control over their lives. The food met with the residents’ satisfaction and activities provided in the home meant that residents have opportunities to be involved in stimulating and motivating activities. EVIDENCE: The full time activities organiser has been in post less than twelve months plans and provides a range of activities to suit different tastes and expectations. Comments from residents, relatives and staff demonstrate that her input has made improvements to the daily lives of residents at the home. During this inspection visit some residents were involved in painting and card making, whilst another resident had been out shopping for new clothes. Staff appeared to know the residents well and the care plans did include a social history for the residents. A discussion with the activities organiser highlighted there was not a formal programme of activities but residents were aware that activities and games were available. One resident said she had enjoyed the new horse racing game and another resident said she had enjoyed a game of scrabble last night. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 13 Some residents did comment that the mealtimes were quite often the highlight of the day and did not always feel there was enough going on to interest them. One resident said she enjoyed the “quiet lounge” and she had “thoroughly enjoyed a game of ball yesterday”. A record is kept of any activities the residents have taken part in and plans are in place to include these daily social care activities into the care plans. One resident did comment that she used to enjoy attending church and she would like to be able to receive communion more often, this was raised with the manager and the resident reassured this was possible. Staff said they did try to assist residents who have a limited ability to make choices about their daily lives by asking them where they preferred to spend their day or what they chose to wear. Residents said they were able to receive visitors at any time during the course of the day. This was confirmed by a number of relatives who were spoken to during the inspection visit. The residents are encouraged to, and do bring personal items such as photographs, televisions, radios and ornaments to add a personal touch to their bedrooms. The staff were seen to be friendly courteous and natural with the residents and it was evident they had a friendship with them. Relatives commented in the surveys that communication about changes in healthcare needs was clearly and regularly shared with them, either by phone or face to face. Residents who were able to express a view said the food was good and they got enough to eat. The main meal of fish chips and peas looked tasty and residents could have alternatives. The desert of homemade egg custard was delicious and a number of resident commented that the homemade deserts were very tasty. One resident enjoyed her fish poached and another resident enjoyed a meat salad. The dining tables were pleasantly laid and provided seating for four residents at each table, other residents chose to eat in the privacy of their bedroom and this was respected. The cook was quite new in post, however he was positive about the food available and he was satisfied the residents were eating the meals he prepared. Swinton Hall Nursing Home Ltd DS0000064111.V343076.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the systems and procedures in place to allow the people to express their complaints/concerns and to protect residents from abuse. EVIDENCE: The home had the policies and procedures in place, which gave residents/relatives the information required to make a complaint. The home held a record of complaints and on examination one had been recorded since the last inspection. This was in relation to an allegation that a care worker had been verbally abusive to a resident. A detailed response was available from the provider and the relative was satisfied. Following a high number of relatives and residents CSCI survey responses both residents and relatives stated they were comfortable in raising any concerns or complaints with staff members at the home. Comments included, “I can talk easily to the manager and believe she will deal with any concerns I have”. Another relative said, “I never have any, the staff are always very kind and caring, I don’t know how they do it”. The manager had received “train the trainer Protection of Vulnerable Adult training” and since the last inspection this had been cascaded to some of the staff in the home. Staff spoken to were aware of the action to take in the event of an allegation of abuse. A member of staff from the Adult Protection Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 15 Unit at Salford had attended the home to talk to the relatives of residents regarding Adult Protection procedures. Swinton Hall Nursing Home Ltd DS0000064111.V343076.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable well maintained home and resident have access to communal facilities EVIDENCE: A tour of all the units at Swinton Hall was made. The home felt comfortable and homely and all areas of the home were clean and free from odour. The home had an ongoing programme for the redecoration and refurbishment of the home. Resident’s bedrooms were well decorated, homely and personalised. The redecoration programme since the last inspection had included the downstairs front lounge. Residents said they thought it was lovely “especially with new curtains” and they had been involved in choosing the wallpaper and curtains. . The home has large well-maintained gardens with seating areas for visitors and residents. Residents and relatives commented about how they had enjoyed sitting outside during the good weather. