Inspection on 24/05/05 for The Heathers Nursing Home

This inspection was carried out on 24th May 2005.

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 Heathers Nursing Home 06/02/08

The Heathers Nursing Home 29/08/07

The Heathers Nursing Home 16/08/06

The Heathers Nursing Home 13/12/05

The Heathers Nursing Home 22/12/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Heathers Nursing Home Bowling Hill Chipping Sodbury South Glos BS37 6AX Lead Inspector Grace Agu Unannounced 24 May 2005 09:00 th 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 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 Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Heathers Nursing Home Address Bowling Hill Chipping Sodbury South Glos BS37 6AX 01454 312726 01454 312726 HITAN@HITAN.FREESERVE.CO.UK Mr Hitan A Patel Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Roger Tippings Care Home with Nursing for Older People 30 Category(ies) of OP Old age x 30 registration, with number of places The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 4 persons aged 50 years and over who are receiving nursing care May accommodate up to 3 persons (aged 65 years and over) who are receiving personal care Manager must be a RN on parts 1 or 12 of the NMC Register Staffing notice dated 10/06/99 applies. Date of last inspection 24-May-2005 Unannounced Brief Description of the Service: The Heathers is a Grade II listed Georgian manor house situated in Chipping Sodbury close to the town centre of Yate. There is access to public transport for surrounding areas and the centre of Bristol and the home is close to the Avon Ring Road and motorway system.It is a care home with nursing and offers accommodation in single and shared rooms. The accommodation for residents is on two levels and there is a passenger lift between floors. There are several lounges and a small courtyard to the front of the building for use in good weather.The home operates a No Smoking Policy, staff and service users who smoke must do so outside of the building. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over seven hours and was undertaken to review the requirements made at the last inspection, also to review the care practices to ensure it is in line with the legislation and that best practice is followed at the home. Generally the home was found to be warm, clean, tidy and free from offensive odour. Residents were found to be relaxed in their homely environment and looked well cared for. Manager and Proprietor were very helpful, the trained staff and care staff were noted interacting with the service users in a respectful and dignified manner. What the service does well: The home has a statement of purpose, which has information about the service provided, staff training as well as service user accommodation. There is a service user guide, which has information about the home, it’s aims, and fees and services to enable a prospective service user to make an informed decision about the home. The home has good quality care planning in place, which is holistic and specifies how identified needs are to be met. The care plans are reviewed regularly. The home provides meaningful activities for residents and ensures that individual interaction is provided as necessary. Good meals are provided for residents and staff ensure meals are not hurried and that residents who are unable to feed themselves are assisted in a respectful and dignified manner. A complaint procedure is in place to enable service users, families, friends and advocates to complain if unsatisfied with the services provided. There is an ongoing training course to enable staff to meet individual residents needs and ensure that residents are protected from harm and abuse. The home has thorough recruitment practices to ensure that appropriate staff are employed at the home. Aids and equipment are provided in sufficient quantity to assist care staff in meeting the needs of service users. The environment is well maintained, tidy and safe giving the residents a sense of homeliness and security. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 6 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 Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 8 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 standard(s) 12345 The process of admission of prospective residents is well planned to enable the person to make a choice of moving to the home with the assurance that their needs will be met. EVIDENCE: The home’s Statement of Purpose as well as the service users’ guide contains detailed information about services provided at the home. Three newly admitted residents’ files viewed had ‘Conditions of Admissions to the Heathers’. The document contained fees to be charged and facilities covered by the fees. The document also contains the policy and procedure for complaint if not satisfied with the services provided. The nurse in charge stated that the service users’ guide is provided to the service user or representative either on day of assessment in their home or hospital or when viewing the home to enable them to make an informed choice of moving to the home. The three care files viewed also contained pre-admission assessment and care plans completed on how the assessed needs were to be met. Staff spoken with stated that they are aware of the new service users and are able to meet their needs. One service user spoken with stated that the nurse came to see him/her in hospital. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 9 The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7891011 The home offers care and support to service users throughout their lives and towards the end, it also protects service users by reviewing their health needs and appropriate drug administration. EVIDENCE: Five care plans were reviewed. There was evidence of pre-assessment before admission to the home. The needs identified had individualised care plans on how these needs were to be met. The manager stated that the home had recently developed core care plans for all needs and other care plans are then developed when specific needs arise. These care plans were in place. One service user, who was admitted from the hospital with leg ulcers, had a detailed wound care plan and was regularly reviewed. There was daily progress record in each care file showing how the health and wellbeing of the of the service user is being monitored. One service user with superficial pressure sores had care plan in place; however, there was no evidence of a turning chart to prevent further breakage. One service user on peg feed had no mouth care chart to prevent mouth infection and to ensure the service user is comfortable. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 11 Staff spoken with stated that they are aware of confidentiality of information in relation to service users. There was regular consultation with GPs and other health professionals to include chiropodist and the dentist. All nine service users spoken with confirmed that staff treat them with respect and ensure privacy and dignity when attending to them. One service user stated ‘staff are good here’. Another service user stated that ‘staff come immediately you ring the bell’. Staff were noted knocking at the doors before going in to attend to service users. Some service users had private telephones installed in their bedrooms. Medication administration was checked and was satisfactory. The medication policy was in place. There was evidence of receipt and disposal of medication in place. The controlled drugs were properly recorded and signed by two registered nurses and the balance was correct. The registered nurse stated that the medication for a deceased service user is usually kept at the home for seven days before disposal. The home has a policy for Death and Dying; however, two of the care files viewed had no details in event of death. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12131415 The home provides meaningful activities to the service users, enables them to maintain contact with families and friends and ensures that choice is provided in respect of meals and mealtimes. EVIDENCE: Service users spoken with confirmed that they were able to choose when to get up and when to retire. One service user stated ‘I get up at eight o’clock in the morning and retire at half past ten at night’. Another service user stated ‘staff ask me if I wanted to get up and I choose, they don’t just get you out of bed’. There was an activities schedule displayed in the entrance hall informing the service users about the activities for the week and the month. These include Mondays- Hair and beauty, Tuesday-games of snakes and ladders, exercise session and aromatherapy, Wed-bingo, Thursday board games and communion (1st Thursday of the month), Friday- Craft, Saturday – craft, Sunday- fun games and board games. Service users spoken with stated that they had visited Slimbridge Wild Life Sanctuary in April 2005. Another trip is planned to visit the Garden Centre on 28 May 2005. Some service users stated that they enjoyed the activities organised at the home. Three service users spoken with stated that they enjoyed their own company and would not participate in an activity at the home; one service user stated ‘It is my choice’. One service user The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 13 stated that he/she is regularly supported to go out to the shopping centre to buy clothing and anything else that she/he needed. Service users’ rooms seen had personal belongings and were decorated to their taste and were colour co-ordinated. Service users confirmed that they are enabled to receive visitors, friends and families. One service user stated that his/her children live in different parts of the world; the home enables her to receive phone calls from them regularly. The service users also stated that friends visit her/him regularly. Another service user stated that he/she is regularly visited by his/her niece and nephew and another service user stated that his/her daughter visit every alternate weekend. One of them phones every evening without fail. The home has a three week menu which contained varied nutritional meals Service users spoken with stated that staff came round every morning with the menu to enable them choose the meal for the following day. There was a choice of two meals at lunchtime on the day of inspection to include Shephard’s pie or omelette and chips with fresh vegetables and a choice of pudding. Service users spoken with said that they enjoyed their meals and those who were unable to feed themselves were fed in a sensitive and dignified manner. One service user stated that his/her meal was not always hot when it was served, he/she would like his/her bacon and egg grilled and sausages nicely fried, not like the food prepared at the home and prefers to buy his/her own food. These were discussed with the chef who stated that the service user is always provided with what he/she wanted but that sometimes he/she prefers to buy his/her own food. The chef also stated that the service user is always offered an alternative whenever he/she changes his/her mind. The chef stated that the home would make an effort to provide the service user with grilled bacon and egg. The manager stated that he had several discussions with the service user about his meal and other challenging issues that the service user raises. The manager stated that he would address the issues raised by the service user at this inspection. One service user was provided with a gluten free diet. The kitchen was found to be clean and tidy. The fridge and freezer temperature was regularly recorded. The chef and the kitchen assistant have recent food hygiene certificates. The home does not act as appointee to the service users. The service is provided by relatives, advocates or Social Services. One service user stated that his/her solicitors deal with his/her money but that he/she keeps a minimum amount of money at the home to enable him/her buy the things for him/her self. The service user stated that he/she had no concerns about managing his/her money. She/he stated that ‘it makes me feel I am in control.’ The manager stated that the service user always managed a little amount of money at the home since he/she moved to the home and that he was not concerned. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 161718 Service users are enabled to complain and are confident the home is able to protect them from abuse. EVIDENCE: The home has a complaint procedure, which is displayed in the entrance, the document contained details about Commission for Social Care Inspection to enable service users, friends, families or representatives to complain if unsatisfied with an outcome of a complaint. The complaint procedure is also included in the ‘Conditions of Admission to Heathers Nursing Home’ document given to service users on admission to the home. Service users spoken with stated that they would complain to the manager if not satisfied with the services provided. The home had a policy and procedure on the Protection of Vulnerable Adults from Abuse. Staff spoken with stated that they have attended training on abuse and are aware of the Whistle Blowing Policy. One staff stated that she would report any bad practice or abuse of a service user to the nurse in charge or the manager. Service users spoken with stated that they felt safe at the home. A new member of staff’s file contained Criminal Record Bureau checks and two satisfactory references before commencing employment to ensure that service users are protected. The home checks the personal identification numbers of all qualified nurses with the Nursing and Midwifery Council (NMC) before employment and periodically. One service user spoken with stated that she/he voted at the election by postal vote, another service user stated that he/she knew about the election but chose not to vote. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 15 The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 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 standard(s) 1920212223242526 The home has a safe, clean, well- maintained environment, comfortable bedrooms and specialist equipment suitable for service users needs. EVIDENCE: The home was found clean, tidy and free from odours. The home has two lounges, which were comfortably furnished. The service users were found sitting in the communal area very relaxed in their homely environment. All bedrooms viewed were personalised, colour coordinated and furnished to a required standard. Each bedroom had small items such as pictures, photographs and other personal belongings to beautify the room to remind them of past memories. All service users spoken with said that they liked their bedrooms. There is a call bell fitted in all the service users bedrooms to enable the service users to summon assistance if needed. There is lift access the all floors at the home. All the corridors have handrails fitted on both sides to assist service users mobility. The toilets and bathrooms had grab rails and various manual-handling equipment to assist staff with meeting service users needs. The rooms were noted to be warm and centrally The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 17 heated. Radiators were noted to be covered with radiator guards to ensure safety of service users from burns. The home had emergency lightings, which were regularly maintained, however the hot water taps in the rooms on the top floor was noted to be lukewarm and may put the service users at risk of legionella. The manager stated that this would be checked immediately and the problem rectified. There was regular temperature checks of the hot water taps and this was within the normal limit. There is a separate laundry facility, which included washing machines with separate sluicing programme. The area was clean and tidy with good flooring and ventilation. One domestic staff member was noted on duty on the day, the manager stated that this was due to sickness and that the home is hoping to recruit another domestic shortly. The home is required to ensure at all times there are appropriate number or domestic staff are working at the home to ensure that cleanliness is maintained. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27282930 The home’s recruitment process demonstrates safeguards are in place and ensures staff competency with adequate numbers and skill mix along with training to protect service users. EVIDENCE: The home a robust recruitment procedure to ensure that suitable staff are recruited to meet service users needs. The records of two recently recruited staff members contained required information to include personal details, previous employment details, two satisfactory references, Criminal Record Bureau (CRB) disclosures and relevant qualifications. Registered Nurses working at the home had satisfactory checks from the NMC. On the day of inspection there was one trained nurse 8am to 2pm. One trained nurse from 2pm to 8pm and one trained nurse from 8pm to 8am. There were also three care assistants from7am to 2pm, three care assistants from 8am to 2pm, four care assistants from 2pm to 8pm and two care assistants from 8pm to 8am on the rota. This met the minimum requirement that had been set by the Health Authority staffing notice