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 Key Unannounced Inspection 24 & 26 May 2006 11:30 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 The Croft Nursing Home, DS0000022321.V290297.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.V290297.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 Ms Jane Measey 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.V290297.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 15 PD(E) - 1 may be PD over 42 years Care Manager commences NVQ level 4 in management within 12 months of registration 17th February 2006 Date of last inspection Brief Description of the Service: The Croft Nursing Home is registered to provide both nursing and personal care for the following categories- Old age 36 beds. Physical disability aged over 65 years of age, 15 beds. Dementia over 65 years of age 2 beds. 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 en-suite 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. 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.V290297.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was undertaken over a two-day period by one inspection officer. At the time of this inspection there were 24 people in residence with 6 vacancies. 23 of the 38 National Minimum standards were checked on this two day inspection. The Commission received written comment feedback cards from 10 residents, 10 relatives and one general practitioner. Generally all were satisfied with the care provided at The Croft. However eight of the ten surveys returned from the residents identified that they felt that there was not enough organised activities during the daytime. This is discussed later in the report. Most of the residents were seen and 12 spoken to during the inspection process. All said they were happy in the home and had no complaints. One person had stayed on respite care and stated she would choose the home for permanent care in the future. Two people admitted since the last inspection were spoken to at length and their records reviewed and tracked. They all said that the routines of the home were flexible, their preferred lifestyles known and accommodated and that the home met and their expectations. Quality assurance was not inspected on this occasion but the Company have informed the CSCI that they have systems in place, which will be implemented in the near future. This will be checked on forthcoming inspections. Although staffing levels were found to be sufficient and adequate during this inspection, it was noted that currently the care manager Ms J Measey (RGN) does not have any supernumerary time to undertake her management duties. This has reflected in the poor recruitment, training, induction and supervision practices in the home. Consideration should be given to providing more time for her to come off the clinical field to meet the outstanding requirements in this regard. Since the last few inspections the Company have taken encouraging remedial action to meet the requirements laid down by the Commission. This is a very positive step towards meeting all the National Minimum Standards. There is still some way to go and further inspections will take place to ensure that all the standards are looked at in detail and the home is operating within optimum levels. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? What they could do better:
Not all residents had a copy of their contracts by sponsoring Local Authorities in their file. The home is short of some stocks and supplies, regular auditing of all products must be maintained regularly to minimise stock shortages. More activities and entertainment are required to meet the needs and requests of the residents in the home. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 7 Lifting slings and handling belts must be provided to meet the identified needs of residents and to ensure their safe movement. It was noted that three were away to be repaired but it was also identified that 11 residents require their own slings/belts to accommodate their identified needs. 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. It was noted that one bathroom is to be turned into a wet room but that still will only provide three facilities available for a home registered for 36 people. Staff have reported to the inspector that the small box bath cannot be used and as such leaves the staff only one facility to use whilst the wet room is being installed. This level of facilities is not acceptable to the CSCI and breaches the homes conditions of registration. Following the recent inspection by the Fire Service, several requirements and recommendations had been made. The Company must provide the CSCI written evidence that all outstanding work has been completed. The registered person must ensure that all fire equipment is installed and maintained in line the fire authorities regulations. Not all day staff have had yearly fire training. All staff must be familiar with fire safety procedures. All staff must have adequate and appropriate fire drills. Two a year for day staff and four a year for night staff. The registered person must provide suitable facilities for staff to change and to store their belongings safely. A recommendation was made on the inspection to fix some lockable boxes to the wall in the room downstairs where the wheelchairs are stored. Information provided on the Pre inspection Questionnaire indicated that several policy/procedure/codes of practice were not available in the home. These covered, Clinical procedures, coping with incontinence, emergency and crises, equal opportunities and ethnic minorities, fire safety, food safety and nutrition and referral and admission to the home. Additionally there was no confirmation available that all staff have access to the policies and that they have read and understood them. The registered person must ensure that the home have comprehensive policies in place that meet their conditions of registration. There should be evidence that these are reviewed regularly and be kept updated. Recruitment of staff are poor. Two satisfactory written references must be obtained prior to commencing employment. All gaps of employment history prior to commencing work in a care home must be investigated. Any disclosures on CRB’s must be explored and interview notes must be maintained. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 8 All newly employed staff must complete a full induction programme, which is documented within their first six weeks of appointment to their posts. The registered person must ensure all staff are appropriately trained in line with the duties they are expected to undertake, which includes; Moving and handling, Basic Food hygiene, COSHH, First aid and instruction on reporting issues regarding POVA. There needs to be a robust staff training programme in place to ensure that all staff have required training to meet resident needs. Care staff must receive formal supervision six times per year, which is documented and available for inspection when required. 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.V290297.R01.S.doc Version 5.1 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 Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 There is information in place to provide a basis for choice of home. Not all residents had a contract of their terms of residency. There was evidence of a pre-admission procedures being followed. EVIDENCE: There is a copy of the Statement of Purpose/service users guide available in the home for residents and prospective residents. Not all residents are provided with contracts by sponsoring Local Authorities. All SS funded residents should receive a copy of their terms and conditions of residency. A representative of the resident may also be issued with a copy should the resident prefer or when they may not be able to make informed decisions. However, the home should keep a copy of the contract in the residents file and these should be available for inspection when required. On a positive note several contracts were seen for those self-funding.
The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 11 Assessments were inspected relating to two new residents and the homes preadmission assessments were in place, which provided the basis for the care planning information. Relatives and residents are involved in initial care planning to ensure the home will meet their needs. There needs to be a robust staff training programme in place to ensure that all staff have required training to meet all the resident needs. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Care plans provided the required information concerning health, personal and social care needs. There was evidence of health awareness by staff and good recording of health care issues. EVIDENCE: Care plans were sampled and found to be of good standard. They were based upon assessed need and provided the detailed information necessary to provide care. Background information and family contacts were included. The format provides for the recording of monthly reviews of care plans. Daily entries are completed for all residents. Care plans relating to new admissions were found to have the required and adequate information in place to meet clearly assessed need. Residents and their families are involved in care planning. There are health care record sheets for each resident recording chronological intervention by health care professionals. Staff awareness of health care matters is good. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 13 All residents are weighed monthly and more frequently if there were any concerns about weight loss. A good service is reported from a GP practice covering the home. Adequate stocks and supplies must be provided to meet the needs of the residents. Staff reported low stocks of flannels and plastic bed sheets and not enough bibs for residents to wear three times a day. During the first day of the inspection residents who required bibs were seen to have hand towels draped around them to keep their clothes clean. Several pillows seen on the inspection were old and lumpy and well past their best. Medication was not inspected on this occasion. Residents confirmed that they were treated with respect by staff and their privacy safeguarded. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 14 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): 12,13,15 Generally residents confirmed their daily life requirements met their expectations and needs. There was some dissatisfaction noted on comment cards regarding the level of input of activities within the home. There are many visitors to the home, some daily and there is an open visiting policy. Family contact is part of the homes philosophy. Food provision is reported by residents to be satisfactory. EVIDENCE: There is a small formal activity programme in the home; an activity organiser spends a total of four hours in the home a week. This is based on two - two hourly sessions, which are advertised in the lobby area of the home. Generally residents felt that this was not enough to meet their needs. More activities and entertainment should be provided to meet the needs and preferences of the residents in the home. Some residents are taken to the local pub in the summer by staff and others are encouraged to go out with relatives.
