Inspection on 21/02/08 for The Albany Nursing Home

This inspection was carried out on 21st February 2008.

CSCI found this care home to be providing an Adequate service.

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

The Albany Nursing Home 24/02/09

The Albany Nursing Home 20/04/06

The Albany Nursing Home 15/02/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Albany Nursing Home 7 London Road Headington Oxford OX3 7SN Lead Inspector Marie Carvell Unannounced Inspection 11:00 21 & 22nd February 2008 st 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 The Albany Nursing Home DS0000065923.V357966.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. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Albany Nursing Home Address 7 London Road Headington Oxford OX3 7SN 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) 01865 744444 01865 744485 thealbany@schealthcare.co.uk Trinity Care (Crown) Limited Catherine Prior Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Terminally ill over 65 years of age (3) of places The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Condition 1 On admission persons should be aged 60 years and over Condition 2 The total number of persons that may be accommodated at any one times must not exceed 48. Condition 3 Eight beds are for the provision of intermediate care within a separate unit in the home. Condition 4 CSCI has agreed to the use of two rooms as double rooms within this unit due to the circumstances at the time of the commissioning of the unit by the local authority. Condition 5 Admission to the Intermediate Care Unit is for people aged 55 years and over. Condition 6 The Intermediate Care Unit is staffed separately from the rest of the home, with one registered nurse covering the hours of 8am to 6pm, and two care assistants from 7am to 8pm. Night cover is one care assistant, from 8pm to 7am, with support provided from the homes establishment. Condition 7 The home has two registered nurses on duty from 8am to 8pm each day. Condition 8 The admittance of one named under age resident from 14 August 2006. 20th April 2006 5. 6. 7. 8. Date of last inspection Brief Description of the Service: The Albany Nursing Home is a purpose built home that is registered to care for 40 older people. It is situated in the Headington area of Oxford, close to shops and amenities. The Albany is part of Trinity Care (Crown) Limited (part of the Southern Cross Healthcare Group), which has a number of similar homes in Oxfordshire. Accommodation is on two floors, accessed by a lift or stairs, and all the bedrooms overlook the attractive gardens. There is a spacious conservatory that opens onto the gardens and a safe walkway through the garden for service users. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 5 The home provides a six-bedded intermediate care unit with four single rooms and two large shared rooms, all with en-suite facilities. There is a sitting room with a kitchen area that is designed to enable the service users to build up confidence in being independent and safe before being discharged home. A further communal sitting room has been provided on the ground floor, which provides an opportunity for socialisation. The range of fees for this home is £528.36 to £ 1028.73 per week. There are additional charges for hairdressing, chiropody (none diabetic service users), newspapers and toiletries. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service 1 star. This means the people who use this service experience adequate quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’ carried out over two days. The first day of the inspection the inspector was accompanied by a colleague from the Commission with the agreement of the manager of the home. The inspector arrived at the service at 11.00 and was in the service until 16:45 on the first day and from 11:00 until 16.00 on the second day. It was a thorough look at how well the service is doing. It took into account detailed information provided by the registered manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection. No responses were received from surveys sent out by the Commission. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standards of the service. Time was spent with service users, visitors to the home, staff on duty including the deputy manager, a manager from another home who assisted with the inspection and the regional administration manager. A tour of the premises was carried out and a sample of records required to be kept in the home were examined, including case tracking of service user’s files. In addition the inspector and colleague spent time observing how care was being delivered to service users and joined service users for lunch. At the (main) inspection carried out in April 2006, one requirement and two good practice recommendations were made; these are referred to in the body of the report. Feedback was given to the deputy manager during the two days and at the end of the inspection to the manager, who assisted with the inspection in the absence of the registered manager. What the service does well: The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 7 Staff were observed to interact with service users in a respectful and appropriate manner. Staff were observed addressing service users by their preferred term of address and in discussion were clear about the need to respect service users privacy and dignity. During the inspection it was noted that all service users were appropriately dressed and well groomed. Attention had been given to ensuring that service users had dentures, spectacles and hearing aids in place. Visitors spoken to felt that their relative/ friend was well cared for and that staff were kind and caring. Menus seen evidenced that service users are offered a varied, well balanced and nutritious diet. The meal served was hot, tasty and served attractively. Staff were observed to be assisting service users in an attentive, discreet and dignified