before the inception of Commission for Social Care inspection. However there was only one domestic staff on duty on the day. The manager stated that this was due to sickness and that the home is making efforts to recruit soon. All staff spoken with stated that they attended various training courses to include abuse training food hygiene, manual handling, fire safety. One staff spoken with stated that she had been employed for one year, she stated that the induction period was very valuable, she stated that she worked with another staff member for six weeks before she felt confident to assist service The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 19 users with personal care independently The manager stated that four care staff have achieved NVQ at level 2, one care staff almost completed NVQ at level 3, two care staff have recently commenced NVQ at level 2 and two care staff have recently commenced NVQ at level 3. The manager stated that he has arranged for an Infection Control Nurse to visit the home and talk to staff on how to control and prevent infection in nursing home. The manager stated that three staff members currently hold First Aid at Work certificates to attend all emergencies at the home, the manager also stated that there is a trained nurse on duty at all times. The home is to required make suitable arrangement for more staff members to attend First Aid training to ensure that service users are adequately protected in emergencies. One staff member working in the laundry stated that she had not attended Control of Substances Hazardous to Health (COSHH) training, another staff member working as a domestic stated that she had not attended abuse training. The registered manager is required to ensure that all staff attend training appropriate to their roles. Mr Tippings the registered manager is a manual-handling trainer, has attended other relevant courses and is hoping to commence the Registered Managers Award training shortly. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 313233335363738 The home benefits from good leadership and is run in the best interest of service users ensuring regular staff supervision, however some practices have not offered protection to the health and safety of service users. EVIDENCE: Mr Tippings the registered manager has a dual qualification as a Registered General Nurse and a Registered Mental Health Nurse. Mr Tippings has attended various courses to assist him with training staff in order to raise the standard of care at the home. He is to commence NVQ 4 by 2005. Staff and service users spoken with stated that they trusted the manager, that he is approachable and listens to concerns. One service user stated ‘I will go to Roger if I have any complaints’ Staff spoken with stated that they receive regular supervision to enable them to perform their duties effectively and deal with any areas that need The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 21 improvement. Staff stated that supervision enables them to review the care practices to the satisfaction of the service users. Individual service users’ records were noted securely locked at the home along with other service user information. Mr Patel the registered provider stated that the home does not act as appointee to service users but gives money to service users who require small amounts to make a purchase or payment and include it in the bill at the end of the month. Mr Patel stated that service users families, friends or advocates manage service users’ monies and those service users who have no families or friends; their finances are managed by the local authority social services. Mr Patel also stated that the home is financially viable and that the Commission can contact his Bank for verification if required. The manager stated that the home regularly reviews its services by speaking to the service users and relatives. The manager also stated the home has a six monthly questionnaire given to service users to find out if the are still satisfied with the services it provides. There is evidence of regular care plan review. It is required that the home develops a more comprehensive quality assurance system to include other professionals, relatives and visitors in order to receive a wider view. The accident book was viewed and all service user accidents were recorded, however one service user accident was not reviewed to ensure that the injuries sustained had been resolved satisfactorily. There were policies and procedures in place to include, Abuse, Medication, Confidentiality, Training and Complaint. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 2 The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 23 NO Are there any outstanding requirements from the last inspection? 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. 3. Standard 26 30 30 Regulation 18 13 18 Requirement Ensure adequate numbers of domsetic staff are working at the home at all times. Make suitable arrengements for training of staff in First Aid Ensure that staff working in the laundry and housekeeping receive COSHH training also abuse. Ensure that all staff receive fire dirills including night staff Ensure that there is adequate hot water supply in the bedroom taps on the top floor. Timescale for action 24/7/05 24/9/05 24/06/05 4. 5. 38 38 23 23 26/6/05 24/7/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 38 Good Practice Recommendations Ensure that bedroom doors are not kept open using wedges. The Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG 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 Heathers Nursing Home D56 D05 S62576 The Heathers V223960 240505 Stage 4.doc Version 1.30 Page 25 - 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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