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 17 The home employs a full time housekeeper and maintenance person who contributes positively to the management of a clean, well-maintained home. Residents who could express a view were pleased with their bedrooms and one resident had recently enjoyed a birthday party in the home. Policies and procedures were in place for dealing with infection control and the safe handling and disposal of clinical waste. Provision was in place for equipment necessary to promote the comfort and/or independence of residents with different needs. Swinton Hall Nursing Home Ltd DS0000064111.V343076.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number, deployment and training of staff was sufficient to meet the residents’ assessed needs. Procedures for staff recruitment were in place to protect residents. EVIDENCE: Sufficient numbers and skill mix of staff were on duty to meet the needs of the residents accommodated. The manager was always supernumerary to the staff on duty. A large response from people who completed the resident/relative questionnaires wrote many examples of positive comments about the staff in the home. Examples include; “The staff appear to be very happy in their work, always sufficient staff around”. One relative responded in the survey sent out by the Commission; “father is Czech and sometimes because of his condition he returns to his native tongue. They make sure that the Czech speaking care worker is available for Dad”. The home shows a positive commitment to staff training and development. Fourteen responses to staff surveys were completed from staff employed and there were positive responses to the staff feeling they have the right support, experience and knowledge to meet the different needs of people who use services. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 19 The home employs 48 care staff members of which 18 have successfully achieved NVQ level 2 and 20 staff are working towards this qualification. The home had recruitment and selection policies and procedures in place to safeguard the interest and well being of the residents. Each staff member has an individual training and development plan. Information provided to the CSCI indicated that in the last twelve months staff had completed various training including; Moving and Handling, Fire safety, abuse awareness, infection control, Gold standard framework and care pathway for the dying. Some of the staff spoke favourably about the opportunity to carry out online training whilst at work. The home employed 3 male staff and had 15 male residents at the time of this inspection, which gives the males the opportunity to be cared for by a male. All staff had Criminal Records Bureau checks (CRB) and a Protection of Vulnerable Adult (POVA) check before they started working. The contents of four staff files were assessed. These contained the necessary information including a completed application form and two written references. Swinton Hall Nursing Home Ltd DS0000064111.V343076.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the systems in place to monitor the service based on people’s views. The home was seen to promote the health, safety and welfare of the residents and staff. EVIDENCE: The manager is an experienced Registered Nurse and is supported by a dedicated staff team. The manager is fully aware of her duties and responsibilities and demonstrated her knowledge of the residents well. Staff said the manager was approachable and would listen and act upon concerns/issues raised. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 21 The home has the policies and procedures in place to manage the financial interest of the residents. A sample of personal monies was examined and there was evidence of staff signatures to confirm the balance. A questionnaire was available to seek the views of residents/relatives and the manager commented the results were acted upon. Residents/relatives meetings were held and copies of minutes were available. A fire inspection was carried out in August 2007 and the home met the requirements of this. Fire safety checks were being carried out in line with relevant guidance. Staff had received fire training in August and September 2007 and were awaiting certificates. A system was in place for recording the personal development of staff and records are held for each staff member employed. Health and Safety risk assessments were in place and the pre-inspection questionnaire showed that health and safety checks were being carried out. Weekly fire records were checked and were up to date and electrical appliance testing had been carried out on all appliances in line with the legislation. Accidents were recorded and monitored and the care plans reflected any necessary interventions to minimise the risk to the individual. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 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 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 23 No 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 OP9 Regulation 13(2) Requirement All records in relation to medication must be accurately recorded. Medicines received into the home must be signed in as received on the medication administration chart(MAR). All staff must administer medication in line with the home’s policy and procedure and in accordance with the guidelines from the Nursing and Midwifery Council. Timescale for action 01/10/07 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 OP1 OP9 Good Practice Recommendations The Statement of Purpose should include the services provided by the home. It is recommended that an extra fridge is purchased for the storage of medication. Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Swinton Hall Nursing Home Ltd DS0000064111.V343076.R01.S.doc Version 5.2 Page 25 - 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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