Inspection on 22/05/07 for The Haven Nursing Home

This inspection was carried out on 22nd May 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Haven Nursing Home 26/04/06

The Haven Nursing Home 26/10/05

The Haven Nursing Home 11/05/05

The Haven Nursing Home 02/11/04

The Haven Nursing Home 28/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Haven Nursing Home New Road Ash Green Coventry CV7 9AS Lead Inspector Yvette Delaney Unannounced Inspection 22nd May 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Haven Nursing Home DS0000042690.V336701.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 Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Haven Nursing Home Address New Road Ash Green Coventry CV7 9AS 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) 02476 368100 02476 644008 Regal Healthcare Homes (Coventry) Ltd Mrs Valerie Lewis Care Home 61 Category(ies) of Dementia - over 65 years of age (61), Old age, registration, with number not falling within any other category (61) of places The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2006 Brief Description of the Service: Regal Health Care Homes Ltd owns this home. The Haven Nursing Home provides nursing care for up to 61 elderly people this includes providing care to people with dementia. The home is located on the outskirts of Bedworth, with the City of Coventry close by. The Haven was originally a school; this was converted and extended to provide single storey accommodation for elderly residents. There are fortyfive bedrooms in the home sixteen of which are for shared accommodation. Communal facilities include a large lounge diner, a smaller lounge diner, quiet room and a small sitting room at the front entrance to the home. The owner of the home is in the process of building an extension to the home. The new extension consists of twelve en suite bedrooms. There are no plans to increase the number of residents occupied in the home this will remain at sixty- one. The new extension will support the reduction of shared bedrooms, leaving three shared bedrooms in the original building. The current scale of charges for living in this home is set at £466, which are the rates set by Warwickshire Social Services. Other additional charges include the hairdresser varies between £6 and £17, Chiropodist £20 and aromatherapy £7.50. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and took place on a weekday, Tuesday 22 May 2007 between the hours of 10.00 am and 7.30 pm. The manager and administrator were present at the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. The manager for the care home was asked to complete and return an Annual Quality Assurance Assessment (AQAA). The assessment requests further information related to the quality of the service provided by the agency. Some of the information contained within this document has been used in assessing actions taken by the home to meet the care standards. The focus upon outcomes and the information contained in the AQAA provides information, which considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The inspection focused on checking that systems and procedures are in place. Information was gathered from reviewing four staff files and a range of policies and procedures. Discussions with the registered provider/manager and an overview of the office facilities helped to inform this report. Direct feedback from people who use the service has not been obtained on this occasion. Four residents were ‘case tracked’. This involves establishing an individual’s experience of living in the care home by meeting, talking or observing them, discussing their care with staff, looking at their care files, and focusing on outcomes. Records relating to the care of the people using the service, training and health, and safety were examined. Due to the complex needs of residents’ a limited number of residents were able to make active contributions during the inspection visit. Information in this report is also gained from observing interaction between residents, residents and staff and visitors to the home. What the service does well: The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 6 People who use the service, which includes residents and their families, said that they were happy with the service the home provides. The interaction between staff, residents, relatives and other visitors to the home was positive and made people feel relaxed. Throughout the inspection, staff were observed to be caring and supportive towards residents. Pre-admission assessments carried out before people who want to use the service move into the home remains thorough and show good practice. The care planning system used in the home is informative and would support staff in meeting the care needs of residents admitted to the home. The people living in the home were well groomed and dressed. Relatives spoken with during the inspection felt that their family member was well looked after. Comments during discussions include the “Staff are friendly” and “Nursing care is good.” What has improved since the last inspection? What they could do better: This report is rated as good in six of the seven outcome groups, which demonstrates that there have been improvements made in the quality of service provided in this home. There are two areas in, which improvements need to be made. To ensure the safety of people who live in the home, staff need to be competent in using moving and handling equipment. Specific to this inspection is the safe use of moving handling belt. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 7 Instructions on all cleaning/chemical products need to be available in the home, to provide staff with details on the safe storage, handling and first aid measures to be taken in the event of misuse. This will support the safety of people who live and work in the home. 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 Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Quality in this outcome area is good. Residents’ are suitably assessed before admission to the home and residents and relatives are assured that their needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care files for newly admitted people to the home were examined as part of the case tracking process. The four files show that pre-admission assessments of these residents had been carried out to ensure that the home has the resources and ability to meet their care needs before being admitted into the home. Information available showed that an assessment of each person’s physical, health and social care needs and the level of support needed to meet their needs had been assessed. