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Inspection on 16/12/08 for The Mews Nursing Home

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

This inspection was carried out on 16th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The provider has good arrangements in place to control the spread of infection in the home. The are antiseptic alcohol-based hand rub dispensers in the home for visitors and staff to use. Residents bedrooms reflect individual preferences and are homely and welcoming. The staff were very professional in the way they related to the residents. They were courteous and treated the residents with respect and dignity. The kitchen was generally clean and well ordered, and the staff have good knowledge of the dietary needs of the residents. The residents and relatives made very positive comments about the home and the staff. Some of their comments include: "This is the best care home and I am glad our dad come here". "My relative has been in three home and this is the best". "It is nice and pleasant here. I have no complaints at all". "The food is good and there is always something to do". "I like the activities lady. She is always doing something with us". Staff also made good comments about the current situation in the home. A number of staff commented that six months ago they were all worried about their jobs due the low occupancy rate. However, they feel that the company has taken appropriate steps to address what some of the staff describe as "worrying times". Staff said they are much happier in their jobs and they feel that this has had a positive effect on staff morale and the improvement in the quality of care that the residents receive.

What has improved since the last inspection?

At the last inspection there were three requirements made for the home to deal with to improve on the service. Two of these were addressed but the requirement on NVQ training remain outstanding. However, in view of the recent guidelines from the Commission on making requirements, this is now a recommendation and not a requirement. At least 50% of the care staff should to trained to NVQ Level II standard.

What the care home could do better:

The provider should ensure that at least 50% of the care staff are trained to NVQ Level II standard or above. From the information provided by the manager, only 4 out of the 18 care staff have NVQ level II. The manager should ensure that induction programmes for newly appointed staff are completed and indicate clearly who provided the induction training and when it was provided.All nursing staff should receive up to date safe handling of medication training.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Mews Nursing Home Southburn Terrace New Herrington Houghton Le Spring Tyne & Wear DH4 7AW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sam Doku     Date: 1 6 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: The Mews Nursing Home Southburn Terrace New Herrington Houghton Le Spring Tyne & Wear DH4 7AW 01915120097 01915120959 the.mews@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Pauline Mary Fox Type of registration: Number of places registered: Tamaris Healthcare (England) Ltd care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home This home provides 50 places for elderly persons. This includes 5 respite places for persons requiring palliative care. The home is purpose built and the internal space is generous. There are a variety of lounge and dining areas. The bathrooms and WC?s have handrails and appropriate equipment for disabled service users. The home is constructed in a traditional style incorporating brick and a tiled roof. It has two floors with passenger lift access to the upper floor. Ground floor access is level. The home stands in grounds shared with another care home. The garden area is well maintained and there is adequate parking. There is a secure patio area for service users. The Care Homes for Older People Page 4 of 29 Over 65 0 50 40 1 0 0 Brief description of the care home home is located in a village, in a suburban area. There are local facilities close to the home including shops. The current scale of charges is between 402 Pounds per week. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating of this service is 2 Star. This means the people who use the service experience good quality outcomes. The inspection was unannounced and commenced on 16 December 2008 and completed on the same day. Before the visit the inspector looked at: Information we have received since the last inspection visit on 30 January 2008. How we dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Care Homes for Older People Page 6 of 29 Assessment (AQAA). The views of the people who use the service through talking to them. During the visit the inspector did the following: Talked to the people who use the service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: The provider should ensure that at least 50 of the care staff are trained to NVQ Level II standard or above. From the information provided by the manager, only 4 out of the 18 care staff have NVQ level II. The manager should ensure that induction programmes for newly appointed staff are completed and indicate clearly who provided the induction training and when it was provided. Care Homes for Older People Page 8 of 29 All nursing staff should receive up to date safe handling of medication training. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good information about the service, including invitations to visit the home, which enables prospective residents to make informed decisions about whether to live at this home. Prospective residents are assessed before admission and on admission, to make sure that the home has the necessary skills and facilities to look after them, thus promoting their welfare and wellbeing. Evidence: The home provides good information to prospective residents in the form of service user guide and other supporting brochures about the home and the company. The information is readily available in the foyer and residents confirmed that they have received copies of the service user guide. Care Homes for Older People Page 11 of 29 Evidence: Service users files contain copies of the contract between them and the provider. These set out the terms and conditions for living at The Mews, including the weekly fees charges and how payments should be made. The manager and nursing staff confirmed that it is the policy of the home to invite people who are wishing to go into a care home to visit the home and to see the place. The manager stated that this gives people the opportunity to assess The Mews for themselves before making decisions about coming to live there. One visiting relative stated that she visited the home before agreeing for her relative to come to The Mews for a respite care. Another gentleman who was visiting confirmed that home offered him the chance to visit the home and see the place for himself before the decision was made for his relative to come and live at The Mews . Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents receive care that is generally consistent with their personal and healthcare needs. Furthermore, the home has good procedures in place for administration and safe handling of medication, thus promoting the health of the residents. However, training in safe handling of mication training should be extended to all the nursing staff. The residents are treated with dignity and their right to privacy is upheld. Evidence: As part of the case tracking the inspector selected residents with different type of needs including a person who is nursed in bed, a person who has memory problems, a person who is a challenge to the service and someone who is very independent and does most things for herself. The files contained pre-admission assessments carried out by the home and also by the social worker or nurse assessor. This is in line with the providers policy of carrying Care Homes for Older People Page 13 of 29 Evidence: out their own assessment and or obtaining an assessment from the social worker or the nurse assessor from the local health Trust before admission is arranged. The manager and the nurse in on duty explained that the nursing staff use the assessments to plan for the persons care either before they arrive in the home or shortly after their arrival. The plans are then followed by all the staff so that they are aware of how best to support the resident to make sure that his or her care needs are consistently met. However, the nutritional assessment that was carried out for one resident did not reflect his need for assistance with eating. The nutritional assessment rated him as O, meaning he does not require assistance with eating. The assessment should have rated him as I, meaning he needs his food cut up in pieces for him as he is not able to do so independently. The inspector spoke with a number of relatives and also some of the residents. Relatives and residents stated the home had good arrangements in place to make sure that their healthcare needs are met. People spoke about the various visits that they have received from their GPs. Staff and residents mentioned the chiropodist and other healthcare practitioners like dentist, opticians and specialist nurses like the speech and language therapist (SALT Nurse) who regularly provide services to the residents. One gentleman said that the staff always acted promptly when his relative needed a doctor. He said the staff would always phone him and let him know if the doctor has been called for his relative. The records for one of the residents who was case tracked, showed that the staff had taken prompt action when they were concerned about his weight loss. This was promptly brought to the attention of her GP and the staff continued to monitor his weight and the SALT nurse became involved in his care by providing staff with the appropriate advice his dietary needs. The care plans that were viewed were generally well written and provide good information for staff to follow in caring for the residents. The care plans provided details of how staff should support the residents and these are regularly reviewed and changes made to them to reflect the current care needs of the individuals. The home has detailed written policies on the storage and administration of medicines. The manager stated that the nursing staff who are responsible for the administration of medicines have received up to date training on safe handling of medicines, and they follow the homes medication policies. However, the training record that was forwarded to the inspector by the area manager for the company shows that only one of the five nurses on the list have had safe handling of medication. The provider should update this record to reflect the statement that all the nursing staff have received up to date training in safe handling of medication or provided the necessary training for the Care Homes for Older People Page 14 of 29 Evidence: nursing staff. A random check of the medicines administration system was undertaken by the inspector in the presence of the nurse in charge. There were no discrepancies noted, and the administration sheets have been signed and dated as required. However, the method of storing Fortisip supplements drinks should be reviewed to make sure that only staff have access to them. The inspector observed good interaction between staff and residents. The activities coordinator and the hairdresser had excellent repport with the residents. There was a happy and friendly atmosphere in the home. The conversations between staff of all grades and the residents and their relatives were friendly but professional. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents experience meaningful and fulfilling activities which enhance their wellbeing and sense of purpose. Furthermore, the home provides individuals with the opportunity to make decisions about their care thus promoting their choices and independence. The residents are provided with a good variety of wholesome and nutritious meals, which promotes their health and wellbeing. Evidence: The activities coordinator provided good information about the activities that the residents get involved in. There is a four week activities plan and this is posted in an area of the home where all residents can see them. The activities coordinator also maintains a record of the activities that individuals have taken part in. The individual care plans contained information about the social and recreational care needs of the residents. Some of the activities include art and craft, watching video, card games, board games, morning worship, current affairs and gentle exercises. Residents confirmed that they enjoy the activities that are organised for them in the Care Homes for Older People Page 16 of 29 Evidence: home. On the day of the inspection, some of the female residents were receiving manicure from the activities coordinator. Others were having their hair done. The residents are able to make choices and make independent decisions about their care and the way they wish to be looked after. Residents described how they are able to do the things they like to do with the support of the staff. Some of the residents who were receiving respite care commented on the good range of activities that are provided to keep the residents occupied. The dinning room is pleasantly decorated and furnished. Dinning tables were appropriately set and residents had their meals in pleasant and comfortable environment. Examination of past menus show that the home provides a choice of menu for the residents. The chef talked about making suitable arrangements to make sure that the residents received a home-made and nutritious diet. The residents had their lunch in a peaceful and quiet setting and the staff ensured that the meal time was not hurried and people enjoyed their meals in peace. Residents were offered the opportunity for second helpings. Residents who required assistance with their food were assisted in a discreet way which promoted their dignity. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and relatives have information about how to make a complaint thus promoting the residents right to express their views about the service. Furthermore, staff are aware of safeguarding adults procedures but the training should be extended to all the staff in order to safeguard the welfare of the residents. Evidence: The home has a complaints procedure and a copy of this is accessible to residents and visitors. A summary of the procedure is in the service user guide. Details in the complaint book shows that the home takes complaints seriously. However, the details of a recent safeguarding investigation and meeting minutes could not be traced, although the manager stated that these are available but she could not lay her hands on it. A number of residents and relatives were spoken with about the homes complaints procedure. Residents said they are aware of the procedure and feel confident about raising any concerns with the manager if they were unhappy about anything. Relatives also confirmed that they are aware of the procedure and would know how to complain if they have the need to do so. The training record shows that ten of the 20 nursing and care staff have received training in safeguarding. Staff who were spoken with were familiar with the homes Care Homes for Older People Page 18 of 29 Evidence: policy on safeguarding vulnerable people. However, it is recommended that all staff are provided with safeguarding training. The home has good system in place for holding the residents monies on their behalf. The system is robust and secure. A random check was carried out on two residents finances and no discrepancies were found. All transactions made on behalf of the residents have been accounted for and receipts have been kept as proof of purchases or transactions. Residents have contract with the provider showing what the residents obligations are and also the obligations of the provider. The recruitment procedures are robust and the manager has ensured that all the appropriate checks are done, including enhanced CRB checks, appropriate references and ID checks to make sure that staff are deemed suitable to work with vulnerable people. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides safe, secure, clean, warm and pleasant environment for the residents to live in. Evidence: The home is clean and maintained to a good standard. The bedrooms that were visited were clean and personalised, reflecting individual tastes and preferences. Residents have been encouraged to furnish their rooms with personal items making it homely and comfortable for them. All the bedrooms have an en-suite toilet facility. However, in one of the bedrooms, there was no door to on the en-suite toilet and he could, potentially be seen using the toilet from outside through the window. It provides no privacy for the gentleman who occupies that room. The rooms are warm, homely and comfortable. All radiators have protective covering and windows have restrictors on to ensure safety of the residents. The home is in good state of repair and the handyman has a record of maintenance works that are undertaken in the home. The corridors are wide enough to allow people with walking aids to move around freely. There are sufficient communal lounges and other spaces in the home for the residents to choose from. These areas are appropriately furnished and decorated. Care Homes for Older People Page 20 of 29 Evidence: There are detailed written policies covering all aspects of the running of the home. These include policies on infection control. Staff have had training in infection control and records show that the home has adhered to infection control procedures. There are anti-bacterial hand washing dispensers in bathrooms and toilets. Also there are antiseptic hand hub dispensers throughout the home for staff and visitors to use to combat the spread of infection. The kitchen was clean and maintained to a good standard. All cooking utensils, cookers, and other equipment were clean and well maintained. The cook maintains a record of food temperatures, fridge temperatures and other safe food handling procedures in the kitchen. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing numbers are satisfactory and promote the safety and welfare of the residents. However, staff training in safe handling of medication and POVA should be provided to promote the health and welfare of the residents. Evidence: The home employs sufficient numbers of staff to meet the needs of the residents. There is a registered nurse on duty at all times including night duties. Staff and residents spoke about the staffing levels and there is a general view that there are always sufficient staff on duty to meet their needs. Staff training is general good but training in POVA and safe handling of medication should be given attention in order to promote the health and welfare of the residents. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. This was confirmed by the staff training log that was later forwarded to the inspector. Four staff files were examined to check on the recruitment process by the manager. Care Homes for Older People Page 22 of 29 Evidence: The files show that the home has been following the companys policy on recruitment. All the files contain completed job applications, copy of job description, appropriate references, evidence of CRB checks and record of training. Staff induction is carried out but in two cases there were no indications of who did the induction and when it was done. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a qualified and experienced person, and runs the home for the benefit of the residents, ensuring their safety and welfare. The safety and welfare of residents is protected fully by the regular equipments servicing and safety arrangements that are in place. Evidence: The new manager took up her current position since July 2008 and she is in the process of applying for registration to be the registered manager for the home. The new manager has long experience of managing a residential care home. Her management ability was commented on positively by the staff. Staff feel that she is approachable and supportive of them. There is a quality assurance system in place which involves regular monitoring by the regional manager for the company. The manager described the procedure for ensuring Care Homes for Older People Page 24 of 29 Evidence: that the service is under constant review taking into consideration the views from area manager, residents and relatives. Examination of the personal allowance records and receipts of transaction show that there is a good system in place and that the residents monies are safe and properly accounted for. There are suitable arrangements within the company policy for staff to receive one-toone supervision from the manager. However, this has not been happening but the manager indicated that she and her senior nursing staff will soon start to carry out staff supervision in line with the national minimum standards and also the providers policy. The companys Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). Staff adhere to the policies as set by the company. Servicing records confirm that all portable appliances have been tested. A record is maintained of regular water temperature tests are maintained in the home. Regular servicing of fire equipment, passenger lift, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of passenger lift, hoists, water treatment, electrical installation and gas servicing. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Residents and relatives commented that the manager runs the home for the benefit of the residents. Two visiting professionals commented that they are happy with the feedback they get from the residents and that these are postive and complimentary of the way the staff carry out their caring tasks. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 An up to date training in safe handling of medication must be provided for all nursing staff and care staff who are responsible for the administration of medicines in the home. Only two of the nursing staff have had safe handling of medication training, one in 1999 and the other in 2007. One carer had her training in 2006. 31/03/2009 2 18 12 Suitable training in safegurding adults must be provided to all staff to promote the welfare of the residents. 31/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Nutritional assessments should be reviewed to reflect the changing needs of the residents. Page 27 of 29 Care Homes for Older People 2 23 A door or a screen should be provided on the en-suite facilty in room 9 to provide privacy formthe person who occupies that room. The staff induction training should indicate who did the induction with the new employee and when the induction was carried out. At least 50 of the care staff should be trained to NVQ level II or above. The manager should ensure that all staff receive regualr supervison as per the companys policy and also to meet the national minimum standards. 3 30 4 5 30 36 Care Homes for Older People Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!