The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 15 Recently admitted residents confirmed their expected and chosen lifestyles had been met. Their particular needs and preferences were discussed and this was an example of chosen lifestyle being accommodated by the home. There is one large lounge and a conservatory leading off from it. The dining room is reasonably furnished and provides a natural social venue where residents can gather during the day apart from meal times. Residents were seen accessing their bedrooms throughout the day as they wished, either to rest, spend time alone etc. All residents spoken to indicated they were generally satisfied with food provision at The Croft. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Standards relating to complaints were found to be met. EVIDENCE: There is a complaints procedure on display in the reception area of the home and available to all residents and visitors. No complaints were currently being dealt with by the home. It was recommended that all complaints, concerns and grumbles were recorded in a non loose-leaf book, where staff could track outcomes of issues raised. This was put into place during the inspection. POVA training has been addressed later on in this report. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,22,26 The home is undergoing a refurbishment in some areas and reasonably maintained. However, the home does not at present meet the requirements from the Fire Service. No all residents had the specialist equipment they require to be transferred or moved around within the home. The home was clean and hygienic. EVIDENCE: A maintenance programme is underway in the home with new carpets being laid and windows replaced. Some redecorating has also taken place. However, following the recent inspection by the Fire Service several requirements and recommendations have been made. The Company must provide the CSCI written evidence that all outstanding work has been completed. ( This has been recorded in Standard 38) 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.
The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 18 It was noted that one bathroom is to be turned into a wet room but that still will only provide three facilities available for a home registered for 36 people. Staff have reported to the inspector that the small box bath cannot be used and as such leaves the staff only one facility to use whilst the wet room is being installed. This level of facilities is not acceptable to the CSCI and breaches the homes conditions of registration. Lifting slings and handling belts must be provided to meet the identified needs of residents and to ensure their safe movement. It was noted that three were away to be repaired but it was also identified that in all, 11 residents require their own slings/belts to accommodate their identified needs. The areas seen on the inspection were clean and hygienic. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 19 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 Staffing levels are adequate. Recruitment practices are very poor. There was evidence of a committed staff team but training requirements remain outstanding. EVIDENCE: This care home with nursing was previously registered under South Staffs Health Authority and the levels and skill mix of staff required at 31 March 2002 are maintained. Some of the time there is between one and two qualified nurses on duty on the early shift. Generally, the care manager has up to two supernumerary days a week to undertake management duties. For the rest of the 24 hours a day there is one qualified nurse on duty and additionally, on the: • • • Early shift (7.30 – 2.30) there are 5/6 care staff Late shift (2.30 – 9.30) there are 5 care staff Night shift (9.30 – 7.30) there are two care staff The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 20 Two domestics a day One Laundry staff per day Handymen/gardeners where needed One cook per day with sufficient kitchen assistants The home has an in house administrator. On the day of the inspection it was determined that there were appropriate staffing levels and skill mix on duty. The staff complement and their deployment were discussed with some of the residents, and each said that they considered that there were generally sufficient staff available to meet their needs. Two satisfactory written references must be obtained prior to commencing employment. All gaps of employment history prior to commencing work in a care home must be investigated. Any disclosures on CRB’s must be explored and interview notes must be maintained. All newly employed staff must complete a full induction programme, which is documented within their first six weeks of appointment to their posts. Domestic/Laundry staff have not all had training on COSHH. Care staff that assist in the kitchen must have Basic food hygiene certificates that are current. This also applies to all regular kitchen staff. All staff on the pay roll must receive moving handling training. The registered person must ensure all staff are appropriately trained in line with the duties they are expected to undertake, which includes; Moving and handling, Basic Food hygiene, COSHH, First aid and instruction on reporting issues regarding POVA. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 21 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): 31,32,33,36,37,38 There was evidence of good management of deployment of staff undertaking specific care duties. However, responsibilities such as recruitment, induction, training and supervision had not been met. The daily needs of residents are paramount. Health & Safety standards were met with the exception of the fire authorities regulations. EVIDENCE: The care manager is an experienced general nurse whose first and foremost duties lay with the resident’s daily requirements. Residents medical needs are well met however, this is to the detriment of the other managerial responsibilities she has. This was discussed at length and it transpired that due to annual leave and part time nursing staff she has had little or no supernumerary time to complete these other tasks.
