Inspection on 13/03/07 for Windy Ridge Nursing Home

This inspection was carried out on 13th March 2007.

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

Other inspections for this house

Windy Ridge Nursing Home 13/03/08

Windy Ridge Nursing Home 27/09/07

Windy Ridge Nursing Home 18/10/05

Windy Ridge Nursing Home 14/06/05

Windy Ridge Nursing Home 22/12/04

Windy Ridge Nursing Home 02/08/04

Windy Ridge Nursing Home 10/02/04

Windy Ridge Nursing Home 25/06/03

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

CARE HOMES FOR OLDER PEOPLE Windy Ridge Nursing Home 32 Barton Lane Barton On Sea New Milton Hampshire BH25 7PN Lead Inspector Anita Tengnah Key Unannounced Inspection 10:00a 13thMarch 2007 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Windy Ridge Nursing Home DS0000011456.V327291.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. Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Windy Ridge Nursing Home Address 32 Barton Lane Barton On Sea New Milton Hampshire BH25 7PN 01425 610529 01425 610929 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) MNS Care PLC Position Vacant Care Home 21 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (21) of places Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 4 service users may be accommodated at any one time in the DE category. 18th October 2005 Date of last inspection Brief Description of the Service: Windy Ridge Nursing Home is a care home offering nursing care and personal care for up to 21 service users that have dementia in the older person category. The home is situated in a quiet residential area of Barton on Sea with access to some local amenities and close to the seafront. Accommodation is provided on two floors with a stair lift that allows access to the first floor. MNS care owns the service. The current fee charged is £550- £650 per week. Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the service was undertaken as part of the inspection on the 13th of March 2007. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking 5 staff and 3 service users and two relatives views were sought and care records were looked at. Information gained from the pre inspection questionnaire was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. Positive comments were received from the service users regarding the care that they were receiving at the home. The commission received 4 comment cards from the service users and some contained input from their relatives. The home has a manager that has been recently appointed and would need to register with the commission. What the service does well: What has improved since the last inspection? The first floor bathroom has been recently refurbished and provided the service users with pleasing surrounding to bathe in and appropriate to their needs. Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 6 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. Windy Ridge Nursing Home DS0000011456.V327291.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 Windy Ridge Nursing Home DS0000011456.V327291.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): 1,2,3,6 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The pre admission assessment process is inadequate, as the service users needs are not always assessed prior to admission The home does not provide intermediate care EVIDENCE: The manager reported that the statement of purpose and the service users’ guide was in the process of being reviewed and would be available to the service users. The care records of three recently admitted service users were looked at as part of case tracking. One of the service users had a pre-admission assessment carried out, however there were no records of pre admission Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 9 assessments for the other two service users. The pre admission assessment should be detailed and include personal care, diet, communication mental status, mobility and all other needs as described in standard 3. The registered person must be able to demonstrate how the care needs would be met. The manager was aware that assessments from care managers should also be sought as appropriate as part of the pre admission process. The manager stated that the home had been without a manager for a few months and the service users had not been assessed and that this would be rectified. The service users are offered the choice of visiting the service prior to admission. The manager reported that the service users’ family visited, as the service users were unable to do so due to their frailty. The last report indicated that the service users statement of terms and conditions of residency at the home were in the process of being revised to reflect amended charges. The inspector was informed that these would then be presented to the service users representatives for signing. This has not been completed and remains outstanding, as there were no records of these at the service. The manager confirmed that the home does not provide intermediate care. Windy Ridge Nursing Home DS0000011456.V327291.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): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care plans and records of care given were inadequate. All the service users must have a plan of care in place with clear information about the support required. The meeting of health care needs and access to external agencies are satisfactory. The management of prescribed medication was good and ensured that the service users are protected. The service users are treated with respect and dignity. EVIDENCE: Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 11 The care plans of 5 service users were seen as part of this visit to look at how the home plans to meet the needs of the service users. Two of these care plans contained adequate information about the assessed needs of the service users and actions required in order to meet them. There was evidence in one of the care plans seen that the service user’s daughter was involved in providing information about his dietary needs. It was noted that the home had different systems of care planning in place and could be confusing for the staff. There were some assessments such as moving and handling, however nutritional assessments, likes and dislikes, fall risk assessments were lacking. The manager reported that she was in the process of introducing a new care plan system for all the service users and this would improve the records as maintained in the care plans. The care plans also lacked details when dealing with specific needs such as catheter and stoma care. This was discussed with the manager and trained staff. A service user who had been admitted at the beginning of February 07 did not have any care plans in place. This was brought to the attention of the manager who must ensure that all the service users have a care plan in place to identify how their needs would be met. This is poor practice and can lead to inconsistency in care and to the detriment of the service