Inspection on 10/04/07 for The Sycamores Nursing Home

This inspection was carried out on 10th April 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 The Sycamores Nursing Home 131-133 Harehills Lane Leeds Yorkshire LS8 4HZ Lead Inspector Sue Dunn Key Unannounced Inspection 10th April 2007 11:30 The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 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 Sycamores Nursing Home DS0000068156.V325585.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 Adults 18-65. 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 Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Sycamores Nursing Home Address 131-133 Harehills Lane Leeds Yorkshire LS8 4HZ 0113 2406446 0113 2407997 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) European Care Lifestyles (B) Ltd Ms Jane Elizabeth Grogan Care Home 18 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New registration Brief Description of the Service: The Sycamores Nursing Home is in two adjoining Victorian houses which have been converted to provide accommodation for 18 people with a mental illness. It is situated in the Harehills area of Leeds close to the busy junction of Harehills Lane with Roundhay Road and a range of local amenities. There is a small garden and courtyard parking area to the rear of the building. The facilities are spread over four floors and there is no lift, therefore the home is only suitable for people who are mobile. Three bedrooms are shared and 9 of the single rooms are less than 12 sq mtrs in size. None have en suites facilities. The current fees for care are between £483.38 to £941.72 per week. Personal toiletries and clothing, chiropody, hairdressing and transport for social outings are not included in the fees. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcomes for service users. The inspection report is divided into separate sections with judgements made for each outcome group. The judgements reflect how well the service delivers outcomes to the people using the service. The categories are “excellent”, “good”, “adequate” and “poor”. More detailed information about these changes is available on our website – www.csci.org.uk. This was the first key inspection to be carried out since the home was re registered under new ownership. The manager completed a pre-inspection questionnaire and information supplied when the home was re registered was used as part of the inspection process. Questionnaire leaflets were sent to the home to be given to service users. None had been returned at the time of writing this report. One inspector carried out the site visit, which started at 11:30 am and finished at 17:30 pm. During the visit the inspector looked round the building, documentation was examined, service users, staff and the manager were spoken with and routines and practices were observed. The care files of three service users were closely examined and information cross- referenced from the above sources. What the service does well: An unhurried introduction to the home gives people the opportunity to decide if the home will meet their needs. Staff gave careful and patient explanations to people about taking responsibility for their own actions. Service users signatures showed people were aware of any restrictions to their lifestyle. People spoken with said they went to day centres, where some had voluntary work, the cinema, out for meals and to the pub. On the day of the visit people were in and out to the shops, local health centre and pub and using all parts of the home freely. One person was on holiday. A staff member said that one of the aspects of the job, which she liked, was that service users were quite vocal and would speak out if they didn’t like anything. Staff were receiving good support to help them achieve a National Vocational Qualification (NVQ). Staff said they felt the home was ‘going from strength to strength’. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 6 Financial records were easy to audit with a separate record for each service user and attached receipts for purchases. One person said that there was no difficulty accessing his money. Minutes of service user meetings showed that people were kept informed and involved in matters concerning the house and their lifestyle. What has improved since the last inspection? What they could do better: The assessment documentation was basic and appeared to repeat information already provided by staff from the previous placement. The assessment process will be improved further by the new documentation which had been introduced but not yet used. One care plan had been discontinued. This was apparent in the evaluation of the plan and from speaking to the service user but the care plan itself remained in place, which could be misleading. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 7 Staff must sign medication records at the time the medication is given. It was acknowledged that the furniture in the quiet room was grubby and would, as part of the upgrade programme eventually be replaced. The home’s recruitment and selection system and induction training needs to be more robust in the interests of equality of opportunity and the protection of service users. The newly introduced systems to address these matters had not yet been used at the time of the visit. The home’s induction training records were in the form of a generalised check list which had been signed by the employee over a number of days but did not give enough detail to show what areas of training had been explained. Fire safety check records indicated that alarm system checks and escape route checks were not being carried out on a weekly basis for the protection of service users and staff. 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 Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4, 5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. An unhurried period of introduction to the home gives prospective service users time to decide if the home can meet their needs. EVIDENCE: Care files were examined for three people admitted to the home within the last 6 months. These were consistent in layout. In the most recent file an assessment of needs had been carried out by the ‘ward in the community’ staff, there was a social background history, completed by a social worker. A nurse from the home had carried out an assessment three months before the admission took place as part of the admission process. The assessment documentation was basic and appeared to repeat information already provided by staff from the previous placement. However, the manager was able to show a copy of new documentation introduced by the organisation for all future pre admission assessments. This provided a basis for a far more detailed assessment on which the home could demonstrate how the prospective service user’s needs would be met. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 10 The daily records had been used to record details of the prospective service users initial visit to look round the home, followed by an introductory overnight stay and arrangements for a further period of leave to be spent at the home. The service user’s positive views, about moving to the home were recorded. The file included confirmation of the funding arrangements with additional funding for 6 hours support a week for rehabilitation. Service users had signed contracts which stated the terms and conditions of the home. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Service users’ privacy and rights were supported by systems for consultation with residents. Staff showed an awareness of the service users’ changing needs but this was not fully evidenced in the written care plans. EVIDENCE: The three files examined were divided into sections and set out in a consistent manner. A front index in all but one provided direction to the contents in each section of the files. Care plans were clearly set out with a photograph of each service user and detailed guidance on how care was to be given. Goals had been agreed with service users. Two people spoken with said they were aware of their care plans and saw them as a way of moving forward. One care plan had been discontinued. This was apparent in the evaluation of the plan and The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 12 from speaking to the service user but the care plan itself remained in place, which could be misleading. Reports of reviews with other professionals were included in the files. The deputy said that the home was starting, with the permission of service users, to invite family members to attend review meetings within the home. This, she felt was proving to be of benefit to service users and their families, who appreciated being involved. Risk assessments related to the circumstances of each individual and included action plans. In the interests of confidentiality one risk assessment referred staff to the forensic report which was held elsewhere in the file. Where there were restrictions on daily amounts of money or the arrangements for cigarettes an agreement had been signed by the service users. Staff were observed to give careful and patient explanations to people about their actions and how this might limit their choices. There was an example of a person who wished to restart an activity but had lost the placement due to previous lack of interest and involvement. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff support service users to make choices about their chosen lifestyles and work towards their goals in a non judgemental way. EVIDENCE: Most of the service users were at home on the day of the inspection visit because of the Easter holidays. However people were in and out to the shops, local health centre and pub and using all parts of the home freely. One person said he had spent the previous day doing the garden. One of the nurses was working on a timetable of activities agreed with the person who had extra funding for rehabilitation so that staff support could be arranged. People spoken with said they went to day centres, where some had voluntary work, the cinema, out for meals and to the pub. Arrangements were being The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 14 made for one of the people to obtain a bus pass. One person had gone on holiday with her boyfriend. One person described involvement in a patient forum outside the home and said they enjoyed being able to discuss issues which affected people in the home such as the non smoking legislation. Another person was helping the cleaner by vacuuming the hallway and stairs, others were seen to clear their plates after lunch and said they kept their own rooms clean. Staff explained that some people have support with daily living tasks such as cooking and laundry, depending on their abilities. One service user said he had planned a night out and been asked to be back at 10pm. It was explained that this was only if he wanted his medication. A member of staff said that service users can come and go as they choose and simply ring the bell for admission by the waking night care worker. Service users had tinned spaghetti on toast for lunch made in the snack kitchen as there were workmen in the main kitchen. The evening meal offered two choices and a vegetarian option. One person described the food as ‘fantastic’. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The care plans show that the home makes provision for the physical and mental health needs of service users and that people are involved in decisions about their care. Delay in recording medication could lead to errors of administration and place service users at risk. EVIDENCE: Personal care in the home consisted of prompting and guiding. There was an age, gender and racial mix of staff employed. Staff were observed to speak to people discretely and respond to questions clearly, with patience and some humour. Relationships between service users and staff appeared good. One person said that what he liked about the home was ‘having things done for you’. This appeared to be at odds with the care plan. Specialist psychiatric support was provided by the National Health Trust and the home’s Registered Mental Nurses (RMN’s), monitored and reviewed care plans on a day to day basis. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 16 The information in one file seen gave directions to staff on what to do if the person complained of feeling unwell. This had happened several times and appropriate action had been taken. The CSCI was notified following each event. All the people in the home were registered with a GP at the local health centre, which was in walking distance of the home. One person went for a health check on the day of the inspection. None of the service users at the time of the visit was managing their own medication. Some had signed to say they would comply with the medication prescribed. The home was using a pre dispensed medication system supplied by a local pharmacy. Medication records gave clear directions about the frequency of medication given by injection. There was a record kept of the results of routine monitoring of blood sugars. The deputy manager carries out audit checks on the medication to ensure any out of date or discontinued medication is recorded in a book for that purpose and disposed of appropriately. It was noted whilst checking the medication records that the morning medication given to one person had not been signed for. The home would be unable to provide long term accommodation for people who are unable to manage stairs therefore people may have to be reassessed for more suitable accommodation as they age or develop long term illnesses. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The service users are protected by the home’s approach to complaints and staff receive training to recognise the rights of service users to express their views. EVIDENCE: The home has a complaints policy. The people spoken with knew how to complain and one service user said he would accompany anyone who felt they needed support to deal with any concerns. The complaints/ compliments log did not have any complaints but there were some compliments recorded. One was from a relative who was pleased with the decorative improvements to a bedroom. A staff member said that one of the aspects of the job, which she liked, was that service users were quite vocal and would speak out if they didn’t like anything. Risk management plans were in place to minimise risks whilst limiting restrictions. Some staff had received training on safeguarding adults but it had been recognised that this needed to be updated. The manager said a training course was booked for adult protection in July. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 18 Service users personal allowances were well recorded with receipts attached for purchases. People were observed to receive prompt attention when requesting money from their money held for safekeeping. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28, 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The present providers have invested in the home and have an ongoing programme of refurbishment to improve the quality of the environment for the service users. EVIDENCE: A tour of the building revealed the home clean and free from any unpleasant odours. It was apparent that there had been financial investment in the home, which included redecoration of bedrooms, communal areas and bathrooms, the replacement of curtains, bedding and some floor coverings. All bedrooms were lockable and people held their own keys. The pantry in the main kitchen was being retiled on the day of the visit causing some disruption to other areas of the home. The manager’s list of work to be done included replacement of all lampshades (some lights were without shades), redecoration of the dining room and replacement of the quiet room carpet. It was acknowledged that the furniture in this room was grubby and would, as part of the upgrade The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 20 programme eventually be replaced. A member of staff said in the interim they were considering fitting chair arm covers, which could be washed frequently. Service users had been able to choose their own colour schemes. Staff said that service users were taking more care of their rooms as a result of the improvements. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The newly introduced systems for recruitment and selection and induction training needs should provide equality of opportunity and the protection of service users. EVIDENCE: On the early shift there were two trained nurses, including the manager, two care workers, a domestic cleaner and cook. A sleep in nurse and a waking care worker cover the night shift. It was apparent that staffing is organised as far as possible around the activities of service users to provide support when they were going out, and carrying out day-to-day tasks as part of a rehabilitation programme. Nurse PIN numbers were recorded showing that one was due for renewal in May. A member of staff spoken with described her interview and said she had been told that she would be considered for the post after satisfactory references and Criminal records Bureau (CRB) checks had been received. The The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 22 recruitment and selection documentation included a list of questions asked at the interview and brief comments written by the manager. This did not provide a good picture of how past work history had been checked or show justification for making the decision that the candidate was suitable for the post. In the interests of equality of opportunity there should be at least two people on an interview panel, each completing an interview assessment. The organisation has introduced a more formal system for recruitment and selection of future staff which, it is anticipated, will improve the interview process. The home’s induction training records were in the form of a generalised check list which had been signed by the employee over a number of days but did not give enough detail to show what areas of training had been explained. A care worker said she had been shown the fire equipment during this period and had worked under supervision for ‘about two weeks’ before working alone. The organisation has just introduced a new induction training pack. The deputy manager had been given training on the use of the pack and agreed it was a great improvement on what they had been doing. This has not yet been put into practice. Mandatory topics include, fire safety, moving and handling and Breakaway techniques training. Three care workers and the cleaner were working towards an NVQ. The skills for life and NVQ assessors were working with staff on their NVQ on the day of the visit. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There were clearly improvements in the overall management of the home but some practices cause concern due to the high number of smokers living in the home. EVIDENCE: The manager and deputy stated there had been an improvement in morale due to the investment of time and money by the new providers. The refurbishment of the main office was almost complete. This area looked clean and well ordered, which proved to be the case when records were requested and immediately to hand. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 24 Regulation 26 reports by the divisional director, who as line manager visits the home regularly, were thorough and identified all areas where improvement was needed. It was clear during the visit that action had been taken in response to her findings. For example the main reception office was clean and orderly, the laundry was clean and tidy, bathrooms were clear of personal toiletries, personnel records were available, service users had signed their care plans and a supervision programme was in place. It was early days to judge whether this would continue with the frequency required and it was not possible to check the main kitchen because of work taking place on the day of the visit. Staff said they felt the home was ‘going from strength to strength’. Financial records were easy to audit with a separate record for each service user and attached receipts for purchases. One person said that there was no difficulty accessing his money. Minutes of service user meetings showed that people were kept informed and involved in matters concerning the house and their lifestyle. Health and safety audit of the building were carried out quarterly and recorded. The 5 yearly check of the wiring of the house was done in April 2003. Personal electrical appliance testing is done annually and personal electrical equipment brought into the home cannot be used until a safety check has been undertaken. Fire safety check records indicated that alarm system checks and escape route checks were not being carried out on a weekly basis for the protection of service users and staff. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 3 3 x 3 2 3 The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 26 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 2 3 Standard YA6 YA20 YA34 Regulation 15 13,17 19 Requirement Timescale for action 31/05/07 4 YA42 17, 23 Care plans must be updated as service users’ needs change Medication records must be 31/05/07 maintained up to date. Recruitment and selection 31/05/07 systems must be detailed enough to justify how decisions have been reached for the protection of service users and in the interests of equal opportunity for candidates. There must be written records to 31/05/07 show that fire safety checks are carried out weekly. 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 YA19 Good Practice Recommendations It was acknowledged that the furniture in the quiet room was grubby and would, as part of the upgrade programme eventually be replaced and all areas would be provided with lampshades. In the interests of equality of opportunity there should be DS0000068156.V325585.R01.S.doc Version 5.2 Page 27 2 YA34 The Sycamores Nursing Home at least two people on an interview panel, each completing an interview assessment linked to the questions asked. The Sycamores Nursing Home DS0000068156.V325585.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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. 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