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 10 Other assessments of the residents care needs include social care assessments carried out by social services and assessments of nursing care needs by nurses from the Primary Care Trust. Written assessments examined show that family members had been involved in the assessment process and for people assessed in the hospital information was obtained from patients’ hospital files and staff. Three family members confirmed during conversation that they had been involved in the assessment process before admission to the home. One relative spoken with said that they had been given the opportunity to visit the home before making the decision to use the home. Statements of Terms and Conditions for moving into the home were available. These had been signed by the people using the service to confirm their acceptance of the conditions for living in the home. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Residents health, personal and social care needs are fully identified which should ensure the delivery of appropriate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents were identified for case tracking. These residents were seen and the interaction between them and staff were observed throughout the day. Examination of the four files showed that the standard of care file documentation in all files were good. The care plans showed that they contained clear and concise information describing the range of these residents personal and health care needs. The information available was sufficient to support staff in meeting the needs of these residents. Risk assessments completed include an assessment of the risk of residents’ acquiring pressure area damage, falls, nutrition and continence. Assessments The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 12 had been completed and the information used to develop care plans. This practice will ensure that staff provide appropriate care to people living in the home. Conversations with residents were limited due to the varying levels of confusion. However, observations made during the visit showed that residents were relaxed in the house and integrated well with staff and other residents. Speaking with relatives they said that they had been involved in planning the care needs of their family member. Entries in residents’ health records and comments by staff confirmed that people are supported to gain access to relevant health professionals where required, such as the GP, Optician, Dentist and Chiropodist. The management of medicines in the home was examined, procedures had been completely reviewed resulting in improved practices. The monthly stock of medicines is safely stored in locked cupboards. Staff receive training in the safe administration of medicines. The medication administration records for the four residents reviewed through the case tracking process show that they are well maintained. There were no omissions on the records. The medicine fridge temperatures are being monitored and information examined detailed the minimum, actual and maximum temperatures. The recordings show that the temperature is being effectively maintained to keep this below 8ºC, which will ensure the stability of medicines. A protocol is available to support the safe administration of ‘when required’ medicines, these are medicines prescribed to be used occasionally. Six relatives spoken to during the inspection were very happy with the care their relatives were receiving. People living in the home were well groomed and dressed. Residents’ personal care needs were met in their own bedroom or in one of the communal bathrooms and doors were closed demonstrating that staff respect resident’s privacy and dignity. Residents in the home are dependent on care staff to support them in maintaining privacy and dignity. Residents who were able to express themselves said that they are cared for and felt that staff respect their privacy. Care staff were observed speaking to residents politely and in a friendly manner. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Resident’s daily lifestyle in the home related to meals and stimulation demonstrates understanding of the therapeutic and emotional needs of the elderly with high dependency needs and residents with dementia. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of inspection, the local vicar was seen to visit the home and three residents attended a service in a small communal/quiet room. Information in the AQAA received by the Commission states that to support equality in the home and meet the diverse needs of residents’ monthly church services take place and communion is offered to individual residents. Staff have started training in writing life histories, which should also help to meet residents’ diverse needs. Developing life histories with residents and their families will give staff an insight into a person’s life to date. For example information gained may be related to, what job the person did, what hobbies or interests they had/have and details about their family life. These details will The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 14 provide staff with information to ensure that care planned is person centred and help them to look at the residents as individuals. There were no further formal events or activities planned for the day. The Activity Organiser, for the home is currently off sick, this has limited the number of activities taking place to support the stimulation of residents living in the home. However, staff were observed to sit and talk to residents on a one to one basis and some planned activities have taken place. Relatives, friends and other visitors are encouraged to visit throughout the day and maintain contact and involvement in the care of their relative. Visitors were observed to visit the home at the time of inspection. Conversations were held with a number of relatives who was very positive about the quality of service provided in the home. Times of visiting were varied throughout the day and there were no restrictions. Photographs were displayed