CARE HOMES FOR OLDER PEOPLE
Valley Park Nursing Home Park Street Wombwell Barnsley South Yorkshire S73 1QZ Lead Inspector
Mrs Sue Stephens Unannounced Inspection 19th July 2006 10:30 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.V300368.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.V300368.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 1QZ 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.V300368.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 6th March 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. 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 well-furnished room, where residents can meet their visitors in private. The gardens are pleasant to sit in; and there are gazebos, and garden furniture for the residents. The home and gardens are accessible to wheelchair users. 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. Nursing care Medium band £405.50 High band £449.25 NHS Nursing Care Component £ 83.00 £133.00 Residential care £315.00 Additional charges Private Chiropody - £9.00 Hairdressing - £5.50 set - £20 perm 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.V300368.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 10:30 am and 4:30 pm. The inspector sought the views 10 residents, 3 relatives, 1 health care specialist, and 6 staff. The inspector also observed the care of some residents. The manager assisted with the visit and checks were made on samples of documents relating to the residents care and safety. During the visit to the home the inspector also looked at the environment, and made observations on the staffs manner and attitude towards the residents’. The inspector checked a sample of records. These included four assessments and care plans, three medication records, two staff recruitment files, training records, and health and safety records. The inspector looked at other information before visiting the home, this included reports made by the provider about the home and notifications (information about residents welfare and changes to the home). There had been no concerns, complaints or allegations about the home made to the commission since the last inspection. The inspector did not issue surveys to residents, families and other professionals on this occasion. The commission has produced new surveys and these will be used on the next inspection. The inspector would like to thank the residents, relative, staff and the manager for their assistance in this inspection. What the service does well:
The residents said they were very happy at the home and they said they receive good care. All the residents made good comments about the staff, they said they were helpful and kind and “they will do anything for us”. The residents said the manager was approachable and often asked them how they were. The residents could tell the staff or manager if worried them. Relatives said the home looked after their family member well. They were pleased with the staff and felt that the staff and manager listened to their ideas and suggestions. Each resident had an assessment before they were admitted to the home. This made sure the staff understood the residents’ needs and the support they needed. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 6 The home kept good records about the residents; this helped to make sure people got safe and continuous care. The residents said the staff understood their health needs and they had support to see a G.P or other specialist when needed. A visiting health specialist spoke highly about the home and said the staff were very good with the residents. She said the staff knew when to make appropriate referrals for the residents. Staff were mindful of the hot weather and made extra efforts to keep people cool and comfortable. The residents said they were satisfied with the activities the home provided. They had the opportunity to go on outings such as seaside trips. Staff at the home did fundraising to provide extra activities for the residents. Residents could attend religious services provided at the home and the gardens were well maintained and pleasant to sit in. The home provided tasty and nutritious meals and the kitchen staff understood about special diets. The residents said they were happy with their meals. They had regular drinks and snacks. People who needed assistance when eating got dignified support from staff. Staff were trained to identify poor practice and take action if they suspected a resident was not safe. There was good information on display about advocacy support. The residents said they were happy the cleanliness of the home. They said their chairs, beds, and rooms were comfortable. Staff made people who stayed in their rooms comfortable, and their beds were fresh and clean. The home encouraged people to personalise their own rooms. The domestic staff were very positive and said they had sufficient cleaning materials and time to keep the place clean. The home was careful with people’s clothes and laundry and the residents looked clean and presentable. The residents were happy with the staffing levels. The staff had good training to help them understand about the residents’ health and care needs, and safe working practises. This helped make sure the residents got safe and professional care. The home had a system to carefully check staff before they could work at the home. This helped make sure the residents were safe and had the right people to care for them. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 7 The residents said staff were “excellent”, “marvellous” and “very understanding”. And the relatives said staff “were really caring”. The home was well managed. The manager was skilled and experienced and made regular checks on the residents’ welfare and the home. What has improved since the last inspection? What they could do better:
