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Inspection on 17/02/06 for The Croft Nursing Home

Also see our care home review for The Croft Nursing Home for more information

This inspection was carried out on 17th February 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff employed in the home are very caring and committed to their job. Some have spent their own money to purchase suitable stocks and supplies to enable them to deliver good standards of care.

What has improved since the last inspection?

No improvements have been noted.

CARE HOMES FOR OLDER PEOPLE The Croft Nursing Home, 43-44 Main Street Stapenhill Burton On Trent Staffordshire DE15 9AR Lead Inspector Mrs Sue Mullin Unannounced Inspection 11:30 17 February 2006 th 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 Croft Nursing Home, DS0000022321.V277089.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. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Croft Nursing Home, Address 43-44 Main Street Stapenhill Burton On Trent Staffordshire DE15 9AR 01283 561227 01283 562535 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) Tawnylodge Limited Karen Lesley Thomas Care Home 36 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (36), of places Physical disability (1), Physical disability over 65 years of age (15) The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 15 PD(E) - 1 may be PD over 42 years Date of last inspection 2nd August 2005 Brief Description of the Service: Croft Nursing Home is registered to provide both nursing and personal care in the above categories. Accommodation is provided on ground floor and first floor served with stairs and a shaft lift. There are ten single bedrooms and thirteen double bedrooms but the home use several of their double rooms as singles and consider themselves full at 30 occupancy. One bedroom has an ensuite facility the rest have a washbasin installed. There are three bathrooms but only one has assisted facilities, toilets are conveniently situated throughout the home. There is a large main lounge and a dining area, along with a separate smaller lounge and a conservatory, all on the ground floor. A hairdressing salon is also available. The home is located in the residential area of Stapenhill, Burton on Trent and is close to amenities and served by public transport. The home has limited garden areas due to its hilly incline and there is space for several cars to park. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection was made on the 17th February 2006 by one inspector. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 10.5hrs. The acting care manager was in charge of the home accompanied by an RGN and five care assistants. There were 26 residents including one in hospital, in the home on the day of the inspection. 16 residents were receiving nursing care and 10 receiving personal care. The care staffing levels were deemed adequate to meet the needs of the current 26 residents in the home, providing all care staff hours were undertaken providing hands on care to the residents. The ancillary staff on duty included; two domestic workers, one laundry person, one-maintenance person, a cook and a catering assistant. The administrative support person was on annual leave. The inspection included a full tour of the first floor and part tour of the ground floor. The inspector observed delivery of care and inspected care records. Discussions were held with staff, residents and one visitor. Catering and laundry facilities were determined, and an inspection of the managerial aspects such as in house stocks and supplies, staffing levels and skill mix and health & safety issues. All in all, this was a very disappointing inspection. Staff morale was very low and staff were reluctant to speak openly with the inspector. The acting care manager although well qualified and experienced is still unable to demonstrate that she had the authority/autonomy to manage the home. It continues to be apparent that each and every item that she requested on a day-to-day basis had to be approved by either the registered provider or the company director. There were no fresh vegetables in the home apart from potatoes and onions. Menus were not being followed and no food delivery was expected over the weekend, which meant that residents would not receive any fresh vegetables during that time. There was no choice of food at the main meal of the day. During the inspection it was observed that residents were only being offered fish and chips with mushy peas. Mashed potatoes were provided for the residents requiring liquidised diets, which were ultimately mixed together with fish and peas, in one unappetising paste ball. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 6 Bib used at mealtimes were very tatty and in dire need of throwing away. To protect resident’s dignity the home must supply suitable aprons to use at mealtimes. Staff told the inspector that many basic items are still not readily available; they reported an inadequate supply of incontinence pads, nets, wipes and gloves, explaining that these items are handed out to them in meagre supplies and white ‘sanitary towel’ type pads are used when other pads have run out. One gentleman, who has only one leg, does not have an adequate lifting sling available to him and staff have to manually lift him to move him. It was determined that a requirement for a suitable sling for this gentleman had been made some months ago and has still not been provided. This situation confirms that the home were not able to meet all residents identified needs. It was determined at the inspection that care staff on the afternoon shift were expected to perform laundry duties. Care staff should not be undertaking noncare duties as this dilutes the delivery of care to resident in the home. Requests previously made for adjustable beds for the nursing patients that require them, have still not been supplied. Many staff have purchased stocks and supplies for the home, from their own pockets including, fabric conditioner, cleaning fluids, gloves, wipes, a frying pan and their own mops. The Statement of Purpose was misleading and inaccurate in