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Inspection on 29/11/07 for Waltham Hall Nursing & Residential Home

Also see our care home review for Waltham Hall Nursing & Residential Home for more information

This inspection was carried out on 29th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

People coming into the home receive a full assessment of their needs. There was good evidence of the Registered Manager and her team having developed good links with health care professionals. Many residents` bedrooms were seen. The rooms were pleasant and homely. Some residents had potted plants in their rooms to recreate their own homely environment. The domestic staff that spoke with the inspector was very well informed about her duties and had a good understanding of the training that she had received relating to her area of work. A housekeeper is employed at this home and she instructs the domestic, laundry staff and maintenance person. This arrangement appears to work well.

What has improved since the last inspection?

The reporting of incidents to the Commission for Social Care Inspection (CSCI) has improved. Improvements in the administration and storage of medications have been improved although the care staff must be encouraged to sign for any creams that they give. The management of residents` money is better managed now.

What the care home could do better:

Care staff must be reminded to sign for any medicines that they give such as creams. Staff must ensure that they remain sufficiently flexible in their approach to respond to the changing needs of any resident. Residents and their visitors must be encouraged to use the complaints procedure. Staff should ensure the privacy and dignity needs of all residents are respected at all times. Some residents who live at the home request improvements in the area of activities. Residents` meals should be reviewed to ensure that they meet the needs of all the residents including those on liquidised diets.