The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 22 The owners have been asked to consider this and to allow more office time certainly in the interim period until these other duties have been completed. Care staff must receive formal supervision six times per year, which is documented and available for inspection when required. Information provided on the Pre inspection Questionnaire indicated that several policy/procedure/codes of practice were not available in the home. These covered, Clinical procedures, coping with incontinence, emergency and crises, equal opportunities and ethnic minorities, fire safety, food safety and nutrition and referral and admission to the home. Additionally there was no confirmation available that all staff have access to the policies and that they have read and understood them. The registered person must ensure that the home have comprehensive policies in place that meet their conditions of registration. The registered person must ensure that all fire equipment is installed and maintained in line the fire authorities regulations. All staff must be familiar with fire safety procedures. All staff must have adequate and appropriate fire drills. Two a year for day staff and four a year for night staff Other records seen and approved on the day of the inspection• • • • • • • • Weekly fire alarm tests Emergency lighting test Hot water tests Fire Extinguisher checks Showerhead disinfected Bed guards checked Wheelchairs maintained safely Zimmer frame checks The registered person must provide suitable facilities for staff to change and to store their belongings safely. A recommendation was made on the inspection to fix some lockable boxes to the wall in the room downstairs where the wheelchairs are stored. The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 23 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 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X 1 1 X X X 3 STAFFING Standard No Score 27 3 28 X 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 X X 1 2 1 The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 24 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 2 Standard OP2 OP12 Regulation 5(3) 16(2)(m) Requirement All residents must be provided with contracts by sponsoring Local Authorities. More activities and entertainment must be provided to meet the needs of the residents in the home. Adequate stocks and supplies must be provided to meet the needs of the residents including: • Flannels • Pillows • Plastic bed sheets • Bibs 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 must be provided to meet the identified needs of residents and to ensure their safe movement. Two satisfactory written references must be obtained
DS0000022321.V290297.R01.S.doc Timescale for action 26/06/06 26/06/06 3 OP8 12(1)(b) 26/05/06 4 OP21 23(2)(j) 26/06/06 5 OP22 13(5) 26/05/06 6 OP29 Schedule 2 (5)(7) 26/05/06 The Croft Nursing Home, Version 5.1 Page 25 7 OP30 18(1)(a) (c)(i) prior to commencing employment. All gaps of employment history prior to commencing work in a care home must be investigated. The registered person must ensure all staff are appropriately trained in line with the duties they are expected to undertake, which includes; • Moving and handling • Basic Food hygiene • First aid • COSHH • POVA All newly employed staff must complete a full induction programme, which is documented within their first six weeks of appointment to their posts. Care staff must receive formal supervision six times per year, which is documented and available for inspection when required. The registered person must ensure that the home have comprehensive policies in place that meet their conditions of registration. The registered person must ensure • All fire equipment is installed and maintained in line the fire authorities regulations (following their recent inspection) • All staff are familiar with fire safety procedures. • All staff must have adequate and appropriate fire drills. Two a year for day staff and four a year for night staff The registered person must provide suitable facilities for staff
DS0000022321.V290297.R01.S.doc 26/05/06 8 OP30 18(4) 26/05/06 9 OP36 18 (2) 26/05/06 10 OP37 17(2) 26/06/06 11 OP38 23 (4)(c)(v) (e) 26/05/06 12 OP38 23(3)(a) (i)(ii) 26/06/06
Page 26 The Croft Nursing Home, Version 5.1 to change and to store their belongings safely. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP30 OP38 Good Practice Recommendations Training matrix was recommended to easily identify individual team member training needs. The registered person must provide suitable facilities for staff to change and to store their belongings safely. A recommendation was made on the inspection to fix some lockable boxes to the wall in the room downstairs where the wheelchairs are stored. The Croft Nursing Home, DS0000022321.V290297.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. Extracts may not be used or reproduced without the express permission of CSCI The Croft Nursing Home, DS0000022321.V290297.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
