Inspection on 06/02/07 for Wayside Nursing Home

This inspection was carried out on 6th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 20/10/05

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 Lorraine Briggs / Pat Scott Unannounced Inspection 6th February 2007 10:00 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.V328051.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. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 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 alphacarehomes.com Alpha Health Care Limited Post Vacant 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.V328051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 gives access to a limited number of rooms on the first floor. There are a range of single, double and en-suite bedrooms. The home has several lounges, a dining room , a conservatory and a hairdressing room. Fees range from £460 to £495 per week. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service, discussions with the staff team, discussion with the manager, tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. What the service does well: Visitors are welcome at the home at any time. The home has a committed team of staff who try hard to meet the needs of residents in their care. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 6 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. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Quality in this outcome area is poor. Prospective residents and their relatives do not have the information needed to choose a home which will meet their needs. They have their needs assessed but are not fully informed about the fees they will pay for care provided. This judgement has been made using available evidence including a visit to this service. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 9 EVIDENCE: Prospective service users are given the opportunity to spend time in the home. Records are not of a quality that demonstrates the staff team are qualified and experienced to work with the needs of the service user although training logs show that some training has been carried out. The lack of an over all plan leads to the conclusion that training is not planned to meet the needs of service users. The home provides a brochure and service user guide which gives basic information about the home. It does not contain recent CSCI inspection findings or comments and experiences of service users living at the home. Neither does it comply with the changes in the Care Home Regulations as amended in September 2006. Two service users case tracked had not been provided with a statement of terms and conditions prior to moving to the home. They had no detail of what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the service user. Admissions are made to the home after a needs assessment has been undertaken. Examples were seen on four service users files examined through case tracking. A service user spoken with stated that she was unsure of the information she was supposed to have received and did not know how much was to be paid and when it was due. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is poor. The care plan recording does not provide staff with the information they need to satisfactorily meet service users needs. Medication systems within this home are not well managed putting service users at risk of poor health care. This judgement has been made using available evidence including a visit to this service. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 11 EVIDENCE: Four current care plans were examined. They are written by qualified staff and do not include the service user’s contribution or active involvement. Reviews do not take place on time and are not set up to monitor changing circumstances. There is no evidence that feedback from reviews is shared with service users and actions are agreed. They contained a risk assessment element, one being for the use of bedroom keys but the bedroom doors do not have a lock facility on them. Omissions within the documentation do not provide staff with up to date information of care to be provided. For example, an assessment of nutritional needs for one service user recorded him as being at risk and a subsequent care plan stating he was to be weighed monthly. A separate paper chart has been commenced by staff showing that he had been weighed this month (February 2007) but this had not been transferred into the care plan. Service user photographs were not on every file. Staff spoken with stated that this was because they did not have time to complete such records during their shift. This suggests that staff meet needs in a reactive manner rather than understanding individuals diverse needs and proactively delivering the service. Records of ongoing monitoring of health are poor. The quality of the care plan recording is such that people who are not familiar with its content would not be able to use it in an emergency. Regulation 26 reports into the conduct of the home did not refer to monitoring of shortfalls in this outcome area. The allocation of care duties within the home does not allow service users to choose when they wish to shower or bath, for example, a displayed rota is operated, which generally determines when this will happen. Medication records seen are not up to date, there are gaps in recording and are not countersigned for hand transcribed medication or amendments. The current practice and lack of adequate recording puts service users at risk. No clear system for compliance with the administration, safekeeping and disposal of controlled drugs is in