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Inspection on 25/09/06 for Treetops Nursing Home

Also see our care home review for Treetops Nursing Home for more information

This inspection was carried out on 25th September 2006.

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.

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 home is very warm and welcoming and staff consider it very important to communicate well with residents` families and friends and include them in the home`s routines and daily life. Comments cards were received from 7 relatives who were all very positive in their view of the home. One relative said, "all the staff are very caring of .... and myself. I feel very much at home and part of the "family"". Another relative said, "I have been impressed by the medical attention my ... has received" and "my ... comments on how good the cooking is. She enjoys her meals. When I have been visiting at mealtimes I have been impressed by the content and presentation of the meals". This relative summed it up by saying, "my family have been impressed by the level of care my ... has received and by the care staff give, not just to the residents but also to their family". Comments cards were also received from a total of 12 residents and again the majority of comments were very complimentary. One resident said, "The staff are so pleasant and helpful. Everything is so clean. You are looked after very well indeed" and another resident said, "The staff at Treetops are very kind and helpful. They are happy and cheerful and talk to me when they are dressing me". Two GP`s also returned comments cards and stated they were satisfied with the overall care provided to residents in the home, although one GP said they felt residents would benefit from more physical activity. Over 50% of care staff are trained to at least NVQ level 2 and the home has accessed training in a variety of topics to ensure staff have the skills and knowledge to care for the residents.

What has improved since the last inspection?

Since the last inspection staff have made sure that residents` physical needs are properly assessed before admission and care plans are developed to meet these needs. Some work is still required in assessing residents` social care needs so staff can plan how these too will be met. A range of training has been accessed for staff, including mandatory health and safety training in topics such as fire safety and moving and handling. This programme needs to continue so that over a period of time all staff have participated.

What the care home could do better:

As previously mentioned, assessments of residents still need to include residents` social care needs, and care plans need to be written to address these needs. More consideration is still required about the provision of mental and social stimulation of residents and this was an area that the manager and other staff agreed needed working on. Care plans in general need to be more detailed to make sure that staff have all the information they need to understand how to care for the resident most effectively. The main concern from this inspection was the home`s recruitment procedures, as proper checks had not been made about the suitability of staff before they started working at the home. This means that people living in the home are potentially not protected from someone with a criminal or abusive background.

