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Inspection on 03/02/06 for Wilton Manor Nursing Centre

Also see our care home review for Wilton Manor Nursing Centre for more information

This inspection was carried out on 3rd February 2006.

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

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

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

The service users spoken with said that home was `comfortable` and they felt `safe` living there. The inspector observed that service users were able to wander and come and go as they wished. The senior nurses are committed to training their staff and strive to deliver all the appropriate training to all grades of staff.The staff are trained to care appropriately for the service users with more advanced mental frailty and offer acceptance and tolerance of their behaviours and deteriorating conditions. Staff are being appraised annually and records of this are maintained in personnel files. Staffing levels are such to allow staff to spend time with the service users. Staff demonstrate a good rapport with the service users and relatives. The pre-admission assessment is comprehensive and is undertaken by an appropriately trained person from the management team. The care planning system is detailed and well documented and includes risk assessments for every resident. The home demonstrates that service users and/or their relatives are invited to take part in the assessment and care planning process.

What has improved since the last inspection?

The recruitment practices are more robust and written references are obtained for all newly employed staff before they commence employment.

What the care home could do better:

Service users` personal allowances must be paid into an account that is held in their own name. This has been under discussion with the previous organisation and the local CSCI office has received no written agreement. Staff supervision should be recorded every time it takes place. Staff should be formally supervised six times a year. Service users bathing routines of when they are assisted with a bath must be documented in care plans in detail to ensure that out dated practices do not erode the good practices that exist in the home.