operation. The records relating to service users on warfarin therapy have improved but are not stored with the medicine charts. Service users cannot be encouraged to keep and administer their own medication as safe storage is not provided. A member of staff stated that they had received updates regarding recording of medication. This has not yet led to improved practice. A sheet containing the signatures of Nurses who dispense medication was seen to be out of date, with signatures of people who no longer work at the home. Service users spoken with stated that they are treated well by staff. Those that had been assisted up during the morning looked well groomed and dressed in their own clothes. One service user‘s bedroom entered had a dirty sheet on the Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 12 bed which is undignified practice. ‘Elimination charts’ were left out on the nurses desk which could be seen by visitors. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. Service users are able to participate in social activity and keep in contact with family and friends. Residents receive a healthy diet but not always according to an assessed requirement. This judgement has been made using available evidence including a visit to this service. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 14 EVIDENCE: Service users spoken to knew what the main meal of the day was going to be and were complimentary about the food provided. Records show that the improved system of consultation re daily meal choice has continued. The home now has an activity co-ordinator and various events are organised and displayed within the entrance hall. The co-ordinator was seen providing one to one attention to service users. There is a lack of recording of preferred social activity/hobbies etc in the assessments. A newsletter is on display and refers to organising a service user meeting during March. The newsletter also contains details of the months events. The provision of activities has improved. The hairdressing room was full of wheelchairs which indicates a lack of storage in the home. Service users are encouraged to keep in contact with family and friends and visitors were seen to come and go during the inspection. Visitors were generally positive about the care provided. They were seen using community areas of the home to talk to visitors and one commented that this does not always provide privacy, and can be seen as intrusion by other residents. Residents are able to have personal possessions in their room. The home also provides its own uniform bedroom furniture some of which is in a poor state of repair. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. Service Users have access to a complaints procedure that enables them or their supporters views to be listened to and acted upon. Established staff have been provided with training regarding adult protection. This provides staff with the initial knowledge to safeguard service users from many types of abuse. This judgement has been made using available evidence including a visit to this service. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 16 EVIDENCE: The service has a complaints procedure that generally meets the national minimum standards and regulations. Service users said they would complain to the staff or manager if they were unhappy with anything. The policies and procedures regarding protection of residents are satisfactory and are reviewed and updated in line with regulations and other external guidance. Within the policy it is clear when incidents need external input and who to refer the incident to. Links with external agencies are satisfactory and include CSCI, police and adult protection teams. Service users stated that they are satisfied with the service provision, and feel safe and supported. Staff have received adult protection training, but lack of supervision documentation and planned refresher dates does not indicate staff competence in this outcome area. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24, 25 and 26 Quality in this outcome area is poor. The slow improvement of the premises does not enable service users to live in a safe, well-maintained and comfortable environment, which encourages independence or maintains hygiene. This judgement has been made using available evidence including a visit to this service. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 18 EVIDENCE: The manager stated his lack of awareness of any on-going maintenance programme in place. A stair and ground floor carpet and two carpets in two toilets have been replaced. Service users said that they were not given the opportunity to choose them but they could bring in personal possessions and furniture. The first floor landing carpet was threadbare in places. A shared room, currently being used to accommodate one service user, had only one sink in it with insufficient screening for privacy. The surface of a bedside table was broken and sharp. There are bathrooms and showers but they are used to store hoists, mattresses and other items of furniture. One toilet still has a carpeted flooring. The home now employs two cleaners. Both were on duty but one was not wearing protective gloves and apron. They confirmed they were due to have training on the hazardous substances they use in their work. The home did not smell fresh and had offensive odours in parts. The hairdressing facility was being used to store many wheelchairs. The potential risk to service users from unguarded radiators has been addressed. Bath hot water temperatures were recorded on the same sheet as ‘elimination’ and were on public view. The bathroom thermometer in one bathroom was illegible. The home is on three floors with sluice rooms provided. The home only has one thermostatic sluice disinfector which is insufficient given the size and layout of the home and the use of commodes. This presents a hazard if staff are cleaning utensils by hand. Commodes were stored in a sluice room. One sluice room was left unsecured. Handwash soap dispensers were empty in all rooms entered. Some rooms had pump dispensers. The paper towel dispenser in the laundry was empty. It is considered that handwashing facilities in the home are inadequate. