Inspection on 14/06/06 for Tarvin Court Nursing Home

This inspection was carried out on 14th June 2006.

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

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

Other inspections for this house

Tarvin Court Nursing Home 29/11/05

Tarvin Court Nursing Home 09/08/05

Tarvin Court Nursing Home 30/09/04

Tarvin Court Nursing Home 14/04/04

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 Tarvin Court Nursing Home 4 Tarvin Road Littleton Chester Cheshire CH3 7DG Lead Inspector A Gillian Matthewson Key Unannounced Inspection 14th June 2006 08:30 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 Tarvin Court Nursing Home DS0000018817.V297382.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. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tarvin Court Nursing Home Address 4 Tarvin Road Littleton Chester Cheshire CH3 7DG 01244 332538 01244 336533 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) Ashbourne Homes Limited Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for a maximum of 28 service users in the category OP (Old age, not falling within any other category) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The registered manager must complete the Registered Managers` Award (NVQ Level 4) by 31 December 2005 29th November 2005 3. Date of last inspection Brief Description of the Service: Tarvin Court is a care home providing nursing and/or personal care and accommodation for up to 28 older people. The home is located in Littleton on the outskirts of Chester, approximately two miles from the city centre, on a main bus route. Accommodation is on two floors. Some accommodation is in the original Victorian building and some in a purpose built extension. The home has a passenger lift. There are 22 single rooms and 3 double rooms, 23 having en-suite facilities. Day space consists of one main lounge, a sun room, a small sitting room, a dining room and a sitting area in the hall. Parking space is available at the front of the building and there is a garden and enclosed patio area at the rear of the property. The fees for privately funded residents range from £458 to £555.50 per week. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out as part of the Commission’s regulatory programme. The lead inspector spent time planning the inspection by reviewing previous inspection reports and the service history over the last twelve months. The inspection took place over five hours and included a tour of the building, inspection of records and discussion with four residents, the manager, four members of staff and one relative. Comment cards were also received from ten residents and fourteen relatives. Residents and visitors were very complimentary about the staff and the standard of care, and were pleased with the improvement in the provision of recreational activities. One resident said ‘ Excellent care given by people who are always very helpful and friendly and who do really care’. Another said ‘this is definitely the right place for me’. Feedback was given to the registered manager at the end of the inspection. What the service does well: Prospective residents are provided with all the information they need to make an informed choice about whether this is the right home for them. Residents are assessed prior to admission to ensure that the home can meet their needs. Care plans are discussed with the residents or their representatives and contain full instructions for staff on how to address all residents’ personal and health care needs. Consistent care is provided by adequate numbers of registered nurses and care staff, who treat the residents with respect and ensure that their privacy and dignity are maintained. Residents are able to exercise personal autonomy and choice and maintain contact with loved ones. There is an effective complaints procedure in place, residents’ civil rights are upheld and they are protected from abuse. The home is clean and well-maintained. Staffing levels are sufficient to meet the needs of the residents and there are robust recruitment procedures, which ensure that the home employs the right calibre of staff. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 6 Safe working practices are maintained, to ensure the health and safety of residents and staff. 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. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Standard 6 is not applicable. Quality in this area is good. Prospective residents are assessed prior to admission and are provided with the information they need to enable them to make a choice about whether they wish to reside there. EVIDENCE: Residents confirmed that they (or their relatives) had been given a copy of the guide to the home when they went to look round the home before admission. There was also a copy in every bedroom. It contained all the required information, including details of services and facilities and terms and conditions of residency. An additional brochure contained information about the registered provider, including the company’s philosophy of care and aims and objectives of the home. The resident guide was also available on audio tape. Most residents confirmed that they had been provided with a written contract at the point of moving into the home, which included the care and services to be provided covered by the fee, the fees payable and by whom, and the rights and obligations of the service provider and the resident. Two said they did not have a contract, but signed copies of these were on file. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 10 There was evidence (from documentation kept in the home) that prospective residents were always assessed prior to admission by the home manager or a senior nurse, to determine whether the home could meet their needs. The assessment covered all aspects of the person’s health, personal and social care needs. Residents requiring nursing care were also assessed by nurses employed by the Primary Care Trust, to determine the level of NHS funding to be provided. The statement of purpose recommends that prospective residents visit the home to assess the facilities and their suitability, and also states that all prospective residents are offered the opportunity to move in on a trial basis before they make a decision to stay permanently. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this area is excellent. The health and personal care a resident receives is based on their individual needs. The principles of respect, privacy and dignity are put into place. EVIDENCE: Case tracking was carried out for three residents. All had a care plan in place that set out in detail the action that staff needed to take to ensure that residents’ needs were met. These were reviewed at least monthly and updated to reflect any changing needs. Residents’ life histories were recorded, together with information regarding residents’ social interests. All plans of care contained evidence that they were agreed with the resident or their representative and were signed by them. There was evidence from care plans and from speaking with residents and staff that health needs were met. Residents’ needs were assessed in relation to nutrition, continence, mobility and risk of pressure sores. Equipment necessary to aid mobility and for the prevention and treatment of pressure sores was provided. Turning charts were in place for those residents Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 12 who were bedfast and records of dietary and fluid intake for those at risk of dehydration or malnutrition. Care plans contained evidence that arrangements were in place for residents to obtain the services of other health care professionals when required. The residents whose care files were reviewed had received consultations or treatment from a range of health care professionals including dentist, chiropodist, GP, continence adviser, community psychiatric nurse, tissue viability nurse specialist and physiotherapist. The arrangements for storage and disposal of medications were satisfactory. Residents who self – administered medication had had a comprehensive risk assessment to ensure that they were safe to do so. These were reviewed monthly. Medication administration record (MAR) sheets contained appropriate instructions for the administration of the medicines prescribed by each resident’s GP and records of administration or reasons for non-administration were rigorously maintained. Records of receipt and disposal of medication were also well maintained. Stock levels of medication liable to abuse were recorded at every medicine round. All medication with a limited shelf life was dated on opening and the drug fridge temperature was recorded daily. Residents confirmed that staff treated them with respect and were mindful of their privacy and dignity. They are given the opportunity to choose the gender of staff they want to provide personal care. Staff were trained to speak to residents in a courteous and helpful manner, addressing them by their preferred name. They were observed knocking on residents’ doors and waiting for permission to enter the room. Staff were observed serving drinks, tidying residents’ rooms and chatting with residents. They were respectful and had a good rapport with the residents. When asked about the staff, residents made comments such as ‘ the staff are very good’, ‘ they are really kind’. Residents confirmed that they were able to wear their own clothes and use their own toiletries and could meet with their visitors in private. It was noticeable that staff took particular care to assist residents to look their best. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 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 in this area is adequate. Residents can exercise personal autonomy and choice and maintain contact with family and friends. The home provides some stimulation for them in the way of social or recreational activities. Meals are varied, nutritious and well balanced but do not always suit the taste of some residents. EVIDENCE: Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 14 Residents confirmed that the daily routines were flexible and they could have a lie in and go to bed when they wished, and choose whether they went to the lounge or dining room or stayed in their room. Requirements were made at the previous two inspections last year that the home must provide a programme of activities for residents. Since then the home has employed an activity organiser to work nineteen hours a week to arrange this. At the time of the inspection the activity organiser was not on duty, but there was evidence in the care files that she was finding out the residents’ recreational interests in order to provide an activity programme that meets all residents’ needs. There was a weekly activity programme displayed in the hall that included an old time musical sing song, bingo, soft ball games, two gentle exercise sessions, a film show and a quiz. The home was holding a raffle the next day for Elder Abuse Awareness Day. A church service was held in the home every Sunday and a Roman Catholic priest visited monthly to give Holy Communion. A hairdresser visited the home monthly, and also a mobile library. A clothes party was planned for the near future. The home had access to a minibus for outings, but it was rarely used. Most residents said they were satisfied with the range of activities and that things had improved with the appointment of the activity organiser. One resident said she found life in