on the doors to resident’s bedrooms, these are used as part of the life story process and tell a story about individual residents lives. The photographs also provide a form of signage and supports individuals with recognition within the home environment. Verbal communication with two of the residents identified for case tracking was not possible due to their complex needs. Observations were made of residents’ reaction and response to care and interaction between staff. Residents were seen to be reactive and comfortable when staff where helping them to meet their care needs and when communicating. Residents continue to have a snack meal of soup and sandwiches at lunchtime with their main meal served in the evening. Residents were shown the meals on offer, which provided the opportunity to give a choice at lunchtime. The plans discussed at the last inspection of showing residents photographs of the food choices for the day, which should support them in making an informed choice had not been progressed. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Complaints are investigated and ongoing training for staff related to adult protection supports the rights and protection of residents from abuse, which increases their feeling of safety and quality of life in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A detailed complaints procedure is available and accessible to residents, staff and visitors in the home. One relative spoken with said that if they had any concerns they would speak to the manager. There have not been any complaints received by the Commission since the last inspection. The home had one ongoing complaint related to the standard of and appropriateness of the care received by a resident. The complaint has been resolved and ongoing monitoring takes place between the home, the family and social services. There have been no further complaints received by the care home. A procedure for responding to allegations of abuse is available with clear guidance for staff to follow. Training records showed that staff had attended recent adult protection training sessions. Residents looked comfortable in the home and comments received through conversation with people using the service expressed that they felt safe in the home. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. The environment is maintained and adapted to support residents in having a positive experience of living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Progress has been made on the extension of the home and a tour of the new building was carried out with the support of the administrator. The new extension consists of twelve en suite bedrooms. There are no plans to increase the number of residents occupied in the home this will remain at sixty- one. The new extension will support the reduction of shared bedrooms, leaving three shared bedrooms in the original building. The shortfalls in the number of baths and shower facilities available have also been addressed in the plans for extending the home. The home provides equipment necessary to assist residents to maintain their mobility and independent access around the home. Grab rails are positioned The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 17 throughout the home; hoists, transfer belts and Zimmer frames were seen in use. Observations in the laundry area showed that systems had improved. The room was organised to demonstrate the system for managing clean and soiled linen or clothing. Designated laundry staff are employed and distinct clean and dirty areas are identified. Procedures carried out currently ensure that staff follow the procedure for the home related to the prevention of cross infection. Storage areas in the laundry room were clearly defined, excess clothing had been removed and there was no evidence of clothing used for communal wear. Resident’s clothing and linen were organised and tidy on shelves. Relatives and residents felt that there had been some improvement in the standard of laundry. A brief tour of the home showed that generally, the home is clean and homely but there was evidence of pockets of malodours. This was discussed with the manager, housekeeper and administrator all said that very effort is made to address odours in the home and show ongoing commitment to addressing the problem. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Information related to the training and recruitment of staff ensures that skilled and sufficient staff are available to support meeting the health and personal care needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files for two members of staff were examined and one to one discussions were held with nurses and care staff who were responsive and very receptive. As at the last inspection staffing levels were such that the home manager was included in the staff numbers and was designated to be in charge of one of the floors. In discussion, the manager said that this was due to a member of the nursing staff being on holiday. The manager arranged for one of the nursing staff to come in and cover the shift for her, which allowed her to be involved in the inspection. Discussions with the manager determined that improvements have been made to allow sufficient time to manager the home. Duty rotas for a four-week period was examined, time allocated for the manager to manage the home was indicated. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 19 A new starter induction pack showed that induction training for new staff is linked to the ‘Skills for Care’ induction programme. The induction pack demonstrates that it is linked to a rolling programme of assessment of care staff towards an NVQ (National Vocational Qualification) Level 2. The files of three recently employed staff were examined and these show that safe recruitment procedures are followed to ensure that residents are protected. Criminal Records Bureau checks are carried out and appropriate references obtained for all potential new staff before staff are employed in the home. Examination of staff files and training records show that staff are encouraged and supported to attend training. Care staff have National Vocational Qualification (NVQ) at level two or three. Staff spoken with were enthusiastic about training and said that opportunities were available to attend training. Training attended include All staff were up to date with mandatory training requirements. There was also evidence that both nurses and care staff had attended specialised training related to the people that they care for. Examples of these include dementia care, death and dying, management of falls, diabetes and prevention of pressure sores. Attending training related to the conditions and care needs of residents living in the home is good practice. Attending specialised training will ensure that staff have the appropriate skills and up to date knowledge to be able to carry out their role in meeting the care needs of people living in the home. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is adequate. The overall management approach in the home promotes and protects the health, safety and welfare of residents and staff. There are a number of areas related to health and safety, which needs to be improved to ensure the safety of residents and staff at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and administrator were present at the inspection and both were knowledgeable about the residents living in the home. All staff working in the care home, which includes nurses, care staff and ancillary staff are enthusiastic about working in the home and are involved in the running of the home. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 21 The registered manager has completed the Registered Manager’s Award and has started an in-depth dementia care course. There are clear lines of accountability in the home, discussions with care staff, and relatives demonstrate that they are aware of the lines of accountability. Observations made indicate that the manager is approachable and has good interaction with residents, relatives and staff. Visitors to the home stated that they found the managers and other nursing and care staff approachable. Observations at the inspection demonstrate that there is good interaction and rapport between staff, residents, family members and other visitors to the home. A comprehensive formal quality assurance package was evidenced. The package was recently used to send questionnaires out to relatives of residents in the home. The outcome of these were favourable and the results shared with the Commission. Policies and procedures used in the home are also linked to the quality assurance tool used. Information in the completed AQAA received confirms that residents, relatives and visiting professionals are asked to complete quality questionnaires. Responses from these have been positive and the outcome used to make improvements where necessary. The owner of the home has carried out monthly formal visits to the home to determine how well the home is working and whether residents and their family are happy with the care, they are receiving. Copies of reports detailing the outcome of these visits have been shared with the Commission. Monies are held by the home on behalf of a number of residents for safekeeping and are stored safely and securely. Residents’ money is held separately in individual pockets and individual ledgers are maintained. Systems have improved to ensure appropriate records of all financial transactions are maintained. For example the procedure for the receipt of money by staff out of normal office hours has improved to ensure that records are organised and maintained to meet requirements of the Data Protection Act 1998. Records examined include maintenance, contracts and servicing documentation for electrical equipment, gas, clinical waste and all other services supplied to the home. Resident aids and equipment have also been serviced, this includes hoists seen in use during the inspection visit. Staff are supervised at least six times per year this includes an annual appraisal. Staff files showed that the outcomes of supervision sessions are consistently recorded. Topics discussed and action or activity that staff would The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 22 be undertaking before their next supervision to demonstrate any progress made were identified Observations at the inspection demonstrated that Health and safety management in the home are not always of a high standard as unsafe practices were observed. At the last inspection care staff, were observed using inappropriate moving and handling techniques when using the hoist to transfer residents. At this inspection, care staff were observed to use unsafe techniques when transferring residents using the moving and handling belt. This unsafe practice could expose residents to injury. This issue was discussed with the manager who confirmed along with records examined that staff have received training in moving and handling training. Training is usually given inhouse; the manager said that she would explore training opportunities outside of the home. A further example of poor health and safety practice is the storage of chemical house keeping products and the absence of safety information related to the products currently used in the home. Safety information is needed to instruct staff on the procedures to follow should there be misuse of the products such as spillage or ingestion. The manager states in the AQAA that they are reviewing the benefits of all cleaning products used in the home. The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 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 X 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 2 The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 13(4) Requirement All staff must have access to information related to chemical products used in the home, which details the safe handling, storage and first aid measures. This includes cleaning products. This will ensure that all people who use and work in the service have their health safety and welfare protected. All staff using moving and handling belts must be appropriately trained in their use. This will ensure the safety of people using the service. Timescale for action 31/07/07 2 OP38 13(5) 31/07/07 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 Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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. Extracts may not be used or reproduced without the express permission of CSCI The Haven Nursing Home DS0000042690.V336701.R01.S.doc Version 5.2 Page 26 - 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. 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