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is poor. Staff in the home are starting to be trained but not in sufficient numbers to fill the aims of the home and to reflect the changing needs of residents. Lack of records for induction, training provision, monitoring and supervision of staff does not ensure that service users are in safe hands. This judgement has been made using available evidence including a visit to this service. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 20 EVIDENCE: There was one qualified staff member on duty for 30 service users. The rotas showed that this is usual for both the early and late shifts throughout the working week. The manager stated his understanding of the importance of training, and delivers where possible a programme that attempts to meet statutory requirements. Staff said that fire training is conducted on a regular basis and they had received infection control and medication updates. The service does support and encourage the development of staff but evidence of training provided is very limited, with areas not being identified and not targeted at relevant individuals. An overall training plan is not in place which the manager stated he will be working on. This can then provide a useful planning tool for management as well as a record of the home’s position regarding training provision. The training attended should then be recorded upon individuals’ personal training profiles. This is essential to demonstrate that recruitment, induction, training and supervision all come together to achieve good outcomes for service users. Service users are generally satisfied that the care they receive meets their needs, but there are some times when no one is available to immediately help them. They feel that staff are trained and able to deliver their care needs. Staffing rotas try to take into account the times of high and low activity but staff commented that there is little time with only one qualified staff on duty to complete all the duties required. This is evident from the omissions in care plans. Comments were also made about the lack of time to communicate with relatives and GPs which is an important element of individual care. Staff files examined showed no shortfalls in the recruitment procedure. Service users are not involved in the recruitment of staff. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35, 36 and 38 Quality in this outcome area is poor. Management and leadership of the home is lacking which does not benefit service user care. Record keeping in the home is variable in quality so that service user’s rights and best interests are not safeguarded. This judgement has been made using available evidence including a visit to this service. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has been in post since November 2006. Slow progress has been made regarding the leadership, training, development and supervision of staff who are directly involved in service user care. There has been a failure to evidence that the induction, training and supervision arrangements have been put into practice. This does not enable staff to develop and be aware of good practice. Records required by regulation for the protection of service users and for the effective and efficient running of the home were not in good order, with the exception of the fire, maintenance checks and recruitment records. The manager has been in post for a few months and does not yet demonstrate an understanding of the organisations strategic planning and review. Service users interests are not safeguarded as evidenced by poor or non existent record keeping. This could lead to putting service users at risk, for example by poor recording of medication. Quality surveys have been implemented and are envisaged as being regarded as a core management tool. The home is drifting and lacks purpose and direction. Improvement in the internal premises has been minimal. Hazardous storage of items in service user facilities puts service users at risk from falls. Poor handwash and sluicing facilities will lead to risk from cross infection. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 1 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X 1 X 1 2 1 STAFFING Standard No Score 27 1 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 1 x 1 Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 24 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. Standa Regulation rd 1 OP1 5A SI No. 1493. The Care Standards Act 2000 (Establishments and Agencies)(Miscell aneous Amendments) Regulations 2006 2 OP2 5(1)(b). SI No. 1493. The Care Standards Act 2000 (Establishments and Agencies)(Miscell aneous Amendments) Regulations 2006. 