Inspection on 11/07/07 for Valley Park Nursing Home

This inspection was carried out on 11th July 2007.

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

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

Other inspections for this house

Valley Park Nursing Home 31/07/09

Valley Park Nursing Home 19/07/06

Valley Park Nursing Home 06/03/06

Valley Park Nursing Home 07/11/05

Valley Park Nursing Home 07/03/05

Valley Park Nursing Home 05/10/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Valley Park Nursing Home Park Street Wombwell Barnsley South Yorkshire S73 0HQ Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 11th July 2007 08:20 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 Valley Park Nursing Home DS0000006493.V344839.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. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Valley Park Nursing Home Address Park Street Wombwell Barnsley South Yorkshire S73 0HQ 01226 751 745 01226 341 024 patl@mimosahealthcare.com None Mimosa Healthcare (No4) Limited 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) Mrs Pat Laverie Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons accommodated shall be aged 60 years and above, however, 3 people may be aged 55 years and above. Of the 57 beds, 22 are nursing care (N), 25 are personal care (PC) and 10 can be used as nursing or personal care 19th July 2006 Date of last inspection Brief Description of the Service: Valley Park is a care home for people with both personal care and nursing needs. The home has two levels and there is lift and stair access to both floors. It is divided up in to nursing and non-nursing sections. The bedrooms are all single room accommodation and some have en-suite facilities. There is a dining area and lounges for both floors. There is a wellfurnished room, where residents can meet their visitors in private. The home has extensive gardens, some areas are accessible for wheelchairs. There is parking at the front and side of the home. Valley Park is close to the centre of Wombwell. Within a short walk from the home is a range of amenities including the Post Office, shops, optician, hairdressers, community centre, churches and local clubs and a bus route. The manager provided the following information about the homes fees and charges on 4th July 2006. Fees range from £334.50 to £594.00 per week; depending on level of need and funding. This includes the nursing care components. There are additional charges for private chiropody and hairdressing. Prospective residents and their families can get information about Valley Park by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced; it took place between 8:20 am and 15:15 pm on 11/07/07. The inspector sought the views of people who live at the home, and spent time observing their care and support. She spoke to three members of staff. The new manager Leonie Shepherd assisted with the inspection. During the visit the inspector looked at the environment, and made observations on the staffs’ manner and attitude towards people. She checked samples of documents that related to peoples’ care and safety. These included four assessments and care plans, medication records, and staff recruitment files. The inspector looked at other information before visiting the home, this included the homes Annual Quality Assurance Assessment (AQQA), evidence from the last inspection and the following surveys: • • • People who live at the home – x 6 Relatives, carers and advocates – x 2 Visiting health or social care professionals – x 2 This was a key inspection and the inspector checked all the key standards. The inspector would like to thank the people who live at the home, the manager and staff for their warm welcome, help and contribution to this inspection. What the service does well: They provide people with good assessments and care plans so that they know the home will meet their needs. People have good health care and staff treat people with dignity and respect. People are very happy with the care and support they get from the staff team. People enjoy their daily routines and they said they are usually satisfied with the leisure and activity opportunities they get. They can go on outings, and entertainers visit the home. Some people said they were satisfied with the meals. And the manager had improved the presentation of the dining room. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 6 People and their family and friends said they could raise concerns and the staff or manager would take action to help them. The home dealt with complaints effectively and they had good adult protection (safe guarding adults) procedures including training all staff to understand poor practice. The home had paid attention to people’s dignity, safety and comfort. For example people they had new linen, towels and furniture. The manager had taken prompt action after starting employment at the home and addressed the staffing level concerns. The home followed safe recruitment procedures. This helps make sure they employ the right staff to support people. There are good quality assurance systems; these help the manager identify where they need to make improvements. There are good procedures to makes sure staff follow safe working practice procedures. For example they have training and there are regular checks on equipment and fire practices. What has improved since the last inspection? They had improved medication practices. This makes it safer for people who need support with their medication. Staff had removed the rusty toilet frame. The toilet frames are now safe and dignified to use. The manager confirmed that they would personalise people’s room doors as part of the homes refurbishment plan. This will help people identify their own rooms better. Better profiles about people’s lives, before they came to live at Valley Park, was part of the homes new care plan designs. All people should eventually have one of these. The local authority’s adult protection procedures are now available for staff to refer to. The home was in the middle of a major refurbishment; much of the environment had improved including, furniture, fittings and décor. This included people’s bedrooms. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Six not applicable because the home had not provided any intermediate care. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People have their needs assessed before they move in. This helps make sure Valley Park is the right place for people, and they can be sure the home can meet their needs. EVIDENCE: People had assessments before they came to live at Valley Park. This helped make sure the home understood their needs and confirm that they were able to care for them. The manager and qualified nurses assessed people’s needs, this continued after people moved in; this was good practice because it helped the home identify people’s changing needs and preferences. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 10 The manager said they consider peoples diverse needs at the point of assessment. (For example peoples, religion, culture, age and gender). The manager was introducing the organisations new corporate care plans. This included more detailed assessments including pressure care and falls. The assessments also looked at people’s likes, dislikes, choices and preferences. This was good practice and will help staff to understand people’s needs and wishes. The manager said she planned to re-assess all people’s needs over the coming year to make sure staff and the manager were up to date with people’s changing needs and their wishes. The manager also said in the AQQA (annual quality assurance assessment) report that she had provided staff with an equality and diversity handbook. And that she planned to further raise staff awareness on equality and diversity through improved training. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People have care plans that reflect their needs; and people were happy with how the home met their health care needs. Staff treated people with dignity and respect. In the main medication practices are safe, however staff need to improve some recordings and the medication trolleys cleanliness. EVIDENCE: People said about their care, “In the time I have been in valley Park everyone has been kind and caring with my best interests at heart” “I am happy” “A very good service.” Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 12 The manager said the in the AQAA (annual quality assurance report) that each person has a health and personal care care-plan. The inspector looked at four of these care plans. The information covered people’s needs and used assessments to base people’s care plans on. These included people’s personal and health care needs. The manager said the home was in the process of improving the plans. She planned to do this by using the organisations quality management systems and staff training. People said they were happy with how staff met their health care needs. One person said the nurse comes often to check their health condition. And another person who said they had complex health care needs said the nurses understood their health care needs well. Both said they could see a nurse or ask for a G.P whenever they wanted. One relative said, “They arrange prompt medical assistance when required”. In the surveys relatives and friends said the home always kept them up to date with important changes and people said they always received the medical support they needed. The inspector observed a medication round, carried out by a nurse. In the main the procedures were safe and respected people’s choice and dignity. For example, the nurse spoke to people and asked them how they were, and gave them information about their medication. During the medication round one person received medication without an up-todate medication record. And some records did not have the reason for why ‘as required’ medication was given. For example if someone had painkillers there was no record on the chart to say why. These practices do not help make sure people receive safe medication and does not help monitor their changing health care needs. The medication trolleys were tidy, however, both had an accumulation of dirt on surfaces and in crevices. This does not help staff to follow hygienic practices. Staff had improved medication practices following the previous inspection a year ago. People said they were happy with the way staff respected their privacy and dignity. Staff knocked on doors before entering their rooms and asked people permission before they carried out tasks. The manager described the staff team as ‘caring and thoughtful’ in respect to peoples privacy and dignity. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People are satisfied with their daily routines and activities provided by the home. Some people are satisfied with their meals others are not; the manager needs to investigate this. EVIDENCE: People said they were satisfied with their daily routines. Most people said they were happy with the amount of activity and social opportunities at the home. One person commented, “It suits me, I choose what I want to do” Another person said they preferred to spend time alone, and staff, “pop in for a chat”. The manager said she was improving people’s social profiles in their care plans. This will help staff know more about how to support people to meet their social needs and preferences. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 14 The home employs an activities co-ordinator who arranges group and one-toone activities. People in the surveys said the home “usually” arranged activities that they could take part in. Staff had arranged a seaside trip for people and other activities included outside entertainers visiting the home, bingo and quizzes. People at the home and their relatives said the home welcomes people’s visitors and helps them to keep in touch. The home has a lounge where people can meet their visitors in private if they wish. Some people said they always enjoyed their meals, others said they sometimes enjoyed their meals. People made the following comments, “Meals are not always imaginative and I do not always get what I requested”. “ We have a choice of menu, but we choose the day before. I have forgotten what I have chosen and on occasions I have been given food I know I wouldn’t choose because I don’t like it”. The inspector observed a mealtime. The manager had improved the standards of the dining area by making sure tables were always properly set, using matching table cloths and providing serviettes. The manager said she was also abolishing the use of plastic disposable aprons because they did not promote people’s comfort and dignity. She had ordered alternative clothes protectors to replace them. The mealtime was relaxed and staff helped people who needed support. The inspector spoke to people who said they enjoyed their meal, and noted staff encouraged people to have drinks. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People are protected by the homes complaints and safeguarding policies. EVIDENCE: People said they were confident they could complain or raise a concern and the staff or the manager would listen and take action. One person said they had shared a concern with the manager and was happy with the manager’s response. The manager said she had an ‘open door’ policy for people, relatives and visitors. She said they (the manager and staff) try to act quickly, efficiently and sensitively to complaints and concerns. The complaints procedure was on display at the home and people and their relatives said they knew how to complain if they needed. The manager said she they had dealt with one complaint with a successful outcome. And the home was not dealing with any adult protection (safeguarding adults) concerns. The Commission for Social Care Inspection had not received any complaints or adult protection referrals. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 16 The home had adult protection procedures available for staff to refer to. This is good practice because it makes sure staff can take prompt and correct action if they are concerned that someone may be at risk of harm or abuse. Staff interviewed said they had adult protection training and knew what to do to help keep people safe. This included identifying bad practice. The manager confirmed that adult protection training (safeguarding adults) was included on the staff-training schedule this year. Valley Park Nursing Home DS0000006493.V344839.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23 and 26. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People live in safe, clean and comfortable surroundings. EVIDENCE: People said they were happy with the homes environment. They said it was clean and the furniture and furnishings were comfortable. The home was in the middle of a major refurbishment. This included repairs, redecoration, new furniture and fittings, fitting handrails in corridors and refurbishing bedrooms. The home had new windows with restrictors for people’s safety and some doors had fireguards to allow people to keep their room doors open. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 18 The manager said they would personalise people’s doors as part of the refurbishment. Personalised doors will help people recognise their own rooms better. The manager had also arranged for new bed linen and towels. The home shared a central laundry with other Mimosa homes, the laundry had new equipment and staff said the laundry system was working well. People’s clothes looked clean and well laundered. The inspector noted that some wheelchairs had accumulated dirt, dust and food around the frames. This did not promote people’s hygiene and dignity. Valley Park Nursing Home DS0000006493.V344839.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People had not been satisfied with the staffing levels. The manager had made improvements to make sure better recruitment and training systems were in place. People had not been satisfied with the staffing levels. The manager had made improvements to make sure better recruitment and training systems were in place. EVIDENCE: People said about the staff team, “They are kind and friendly, and always alright with me” “Staff are very kind and caring” Some people told the inspector that they were concerned about staffing levels. This included people who live at the home, relatives and professional visitors. Comments included, “improve staffing levels”, “increase staffing levels”, and “there have been occasions when shortage of staff has caused problems”. Other people said staff were “usually” available when needed. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 20 The inspector discussed these concerns with the manager. The manager said she had reviewed staffing levels and was in the process of employing new staff. This should alleviate the problem. The manager also confirmed that if they admitted more people to the home they would increase staffing accordingly. And that the re-assessments the manager planned to do would help identify people’s changing and increased needs that have an impact on staff availability. The manager confirmed that almost 50 of staff had a National Vocational qualification in care at level 2 or above. This helps the home to provide safe and consistent care. NVQ opportunities were available for staff who did not have the qualification. The inspector checked three recruitment records. The manager had reorganised these to show that all necessary information for safe recruitment was in place. The records were tidy, up-to–date and included information to show they had checked the suitability of staff thoroughly. The manager had carried out an audit on staff training and identified gaps where staff needed up-date or new training to meet peoples care needs. Some of this training was available through the homes own training resource and the manager had nominated staff to attend. Planned training in care subjects included, diet, tissue viability, mental health and writing care plans. Valley Park Nursing Home DS0000006493.V344839.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. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38. Standard 31 not applicable at this time. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People live in a well-run home. They receive safe and consistent care because the home follows good quality assurance and health and safety practices. EVIDENCE: The manager had been in post for about six weeks. The manager said she was a qualified general nurse and had a qualification in health studies. She had over 8 years experience managing care services. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 22 The inspector did not measure standard 31 because the manager had not yet completed her application for registration with the Commission for Social Care Inspection. The home had good quality assurance systems in place and the new manager had used these to look at where she needed to make improvements. These included medication, care-plans, training and recruitment systems. Improvements to the home were evident and one member of staff said they recognised this. People who lived there also said they believed things would now get better. People and staff said they felt they could approach the manager and she was positive and motivated. The inspector did not view any people’s finance records. The room they were stored in was not accessible because of the refurbishment and decoration work. The manager did however have a record of a recent finance audit and this met the organisations (Mimosa Health Care) quality standards. The manager said she had looked at the system, and although it was safe she had identified improvements to make the system more robust. The manager said she planned to do this once the workmen moved from the room. The manager had carried out an audit on the homes health and safety systems, where she had identified poor practice or missing documents the manager had taken action to correct these, for example moving and handling practices and electrical maintenance certificates. Safe working practice training, such as fire, food hygiene, moving and handling and first aid were included in the homes training plan for the year. Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X x 3 X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Valley Park Nursing Home DS0000006493.V344839.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 OP9 Regulation 13.2 Requirement Staff administering medication must use current and accurate medication records. The manager must consult with people and check what they think about the choice and quality of meals. People’s preferences and comments must be considered to improve people’s satisfaction in their meals. Timescale for action 31/08/07 2 OP15 12.3 31/08/07 Valley Park Nursing Home DS0000006493.V344839.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 Refer to Standard OP9 Good Practice Recommendations The manager should make sure that all staff record the purpose of ‘as required’ medication on the medical records chart. This will help make sure staff can refer to consistent and accurate records to help monitor people’s health. 2 3 OP9 OP26 The manager should make sure there is a regular cleaning system to keep the medication trolley clean and hygienic. The manager should make sure there is a regular cleaning system to keep people’s wheelchairs clean and hygienic. This will also promote people’s dignity. The manager should continue to monitor staffing levels and check people’s satisfaction about staff availability. 4 OP29 Valley Park Nursing Home DS0000006493.V344839.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Valley Park Nursing Home DS0000006493.V344839.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. 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!