the home boring and there wasn’t enough to do. A member of staff said she would like to see residents given more opportunity to go out. See Recommendation 1. Residents and visitors confirmed that visiting was encouraged at any reasonable time. The home was able to arrange advocacy for any resident who did not have a representative. Residents were able to personalise their rooms as they wished with small items of their own furniture, ornaments, pictures and any other mementoes. Residents were offered three full meals per day, and hot and cold drinks and snacks were offered in between. Breakfast was served from 8.30am onwards, lunch at 12.30pm and tea at 5pm. Residents could have a cooked breakfast if they wished. The main meal was served at midday, with a lighter meal at teatime, and sandwiches at 8pm. Menus covered a four week cycle, and these reviewed and altered 3 or 4 times a year. Residents said they were asked for a choice from the menu the day before and could choose whether they ate in the dining room or their own room. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 15 Breakfast and lunch were served during the inspection. Residents were offered cereal and toast and the choice of a cooked breakfast. At lunchtime there was a choice of two main courses and a sweet. The meals were well presented and staff were observed offering discreet assistance where necessary. Special diets were also catered for. Residents spoken with at lunchtime said the meal was ‘very nice’. (Most had the roast pork dinner.) Two residents spoken with on this inspection said the food was not varied enough. In the report of the last two inspections it was recommended that the registered provider consult with residents about the meal provision, but no consultation had taken place. The manager showed that resident questionnaires had been prepared ready to go out the next week. The provider had been using a catering agency for the provision of meals, but the manager said this was about to change and a permanent chef had been appointed who would report directly to her. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 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, 17 & 18. Quality in this area is good. Residents have access to a robust, effective complaints procedure, are able to exercise their civil rights, and are protected from abuse. EVIDENCE: The home had a satisfactory complaints procedure and records were maintained of all complaints, including any investigations and action taken. The complaints procedure was displayed in the home’s entrance and in the service user guide. Residents were aware of how to make a complaint and felt sure it would be taken seriously. There had been three complaints since the last inspection, which were substantiated, but they had all been resolved to the satisfaction of the complainant. Residents had access to an advocacy service if required. This could be through the local Age Concern or another independent advocacy service arranged by the registered provider called Care Aware. The statement of purpose said that residents are actively encouraged to participate in elections and the home will make any arrangements necessary to facilitate that. The home had satisfactory policies and procedures in place, including prevention of abuse, whistle blowing and protection of vulnerable adults. Staff spoken with said they had attended ‘Resident Welfare’ training, which covered Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 17 issues of abuse and whistle blowing, on an annual basis and were knowledgeable about the procedures. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 18 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): Quality in this area is adequate. The physical design and layout of the home enables residents to live in a safe, well maintained and comfortable environment. EVIDENCE: The home was clean, well-maintained and free from unpleasant odours. Since the last inspection, the manager’s office had been converted into a medicine store. The manager’s office is now located on the first floor. Some bedrooms had been decorated and some new bedroom furniture had been provided. The manager and maintenance person were discussing a brighter colour sheme for the dining room and the manager said that a chair lift was being provided in the near future so that residents in wheelchairs could access the sun room at the front of the building. The patio area and gardens were neat and colourful, with plenty of flowers. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 19 There were adequate hand washing and laundry facilities. There was a sluice on both floors, but only the downstairs one had a sluicing disinfector. This meant that staff had to take commode pans and urinals downstairs to adequately disinfect them. See Recommendation 2. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 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 & 30. Quality in this area is adequate. Recruitment practices afford protection for residents and the numbers of the staff are sufficient to meet their needs. However, the induction programme does not equip staff in the early stages of their employment with all the skills they need to adequately care for residents. EVIDENCE: At the time of the inspection, the home was providing care and accommodation for 25 residents. Staffing levels consisted of four care staff from 8am to 2pm, three from 2pm to 8pm and two overnight. In addition, there was a registered nurse on duty twenty four hours a day. This was adequate to meet residents’ needs. The home also provided domestic, laundry and catering staff, plus a handyman and an administrator. The home had regular bank staff to cover staffing shortfalls and had not used any agency staff in recent times. Six of the 14 care assistants (43 ) had an NVQ Level 2 in Care. The statement of purpose said that all care staff are encouraged and supported to achieve this qualification if they wish. See Recommendation 3. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 21 Two staff had been employed since the last inspection and their files were reviewed. These contained all the required information and documentation for the protection of service users. Staff were provided with the General Social Care Council Code of Conduct and Practice. The manager had recently conducted a training audit and discovered that the home was only meeting 75 of its’ training targets. She had put together a programme of training for the next three months to ensure that all staff were up to date with training in fire safety, care planning, food safety, protection of vulnerable adults and moving and handling. At the previous inspection there was a requirement that staff must complete an induction programme that covered the Skills for Care induction standards in the first three months of employment. The newly appointed staff, one of whom commenced in March and one in April this year, had not completed a full induction. This is therefore an outstanding requirement. See Requirement 1. The registered provider had recently issued a new induction programme and the manager said that she intended to use it in future for all new members of staff. Residents and relatives were very complimentary about the staff. One relative said ‘My mother has been resident at Tarvin Court for well over two years now. I visit at various times and staff are always very helpful.’ Another said ‘ staff are always very pleasant and hard working’. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 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, 35, 36 & 38. Quality in this area is good. The management and administration of the home are based on openness and respect. There are effective quality assurance systems in place. EVIDENCE: The manager at the time of the inspection had previously been the registered manager of the home but had left in September 2005. She returned to the home at the end of March 2006. She is a first level registered nurse with a Diploma in Health Education. At the time of the inspection she had not submitted another application for registration as manager of the home. See Requirement 2. Residents, relatives and staff said that they were glad she had returned to the home. One resident said ‘my family and I are very impressed with the Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 23 manager, she is very helpful’. Staff said they felt well supported by the manager and ‘things are much better organised since Linda came back’. The registered provider has a quality assurance system in place that includes monthly visits by senior managers, monthly home assessment audits carried out by the home manager, six monthly environmental audits and customer surveys. Customer surveys were about to be issued at the time of the inspection. The monthly home assessment audits seen covered environment, medication, care, accidents, complaints, records and training. The manager held a fortnightly evening surgery for anybody who wished to speak to her and held regular staff and residents’ meetings, which were minuted. Residents are helped to take responsibility for managing their own money if they wish. This was the case for one of the residents who was case tracked. The other two residents had handed over the management of their financial affairs to their families, but the home looked after some spending money for them. This was kept in the home’s safe and records were maintained of all transactions, with signatures. Staff were supervised on a day to day basis, but none of the staff had received any formal, documented supervision for the last nine months. The manager had drawn up a programme of supervision sessions for all staff, which was about to be implemented. Staff were observed carrying out their duties. Safe working practices were in operation. There was a training programme in place to ensure that all staff were up to date in their training in safe working practices. Hazardous substances were stored correctly and the pre-inspection questionnaire indicated that all installations and equipment were checked and serviced at the required intervals. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 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 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 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 3 17 3 18 3 2 X X X X X X 2 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 3 4 3 X 3 2 X 3 Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 18(1) Requirement The registered person must ensure that staff receive training in accordance with the Skills for Care induction standards within the first three months of employment. ( Timescale of 31/03/06 not met) Timescale for action 31/07/06 2. OP31 8&9 The registered person must 31/07/06 ensure that the manager submits an application for registration to CSCI. 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 OP12 OP26 OP28 Good Practice Recommendations The home should build on the activity programme now implemented to ensure that it meets all residents’ recreational needs and includes opportunities to go out. A sluicing disinfector should be installed on the first floor. Steps should be taken to increase the level of staff training DS0000018817.V297382.R01.S.doc Version 5.2 Page 26 Tarvin Court Nursing Home to ensure that a minimum of 50 of the care assistants achieve an NVQ Level 2 in Care. Tarvin Court Nursing Home DS0000018817.V297382.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. 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