CARE HOMES FOR OLDER PEOPLE Treetops Nursing Home Carthage Street Oldham Lancashire OL8 1LL Lead Inspector Mrs Fiona Bryan Unannounced Inspection 10:30 25 September 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Treetops Nursing Home Address Carthage Street Oldham Lancashire OL8 1LL 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) 0161 628 6811 F/P 0161 628 6811 Mrs Christine Ann Shaw Mrs Christine Ann Shaw Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (33), Physical disability of places over 65 years of age (33), Terminally ill (3) Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 33 service users to include: *up to 33 service users in the category of OP (Old age not falling within any other category). *up to 33 service users in the category of PD (Physical disability under 65 years of age). *up to 33 service users in the category of PD(E) (Physical disability over 65 years of age). Where 24 or less service users are in residence requiring nursing care, 1 registered nurse to be on duty 24 hours per day. Where 25 or more service users are in residence requiring nursing care, 2 registered nurses to be on duty 8am - 5pm and 1 registered nurse to be on duty 5pm - 8am. 21st February 2006 2. 3. Date of last inspection Brief Description of the Service: Treetops has 33 beds in total, all of which can be used to provide nursing or personal care. The home is owned and managed by Mrs Shaw, who is a registered nurse. Fees for accommodation and care at the home range from £313.88 to £678.09 per week. Additional charges are also made for hairdressing, aromatherapy and chiropody services, newspapers and personal toiletries. Treetops is a purpose built home, situated a short distance from Oldham town centre. Accommodation is provided over two floors and consists of 27 single rooms and three double rooms. None of the rooms have en-suite facilities but toilet and bathing facilities are located nearby. Access to the first floor is provided by a lift. There are two communal areas within the home that allow service users to socialise together and participate in activities as they wish. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on Monday 25th September 2006. Time was spent talking to residents and staff and observing the home’s routine and staff interaction with residents. Three residents were looked at in detail, looking at their experience of the home from their admission to the present day. A partial tour of the building was conducted and a selection of staff and residents’ records was examined including records of care, medication records, employment and training records and staff duty rotas. What the service does well: What has improved since the last inspection? Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 6 Since the last inspection staff have made sure that residents’ physical needs are properly assessed before admission and care plans are developed to meet these needs. Some work is still required in assessing residents’ social care needs so staff can plan how these too will be met. A range of training has been accessed for staff, including mandatory health and safety training in topics such as fire safety and moving and handling. This programme needs to continue so that over a period of time all staff have participated. 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. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 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 the following standard(s): 1, 2 and 3 Quality in this outcome area is adequate. The home’s statement of purpose and service user guide provides residents with details of the services the home offers enabling an informed decision about admission to be made. Residents also receive a contract further explaining the terms and conditions of residency. Assessments had been undertaken prior to a prospective resident entering the home; more thought needs to be given as to how the assessments can reflect individual preferences and social requirements so the home can be sure it can meet peoples’ diverse needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an information pack, which is given to all prospective residents. The pack contains the home’s statement of purpose and all information necessary for people to make an informed choice about moving into the home. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 9 All residents who returned comments cards said they had received enough information about the home to make an informed decision to stay there. One relative said “ A warm and friendly welcome by staff on our visit. We were shown the room (the resident) would have. All our questions were answered”. All residents had been issued with a contract. A prospective new resident had come for tea the previous day and had returned on the day of the inspection for an overnight stay. Three residents were case tracked. Pre-admission assessments had been carried out for all three residents. The assessments covered all areas of the residents’ physical needs but were less detailed about residents’ social and cultural care needs. Staff were knowledgeable about residents’ needs. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Care plans and risk assessments were generally successful in identifying residents’ physical and health care needs but must be more detailed so staff are aware of which interventions will be most effective for residents; more consideration should be given as to how residents’ social needs are recognised and recorded. Procedures for dealing with medicines protect the residents. Residents felt they were treated with kindness and respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents were case tracked. Care plans addressed residents’ needs as they had been identified during the assessment process. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 11 Risk assessments had been undertaken for pressure areas, nutrition, moving and handling and falls. Residents’ falls risk assessments are sent to The Osteoporosis Society who analyse the information to determine if the resident would benefit from calcium supplements and if indicated liaise with their GP to arrange this. Two residents who were at high risk of falls had been supplied with hip protectors. Care plans and risk assessments had been reviewed appropriately. There were no care plans however to address residents’ social care needs. Staff need to take care that actions stated as required in the care plans are followed out properly. For example some residents had care plans that stated they needed to be assisted to change position every 2 hours for the relief of pressure. Turn charts were being used to record when residents were assisted to move but these were often not completed during the day when the resident was out of bed. Care plans also should be more detailed and person-centred. One resident had a care plan for aggressive behaviour, which was too generalised stating only that staff must ensure that the resident received the medication prescribed and reassure them. The care plan should provide information about possible triggers that could agitate the resident and interventions that staff have found helpful in diffusing the situation. Care plans for pressure care stated what type of mattress the resident was using but did not state the pump setting where appropriate. This information should be included so that staff can ensure the mattress is working effectively. Residents had been seen by GP’s dentists, opticians and podiatrists. Hospital appointments had been successfully accessed for residents. One resident had MRSA and was being screened and treated appropriately. Eleven residents who returned comments cards said they always got the medical support they needed and one said they usually did. Examination of a selection of medicine administration records indicated that staff were following procedures in a safe way. Controlled drugs were stored and recorded satisfactorily. One nurse was observed applying a new dressing to a resident’s leg. This procedure was carried out in the lounge and therefore did not preserve the privacy and dignity of the resident. The nurse did not speak with the resident or explain what she was doing. The manager said that she would speak with the nurse concerned and highlight the issues raised in terms of good practice. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 12 One carer was observed preparing residents for lunch in the conservatory. The carer displayed good interactions, chatting with residents as she worked. One resident who returned a comments card said, “the staff are kind and helpful. They are happy and cheerful and talk to me when dressing me”. Nine residents who returned comments cards said they always received the care and support they needed and three said they usually did. Twelve residents said staff listened to them and acted on what they said. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. Although some efforts are made to provide social stimulation this area needs to be improved to meet all residents’ social, cultural and recreational needs. Visitors are encouraged and welcomed into the home and feel supported by staff. Residents have some choice over aspects of their daily lives. Meals suit the majority of residents; more thought could be given as to how to enhance the social aspect of mealtimes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home does not have a designated activities organiser; all staff are involved in planning and providing social activity for residents. Of residents that returned comments cards, only 1 said there were always activities arranged by the home that they could take part in. Five residents Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 14 said there usually were and four said there sometimes were. One resident did not feel that there were any social activities that they could enjoy due to language barriers. At time of inspection staff were helping residents to plant hyacinth bulbs. However, staff said that they felt the social care needs of residents were an area that could be improved. Little reference was made in the resident’s care files as to how they had spent their day and what social activities they had been involved in. Seven relatives who returned comments cards said they were made welcome when they visited. The attitude of the manager and deputy manager towards friends and families of residents is a real strength, in that the ethos of the home is one of inclusion and openness. Comments were made by relatives such as “after visiting for over 2 years I feel very much part of the “family”” and “always helpful and make the whole family welcome on every occasion”. The atmosphere of the home is friendly and informal. Some residents were in their own rooms by choice whilst others were sitting in the conservatory or lounge/dining room. During the inspection, lunch was served, which was mince, carrots, cabbage and mashed potatoes, which looked and smelled appetising. One resident had egg, sausage, beans and toast and another resident had lemon curd sandwiches to meet their preferences. Staff said that residents were told at breakfast time what was on the menu for lunch and at lunchtime they were told what was on the menu for tea. If residents did not want the main option, alternatives would be discussed. Five residents who returned comments cards said they always liked the meals including one resident who ate a halal diet. Four residents said they usually liked the meals and one said they sometimes liked them. Many residents did not move to the dining tables to eat but remained in their armchairs and were served their meals on bedside tables. Meals were plated up in the kitchen and therefore residents did not get an opportunity to say what size portion they wanted etc. Consideration should be given to encouraging the residents to eat at the dining tables as this would provide pressure relief for less mobile residents and would create a more social occasion. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Following further training staff knowledge and understanding of adult protection issues provides a safe environment to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents receive a copy of the home’s complaints policy in the information pack provided on admission. The policy gives information about the timescales in which complainants can expect a response and contact details for the CSCI. A record of complaints had been maintained with details regarding how complaints had been dealt with. Since the last inspection there have been 2 investigations under the safeguarding adults procedures; the investigation of one was still in progress. The other investigation found that the home had not effectively assessed a resident before using a lap belt on their wheelchair and had not followed the correct procedures and involved the appropriate members of the MDT. As a result of the findings staff received further training in risk assessment. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 16 Staff were knowledgeable about the local procedures for safeguarding adults and the manager had worked pro-actively in addressing the issues arising from the investigation. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The standard of the environment within the home is good, providing residents with a safe, clean and homely place to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was reported that there had been an environmental health inspection in May 2006 but a report was not available. However the manager said that there had been no requirements made as a result of the inspection. The home was in the process of implementing the processes detailed in Safer Food Better Business and the manager said the environmental health officer was due to visit the home again in two weeks to review progress. The home was in a good state of repair. A maintenance person works 12 hours per week and decoration and refurbishment is carried out on an ongoing basis. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 18 Nine residents who returned comments cards said the home was always fresh and clean, whilst 2 said it usually was. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. Staffing levels are satisfactory the majority of the time. The home exceeds the standards for the percentage of care staff who have completed NVQ training and staff receive training to ensure they have the skills and knowledge to care for the residents. Recruitment procedures do not protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of staff duty rotas indicated that there were usually enough staff on duty to meet the residents’ needs, although there had been shortfalls on occasions. Staff said staffing levels were usually satisfactory and that any shortfalls were covered by agency staff. Five residents who returned comments cards said there were always enough staff, whilst 7 said there usually were. One resident commented that there was sometimes not enough staff on duty at weekends. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 20 OF the 15 care staff employed at the home 10 have achieved NVQ level 2; of those 3 have also achieved NVQ level 3. Two staff personnel files were examined. One staff member had been employed without applying for a CRB disclosure certificate. This staff member did have a CRB from a previous job but this was not sufficient as the home had not checked that were not on the POVA register before employment. The CRB had been requested for a second staff member the day after they commenced employment. Confirmation that they were not included on the POVA register was not obtained until a month later and the CRB was not obtained until a month after that. The 2 referees the staff member had detailed on their application form had not provided references; these had subsequently been provided by other people. However it was not clear what relationship they had to the staff member and what their professional designation was. New induction work books have been introduced in compliance with Skills for Care. Training records showed that a range of training had taken place covering topics such as enteral feeding, planning and managing risk assessments, basic life support, prevention of pressure ulcers, diabetes awareness and identifying abuse. Staff had also attended mandatory training in moving and handling, fire and health and safety. Staff said they felt they had plenty of training. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The manager has a good understanding of the areas in which the home needs to improve; nurses need to demonstrate a greater awareness of their roles and responsibilities. There are systems in place to enable residents to offer opinions about how the home is being run. Residents’ financial interests are safe guarded. Health and safety policies and procedures protect residents and staff. This judgement has been made using available evidence including a visit to this service. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager is registered with the CSCI and has completed the registered managers award. As stated in the last inspection report, although the manager is very ably supported by the deputy manager there still appear at times to be some issues regarding the willingness or capability of other staff members, particularly the nurses to accept responsibility and accountability when the manager and deputy are not at the home. Since the last inspection a residents/relatives meeting has been held. Suggestions made by the residents for example for a memo board with the date and day on etc had been arranged. Staff confirmed that staff meetings provided an opportunity for them to give feedback about how they felt the home was running and offer suggestions for changes they felt would be beneficial. Staff morale appeared to be good and staff said they felt they worked well as team and that the manager and deputy manager were approachable and supportive. Questionnaires had been sent to a total of 12 residents over the past 2 months. All feedback was positive with comments such as “(the home is) second to none”. Social Services deal with the personal allowance of the majority of residents, whilst others are assisted by their families. Records were maintained of weekly fire alarm checks and the service file was up to date for lifts, hoists, bath hoists and gas safety. All staff had received fire training and a fire drill was last carried out in April 2006. Staff confirmed that they were provided adequately with personal protective equipment such as gloves and aprons and that other equipment such as hoists was maintained in good working order. Staff were seen to be working using safe working practices. Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 Requirement The registered person must ensure that assessments include the social care needs of residents. The registered person must ensure that care plans are developed to address residents’ social care needs. The registered person must ensure that facilities are provided to meet residents’ social care needs, which suit their expectations, preferences and capacities. The registered person must ensure that staff are not employed until it has been confirmed that they are not included on the POVA register and that a CRB is applied for before commencement of employment. Timescale for action 30/11/06 2 OP7 15 30/11/06 3 OP12 16 30/11/06 4 OP29 19 30/11/06 Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP8 Good Practice Recommendations The registered person should ensure that care plans are more person-centred and detailed and should ensure that all staff follow the actions stated. The registered person should ensure that care plans include specific details about the type of pressure mattresses being used and the pump settings if applicable so that staff can ensure they are working properly. The registered person should consider how to enhance the mealtime experience for residents so it becomes more of a social occasion. 3. OP15 Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Treetops Nursing Home DS0000025457.V307283.R01.S.doc Version 5.2 Page 27 - 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. 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