user. Another service user record showed that bed rails were in place however there was no risk assessment for the use of bedrails and no consent had been sought. The manager must ensure that any form of restraint used must be risk assessed and consent obtained. The home has a service user whose record showed as requiring two staff members to assist with her mobility. This service user is accommodated on the first floor in a bedroom with three steps leading to her room. Staff reported that two staff members would be required to lift her in an “Ivac“ chair in order for her to access her room and the bathroom where there are more steps to manage and to the communal areas on the ground floor. The registered person must ensure that the first floor rooms must be only be used for service users who are able to manage steps and the service users must have access to all parts of the home. The manager reported that the home had developed and maintained good relationship with the local primary care trust and the service users were supported in accessing care as required. All the service users are registered with the local surgery. The GP undertook did not undertake regular visits to the home to the home and the manager said the doctors only visited on request. The home has a medication policy and procedure in place. All medications were stored securely including those that should be kept in the fridge and controlled Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 12 drugs. Staff reported that the registered nurses were responsible for the administration of medication and that regular updates in medication was available. A sample of the Medication Administration Record (MAR) sheets seen indicated that all prescribed medication administered was recorded accurately. A record of medication received in the home was available and a system for the disposal of medication was in place. It was noted that the home had a number of creams that belonged to a service user who died in December 2006. This was brought to the attention of the manager and will be dealt with. Comments cards received, and a service user and two relatives spoken with confirmed that they were satisfied with the care that they were receiving. A relative said that her mother was “always well dressed and clean “ and that the staff were “very attentive.” Comments included “the staff are all right and helpful”. Staff were observed to knock prior to entering the service users bedrooms. It was not possible to gain the service users views due to their mental incapacity and judgements were made through observation of care practices. It was evident from interaction observed that that the carers had developed and maintained good relationships with the service users and treated them with respect. Windy Ridge Nursing Home DS0000011456.V327291.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): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The social and recreational facilities for the service users should be further developed to meet all the needs of the service users. The service users are supported to maintain links with their family and friends. The meals were satisfactory and should be further developed to offer choices to the service users. EVIDENCE: The home has a planned activity programme and the manager stated that staff from the local college attended the home for a few hours three times a week to provide some activities. An external entertainer visited the home on Wednesdays and played the organ that staff said the service users enjoyed. The manager reported that the home did not have an activity coordinator at the present and was in the process of recruiting one; this had led to a decrease of activities for the service users. Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 14 There was no activity on the day of the visit and as discussed the service users would benefit from having an in house staff to provide them with activities. There were nine service users in the lounge and it was noted that they were left for long hours without any supervision. A comment card received raised concerns regarding the television in the communal lounge being out of order for five weeks and the service users are left “staring at the wall”. The manager confirmed that there has been no television for a while and the provider was aware of this and dealing with it. One service user commented that, “nothing much happens” and “ spent his time in his room”. The registered person must ensure that the service users are provided with appropriate activities in order to meet their needs. The home has an open visiting policy and it was evident from the record of visitors as kept by the home that there was no restriction on visiting. Relatives spoken with confirmed that that they have the choice to visit their relative in private and usually stayed in the lounge. Relatives said that the staff were always very welcoming and offered them beverages when they visited. On the day of the visit there were a number of service users who were being helped with their personal care and getting up. This indicated that they were not all got up by the night staff. Staff said that some of the service users are washed and dressed by the night staff. A service user spoken with confirmed that he had autonomy and choice with his activities of daily living. He said that he liked watching television in his room till late and got up around eight thirty to nine in the morning. As part of the development of the new care plans, the service users’ preferences should be recorded to inform practice. A sample of the menu seen indicated that the service users are offered a wellbalanced meal. Lunchtime meal was observed and appeared well presented and wholesome. Staff were available to offer support with meals as required. The home had purchased a hot trolley since the last visit and meals were kept hot. A service user confirmed that lunchtime meals were “hot and all right”. Comment received indicated that there was no cooked breakfast available and a service user said that he would like some but none was available. It was difficult to evidence what choices are available to the service users as the service users do not choose from the daily menu and are not aware of what the meal would be until it is served. One service user said that he liked curries and other types of food, however none of these were available to him. Windy Ridge Nursing Home DS0000011456.V327291.