CARE HOMES FOR OLDER PEOPLE Wilton Manor Nursing Centre Wilton Avenue Southampton Hampshire SO15 2HA Lead Inspector Jan Everitt Unannounced Inspection 3rd February 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 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. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wilton Manor Nursing Centre Address Wilton Avenue Southampton Hampshire SO15 2HA 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) 02380 230555 02380 652076 ANS Homes Limited Mr Dookhun Boodhoo Care Home 69 Category(ies) of Dementia (13), Dementia - over 65 years of age registration, with number (69), Mental disorder, excluding learning of places disability or dementia (13), Mental Disorder, excluding learning disability or dementia - over 65 years of age (69) Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The number of persons for whom accommodation and nursing care is provided at any one time shall not exceed 69. A total of 13 service users may be accommodated at any one time in the categories of DE and MD between the ages of 50 - 64 years. The home is not registered to take patients detained under the Mental Health Act 1983 - as amended. 29th June 2005 Date of last inspection Brief Description of the Service: Wilton Manor is a care home providing care for 69 older persons in need of nursing care. The home is registered to provide care for older people with mental diseases associated with old age and those with a mental disorder, excluding learning disabilities. The home has a condition of registration that they may admit up to 13 service users with dementia and those with mental disorder, excluding learning disabilities, between the ages of 50 and 64 years. Wilton Manor is part of a large organisation, which has recently been purchased by BUPA Care Homes and as a consequence the home is experiencing transitional changes associated with the policies and systems of the home. The home is located in the city centre of Southampton and is close to all the local amenities. The home was purpose built on three floors, and provides a modern environment with single occupancy accommodation, all of which have en-suite facilities. Well-maintained gardens surround the building. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Wilton Manor took place on the 3rd February 2006 over a six-hour period. Mr. Boodhoo, the registered manager was present in the home during the inspection and two senior nurses assisted the inspector throughout the inspection. The inspector toured the home and spoke with some of the service users, visiting relatives and staff. Although many of the service users were chatted to throughout the visit, owing to their mental frailty, many of them were unable to communicate to the inspector their levels of satisfaction with the service. Three visiting relatives were spoken with and one family in particular, who visits the home daily, praised the service and the care their relative was receiving. Staff spoken with reported that they felt supported within their roles and that they were satisfied with their recruitment process and have received appropriate training appertaining to the client group. Student nurses on allocation at Wilton Manor reported that they have enjoyed their allocation at the home, had learnt a great deal and had been very supported by the staff. Fifteen standards were assessed of which thirteen were core standards. Two standards were found to have minor shortfalls and requirements have been made and are discussed in the main body of the report. The general feeling and atmosphere at the home was positive and welcoming. Whilst inspecting the home the inspector had the opportunity to meet with the regional director and the operational manager who were visiting the home and who are part of the newly formed management team in BUPA Care Homes Ltd, the organisation that has taken over the ownership of Wilton Manor. What the service does well: The service users spoken with said that home was ‘comfortable’ and they felt ‘safe’ living there. The inspector observed that service users were able to wander and come and go as they wished. The senior nurses are committed to training their staff and strive to deliver all the appropriate training to all grades of staff. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 6 The staff are trained to care appropriately for the service users with more advanced mental frailty and offer acceptance and tolerance of their behaviours and deteriorating conditions. Staff are being appraised annually and records of this are maintained in personnel files. Staffing levels are such to allow staff to spend time with the service users. Staff demonstrate a good rapport with the service users and relatives. The pre-admission assessment is comprehensive and is undertaken by an appropriately trained person from the management team. The care planning system is detailed and well documented and includes risk assessments for every resident. The home demonstrates that service users and/or their relatives are invited to take part in the assessment and care planning process. What has improved since the last inspection? What they could do better: Service users’ personal allowances must be paid into an account that is held in their own name. This has been under discussion with the previous organisation and the local CSCI office has received no written agreement. Staff supervision should be recorded every time it takes place. Staff should be formally supervised six times a year. Service users bathing routines of when they are assisted with a bath must be documented in care plans in detail to ensure that out dated practices do not erode the good practices that exist in the home. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 7 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. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 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 Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. This service does not provide intermediate care. Service users’ needs are assessed before they are admitted to the home to ensure these can be met. EVIDENCE: The inspector evidenced the pre-admission assessment tool that is completed by the manager or senior nurse when they visit the potential service user in their current environment. The assessment process is thorough and the manager liaises with the psychiatrist at the community hospital if the referrals are from them. Social histories are not always recorded at this point. Most of the information is gained by speaking with the relatives, if the service user is unable to participate in the process, and also through the nursing notes if the service user is in a clinical area. The manager reported that two nurses always attend these assessment meetings. Information is also available from the care manager if there is one involved with the placement. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 10 Owing to the mental frailty of those service users spoken with, the inspector was unable to gain information from them as to their pre-admission experience and what had happened before they came to the home. Relatives spoken with though, confirmed that their relative had been assessed before being admitted to the home and that there had been discussion with the home and information given to them about the home, prior to any decisions being made but that the home’s reputation had been an influencing factor in their relative being admitted to Wilton Manor. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 & 10 The service users’ health, personal and social are needs are set out in an individual plan of care. Service users health care needs are fully met. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: The inspector viewed a sample of the care plans. The care plans were detailed in content and risk assessments undertaken with reference to falls, moving and handling, use of bedrails, nutrition and risk of isolation if the service user is unable to use a call alarm. The care plans are reviewed monthly and service users and/or relatives are invited to be involved in this process. Daily records of the service user’s day are descriptive and detailed and describe the care delivered during a 24-hour period. Service users spoken with, when asked if they were aware of plans of care, were quite confused about this and anxious and therefore the inspector did not gain their views. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 12 The local GP visits the home three times weekly to review service users medical needs. At the time of the inspection the GP was present in the home visiting a service user that was unwell. The senior nurse reported that the home has access to opticians, hearing aid clinic etc but they are finding it increasingly difficult to obtain the services of a dentist and described one service user’s experience, who has poor dental health and is unable to go out into the community but no national health dentist will visit the home. The inspector observed that staff were treating service users in a kind sensitive manner showing tolerance of their mental incapacity. Service users were observed to be given choice about where they chose to sit and were able to wander around the ward area freely. All accommodation in the home is single room with en-suite facilities, which affords service user’s privacy should they wish to see visitors privately. There were a number of visitors in the home at the time of the inspection and they all chose to sit in the lounge area with the service users. Service users have locks on their doors that can be opened from the outside in an emergency. Staff were observed to knock doors before entering a bedroom. One service user has her own phone line installed and the home has a pay phone should a service user request use the phone. The inspector observed that the service users were given choices in their activities of daily living but this could be limited by their mental capacity and awareness of the environment. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 14 Service users may maintain contact with family/friends and representatives from the community as they wish. Service users are helped to exercise choice and control over their lives. EVIDENCE: The inspector observed the visitor’s book that was well recorded and evidenced a number of visitors each day. The inspector spoke to some visitors who reported that they attend the home every day for a short time. Another visitor reported that he sees his ‘old friend once a week but he does not know I am here half the time’. The inspector observed a response from him on waking up to see his visitor. The service users have the choice to see visitors in their own private rooms; most of them choose to remain in the lounge. The home reported that one service user is able to manage their own monies but in general families do so for them. The inspector observed that a bath list was displayed on the nurses’ desk, which indicated how many baths were to be undertaken by day and night staff. The inspector asked the charge nurse how these were allocated taking into Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 14 account people’s choices. He explained that some of the clients were very restless and did not go to bed very early. It was some of these service users that the night staff bath and only if they are agreeable to it at that time or if they were up and about very early, as some of them are. Also there may be a need of an early bath if a service user has been incontinent and soiled the bed then a bed bath is given. The inspector appreciated that there needed to be some organisation to ensure service users had the opportunity for baths but that strict regimens that boarded on routines and historic practices must be avoided. The charge nurse reported that some of the service users he cares for respond to routines and sometimes a bath before bed will enhance their rest. The daily notes recorded when baths were taken. The senior nurse reported that some of the service users choose not to get up very early or if they do they can go back to bed whenever they wished to. Service users were evidenced to come and go from their rooms freely, some were observed to be resting on the bed. The charge nurse reported that the staff become familiar with the daily patterns of behaviour of some of the service users and accommodate this by having an awareness of what would divert them from challenging behaviour. Service users spoken with reported that they can get up when they want to and another said she did not mind when she got up and could go to bed whatever time she chose to. The senior nurse explained that some service users, through mental frailty, are unable to make decisions about their daily routines and that during their waking hours the staff endeavour to spend as much time with them on a one to one basis occupying their time. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Service users and their families are confident that their complaints will be listened to and taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: The organisation has a complaints policy and is contained in the Statement of Purpose. A complaints log is maintained and no complaints had been recorded since the last inspection. One complaint has been received by the CSCI from an anonymous caller and the issues highlighted were addressed at this inspection. Adult protection training is mandatory for all staff and was identified on the training matrix seen by the inspector and was confirmed when speaking with a number of staff. The staff spoken with confirmed their knowledge of what procedure they should follow if a service user or relative wish to raise an issue or complain. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 16 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): These standards were not assessed on this occasion. EVIDENCE: Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 17 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 & 30 The numbers and skill mix of staff meets Service users’ needs. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. EVIDENCE: The home has a rota that the inspector viewed. The staffing levels were assessed as being adequate for the sixty-two service users in residence at the time of the inspection. The manager reported that he maintains staffing levels even when the occupancy is below 69 residents. There were also a number of student nurses on allocation at the home. They reported that they had found the placement interesting and they had learnt a great deal about mental health disorders and dementia. The inspector observed one student able to communicate well with a service user who was in an anxious state. The home has a separate housekeeping staff that maintains high standards of cleanliness throughout the home. The home has appointed a new chef and the senior nurse reports that he and the nursing staff have worked well together to provide an appropriate menu for the clients who have difficulty with eating. The nurse reported that she considers that they should be able to snack, even if it is small amounts of food, throughout their waking hours. She reported Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 18 that the outcome of the new menus have much improved the nutritional status of some of the service users. The inspector viewed a sample of recruitment files. All information required to be maintained and stated in Schedule 4 of the Care Home Regulations were present. Two written references were evidenced in the staff files viewed. The home has Internet access for POVA checks and these are being responded to promptly. It was observed that all staff sign a contract of agreement to their terms and conditions of employment. Staff spoken with reported they were satisfied with the recruitment process and had undergone a period of induction. The inspector viewed the induction programme. The new organisation has introduced a new induction programme in a booklet and is in line with the working skills induction and foundation programme and can take up to 6 months to complete. The senior nurse discussed the staff-training programme with the inspector. She reported that BUPA have allocated a large training budget to the home to enable her to secure appropriate training for the staff. The training matrix was viewed and this showed that staff do have a variety of training made available to them. The senior nursing staff are dedicated to staff training. The staff receive training from the charge nurse, who is a registered mental health nurse, and has a particular interest in teaching the staff on depression, dementia, perceptions carers have and how this effects the care they deliver. The senior nurse coordinates all other training and the mandatory training on health and safety issues for all staff. Infection control training is undertaken by distance learning. The inspector evidenced the record of who had attended adult protection training. The senior nurse endeavours to research all avenues of training for the staff. Nine care staff were undertaking their NVQ level 2 training at the time of the inspection. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35 & 36 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 responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. Service users financial interests are safeguarded. Staff are not formally supervised regularly. EVIDENCE: The registered manager has been in post for a number of years and is in the process of completing his Registered Managers Award. He is responsible for Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 20 this one home, which accommodates 69 service users. The manager is a qualified registered mental health nurse. The manager reports that the takeover by BUPA has absorbed his time in the last few months and is aware that he has not been so available at the home, as he has had to attend various training programmes about policies and procedures. The home is striving to maintain some of the systems that work for them but the organisations corporate policies will underpin the operation of the home in the future. The home has also had a succession of visiting directors and managers from the head office of BUPA. On the day of the inspection the inspector met with the regional director and the new operations manager for the Southampton homes. The senior nurse reported that she has not seen huge changes in the way the home is managed and that it has not affected the serviced users or staff a great deal. Service users and their families have been informed at meetings and by letter about the change of ownership. The manager has held regular meetings for staff to discuss the changes and to hear any issues or worries about the takeover. These meetings have been well attended and have been recorded and distributed for staff to read. Service users’ personal allowances are managed by the home. These are deposited in one bank account that does not bear any interest. The administrator showed the inspector how the records are maintained individually on paper and electronically and all receipts are kept and outgoings expenses are recorded. The administrator reported that service users do not accrue large amounts of monies. The inspector discussed having separate bank accounts for the service users and that this had been discussed in past reports. Communication had taken place with the CSCI head office to inform them of the system that was used by the previous organisation. This will be discussed further with BUPA as to their systems and policies on handling service users monies. The administrator reported that it would be difficult for some service users to manage their own bank account, as they are not able to take control or administer their own monies. One service user does manage his money with the help of a relative. The manager reports that all staff have been appraised in the past three months and training needs identified. The senior nurse reported that some of the overseas trained nurses have needed a great deal of support and the appraisal meetings have highlighted some problem areas. Supervision will take place after a six-month period to review what training has been undertaken and if the goals that were set have been achieved. The senior nurses reported that supervision in observed practice takes place but it is not always documented as such. She also reported that she allocated a trained nurse, with teaching skills and a great deal of experience, onto night duty for a period of time to supervise night staff and identify training needs by observing their practices. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 21 The inspector viewed the accident book. There was evidence that many of the incidences/accidents reported were those in connection with aggressive behaviours from the service users. This was discussed with the senior nurse who reported that training is given by the charge nurse as to why people react as they do and how to defuse or deal with specific situations and is part of the training programme. Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 22 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 X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 2 2 X X Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP35 Regulation Reg 20(1)(a) Requirement You are required to ensure that service users’ monies are paid into an individual account in the name of that service user. This has been under discussion with the CSCI head office and ANS. Notification has not been received as to the outcome of this discussion. Timescale for action 31/03/06 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 OP14 Good Practice Recommendations It is strongly recommended that the bathing routines for service users be documented in care plans in detail, to ensure service users are not being bathed too early in the morning and reasons for giving early baths documented. It is recommended that records be maintained of all observed practices as supervision records. All supervision meetings must be recorded. 2. OP36 Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Wilton Manor Nursing Centre DS0000011455.V254748.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!