The home needs to try and get more information about a person’s history. This will help staff to understand the residents past, and keep people’s history and achievements alive. It may help some residents if the bedroom doors were personalised at a suitable height. This could help the residents identify their own rooms better. For example with names, photos or pictures. Staff need to follow some medication practices in a safer way. The home should always have the local authority’s adult protection procedures available for staff to refer to. This will help to make sure that people know what to do and who to contact if they suspected a resident may be at risk of harm. The rusty toilet frame needs to be replaced to make sure people do not hurt their legs. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 8 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. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 9 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.V300368.R01.S.doc Version 5.2 Page 10 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): 3 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home can understand prospective resident’s needs and aspirations, before they come to live at the home. The home was not caring for people with intermediate care at the time of this inspection and the standard has not been checked. EVIDENCE: Each resident had an assessment; this was carried out by the home before they moved in. The assessments covered all aspects of the residents needs. The manager said she usually carried out the assessments herself, so that the manager was sure the home could meet the person’s needs. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 11 The assessments were kept with the persons care plans. The care plans were drawn up from the information in the assessments. When some ones needs had changed the home reassessed the persons needs and drew up new care plans. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 12 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. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The care plans set out the residents’ health and personal needs very well. The residents’ receive good health care, however some of the medication practises were not always safe and consistent. A caring and thoughtful staff team respect the residents’ dignity and privacy. EVIDENCE: The home kept the residents’ records neat and up to date. The care plans and records held good information about the person and this included their preferences, for example if they preferred to sleep with the bedroom door open. This was good practice. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 13 The care plans were set out very clearly so that staff could see what the person’s care needs were, and what staff needed do to care for them. This was good practice and helped to give the residents safe and consistent care. The nurses and senior carers reviewed the plans regularly, and the manager did audits to check that the plans were in good order. The manager confirmed that if a resident wished to be more involved in their plans the home would encourage them to do so. The care plans recorded peoples health needs. The staff recorded when people had been to health care appointments or seen a specialist. The plans also recorded any changes following this, for example instructions about pressure care from the tissue viability nurse. The residents and relatives said that the home was very good at looking after people’s health needs. One relative said the home was good at keeping them informed about their family members condition. The health care specialist gave good feedback about the home. She said the home was eager to seek advice and listened to her recommendations. The specialist also said the home was good at making referrals and the nurses understood their knowledge boundaries. The specialist said the home “most certainly” had a good professional relationship with her service. She said there was “mutual respect” and she had got feedback from her patients that the staff at Valley Park were “wonderful”. In the main the home managed peoples medication safely. However there were some practices that did not fully promote peoples safety. • The home had not recorded the receipt of medication properly. This would make it difficult to audit the medication and check who had booked it in and when. • Some bottles had spills over the edge and had started to cover the labels. • There was only one signature on the controlled drug records for nursing care residents. There must always be two to confirm the administration and remaining total of medication. The residents and relatives said they were very satisfied about how staff respect people’s privacy and dignity. One resident said she was confident with the staff, and said the staff had been very understanding about a dignity issue that bothered the resident. The inspector observed some residents who remained in their rooms because of their health needs. The staff had dressed these people nicely, they had positioned them well for comfort and their covers were fresh and clean, and the rooms looked clean and presentable. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 14 The inspector also noted that when a resident asked the staff to leave the resident’s room the staff did this promptly and without fuss. The inspection visit was on one of the hottest days of the year. The inspector noted that staff were attentive to the residents, they positioned fans safely, kept people away from the sun and encouraged people to take plenty of drinks. Most of the bedroom doors looked the same; this made it difficult to tell one from the other. Some doors had names on but these were high up and above the height of most of the residents. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 15 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. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home provided suitable activities, routines and community contact. The home could improve this by having better information about the past histories and lives of the residents. The home respects and supports the residents’ autonomy and choice. The home gives the residents wholesome appealing meals in a relaxed and calm manner. EVIDENCE: The home employed an activities coordinator. The coordinator was responsible for arranging group, one-to-one activities, and outings. The one-to-one activities were good practice because it included people who were unable or too unwell to join in the groups. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 16 The home had arranged two outings to the seaside so far this year. The manager said staff at the home carried out fundraising for the residents. For example one lady had shaved off her hair and raised money for the residents activity fund. The inspector commended the staff for their positive attitude towards making positive experiences for the residents. Residents who had returned from a seaside trip the day before said they had thoroughly enjoyed it. They had a large hired coach and enjoyed their meal out. The staff talked about the trip with the residents and one resident said, “It was wonderful, I have never done anything like that before”. The home employed a hairdresser 5 days a week. Residents could have their nails and hair done regularly in the home’s hairdressing salon. The home provided other activities such as quizzes, bingo and baking and hired entertainers. The home provided a place for residents to attend church services. The services were Anglican, Catholic, Methodist and the Salvation Army. This was good practice because it recognised and supported people’s diversity needs. There was not enough information about people’s history and life. Some of the resident’s were unable to communicate about their past. It would benefit the residents if the home sought better information about the persons past lifestyle. This could be what they had done in the past, and major events and achievements in their lives. This would give staff a better understanding about the person and they could talk to the resident about past events, and help keep people connected with their history. There was good information on display near the entrance hall. This told people how to contact different agencies that could help them with their rights, for example benefit rights and advocacy. The information was clear and easy to see. The inspector joined 5 residents for lunch. The residents said they enjoyed their meals and that there was plenty to eat. The food was hot, tasty and nutritious. The meal was served in a calm and pleasant atmosphere, and the staff were very attentive. A staff member noticed that a resident had not eaten much of her meal, because she did not feel like eating. The staff brought the resident a cool milkshake to replace her meal. This was very good practice and showed care and consideration towards the residents. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 17 The cook said she had written information about each resident, this meant that the kitchen staff understood the residents’ dietary needs. The cook also spent time talking to the residents and she said, if people were not happy about the food they would tell her. There were clear instructions on display in the kitchen about people’s diets and preferences. The kitchen staff were clear about the difference between soft and liquidised diets. This was good practice. The inspector observed a resident who needed assistance with feeding. The member of staff was attentive to the resident and supported the resident in a dignified and discreet manner. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 18 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 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents could raise concerns and complaints and the home would take action. Staff were trained to identify poor practice and keep residents safe from abuse. EVIDENCE: The complaints procedure was on display in the entrance hall. The residents and relatives consulted said they were confident about raising concerns. They all said the manager and staff were “excellent” and would listen and take action. Typical comments about the home included “I have no complaints at all” “I can complain and they (the manager and staff) will do anything for you”. A staff member interviewed by the inspector had good knowledge and was confident about how to handle a complaint. The staff had received adult protection training. The staff member said she understood what to do if she was concerned about a resident. The staff member was also able to give good examples of what was bad practice and how she would report it.
Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 19 The manager had arranged for staff to receive further training on adult protection in the near future. The home did not have the local authorities procedures available. They need this to make sure they follow correct procedures if they suspect a resident may be at risk of harm. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 20 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 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home was clean and comfortable, it had a welcoming feel and the residents said they were happy with it. EVIDENCE: The residents said they were satisfied with the homes environment. They said the home was clean, they had fresh linen and comfortable beds and they liked their rooms. The home had redecorated and refurbished some areas, for example the visitors’ lounge. This had coordinated décor and furnishings and new furniture, the lounge was fresh, clean and inviting. Some other areas of the home were ready for re-decorating. The manager said she had a maintenance schedule to address this.
Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 21 The home redecorated the bedrooms before a new resident moved in. The staff remarked that the maintenance person did a good job at keeping the home maintained. The home was fresh and clean. The inspector spoke to a housekeeper and two domestic staff. The domestic staff had a schedule to make sure that all areas of the home were cleaned. They had good supplies of cleaning materials and they said the cleaning equipment was in good working order. The housekeeper and domestic staff had a very positive attitude towards their work and it was evident there was good teamwork. In the living rooms and dining areas there were a variety of chairs to sit in. And there were footstools, and small tables for residents to put their drinks on. In the entrance hall there was a collage of photos of the residents and staff enjoying a seaside trip. The inspector viewed a sample of the residents’ rooms. The home had encouraged the residents to personalise their rooms. These included memorabilia and photos of the residents’ younger years. The home kept the rooms well aired. The laundry facilities were suitable and the residents said they were satisfied with their laundry service. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 22 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. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home employs sufficient staff with to meet the needs of the residents. The home’s good recruitment procedures help to protect the residents. Staff are well trained to give the residents good care. EVIDENCE: The residents said they felt there were enough staff to support them at times when they needed them. The manager said the home had low sickness levels and it was rare for the home to be short of staff. There is always a qualified nurse on duty. One resident said “sometimes they (the staff) say can you wait a second or two, but that is to be expected”. Over 50 of the care staff had a National Vocational Qualification in care at level 2 or above. This meant the staff had good knowledge about the principles of care. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 23 The inspector checked two staff recruitment records. The home had followed correct and robust procedures, these included equal opportunities and vetting staff for their suitability. Staff said that they received good training, and gave examples such as dementia care and adult protection. The health care specialist who visits the home said that when she delivers training to the staff they are always eager to learn and there is always good attendance. The manager had arranged training for the future months. The planned training included patient care, pressure sore care, continence and catheter care. The residents, relatives and health care professional made the following comments about the staff: Residents: “They are excellent staff” “I love them all because they are so good to you” “They are marvellous” “They put you at ease” “They are very understanding and very comforting” “I’m very very well looked after”. Relatives: “We laugh and joke with the staff and manager” “They work their socks off” “They are really caring” “Everything we have asked for, for (family member) we have got”. Health care professional” “They are most caring”. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 24 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 The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents benefit from the good management of the home, and they receive good quality care. The home carries out frequent checks to test the quality of care and safety of the residents. The manager identifies the areas for improvements and takes action as they arise. The home manages the residents’ finances safely and responsibly. Staff follow good safe working procedures to help make sure the residents are safe and comfortable. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 25 EVIDENCE: The manager was experienced and had good qualifications to support her role. The residents, relatives and staff spoke very highly about the manager. These are some of the comments made about the manager: Residents: “She is a very good manager, she helps me with a problem” “We have a laugh and joke with Pat” Staff “She (Pat) is very good” “She (Pat) is fair” and “you can talk to Pat”. The manager used the Mimosa Health Care quality audits and these were good tools. ‘Heads of departments’ carried out audits on the home and its records. The manager then carried out her own audits and she followed up where there was a need for improvement. This was very good practice. The providers carried out regular checks on the home and made reports about their findings. The staff received regular health and safety training and followed safe working practices. Staff used correct moving and handling procedures to manoeuvre residents. For example they used slide boards and slide sheets and encouraged people to try and help themselves. A staff gave examples of the safe working practice training she had received. These included moving and handling, fire, food hygiene, and health and safety. The home carried out regular fire checks on equipment and appliances, and staff had been involved in fire drills. A toilet frame had started to rust on the legs and bar; anyone using the frame could scratch or hurt their legs. Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 26 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 3 X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? N0 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 Requirement When the home receives medication the date, quantity and signature must always be recorded. Medicine labels must be kept clean. Medicine spills and medicine on bottles must be cleaned up immediately as they occur. Medicines must be poured away from the labels. There must always be two signatures on the controlled drug records. The toilet frame with rust must be removed and replaced with a safe appliance suitable to the residents needs. Timescale for action 31/08/06 2 OP38 13 and 16 31/08/06 Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 28 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 OP10 Good Practice Recommendations The home should consider ways to personalise bedroom doors to help people identify their rooms easier. This should be at a height the person can see and not too high up the door. The home should try to put together better profiles about people who are admitted into the home. The home should always have the local authority’s adult protection procedures available for staff to refer to. 2 3 OP12 OP18 Valley Park Nursing Home DS0000006493.V300368.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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