manner. Protected mealtimes have been introduced in the home, which means that all nursing staff are available in the dining room to assist with feeding service users and monitoring food intake. The home records all complaints whether received verbally or in writing. Complaints were seen to be appropriately recorded with action taken and outcomes recorded. Service users and visitors spoken to were aware of the complaints procedure and said that they felt that their concerns/complaints were listened to, taken seriously and addressed. From a sample of staff files examined, it was evident that the home has robust recruitment procedures in place. Two senior members of staff conduct all interviews and the recruitment process is well evidenced. Many of the staff on duty have worked in the home for many years. Staff spoken to said that they enjoyed working in the home and felt valued by the manager. What has improved since the last inspection? The pre admission process for service users admitted to the home for intermediate care has been developed. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 8 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. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 9 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 The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 10 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): Standard 3 and 6. Standard 6 was subject to a good practice recommendation at the last inspection in April 2006. Quality in this outcome area is good. Service users are assessed prior to admission to the home to ensure that their needs can be effectively met by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager or deputy manager carry out all pre- admission assessments. In discussion with service users, visitors and examination of records this was confirmed. At the last inspection a good practice recommendation was made that the manager should discuss the pre- assessment process of service users requiring The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 11 intermediate care with her manager and communicate the outcome to the intermediate care team. The process is now that both the intermediate care team and the manager of the home each complete a pre-admission assessment of need. Staff on duty confirmed that this process works well. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 12 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): Standards 7,8,9 and 10. Standard 7 was subject to requirement at the last inspection and standard 8 was subject to a good practice recommendation. Quality in this outcome area is adequate. Care plans need to contain sufficient information to demonstrate that all the needs of the service user are being met. Medication storage, administration and recordings were seen to be well maintained. Service users feel that they are treated with dignity and respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 13 From examination of a sample of service user’s files it was not always evidenced that the service user/advocate is involved in the care planning process. Not all care plans were signed or dated. Care plans seen were not in sufficient detail regarding lifestyle choices or the preferences of the service user with regard to when care is to be provided and how. This was subject to a good practice recommendation at the last inspection. At the last inspection a requirement was made that all care plans must be reviewed regularly and any changes communicated to the service users /advocate. The information recorded is reviewed each month, however it was not clear that changes are communicated with the service user and advocate. The medical needs of service users are met by several GP practices. From evidence seen and from discussion with service users and relatives, the healthcare needs of service users are well met. Medication storage, administration and recordings were seen to be well maintained. None of the service users including service users’ receiving intermediate care administer their own medication. Risk assessments would be undertaken for any service user wishing to take responsibility for their own medication. The manager undertakes monthly medication audits. Staff were observed to interact with service users in a respectful and appropriate manner. Staff were observed addressing service users by their preferred term of address and in discussion were clear about the need to respect service users privacy and dignity. During the inspection it was noted that all service users were appropriately dressed and well groomed. Attention had been given to ensuring that service users had dentures, spectacles and hearing aids in place. Visitors spoken to felt that their relative/ friend was well cared for and that staff were kind and caring. As in many other care homes, there is a wide range of racial, ethnic and faith backgrounds represented within the staff group compared with the current service users. From discussion with the manager, the inspector considers that the home is able to provide a service to meet the needs of individual service users of various religious, racial or cultural needs. However, there are indications that service users sometimes find that some staff cannot communicate satisfactorily because English is not their first language. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 14 The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 15 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): Standards 12,13,14 and 15. Quality in this outcome area is good. Very little evidence was available to demonstrate that the home provides suitable social or recreational opportunities for service users. Service users are provided with a varied, well balanced and nutritious diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home currently has a vacancy for an activity organiser to work 20 hours per week and a second activity organiser is in post for 15 hours per week. Service users and visitors said that very few activities are arranged in the home and during the two day inspection no activities were observed, although a notice displayed stated that Art and Crafts were taking place on one of the days. The activity file which records all activities that have taken place in the home and who attended was not available for the inspector to see. Several service users said that there used to be board games such as draughts, ludo The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 16 etc, but that these have now stopped and “ there are no activities now”. Visitors to the home also raised this as a concern. A hairdresser visits the home weekly and the inspector was informed that one day a month an external group provide activities in the home. Many of the service users have friends and family who are able to visit on a regular basis. Service users are encouraged to maintain contact, as far as possible, with the local community. Visitors confirmed that they are always made welcome. Relative meetings are held every three months and the inspector was informed that these meetings were well attended. Service users confirmed that routines in the home are flexible such as being able to choose when to go to bed and when to get up in the morning. The inspector and colleague joined service users for the mid day meal. Tables were laid with napkins and condiments. The day’s menu was displayed on each table. Service users are offered a choice of meals and this was recorded. Most service users said that the food was “very good”, “tasty” and “ always a choice”. One service user said that he/she would like wholemeal bread to be served and more fresh fruit and vegetables. Service users are able to eat in the dining room, their bedroom or in the lounge. Menus seen evidenced that service users are offered a varied, well balanced and nutritious diet. The meal served was hot, tasty and served attractively. Staff were observed to be assisting service users in an attentive, discreet and dignified manner. Protected mealtimes have been introduced in the home, which means that all nursing staff are available in the dining room to assist with feeding service users and monitoring food intake. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 17 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): Standards 16 and 18. Quality in this outcome area is good. The home has a satisfactory complaints procedure in place. Policies and procedures are in place to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure displayed in the home. In the last twelve months the home has received ten complaints, two complaints were upheld and all resolved within twenty eight days. The home records all complaints whether received verbally or in writing. Complaints were seen to be appropriately recorded with action taken and outcomes recorded. Service users and visitors spoken to were aware of the complaints procedure and said that they felt that their concerns/complaints were listened to, taken seriously and addressed. Since the last inspection April 2006, the Commission has received information regarding two complaints about the service. The manager has addressed both complaints. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 18 All staff receive training in the home’s policies and procedures for protecting service users from abuse and the home’s whistle blowing policy. Staff on duty confirmed this. Training is provided to staff during their induction and then updated on a regular basis. The home has a copy of the Oxfordshire Safeguarding Adults procedures. Two safeguarding adult referrals have been made in the last year. One safeguarding adults investigation has taken place during the last year. No referrals have been made for inclusion on the POVA (Protection of Vulnerable Adults List) The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 19 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): Standards 19,21,23,25 and 26. Quality in this outcome area is good. The home provides safe, well maintained and spacious accommodation for service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built, the location and layout of the home is suitable for its stated purpose. Service users expressed their satisfaction of being able to personalise their bedrooms and the facilities within the home. The home is comfortable and there is a programme in place to improve the decoration, fixtures and fittings. Hot water outlets in bedrooms and bathrooms are maintained at the recommended safe temperatures. All windows are fitted with The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 20 appropriate restrictors and radiators are covered. A call bell system is fitted in all bedrooms, bathrooms and communal areas of the home. Most bedrooms have en-suite facilities. However these are not accessible to most service users with mobility difficulties due to the facilities being compact in size. The Commission received information about a complaint from a service user regarding en-suite facilities, which had been out of order for three months and lack of cleaning, despite the bedroom being used for service users receiving intermediate care. This was discussed with the manager who assisted with the inspection and who was able to arrange for the bedroom to be deep cleaned and the toilet and a new drainage facility to be put into place within three working days. Service users are not always able to have the option of a single room immediately on admission. Although shared bedrooms have privacy screening, little privacy is available when using the washbasin or en-suite toilets. Communal areas of the home were seen to be clean, well maintained and generally free from malodours. Several bedrooms had a malodour and it was noted that this was in bedrooms where the service user was unable to access the toilet and used a commode. Nursing and care staff confirmed that the home does not have an automatic disinfection facility and staff were cleaning the commode pots manually with a toilet brush. Due to the lack of an automatic disinfection facility, measures to prevent the spread of infection need to be robust. Staff on duty advised the inspector that full time nursing and care staff are only provided with one uniform and are expected to purchase their own additional uniforms. This is contrary to written information seen. At present only nine of the forty three staff in post have received training in infection control. This has been identified as a training need by the organisation and is to be addressed. The manager is advised to obtain a copy of the ‘Infection Control Guidance for Care Homes’. There is a cleaning regime of bedrooms in the home. However, it was noted that not all bedrooms are deep cleaned when the bedroom becomes vacant. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 21 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): Standards 27,28,29 and 30. Quality in this outcome area is good. Staff recruitment procedures are robust and protect service users from harm. Staffing levels are adequate to meet the needs of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with the deputy manager, staffs on duty and examination of duty rosters, staffing levels appear to be adequate to meet the needs of the service users. The home currently has two vacancies for two full time care assistants. In the last year three members of staff have resigned for a variety of reasons. Exit interviews are conducted, if possible. The inspector was advised that twenty care staff are qualified to NVQ level II or above and fourteen care staff are working towards NVQ level II. All staff completes a detailed induction programme that meets Skills for Care standards. The home has a training and development programme in place. All staff are expected to complete mandatory training. During the last year there has been The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 22 some difficulties with training being cancelled at short notice. This is to be addressed with distance learning and by training staff to provide the training in house. From a sample of staff files examined, it was evident that the home has robust recruitment procedures in place. Two senior members of staff conduct all interviews and the recruitment process is well evidenced. Many of the staff on duty have worked in the home for many years. Staff spoken to said that they enjoyed working in the home and felt valued by the manager. Communication systems in the home appear to be well organised, with staff handovers taking place at the beginning of each shift. Staff meetings take place and staff feel that morale is good in the home. All grades of staff were observed to be professional in their approach to service users, throughout the two day inspection. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 23 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): Standards 31,33,35,36 and 38. Quality in this outcome area is good. Service users benefit from a effectively managed home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is an experienced nurse and manager. She has completed the Registered managers Award. In discussion with service users, visitors and staff on duty all felt that the home was well managed and were positive about the manager and her management style. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 24 Quality Assurances systems are in place and the manager carries out monthly audits. No evidence was available to demonstrate how the views of service users are obtained to measure the home’s success in meeting the aims, objectives and statement of purpose of the home. Procedures are in place for dealing with service users monies. Financial records are in place and in discussion with the regional administration manager a new system is to be introduced within the next few weeks. The home’s procedure for providing formal 1-1 supervision to staff does not meet the organisational policies or procedures. None of the staff with supervisory responsibility have received appropriate training. In discussion with staff on duty, it was confirmed that they do not receive formal supervision with a senior member of staff. It is an expectation and an indicator of good employment practice that staff have regular, allocated time with discuss their work, progress and any training needs, at least six times per year and for written records to be held by the member of staff as well as their supervisor. Reports written by a provider representative, following a monthly unannounced visit to the home, were available for examination by the inspector. A sample of records relating to health, safety and welfare were examined and found to be up to date and well maintained. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 2 x 2 x 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 2 x 3 The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(2)(b) Requirement It is a requirement that all care plans must be reviewed regularly and any changes communicated to the resident or their relative. This timescale of 18/05/06 not met. Timescale for action 21/04/08 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. Refer to Standard OP8 Good Practice Recommendations It is recommended that individual resident’s care plans should reflect their lifestyle and special interests, and how these are going to be met. That consideration is given to developing ways of engaging service users in activities and interests, so that everyone is offered chances for stimulation. Consideration should be given to how the views of service DS0000065923.V357966.R01.S.doc Version 5.2 Page 27 2. OP12 3 OP33 The Albany Nursing Home 4 OP36 users are sought on a regular basis. Formal 1-1 supervision of staff should be given in place with the organisations procedures. The Albany Nursing Home DS0000065923.V357966.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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