parts. It did not fully cover the criteria laid out in Schedule 1 and the Commission must be provided with an accurate up to date Statement of Purpose. The inspector was concerned that the home had such poor stocks and supplies and the registered provider has been asked to provide confirmation that the business is financially viable. Two of the three bathrooms are not assisted and could not accommodate a mobile hoist so the staff only has one suitable bathing area to utilise. Pre existing care homes must provide at least one assisted bath or shower to 8 residents. There was only one bedroom in the whole home that had en suite facilities and the resident herself provided this. The home must install suitable sluicing facilities, which disinfect commode pans/urinals in line with infection control guidelines. Training on the protection of vulnerable adults was discussed and it was determined that this is only being done through NVQ training. Not all staff are undertaking NVQ training and formal training in this regard is now required, to ensure residents are protected as far as possible from all forms of abuse. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 7 Some work has begun in developing a staff supervision system. New formats and a matrix have been created. Some of the nursing staff are going to support the manager with staff supervision. The manager intends to do the annual appraisal with all staff. As yet, the system is not up and running and this was confirmed by the manager and will be followed up on the next inspection. Many of the double glazed windows had condensation between the panes as the seals had blown and these windows need replacing. External woodwork on the windows of several windows is in need of making good. Room 18 is very malodorous and the carpet needs replacing. Room 17 the carpet is in a very poor condition and needs replacing. It was determined at the inspection that the manager has two shifts per week to undertake her management responsibilities. The manager is presently undergoing registration with the CSCI, (Commission for Social Care Inspection) and although she has been successfully interviewed, there has been some delay in obtaining a satisfactory CRB. This needs to be urgently chased up and discussion took place regarding this at the end of the inspection. Aspects of the inspection are a serious concern to the Commission and further unannounced inspections will be undertaken, until such times that the home are meeting all the National Minimum Standards. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,6 The Home’s Statement of Purpose and Service Users’ Guide are available but the Statement of Purpose did not meet all the criteria laid down in the National Minimum Standards. EVIDENCE: The Statement of Purpose was misleading and inaccurate in parts. It did not fully cover the criteria laid out in the National Minimum Standards. An up to date version has been required. A Service Users’ Guide is available and was seen by the inspector. A blank copy of the Home’s terms and conditions is also available with the above documentation. It was not established at this inspection whether they have been completed for all of the residents. The acting care manager informed the inspector that unless it is an emergency admission, all residents received pre admission assessments. This will be fully checked on the next inspection. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 10 The Home provides nursing and residential care. Discussions with a relative confirmed his satisfaction with the care provided. The Home does not provide intermediate care. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Some improvements in care planning have been made and this is being further developed to ensure that all staff have access to accurate and necessary information regarding each resident and their care needs. Health care needs are closely monitored and the outcomes recorded however, the home could not meet all identified needs of residents. EVIDENCE: Care planning has improved since the employment of the new acting manager, files have been updated, assessments completed and reviewed regularly. The qualified nursing staff maintains all care records. The staff said that they are informed of changes during the handover period. More in depth examination of care planning documentation will be undertaken on the next inspection. There is evidence that health needs are monitored and that generally the appropriate care is delivered. This includes obtaining the services and advice of other medical health professionals. The acting care manager confirmed working relationships with General Practitioners were good. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 12 However, one gentleman, who has only one leg, does not have an adequate lifting sling available to him and staff have to manually lift him to move him. It was determined that a requirement for a suitable sling for this gentleman had been made some months ago and has still not been provided. This situation confirms that not all residents identified needs could be fully met. Staff report an inadequate supply of incontinence pads, nets, wipes and gloves, these continue to handed out in meagre supplies and white ‘sanitary towel’ type pads are used when other pads have run out. Requests have also been made from the nursing staff for adjustable beds for the nursing patients that require them and have still not been supplied. Many staff have purchased stocks and supplies for the home, from their own pockets including, fabric conditioner, cleaning fluids, gloves, wipes, a frying pan and their own mops. Medication administration and storage was not checked during this inspection. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. The Croft Nursing Home, DS0000022321.V277089.