CARE HOMES FOR OLDER PEOPLE Waltham Hall Nursing & Residential Home Melton Road Waltham On The Wolds Melton Mowbray Leicestershire LE14 4AJ Lead Inspector Lesley Allison-White Key Unannounced Inspection 10:00 29th November 2007 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 Waltham Hall Nursing & Residential Home DS0000001931.V348174.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. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Waltham Hall Nursing & Residential Home Address Melton Road Waltham On The Wolds Melton Mowbray Leicestershire LE14 4AJ 01664 464865 01664 464881 waltham-hall@tiscali.co.uk 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) Claregrange Limited Mrs Patricia Jane Fielder Care Home 61 Category(ies) of People whose primary care needs on admission registration, with number to the home are within the following of places categories:Old age, not falling within any other category - Code OP Physical disability Code PD The maximum number of service uses who can be accomodated is 61. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission are within the following category: Old age, not falling within any other category - Code OP. Physical disability - Code PD. The maximum number of service users who can be accommodated is 61. 2 Date of last inspection 22nd August 2006 Brief Description of the Service: Waltham Hall Nursing and Residential Home is situated in the Leicestershire village of Waltham on the Wolds and is registered to provide personal and nursing care to sixty-one persons over the age of sixty-five. Accommodation, which can be found on two floors, is accessible by two shaft lifts. Communal areas including dining rooms and lounges can be found on both floors. There are forty-eight single bedrooms with ensuite facilities, eleven single bedrooms without ensuite facilities and one double bedroom with ensuite facilities. There is a large garden to the front, side and rear of the building, which is well maintained and accessible to all residents, relatives and visitors. A large car park is available for visitor parking. The home enjoys pleasant views over the surrounding countryside. Fees are charged weekly and range from £424.00 to £630.00 and over according to continuing care needs. Additional charges are made for other facilities, such as hairdressing, private chiropody and magazines and Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 5 newspapers. The Statement of Purpose, the Service User Guide and the current Commission for Social Care Inspection (CSCI) report are available for residents and their families on request. (This is information about how the home is managed and the facilities provided.) The Employers Liability Certificate is displayed in the hallway near to the nurses’ downstairs office. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care inspection is on outcomes for residents and their views of the service provided. The inspection took place on a Thursday. It took five hours to complete. This home provides care for up to sixty one residents, there were fifty eight residents in the home on the day of inspection, falling within the category of old age or with a physical disability. In planning for this inspection questionnaires were sent to residents and their relatives. The response was good. The service history was also used. The Annual Quality Assurance Assessment form (AQQA, current information about the service) was received from the provider. The primary method of inspection used was “case tracking”. This involved speaking to the residents who use the service provided, looking at two residents care plans, making observations, talking to four residents in detail and observing care practices. Invited to this inspection was an ‘expert by experience person’ who is a volunteer who is able to observe practices and speak to many different people at the inspection mainly residents, their relatives and any friends of residents present at inspection. The information obtained is then recorded and included within this report. All the required key standards were inspected during this visit. The requirements of the last inspection report were met and new requirements have been made. The Registered Manager and deputy manager assisted during the inspection. What the service does well: People coming into the home receive a full assessment of their needs. There was good evidence of the Registered Manager and her team having developed good links with health care professionals. Many residents’ bedrooms were seen. The rooms were pleasant and homely. Some residents had potted plants in their rooms to recreate their own homely environment. The domestic staff that spoke with the inspector was very well informed about her duties and had a good understanding of the training that she had received Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 7 relating to her area of work. A housekeeper is employed at this home and she instructs the domestic, laundry staff and maintenance person. This arrangement appears to work well. What has improved since the last inspection? 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. Waltham Hall Nursing & Residential Home DS0000001931.V348174.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 Waltham Hall Nursing & Residential Home DS0000001931.V348174.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have information about the home in order to make an informed decision about whether the service is right for them. EVIDENCE: Assessments in the home are made prior to admission although many of the residents find the admission process difficult to recall as their relatives dealt with the admission process. Some of the residents who spoke with the inspector had poor memory recall due to their condition. The personalised needs assessment ensures that people’s diverse needs are identified before they move into the home. The Statement of Purpose and Service User Guide have been updated to reflect the current resident population and facilities available to them. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 10 Waltham Hall does not provide intermediate care however they are now able to accept people of a younger age group with a physical disability. Standard 6 is not offered at this home. Waltham Hall Nursing & Residential Home DS0000001931.V348174.