Inspection on 20/10/05 for Wayside Nursing Home

This inspection was carried out on 20th October 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wayside Nursing Home 15/11/07

Wayside Nursing Home 03/05/07

Wayside Nursing Home 06/02/07

Wayside Nursing Home 10/05/05

Wayside Nursing Home 14/01/05

Wayside Nursing Home 22/07/04

Wayside Nursing Home 23/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Wayside Nursing Home 25 New Road Bromsgrove Worcestershire B60 2JQ Lead Inspector Mandy Burton Unannounced Inspection 20th October 2005 10:25 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 Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 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. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wayside Nursing Home Address 25 New Road Bromsgrove Worcestershire B60 2JQ 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) 01527 837774 01527 872631 Alpha Health Care Limited Pamela Ann Andrews Care Home 30 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (30) Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 Brief Description of the Service: Wayside Nursing Home provides care and accommodation for up to 30 older people. Its registration allows the home to offer all 30 placements for older people with physical disabilities and includes up to 3 placements for people who are over 65 years of age and have dementia. The home is a large detached period property, which includes a pleasant, and mature enclosed garden and limited car parking. Residents’ accommodation is on three floors (ground, first and second floors), which can be accessed by a central passenger lift. A stair lift also accesses a limited number of rooms on the first floor. There are a range of single and double and ensuite bedrooms. The home has several lounges, a dining room, a conservatory and a hairdressing room. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken by two inspectors. The visit was unannounced and started at 10.25 am. It took place over a period of four and a half hours. The main focus of this inspection was to review requirements from the previous inspection and to carry out preliminary investigations in relation to a complaint received by the Commission for Social Care Inspection. A partial tour of the home took place and a selection of care, personnel and health and safety records were examined. During the course of this inspection two residents, one visitor and eight members of staff were spoken to. What the service does well: What has improved since the last inspection? What they could do better: While the home has made some positive progress there are still a number of areas for development. Efforts should be concentrated on ensuring records are up to date, improving the accuracy and quality of care planning, developing systems for wound care management, and undertaking a review of training to identify any shortfalls. There is a need to review time spent by registered nurses on non-nursing duties to ensure residents needs are not being compromised, and also to review the hours allocated for housekeeping staff to keep the home clean. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 6 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. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 5. Residents’ individual needs are assessed prior to them moving into the home in order to establish the home’s ability to meet those needs and appropriate care to be provided. EVIDENCE: Records seen showed that residents or their representatives were able to visit the home prior to making a decision to move into the home. All residents are assessed by a registered nurse prior to their admission to the home to establish their individual needs and to determine if those needs can be met by the home. Written records are kept of assessments undertaken. A service user guide was evident in each of the resident’s bedrooms seen during this visit. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 9 Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Appropriate systems are in place for care planning and health care screening, but by failing to keep records up to date there is no assurance that the health and social care needs of residents will be appropriately met. Policies and procedures are in place for the administration of medication but shortfalls in record keeping could lead to errors in administration and therefore place residents at risk. EVIDENCE: The care plans for three residents were examined. Plans seen did not accurately reflect the current care needs of residents and the care being provided by staff. Any changes to care planning documentation had not always been signed and dated by the person responsible for implementing those changes. Care plans seen for a resident with diabetes were inadequate with inconsistencies noted between the care plan for that resident and the current situation in relation to their normal blood sugar levels. Care plans for a resident identified at nutritional risk lacked detail and made no reference to the need to monitor their weight on a regular basis. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 11 There was very limited evidence in care plans seen that the social care needs of each resident had been taken into consideration and appropriate support put in place. Care plans seen had all been reviewed at least once a month. Risk assessments had been documented for each resident in respect of nutritional risks and the risks of developing pressure sores however reviews frequently recorded ‘no change’ when other records showed significant changes had become apparent since the last review. Not all residents were being weighed regularly with one resident having not been weighed for nine months. Records in relation to wound care were unsatisfactory. It was not always clear what wounds were apparent and what wounds had healed. There was no evidence of ongoing assessment of the wounds. Some records showed that changes had occurred but the lack of dates to support the changes was confusing. One resident being nursed in bed had a care chart. It was not being completed properly and there were no records to evidence that the resident received pressure relief on one day and only one entry noted on another day. Moving and handling assessments had been completed for each resident however one had not been reviewed for four months and another did not accurately reflect the resident’s current needs. There was some evidence that professional visits had been recorded. Records for one resident showed that a medical practitioner had requested that a tissue viability nurse see them. Records did not detail whether this request had been actioned or what the outcome was. Since the last inspection there has been a notable improvement in the recording of medication administered or omitted. Some further improvements are however necessary. A significant number of charts had amendments to the original prescriptions or new prescriptions added many of which had not been signed or countersigned by the persons responsible for making these changes. The records for one resident showed that variable doses of medication could be given. Records seen did not always denote which dose had been given each time. Records relating to one resident receiving Wafarin were confusing, information was not contained together and it was unclear when blood tests had been done and what doses the resident should have been given. Written records were kept each day of the temperature of the drug fridge. During a walk round the home a cream prescribed for one resident was seen in the bedroom of another resident. The original name had been crossed out and the other persons name written in pen. Staff demonstrated good practice in promoting residents’ privacy and dignity when providing personal care. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 12 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): 14, and 15. The dietary needs of residents are appropriately catered for. Residents are encouraged to make choices about what they wish to eat and where they wish to eat it. EVIDENCE: At the time of this inspection the home had a vacancy for an activities organiser. Since the last inspection there has been some positive changes to the meal provision in the home. All residents are consulted daily about their individual meal choice and details of the meals to be served are displayed centrally in the home each day. Written records are kept of meals served to residents. Discussion took place about ensuring all menu alternatives are included. The evening meal menus have been amended to include regular hot options. Records were seen in relation to the monitoring of temperatures of fridges and freezers and food probe temperatures all of which were up to date. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 13 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): 18. Polices and procedures are in place in relation to adult protection issues which provide direction to staff and aim to ensure residents are safeguarded from abuse. EVIDENCE: During the course of this inspection a complaint received by the Commission for Social Care Inspection was brought to the attention of the home manager, and the area manager elements of which were investigated during this visit. Written policies and procedures are in place in order to ensure the protection of residents, which includes a whistle blowing policy. There was evidence that 21 members of staff had attended training in respect of abuse awareness. Records seen did not however indicate how recently this training was carried out. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 14 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, 20, 21, 22, 23, 24, 25 and 26. There has been some progress since the last inspection to improve the standard of the environment. Further refurbishment and improvements are now necessary to ensure residents have a clean and safe place to live in. EVIDENCE: Wayside Nursing Home is a period property and has over recent years begun to show signs of wear and tear throughout the home. Since the last inspection there has been a number of environmental improvements within the home which include: • A programme to guard all radiators. • Carpet replaced in one ground floor corridor. • Carpets in two ground floor toilets replaced with washable flooring. In addition to this the majority of maintenance and remedial work identified at the previous inspection had been carried out in accordance with requirements made. It was reported that future plans include a review of all beds in the home, and further replacement of worn carpets in corridors and on staircases. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 15 The standard of cleanliness within the home was variable. An odour was apparent in one bedroom. A second floor sluice room was noted to contain a number of commode chairs, many of which were noted to be soiled. Bedrooms seen during this visit were tidy, but not all were of a satisfactory standard of cleanliness. One housekeeper is on duty 4-5 hours each day and has responsibility for the ongoing cleaning of all accommodation and communal areas on all three floors of the home. Residents have access to three lounges and a conservatory, all of which are very homely in appearance. The home has a small passenger lift to all floors and a stair lift from the ground to the first floor. It is however reported that footplates have to be removed from wheelchairs when using the lift to transport residents who are in a wheelchair. Laundry facilities were seen and noted to be satisfactory. The laundry is staffed each day on a part time basis. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 16 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, 29 and 30. Time spent by Registered Nurses on non - nursing duties limits the time available to them to provide nursing care to residents. Information contained in training records provides no assurance that all staff in this home have the necessary knowledge and skills to ensure the ongoing safety of residents in their care. Recruitment practices are satisfactory, with systems in place, which aim to ensure residents are safeguarded from abuse. EVIDENCE: Since the last inspection the deployment of staff and the daily routines have been reviewed in order to increase the numbers of staff available to assist residents at key times. On the morning of this inspection the home was staffed by one registered nurse and six carers. A registered nurse is on duty in the home at all times. Staff spoken to referred to ongoing difficulties trying to ensure residents’ needs are met and finding time to ensure care documentation and other records are maintained. During the morning of this visit the duties of the registered nurse were frequently interrupted by incoming telephone calls, with calls having to be answered in inappropriate areas such as resident’s bedrooms and communal areas. At the time of this inspection the home had a vacancy for an activities organiser, and the provision of any recreational activities were the responsibility of carers in addition to their care duties. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 17 One housekeeper is on duty 4-5 hours each day and has responsibility for the ongoing cleaning of all accommodation and communal areas on all three floors of the home. It was evident from discussions with staff and from observations made during this inspection that these hours do not enable thorough cleaning to take place. Records seen in relation to the recruitment of staff showed that the appropriate checks had been undertaken prior to them commencing duties in the home. Training records were examined. Many of the entries in relation to fire safety, moving and handling, infection control, dementia care and abuse were not dated and it was not therefore possible to establish when staff received training and to evidence that all staff were appropriately trained. One member of staff reported that they received induction training when they commenced employment at the home. The training was reported to have lasted one week. There was no evidence that the staff member concerned had received any fire safety training since their employment. Agency staff are employed in the home to cover any staffing shortfalls. Discussion took place about the need to verify that agency staff are suitably competent to care for residents in the home. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 18 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): 36, 37 and 38. Some improvements are necessary to the overall management of the home to ensure positive health and safety practices are promoted and accurate records are kept. There is a need to maintain regular supervision of staff to provide opportunities to develop skills and strengths for the benefits of residents. EVIDENCE: A formal programme of supervision has been developed for the home but discussions with staff and records seen show that very few staff had received this supervision. The quality of recordkeeping in the home is variable. While there have been some improvements since the last inspection with particular regard to food hygiene, there are still a number of shortfalls in relation to care documentation, medication administration and staff training. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 19 Discussion took place about the need to ensure a photograph is kept in the home of each resident. Findings from this inspection indicate that some action is necessary to ensure the safety of both residents and staff. During a walk round the home several hazardous cleaning substances were observed in communal toilets, bathrooms, sluice rooms and a cleaning cupboard, which had not been locked. In addition to this there was no locking devices to sluice room doors to restrict access. It was noted that external bolts were evident on doors in several areas of the home. This issue must be reviewed as it presents as a risk in the event of a fire and other more suitable locking devices should be considered. Since the last inspection a portable ramp has been provide for use on the first floor landing to transport residents safely down two steps. The ramp stated the weight to be 660lbs. After use the ramp has to be stored in the sluice room as it cannot be left down as it blocks access to a bathroom and a store cupboard. There was no evidence that risk assessments have been completed in relation to this. Water temperatures were tested in one bathroom and noted to be within safe limits. Records relating to routine fire safety checks were seen and noted to be up to date. The homes fire risk assessment was dated 2003 and there was no evidence this had been reviewed. A number of staff in the home are reported to have received first aid training. Discussion took place about the need to ensure the rota denotes the first aider each shift. Written records are kept of all accidents that occur. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 20 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 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 3 3 2 3 2 2 2 STAFFING Standard No Score 27 2 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 2 2 2 Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? YES 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. Standard Regulation Requirement At all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of residents. (Previous timescales 22/07/05, 14/01/05 and 10/05/05 not met) Residents’ care plans must accurately reflect the individual needs of the resident and the care to be provided by staff to meet those needs. (Previous timescale 10/05/05 not met) Care plans must take into consideration how the emotional, spiritual and social needs of each resident are to be met by the home. (Previous timescale 14/01/05 and 10/05/05 not met) Care plans must be updated when any significant changes become apparent in the care of any resident. Moving and handling assessments must be reviewed and updated at least once a DS0000004150.V257524.R01.S.doc Timescale for action 1 OP27OP4 18 20/10/05 2 OP7 15 20/10/05 12(1) 3 OP7 15 (1) 20/10/05 12(1) 4 OP7OP37 15(1) 12(1) 5 OP8 13(5) Wayside Nursing Home 20/10/05 20/10/05 Version 5.0 Page 22 6 OP8 12(1) 15 7 OP7OP8 12(1) 15 8 OP8 12(1) 13 15 9 OP9 13(2) 10 OP9OP37 13(2) 11 OP9OP37 13(2) month and also when significant changes occur. (Previous timescales 14/01/05 and 10/05/05 not met) All residents should be weighed at least once a month and weights recorded. Appropriate action must be taken when significant weight loss or gain is evident . A written programme of wound care management must be developed which ensures that current treatment is documented. Document the dimensions of wounds to assist with evaluation of treatment being given. (Previous timescales 22/07/04, 14/01/05 and 10/05/05 not met) Accurate records must be kept in relation to all residents nursed in bed which detail what pressure relief was given and when it was carried out. All trained staff must follow the home’s policies and procedures for the safe administration and storage of medication at all times. (Previous timescales 14/01/05 and 10/05/05 not met) Accurate written records must be kept in relation to anti coagulant therapy which clearly indicates when an INR blood test was taken and accurately details the dosage of medication to be administered to the resident. Any written additions or amendments to the drug administration records must be checked, dated and countersigned by two staff. (Previous timescales 14/01/05 and 10/05/05 not met) DS0000004150.V257524.R01.S.doc 20/10/05 01/12/05 20/10/05 20/10/05 20/10/05 20/10/05 Wayside Nursing Home Version 5.0 Page 23 12 OP9 13(2) 13 OP12 16(2)(m) 14 OP38OP19 13 15 OP26OP19 23 16 OP19 13(4) 23 17 OP22OP38 13(4) (5) 18 OP24 12(4) 19 OP38OP25 13(4) 20 OP26 23 Prescribed creams must only be used for the resident for whom they have been prescribed. Consult with residents to establish their expectations, preferences and capabilities to engage in activities/day trips outside of the home. Action should be taken wherever reasonably possible/practicable to facilitate opportunities identified. (This standard was not inspected) Ensure residents accessing the garden area are appropriately supervised and have the facilities to summon assistance if necessary. (This requirement was not reassessed on this occasion) Carpet in room F14 to be cleaned or replaced as appropriate. (Previous timescale 10/05/05 not met) The worn carpeting to the main staircase must be replaced. (Previous timescales 14/01/05 and 10/05/05 not met) Risk assessments must be documented in respect of transporting residents using wheelchairs in the passenger lift. Action must be taken to reduce/eliminate any risks identified. Lockable storage to be provided in each bedroom. (Previous timescale 10/05/05 not met) All pipework and radiators in the home must be guarded or have guaranteed low surface temperatures. (Previous timescales 22/07/04, 14/01/05, and 10/05/05 not met) All areas of the home to be kept clean. (Previous timescale DS0000004150.V257524.R01.S.doc 20/10/05 01/02/06 20/10/05 01/12/05 01/03/06 01/12/05 01/03/06 01/12/05 20/10/05 Page 24 Wayside Nursing Home Version 5.0 21 OP26 16 22 OP4OP27 12(1) 18 23 OP30 18(1) 24 OP36 19 25 OP37 17(1)(a ) Schedule 3 26 OP38 13 (6) 18 27 OP38 13 (4) 28 OP38 13(4) 23(4) 13(4) 23 (4) 29 OP38 10/05/05 not met) Any offensive odours which become apparent must be appropriately managed. A review must be carried out to asses the time spent by registered nurses on non-nursing duties and action taken to provide additional support where necessary. All staff in the home must have received up to date training in: Moving and handling, fire safety and infection control. Written records must be kept of all training undertaken. (Previous timescales 14/01/05 and 10/05/05 not met) All care staff must receive formal supervision at least 6 times a year. (Previous timescales 14/01/05 and 10/05/05 not met) A photograph of each resident must be kept in the home. (Previous timescale 10/05/05 not met) A risk assessment must be documented with regard to the use of the portable ramp and action taken to reduce/eliminate any risks identified. All substances noted to be hazardous to health must be stored securely. All external bolts fitted to doors must be removed and replaced with a more suitable device which ensures evacuation is possible in the event of a fire Sluice rooms must be kept secure when not in use . 20/10/05 01/12/05 01/01/06 01/01/06 01/12/05 01/12/05 20/10/05 01/12/05 01/12/05 Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 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 OP38 Good Practice Recommendations The staffing rota should denote the person responsible for first aid each shift. Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wayside Nursing Home DS0000004150.V257524.R01.S.doc Version 5.0 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. 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