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): 12,15 Activity provision in the home is poor. There had been no opportunities to access the local community, and minimal activities had taken place. Food provision fell well below acceptable standards; residents could not expect a choice at mealtimes. EVIDENCE: There had been no trips out to the community. There was no activities folder or evidence of activities either inside or outside the home. More structured activities should be provided in the home at present there are only 4 hours paid activity services per week for 26 residents. Activity needs and relevant family and social histories should be sought and recorded in the individual care plans. Staff told the inspector that many basic items are still not readily available. There were no fresh vegetables in the home apart from potatoes and onions. Menus were not being followed and no food delivery was expected over the weekend, which meant that residents would not receive any fresh vegetables during that time. There was no choice of food at the main meal of the day. During the inspection it was observed that residents were only being offered fish and chips with mushy peas. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 14 Mashed potatoes were provided for the residents requiring liquidised diets, which were ultimately mixed together with fish and peas, in one unappetising paste ball. Fridge and freezers need defrosting and there was food debris in the bottom of the big freezer in the bread room. Bib used at mealtimes were very tatty and in dire need of throwing away. To protect resident’s dignity the home must supply suitable aprons to use at mealtimes. A set of requirements has been made and the Commission will be revisiting the home until it meets all nutritional requirements. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The complaints procedure is available in the Home, although minor amendments are required to ensure that the residents and relatives are properly informed. Training staff in the protection of residents from all forms of abuse had not been undertaken, which could have a negative effect on the residents’ safety. EVIDENCE: The complaints procedure should be on display in the home but it is outlined in the service users guide. One amendment is required as it still refers to the National Care Standards Commission, (NCSC), rather than the Commission for Social Care Standards, (CSCI). The acting care manager stated that she had not received any complaints since the last inspection. Training on the protection of vulnerable adults was discussed and it was determined that this is only being done through NVQ training. Not all staff are undertaking NVQ training and formal training in this regard is now required to ensure residents are protected as far as possible from all forms of abuse. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,22,24,25,26 There were no structured refurbishment/ redecoration programmes available. Several areas of the home are in need of repair/replacement. Cleaning fluids supplied to the home were substandard and made it difficult for staff to ensure that the home was kept in a hygienic condition. Adjustable beds had not been provided for nursing patients requiring them. EVIDENCE: The home are required to send a completed projected maintenance plan to the Commission for Social Care Inspection, which proritorises the work to be done within the environment and giving timescales. The maintenance plan will provide evidence that the home has a continual rolling programme of maintenance and refurbishment in place. Two of the three bathrooms are not assisted and could not accommodate a mobile hoist so the staff only has one suitable bathing area to utilise. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 17 Pre existing care homes must provide at least one assisted bath or shower to 8 residents. There was only one bedroom in the whole home that had en suite facilities and the resident herself provided this. It was noted during a tour of the bedrooms that some did not have locks on the door or contain a lockable facility as described in the Statement of Purpose. It is a requirement of this report that all bedrooms are provided with the requirements listed in National Minimum Standards 24.2. The nursing home must install suitable sluicing facilities, which disinfect commode pans/urinals in line with infection control guidelines. Many of the double glazed windows had condensation between the panes as the seals had blown and these windows need replacing. External woodwork on the windows of several windows is in need of making good. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 The assessed needs of residents had not always been met by an adequate number of staff. Recruitment procedures for staff had been correctly addressed, which had contributed to the protection of service users. Staff training had not been given a high priority and further training is required to ensure that staff are competent to do their jobs. EVIDENCE: It was determined at the inspection that care staff on the afternoon shift were expected to perform laundry duties. Care staff must not undertake non-care duties. This situation indicates that there is not enough laundry staff hours engaged to meet the requirements of the residents in the home. The file of a recently employed member of staff was examined and found to be fully compliant with recruitment law. The application form was completed in full, two written references were obtained, POVA first completed and CRB applied for (Criminal Records Bureau). Photo identification was also on file. Induction programmes were not inspected on this occasion. The manager needs to develop a training matrix, which allows for the monitoring of training requirements. She has identified the deficiencies and has started to plan and organise courses accordingly. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 19 The deputy manager is to undergo training so she can deliver manual handling training in house. This will address the manual handling requirements that all staff receive this training plus annual updates. Two members of kitchen staff reported not undergoing manual handling training during the last twelve months. A Requirement has been made with regard to manual handling training, but it is anticipated that this will have been addressed at the time of the next inspection. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,38 The acting manager has made some improvements but she needs more autonomy to ensure safe, smooth running of the Home for the residents and staff. The home is not run in the best interests of residents. Stocks and supplies continue to be low and a cause for concern. EVIDENCE: The acting care manager although well qualified and experienced is still unable to demonstrate that she had the authority to manage the home. It continues to be apparent that each and every item that she requested on a day-to-day basis had to be approved by company managers in Nottingham. It was a concern during the inspection that the home was not financially viable for the purpose of achieving the aims and objectives set out in the Statement of Purpose. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 21 The acting manager has been in post since December 2004 and some improvements have been noted and that the care plans were clearer and up to date. It was determined at the inspection that the manager has two shifts per week to undertake her management responsibilities. The manager is presently undergoing registration with the CSCI, (Commission for Social Care Inspection) and although she has been successfully interviewed there has been some delay in obtaining a satisfactory CRB. This needs to be urgently chased up and discussion took place regarding this at the end of the inspection. Some work has begun in developing a staff supervision system. New formats and a matrix have been created. Some of the nursing staff are going to support the manager with staff supervision. The manager intends to do the annual appraisal with all staff. As yet, the system is not up and running and this was confirmed by the manager and will be followed up on the next inspection. Health and Safety examined determined that not all night staff had received appropriate fire drills. Fire drills must be completed with all staff; these should be six monthly for day staff and three monthly for night staff. The weekly fire testing / emergency lighting and hot water records were examined and found to be satisfactory. The handyman reported that the hoists and wheelchairs were regularly serviced. Portable appliance testing had been completed and the nurse call system was fully operational. The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X 2 2 X 2 3 2 STAFFING Standard No Score 27 2 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 1 X X X 2 The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 23 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 OP1 Regulation Sch 1(4)(1)(c) 13 (4)(c) Requirement The registered provider must provide the Commission with an accurate up to date Statement of Purpose. The registered provider must ensure once resident in the home all identified needs must be met Adequate supplies of incontinence products must be provided to meet the needs of the residents. A structured activities programme must be formulated and implemented that meets the residents requirements. The registered provider must supply • Adequate supplies of fresh vegetables • A choice of meals at each meal time • Supply a varied menu, which must be followed • Liquidised meals must be presented in an appealing manner • Appropriate kitchen stocks and supplies must be DS0000022321.V277089.R01.S.doc Timescale for action 17/03/06 2 OP8 17/02/06 3 OP8 12(1)(b) 17/02/06 4 OP12 16(2)(n) 17/03/06 5 OP15 16(2)(g) 17/02/06 The Croft Nursing Home, Version 5.1 Page 24 6 OP18 13(6) 7 OP19 23(2)(b) 8 OP21 23(2)(j) 9 OP22 13(5) 10 OP24 16(2)(c) 11 OP26 23(2)(d) available to catering staff Fridge and freezers need defrosting • Suitable aprons must be used for residents at mealtimes POVA Training is required to ensure residents are protected as far as possible from all forms of abuse. • The registered provider is required to send a copy of the home’s maintenance plan to the CSCI. • Many of the double glazed windows had condensation between the panes as the seals had blown and these windows need replacing. External woodwork on the windows of several windows is in need of making good. • Room 17 the carpet needs reoplacing There must be a sufficient number of assisted bathrooms available in the Home, which meet the needs of the service users. Pre existing care homes must provide at least one assisted bath or shower to 8 residents. Lifting slings and handling belts, as requested by staff, must be provided to ensure safe movement of residents. Bedrooms should be equipped with the items listed in NMS 24.2. Adjustable beds should be provided where required for nursing patients • Appropriate cleaning fluids and preparations must be supplied to the home to enable the domestic staff to maintain a clean and • DS0000022321.V277089.R01.S.doc 17/03/06 17/03/06 17/04/06 01/03/06 17/03/06 17/02/06 The Croft Nursing Home, Version 5.1 Page 25 • • hygienic home. The home must install suitable sluicing facilities which disinfect commode pans/urinals Room 18 is very malodorous and the carpet needs replacing 17/02/06 12 OP27 18(1)(a) 13 OP30 18(1)(c) (i) 13(5) 9(2)(i) 14 OP31 15 OP33 24(1)(a) (b) 16 OP34 25 (1) 17 OP38 24(4)(e) Ancillary staff must be employed in sufficient numbers to meet the laundry requirements of the residents. Manual handling training must be delivered to all disciplines of staff at the appropriate frequencies. Training should be provided to enable the acting care manager to attain level 4 NVQ or undertake a Registered manager’s award. A more robust quality assurance system must be implemented reviewed regularly, documented and available for inspection when required. The registered provider ensure that the care home is financially viable for the purpose of achieving the aims and objectives set out in the Statement of Purpose. Sufficient funds must be available for dayto-day requisites. Fire drills must be carried out at regular intervals with all staff, (3 monthly for night staff & six monthly for day staff). 17/03/06 17/04/06 17/03/06 17/03/06 17/03/06 The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Croft Nursing Home, DS0000022321.V277089.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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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