3 OP4 18 Requirement The registered person shall amend the service user guide to provide the detail required by the amendment Regulations 2006. Timescale for action 30/04/07 The registered person shall 30/04/07 include the fee level in the terms and conditions where a service user’s care is funded in whole or in part by someone other than a service user. At all times suitably qualified, 30/04/07 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, 10/05/05 and 20/10/05 not met) Version 5.2 Page 25 Wayside Nursing Home DS0000004150.V328051.R01.S.doc 4 OP7 15 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 and 20/10/05 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, 10/05/05 and 20/10/05 not met) Care plans must be updated when any significant changes become apparent in the care of any resident. (Previous timescale 20/10/05 not met) The registered person shall improve the written plan as to how the service user’s needs in respect of his health and welfare are to be met. Moving and handling assessments must be reviewed and updated at least once a month and also when significant changes occur. (Previous timescales 14/01/05, 10/05/05 and 20/10/05 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. DS0000004150.V328051.R01.S.doc 30/04/07 5 OP7 12(1) 15 (1) 30/04/07 6 OP7 12(1) 15(1) 30/04/07 7 OP8 15(1) 30/04/07 8 OP8 12(1) 13(5) 30/04/07 9 OP8 12(1) 15 30/04/07 Wayside Nursing Home Version 5.2 Page 26 10 OP8 12(1) 15 (Previous timescale 20/10/05 not met) 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 22/07/05, 14/01/05, 10/05/05 and 20/10/05 not met) 30/04/07 11. OP9 13(2) All trained staff must follow 30/04/07 the home’s policies and procedures for the safe administration and storage of medication at all times. (Previous timescales 14/01/05, 10/05/05 and 20/10/05 not met) Accurate written records 30/04/07 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. (Previous timescale 20/10/05 not met) Any written additions or 30/04/07 amendments to the drug administration records must be checked, dated and countersigned by two staff. (Previous timescales 14/01/05, 10/05/05 and 20/10/05 not met) The registered person shall make arrangements for the recording, handling, safekeeping, safe DS0000004150.V328051.R01.S.doc 12. OP9 13(2) 13. OP9 13(2) 14 OP9 13(2) 30/04/07 Wayside Nursing Home Version 5.2 Page 27 15 16 OP10 OP10 12(4)(a),12(1)(b) 12(1)(2)(3) 17 OP19 23 administration and disposal of medicines received into the care home. The registered person shall ensure that service users’ dignity is protected. The registered person shall ensure that service users can exercise choice in relation to routines of daily living i.e. when having a bath. Carpet in room F14 to be cleaned or replaced as appropriate. (Previous timescale 10/05/05 and 20/10/05 not met) The registered person shall maintain the premises and furniture in a good state of repair, décoration and cleanliness. Lockable storage to be provided in each bedroom. (Previous timescale 10/05/05 and 20/10/05 not met) All areas of the home to be kept clean. (Previous timescale 10/05/05 and 20/10/05 not met) Any offensive odours which become apparent must be appropriately managed. (Previous timescale 20/10/05 not met) The registered person, having regard to the number and needs of the service users shall ensure that any necessary sluicing facilities are provided. The registered person shall, having regard to the size of the care home, the DS0000004150.V328051.R01.S.doc 30/04/07 30/04/07 30/04/07 18 OP19 23 30/04/07 19 OP24 12(4) 30/04/07 20 OP26 23 30/04/07 21 OP26 16 30/04/07 22 OP26 23(k) 30/04/07 23 OP27 18(1)(a) 30/04/07 Wayside Nursing Home Version 5.2 Page 28 statement of purpose and the number and needs of service users, ensure that 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 service users. 24 OP27 12(1) 18 A review must be carried out to asses the time spent by registered nurses on nonnursing duties and action taken to provide additional support where necessary. (Previous timescale 01/12/05 not met) 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, 10/05/05 and 01/01/06 not met) The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users, ensure that persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform. The registered person shall ensure that persons working at the care home are appropriately supervised. All care staff must receive formal supervision at least 6 times a year. (Previous DS0000004150.V328051.R01.S.doc 30/04/07 25 OP30 18(1) 30/04/07 26 OP30 18(1)(c) 30/04/07 27 OP36 19 30/04/07 28 OP36 19 30/04/07 Wayside Nursing Home Version 5.2 Page 29 timescales 14/01/05, 10/05/05 and 01/01/06 not met) 29 OP37 17(1)(a ) Schedule 3 A photograph of each resident must be kept in the home. (Previous timescale 10/05/05 and 01/12/05 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. (Previous timescale 01/12/05 not met) All substances noted to be hazardous to health must be stored securely. (Previous timescale 20/10/05 not met) Sluice rooms must be kept secure when not in use . (Previous timescale 01/12/05 not met) Thermometers that are legible / in working order must be available in bathing areas. The registered person shall, having regard to the size of the care home and the number and needs of service users, keep the care home free from offensive odours. 30/04/07 30 OP38 13 (6) 18 30/04/07 31. OP38 13 (4) 30/04/07 32. OP38 13(4) 23 (4) 30/04/07 33 OP38 13 (4) 30/04/07 34 OP38 16(1)(K) 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 30 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.V328051.R01.S.doc Version 5.2 Page 31 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: 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 Wayside Nursing Home DS0000004150.V328051.R01.S.doc Version 5.2 Page 32 - 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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