Inspection on 07/03/06 for Sycamore Hall Care Home

This inspection was carried out on 7th March 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 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

Sycamore Hall Care Home 23/10/09

Sycamore Hall Care Home 07/10/09

Sycamore Hall Care Home 09/12/08

Sycamore Hall Care Home 12/12/07

Sycamore Hall Care Home 09/01/07

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

CARE HOMES FOR OLDER PEOPLE Sycamore Hall Care Home Kearsley Road Ripon North Yorkshire HG4 2SG Lead Inspector John McGarva Unannounced Inspection 7th March 2006 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 Sycamore Hall Care Home DS0000065290.V285502.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. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sycamore Hall Care Home Address Kearsley Road Ripon North Yorkshire HG4 2SG 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) 01765 606025 01765 609437 Premier Nursing Homes Limited Elizabeth Corser Care Home 62 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (62) of places Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Home. First inspection. Brief Description of the Service: Sycamore Hall is a new care home providing nursing and personal care for up to 62 people who are over 65 yrs and suffer from Dementia. The nursing unit of 32 beds is located on the first floor and the residential care unit of 30 beds is on the ground floor. Additionally, up to 6 people suffering from dementia below 65 yrs of age can be accommodated in either unit. It is a modified and extended building which was previously part of Ripon College and in the past was used as a Hall of residence and latterly, a conference centre. It is built in red brick and on two floors, including ground floor and there is a vertical lift providing level access to the first floor. The front elevation faces east, in front of which car parking is provided. There are landscaped areas to both sides and two enclosed, part paved garden areas at the rear west facing aspect of the home. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to the first inspection of this home since it opened on 5th September 2005. It took place on an unannounced basis on Tuesday 7th March 2006 and the manager Mrs Elizabeth Corser and the provider Mrs Dianne Hannah were available to assist with the process. The inspection started at 10.00hrs and finished at 15.30 hrs, a total of 5.5hrs. The home is gradually filling with residents and there were forty one people in residence, twenty four nursing cases on the first floor and seventeen receiving personal care only on the ground floor. The inspection focused on most of the standards including all the key standards, which the CSCI has identified as important for inspection this year. An inspection of some of the residents’ rooms, lounges, bathrooms and kitchen also took place. Discussions took place with the manager, provider, nurses, and care staff. The residents in both residential and nursing units appeared content and well presented and none were distressed or noisy, which can occur in this client group on occasions. What the service does well: The opening of a home is a challenge in any location and is particularly so in Ripon where there are many others competing for staff. The manager has made a good start in establishing herself and in providing care for the increasing population of sometimes severely confused and challenging residents. Her relationship with the staff appears good and further management inputs such as regular meetings with the staff will help improve communication and morale. The assessment and care plan documentation is of a good standard and is the foundation of which the care can be delivered. The care staff appear kind and caring and the language issue of some of them should diminish in time. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 6 The environment is satisfactory if a little spartan in appearance and some paintings or pictures would help. 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. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 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 Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 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): 1, 2, 3, 4, and 5. The service users’ needs are assessed and are met in a structured and considered way. EVIDENCE: There is a Statement of Purpose which includes all information required of this standard and a summary of the information contained in this document is available in the service users guide. There is a clear statement of terms and conditions issued to the resident or their relative at the time of admission into the home. The document includes all the services to be provided, the fees, and who is paying which part of the care as well as the number of the room to be occupied. Prior to admission and using appropriate assessment documentation, the manager of the home assesses prospective residents. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 9 This assessment forms the initial basis of the care plan and where Social Services are involved, a copy of a care plan from a care manager may also be available prior to admission. The assessments seen included sufficient relevant information on which the resident’s care plan could be developed. The recruitment of suitably qualified staff and their ongoing training help ensure that the residents needs can be met. The necessity of recruiting foreign sourced staff has added to the communication problems with the client group. All the residents suffer from various stages of dementia and therefore the importance of appropriately trained nurses and care staff is acknowledged. The manager is pro-active in endeavouring to ensure that the prospective residents have an opportunity to see whether they would fit in with the home prior to admission. The issue of a trial period is addressed in the contract and it is clear that should the placement not prove successful then there is no requirement to give, or pay money in lieu of notice at the end of the trial period. Intermediate care (Standard 6) is not provided in this home. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 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 and 11. The physical and health needs of the residents are identified and appropriate care plans are created to ensure they are met. Issues relating to dignity need to be continuously considered and addressed. EVIDENCE: The residents looked well cared for, with clean and pressed clothes and none were in any distress or overtly agitated. Given the dementia of the residents, communication is a challenge, particularly for the foreign staff, and the resident’s wishes and needs not easy to adduce. However, the exchanges witnessed between the staff and the residents indicated that strategies to make contact with them were well structured, thoughtful and kind. There is an individual plastic folder for each resident within which all information in relation to them is kept and includes: admission details, assessment, care plans, pressure area assessments, nutrition assessments, weight charts and daily statements. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 11 The care plans inspected showed that there was ample information on which to ensure that all the residents needs and as far as could be adduced, wishes were addressed. The plans are reviewed at least monthly and appropriate risk assessments are clearly documented and demonstrate that appropriate interventions were carried out, recorded and evaluated on a regular basis. There is a place for the resident or relative to sign to evidence that they have seen and been consulted about the care plan. The timings that the daily records are made is a mix of twelve hour, nocte, ND and twenty four hour clock and the desirability of ensuring all such records utilised the twenty four hour clock was discussed. There was one resident with a pressure sore who had arrived in the home with it and appropriate monitoring of this is in place. The storage and administration of medications is managed in accordance with good practice. A 28-day blister pack system provided by a major pharmacy provider is in use and the provider also delivers three-day medication management courses on site for the care staff. The controlled medication stocks for one resident was checked against the records and found to be correct. The nurses administer the medications on the first floor nursing unit and NVQ Level 2 or 3 trained care staff administers the medications in the residential unit. The residents dignity is respected in so far as the staff were seen to be knocking on doors before entering and in the respectful and professional manner in their exchanges with the residents. The chiropodist was treating the residents in the corridor immediately in front of the lift door on the first floor nursing unit during the inspection. This is not satisfactory or dignified and was discussed with the manager. The residents wishes in regard to what happens after death, due to their mental infirmity, needs to be gleaned from their relatives or representatives. It is not always easy or possible to obtain such information at admission, and the importance of this was discussed with the manager. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 12 Relatives or friends are able to stay with them for as long as they wish prior to death and the staff is sensitive to the needs of relatives and friends in these circumstances. Sycamore Hall Care Home DS0000065290.V285502.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 and 15. The resident’s wishes are respected at all times and contact with relatives and friends is encouraged. The dietary needs of users of the service are met with a varied menu of food being offered that satisfied service users tastes and choices. EVIDENCE: The daily routines at the home are flexible as far as possible whilst accepting that most residents in this client group require a well-structured day. The residents care plans demonstrated a flexible approach to meeting their needs in relation to personal routine and leisure and social activities. There is no dedicated activities organiser and the lack of this was discussed with the provider and manager and later with the care staff. There is no doubting the need for someone to be focussing on this important area of care as the care staff do not have the time to attend to this given the high dependency of the residents for personal care. Efforts have been made to recruit an occupational therapist but with no success as yet. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 14 Some interim arrangement, with perhaps a member of the care staff solely for this aspect of care delivery may need to be considered. The residents like to go out walking, and this would be possible if a particular member of staff were recruited for the purpose of diversional therapy. There is no ecclesiastical visitors visiting the home at present and the deputy manager is to arrange a visitor from the local Methodist church to visit. The resident’s are able to entertain visitors in private or in communal areas of the home at any time and this is documented in the statement of purpose. Refreshment drinks are provided for the visitors and on the upstairs nursing unit there is a small kitchen available for creating drinks out of hours. The mental disability of the residents precludes their being able to handle their own financial affairs and their relatives and friends exercise this responsibility. The local advocacy service is advertised in the home’s prospectus and in the complaints procedure. Residents can bring items of personal possessions and furniture to the home should they so wish and there are policies and procedures on how this is recorded and managed. As far as possible the resident’s are invited to contribute to the creation of the menus. There is a newly built and well-equipped kitchen with well motivated and appropropriately qualified staff to meet the residents dietary needs. An alternative, rather than choice is available for the main meal of the day as it is difficult to discern residents wishes on a day-to-day basis. Individual likes and dislikes are noted in their care plan and these are addressed on an individual basis. Full cream milk is available routinely and this is amplified when indicated. In addition to the main meals of the day which are: Breakfast 8-9.30am, Lunch 12.30pm, Tea 4.30 pm, at 7.00pm and 9pm sandwiches, bread, cheese and biscuits are left out, and hot drinks are available throughout the night. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 15 There are four diabetic residents, one of which is insulin dependant and in the residential unit and consequently the district nurse has to attend twice per day to administer the insulin. The lunchtime meal was taken by the inspector and was of good quality and hot and included some fresh vegetables. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 16 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 and 18. The provision of relevant complaints procedures and staff’s training and knowledge of adult protection issues helps safeguards the residents from abuse. EVIDENCE: The home has a complaints policy with time-scales for the resolution of these and this is included in the Statement of Purpose. There are Adult Protection and Whistle Blowing procedures available to protect the residents. Training in the issues relating to abuse is to be delivered next week, 16th March and Protection of Vulnerable Adults (POVA) training is also provided during induction training. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. The environment of the home is of a good standard. Additional moving and handling equipment is required. EVIDENCE: This home has been open since September 2005. It is a modified and extended building, previously a conference centre for Ripon College and now provides a satisfactory and spacious environment for up to sixty-two residents. It has been refurbished to a good standard with the furniture and fittings in good order and the decorations are pleasant, light, and free from any superficial damage. The home now has their own handyman and access to a decorator that is shared from another home in the group based in Northallerton. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 18 There is a written programme of maintenance available to see. The grounds are well laid out and there are two enclosed garden areas at the rear so that the residents can wonder in safety. Some work is yet to be completed to the surrounding garden area and this will be done when weather permits. There is adequate sitting, recreational and dining space provided, and the provision exceeds the National Minimum Standards in this regard. The lighting is in all areas satisfactory and each resident has bedside lighting provided. All bathrooms and toilets are clearly identified. There are two assisted baths and two assisted shower rooms provided on each of the floors of the home. There is a ‘rising chair’ water pressure lift fitted to one bath on each of the floors of the home. A basic hydraulic ‘ pull lever ’ hoist is provided on the first floor nursing unit only to aid transfer of the residents onto the ‘rising bath chair’. The ‘rising chair baths’ are set low to the floor and in consequence the staff need to bend at an acute angle or kneel on the floor whilst bathing the residents. Kneel pads need to be provided to assist the care staff in this hazardous procedure. The other two bathrooms, one on each floor, have a bath on a raised plinth, but with no means of lifting the residents into or out of them and are in consequence not used. There are no hoists provided at all on the ground floor residential unit and it is not clear how residents are managed should they fall to the floor. There are grab rails provided in corridors but the toilets, bathrooms and shower rooms have yet to be provided with these. A `stand-aid’ would help the staff assist the residents in standing up and transferring to dining chairs etcetera. All corridors meet the minimum required width standard. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 19 A hard-wired nurse call system is provided in all rooms, bathrooms, toilets and communal rooms and cancellation must take place at the actuation point. The residents bedrooms are all single, have en suite toilet and shower facilities and meet the required standard in terms of space. They are furnished to a good standard, are carpeted and are clean and comfortable. There is a lockable drawer in each room for the residents to store their valuables or documents. There are four adjustable-height beds provided in the home for nursing cases on the first floor. The divan beds on the ground floor (residential unit) are set low to the floor and in consequence can impede the resident’s ability to get in and out of bed and also put strain on the backs of the care staff. The home is well provided with good quality heating and low surface temperature radiators are provided throughout to provide a safe environment. All the hot water outlets deliver water at temperature no greater than 43°C. Emergency lighting is provided throughout the home. There are appropriate policies and procedures in place to reduce the risk of cross infection. Liquid soap and disposable towels in dispensers are provided in all the residents rooms, Bathrooms, toilets, medication room, laundry, kitchen and sluice rooms, thereby helping reduce the incidence of infection and cross infection. The premises are clean and hygienic and were free from any offensive odours on the day of inspection. There is a sluice room with a commode pan disinfector on each of the two floors of the home although commodes are not routinely used in the home. The laundry, which is located on the first floor above the kitchens, is well appointed and has two washing machines with sluice cycles and two gas driers. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 20 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 and 30. The residents receive a satisfactory standard of care from staff that is being increased as the resident population grows. EVIDENCE: As a newly opened home, there is no staffing letter set by the previous regulatory authority or by the CSCI. The numbers of care and nursing staff are being incrementally increased as the home fills with residents. On the first floor nursing unit there are two nurses on duty during the morning and afternoon periods and one on at night. On each of the units there are at present four care staff on in the morning and three on in the afternoon shift with three / four on in the evenings and two / three on at night. Recruitment of staff is a challenge for the home as there are many homes in Ripon and some of the care staff are from other countries, Philippines, China and South Africa, which can make communication difficult on occasions. The manager of the home is supernumerary to the numbers on the working team to enable her to deal with the strategic and management issues of the home. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 21 There are plans to develop a NVQ training scheme, with the assistance of a College, for the home in the near future. Three of the care staff has NVQ Level 2 qualifications and another has trained to level 3 standard. Another has commenced training and three are soon to embark upon this training. Six of the care staff is registered nurses who cannot be registered in Britain at the present time. Their nursing qualifications would be equal to NVQ Level 3 in England. The recruitment procedures at the home now meet the required standard and all Criminal Record Bureau (CRB) checks have been done for all staff. There is a training programme in place for the care staff, which meets the National Training Organisation (NTO) standards. Induction and foundation training takes place and it is too soon for the Training and Development profiles to have been developed in the home so soon after opening. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 22 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): 31,32,33,34, 35, 3,37 and 38. The staff needs to be kept informed and consulted on developments in the home. Systems are being developed to ensure that the residents or relatives are consulted about managing the home. EVIDENCE: A Registered Mental Nurse (RMN) who also has a degree in mental health nursing manages the home. She has many years of experience in caring for the elderly who suffer from dementia. She is soon to embark upon the NVQ Level 4 Management award. She has an ‘open door’ policy so that staff can come to see her on any matter of concern at any time. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 23 Although the home has been open since September 2005 there has not as yet been a formal meeting of the staff and this deficit in communication emerged in conversation with the staff. The manager felt it was early days for her to have developed strategies to help enable staff and other stakeholders to affect the way the home is run and mechanisms for this will be developed in the future. Exit interviews are held with staff that leaves. Questionnaires are to be sent out to residents or their representatives in April and September 2006 to help her determine their views on the management of the home. The inspector did not see any financial statements regarding the viability of the home, but the provider; Mrs D Hannah was able to confirm that the home is operating at a profit. The residents relatives or representatives on their behalf arrange the management and control of their personal monies and in consequence there is no need for the home to be involved in personal finances. Supervision for care staff has been started and it is planned that these episodes will take place on a six-weekly basis perhaps delegated down to the senior nursing staff for the care staff. The care plans and other relevant documentation are kept in the office areas in secure conditions. There are systems in place for the staff to receive training in: Health & Safety, First Aid, Fire Safety, Food hygiene, Infection control, Behaviour management and Moving and Handling. Abuse awareness training is booked for later in the month of March. Regular servicing and records of this are maintained of the gas boilers, lift, and other equipment. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 2 2 3 2 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 3 3 3 3 3 3 Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? NO 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 OP12 Regulation 16(2) (m)(n) Requirement The provider must make arrangements for the residents leisure and social needs to be met. Timescale for action 01/06/06 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 3 Refer to Standard OP8 OP10 OP21 Good Practice Recommendations The timings made of daily statements should be recorded utilising the 24 hr clock. Chiropody and any other procedures should take place in private. Suitable power assisted hoists should be provided for the bathrooms of both units. Dedicated kneel pads should be provided for the care staff whilst bathing in bathrooms with low set baths. Grab rails should be fitted to all toilets shower rooms and bathrooms. Power assisted lifting hoists should be provided for both ground and first floor units. A modern Stand-aid should be provided for the first floor nursing unit to help the staff assist the residents out of DS0000065290.V285502.R01.S.doc Version 5.1 Page 26 4 OP22 Sycamore Hall Care Home 5 OP24 6 7 8 9 OP28 OP30 OP31 OP32 their chairs. The problem of the low divan beds in the ground floor residential unit should be discussed with the staff. More adjustable height beds should be provided for the first floor nursing unit. The provider should endeavour to have 50 of care staff trained to NVQ Level 2 standard. All staff should have a Training and development profile assessment and profile. The manager should endeavour to obtain the NVQ Level 4 management award or equivalent qualification. Regular minuted meetings with staff should take place. Sycamore Hall Care Home DS0000065290.V285502.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Sycamore Hall Care Home DS0000065290.V285502.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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