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are aware of the need to treat residents with respect and to consider dignity when delivering personal care however there have been occasions when this has not appeared to have happened. EVIDENCE: Four residents were selected to speak with the inspector two of these residents were case tracked, this included people with different care needs. The care plans of two residents case tracked in detail were satisfactory as they included all the relevant details needed for the care of the residents. Assessments in the care plans seen were up to date they included; nutritional screening, moving and handling information, risk assessments for trips and falls and skin viability assessments were carried out. There was good evidence of the Registered Manager and her team having developed good links with Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 12 health care professionals. In both care records there was clear evidence of care planning and follow up treatments when needed. In the Annual Quality Assurance (AQQA) completed by the Registered Manager to the Commission for Social Care Inspection (CSCI) the Registered Manager and her team of nurses feel capable of providing appropriate care for residents who have a terminal illness and use the Liverpool Care Pathway as part of their care package and are trained to do so. Carers assisted residents to move safely. The inspector observed transfers including a resident walking between two staff members. In this way residents are encouraged to remain independent. Privacy and dignity is respected as staff manage continence in a sensitive manner and appropriate equipment is used. Most residents who spoke with the inspector felt their care needs were met and that they were treated with respect and their dignity maintained. A recommendation has been made to ensure that staff consider privacy and dignity in all aspects of care. However one resident explained that they sometimes asked for help with personal care but did not receive any. This person was usually independent. Staff should be able to attend to any resident at any time that the needs of the individual changes. A requirement has been made to ensure that staff respond to the changing needs of residents through the assessment process. One family told the ‘expert by experience person’ that they were happy with the care that their mother received generally. On one occasion however, they were upset when they visited their mother. The inspector followed up the incident with the Registered Manager after the inspection although the Registered Manager that had not been made aware of the incident. Unfortunately this was not explored at the time of the incident, as they had not made a formal complaint to the person in charge of the shift. A requirement will be made to ensure visitors and residents feel able to use the complaints procedure. The medications of four residents were seen there were still a few minor errors however the overall impression of the inspector was that improvements have been made in this area and medications are managed and stored safely. Carers should be reminded to sign for the medicines that they give such as creams. A requirement has been made for medicines to be correctly managed at all times. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 13 Two controlled drugs were checked and found to be satisfactory. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Activities within the home do not always succeed in meeting the identified daily and social needs of residents. EVIDENCE: The ‘expert by experience’ person who is a lay person and volunteer was able to provide general and useful insight about the lifestyle and the opinions of residents living at the care home. People who spoke to the ‘expert by experience’ person felt there was a lack of stimulation. One person explained that they felt the person that they visited was not being stimulated and was getting worse. The visitor did not see any evidence of the person that they visited being assisted to walk or stand and although the person had physical disabilities now they felt they were mentally alert and wanted more to do. However, the Registered Manager explained that this individual has been thoroughly assessed by a Physiotherapist and would be unsafe to try and mobilize and it is possible that the visitor may not have been made aware of this. Some of the residents who spoke with the inspector or the Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 15 ‘expert by experience’ person felt that although the home provided a relaxed comfortable atmosphere they would prefer to have more activities to do. Many people who lived at Waltham Hall preferred to stay in their bedrooms and some received their visitors in their rooms. An activities person is employed every day as per new Service User Guide. A full time member of staff is employed, one volunteer and a team of care assistants. However residents who spoke to the expert by experience person felt that more activities were needed. It was noticed that there was no activities board to inform residents or their visitors about the activities that took place. One resident who completed a questionnaire from CSCI wrote that they were mainly in bed and never had any activities provided for them to do. A recommendation has been repeated for this area as individuals continue to feel that their social needs are not well addressed. Resident meetings are held. Meetings for visitors are also held however they are not always well attended. Visitors did comment to say that they thought that the staff were responsive to any suggestions. Church services are held at the home on the first Tuesday of the month and residents’ wishing to attend can do so. One relative commented that ‘if it were not for the visitors far more staff would be needed to assist with residents’. Comments about staff from residents and relatives also included ‘everyone was gentle and kind to them’. ‘The environment was comfortable, clean and warm’. A meal time was seen being taken in two downstairs dining rooms. Some people needed help. The staff provided this. However a number of residents were not in this lounge area with some residents dining in their bedrooms or somewhere else. Residents also commented that they were offered and received a wonderful cooked breakfast each day. Residents’ comments on meals varied. One resident commented in a questionnaire that they had liquidised food and it did not taste as if it varied. This is an area that the cook should review to ensure that all residents’ needs are catered for and that all meals are appetising and attractive to eat. A recommendation has been made for improvements in this area. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Registered Provider has procedures for dealing with complaints and protection giving protection to residents. However residents and their relatives need to be encouraged to use this facility when they have concerns. EVIDENCE: The Commission of Social Care Inspection has received two complaints about Waltham Hall since the last inspection. The Registered Manager was able to show the inspector the staff training records. Adult Protection training is included in this and is on going as new staff is employed to ensure that residents living at the home are still protected. The inspector interviewed three staff members and spoke with other staff also. The staff members who spoke with the inspector were able to describe their induction process and training received whist working at Waltham Hall. They felt supported to deal with most care or domestic situations. There are policies and procedures for dealing with complaints and protection. This protects residents. The Complaints procedure is included in the Service Users Guide. One resident commented Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 17 ‘I have trouble in expressing myself and find it easier to explain to my daughter any problems and concerns I have. She then communicates my concerns to a staff member. Unfortunately the line of communication between staff members is not always good.’ Some relatives who spoke with the inspector felt able to express their concerns or complaints and knew that the Registered Manager would address them. However other relatives described a situation that they should have expressed to the Registered Manager or other senior staff and it is disappointing to see that not all relatives felt they could use the procedures as intended. Better awareness of how to use the complaints procedure must be made available to residents and their visitors. A requirement has been made in this area. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a safe, hygienic and comfortable environment. EVIDENCE: The inspector and the ‘expert by experience’ person found access to the home confusing, as it was not clearly signposted as to which door was the main entrance area. The Registered Provider should review the entrance and exit door to the building as part of a Health and Safety provision relating to fire safety. It was noticed that although the rooms had door numbers by the door knob it was not always easy to see and perhaps to help both visitors and residents to find their way to a room the persons name could also be added to the door as another form of identification if the resident agreed to this. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 19 The bedrooms of many residents were seen. The rooms were pleasant and homely. Some residents had potted plants in their rooms to recreate their own homely environment. Rooms seen were well decorated, however a number of waste paper baskets were very full before they were emptied. Public areas appeared clean however some bathrooms appeared cluttered with equipment. The domestic staff seen on inspection worked to provide residents with a safe and hygienic environment. The domestic staff that spoke with the inspector was very well informed about her duties and had a good understanding of the training that she had received relating to her area of work. A housekeeper is employed at this home and she instructs the domestic, laundry staff and maintenance person. This arrangement appears to work well. The Christmas décor was arranged around the banister of the stairwell. A visitor pointed out that it might be dangerous, as people would avoid using the banister. This was discussed with the Registered Manager for removal and relocation to the bottom of the winding steps used by the general public. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a recruitment procedure. Supervision of staff takes place and ensures that the home provides a staff team that meets the needs of and protects residents. EVIDENCE: Staff rotas were inspected and reflected good deployment of both nursing and care staff to meet the needs of current residents. Staff provided cover for days and nights. Additional staffing for meal times could be considered for the highly dependent residents although general assistants are employed to help at these times. Staff who spoke with the inspector said that they had been given training including health and safety, moving and handling, fire safety, care of the elderly and dementia care training. Fifty percent of staff was either trained or in training to achieve a care qualification (a National Vocational Qualification) at level 2 or 3. Staff records for two people demonstrated that there had been full recruitment procedures including Criminal Record Bureau checks and induction training. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 21 Staff said that they had induction shifts initially working with someone. Supervision sessions also took place. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 22 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interests of residents. EVIDENCE: The Registered Manager has the qualification and experience to run the home. Regulation 26 visits are now recorded as evidence of monthly visits by the proprietor and copies are sent to the Commission for Social Care Inspection. A range of staff meetings is held regularly for different staff to discuss issues relating to the improvement of residents living at Waltham Hall. Comments from residents living at the home or from visitors were mainly favourable in the questionnaires completed by them and on inspection. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 23 Some residents have their money kept for them by the Registered Provider it is usually small amounts. Their money is kept in individual envelopes and checked for accuracy by two administrative staff when money is taken out or returned. In this way there has been an improvement in the way money is kept on behalf or residents. However in practice residents would need to ask staff for help to get to the administrators, as they are not easily reached by residents. The Registered Manager explained that all the Health and Safety checks were up to date including those relating to fire procedures. There is a Health and Safety committee that reviews Health and Safety matters also. The Registered Manager conducts a monthly quality assurance system for the monitoring of standards within the home. Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 24 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 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP9 OP14 Regulation 13 14 (2) (b) Requirement Carers must be reminded to sign for the medicines that they give such as creams. Staff should be sufficiently flexible in their approach to ensure that they are able to attend to any resident at any time that the needs of the individual changes. Residents and their relatives must be encouraged to use the complaints procedure when they have concerns. Timescale for action 29/02/08 29/02/08 3. OP16 22 (2) 29/02/08 Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 26 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 OP10 OP12 Good Practice Recommendations Staff must ensure the privacy and dignity of all residents at all times when providing care to any individual living at the home. Given the differing views of service users about social stimulation and activities, it is recommended that attention be paid to assessing whether service users would benefit if both lounges on both floors were used (facilitating with appropriate numbers of staff as required), and whether any service users have preference for different kinds of social stimulation from that currently offered. Residents’ meals should be varied. This includes liquidised foods they should also have flavour. This is an area that the cook should review to ensure that all residents’ needs are catered for and that all meals are appetising and attractive to eat. 3. OP15 Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Waltham Hall Nursing & Residential Home DS0000001931.V348174.R01.S.doc Version 5.2 Page 28 - 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. 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