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives are confident that the service will respond to complaints and concerns in an effective manner. Service user’s welfare is protected as staff have a good understanding through training about the protection of vulnerable adults. EVIDENCE: The complaints procedure is detailed in the statement of purpose and the service users guide that is provided to all service users. This will continue to be so when these document have been revised. Discussion with care staff indicated that they would refer any complaints to the nurse in charge or the manager. A record of complaints is kept by the home that indicates the action taken to resolve the complaint and the outcome of the complaint. However it was noted that the manager does not respond to complaints, but the Director of care. It is recommended that the home’s manager respond to complaints in the first instance. This will give the manager a chance to resolve any complaints, assist in the managers monitoring of the service and give her greater autonomy for managing the home. Discussion with visitors and the response from surveys Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 16 indicated that visitors are confident to express their concerns and complaints to staff members with the belief that they will be responded to appropriately. Policies and procedures are in place about the protection of vulnerable adults. The manager was able to demonstrate in conversation her understanding of the procedures and the correct action to be taken in the event of a suspected case of abuse. Staff spoken with were aware of the effects of abuse and how to respond to suspected abuse. Windy Ridge Nursing Home DS0000011456.V327291.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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the service users with a comfortable, clean and homely accommodation. The infection control procedures at the home are good and ensure that the service users are protected. EVIDENCE: Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 18 A tour of the premises was undertaken as part of the visit and a number of bedrooms, communal areas, and bathrooms were viewed. The home was clean and there was no adverse odour when the inspectors toured the premises. The manager reported that there is a programme of refurbishment in place. Furnishing in the communal areas was of good standard and appropriate to the needs of the service users. The first floor bathroom has been refurbished to a high standard and offered the service users a well- equipped bathroom that was appropriate to their needs. There is a large shower room on the ground floor that would be suitable for people with limited mobility. However it was noted that the shower facility was out of action and in a poor state of repair. The shower unit was stained and there was no hot water. The manager reported that was due for refurbishment but could not confirm when this will be done. The manager is aware that at present the home falls short of the required bathing facilities for the number of service users accommodated. Action must be taken to ensure that the service users are provided with adequate bathing facilities to meet their needs. The service users have a large conservatory that they use as the communal lounge. On the day of the visit the temperature was 25 degrees centigrade and uncomfortable. Concerns about the temperature in this room have been previously brought to the attention of the provider and remedial action is required to ensure the safety of the service users. The staff confirmed that this was the main communal lounge for the home and the service users did spend most of their time in there. The home had information on infection control and staff practices observed indicated that they were aware of this. Protective equipment such as gloves and aprons were available and hand washing facilities and disposable soaps dispensers and towels were in place. Windy Ridge Nursing Home DS0000011456.V327291.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): 27,28,29,30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The staffing numbers are satisfactory to meet the present needs of the service users. The recruitment process is poor and does not protect the service users. The training programme should be further developed and records of these maintained. EVIDENCE: The home has a duty roster for nurses and carers and a separate roster for ancillary workers. A sample of the staff roster seen indicated that there are 1 trained staff and 4 carers in the morning, 1trained staff and 2 carers in the afternoon/ evening and night duty had 1 trained staff and 2 carers. The manager reported that carers prepared the teatime meals as the kitchen staff left at 4 pm and carers also undertook the laundry. The duty roster was confusing and must be reviewed to clearly identify what staffing are on duty at any given time and in what capacity. The registered provider must ensure that Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 20 there are adequately trained staff at all times and that staffing hours are not eroded by non- care duties. Information received showed that home has 2 carers who are undertaking NVQ2. Another 2 carers are finishing NVQ3. The manager has achieved NVQ 4 and the senior nurse has achieved NVQ 3 and completing level 4. This indicated that training to NVQ level 2 and above need to be further developed for the care staff in order top meet standard 30 recommendations. A sample of three recently recruited staff records were seen as part of case tracking. This indicated that the home did not have a robust recruitment procedure in order to safeguard the safety of the service users. There was no record for the manager who had been recently recruited and no evidence that checks such as POVA first and CRB had been completed. Another staff did not have any references and the CRB was from another home and no evidence of work permits for two staff members. Further requirements will be made from this visit, as previous requirements remain outstanding. A sample of the training records seen indicated that some staff have attended moving and handling training, prevention of abuse, infection control and first aid. A review of training needs must be undertaken and the registered person must ensure that all staff have mandatory training in health and safety including fire training to safeguard the welfare of the service users. It was noted that some of the carers are involved with food preparation without evidence in food hygiene training. This included the stand in chef who was identified by the environmental officer as not having training in food hygiene. Windy Ridge Nursing Home DS0000011456.V327291.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): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a newly recruited manager in place. The financial interests relating to the management of personal allowances are safeguarded. The process of seeking the service users’ views should be further developed. The process of promoting the health and safety of the service users must be further reviewed, as this was inadequate. Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home has recently recruited a manager who will need to be registered with the Commission. Staff spoken with were enthusiastic about the new manager and the changes with the new care planning. The manager is a registered nurse and has completed her NVQ 4 in care. The relatives spoken with were aware of the manager and said that they felt confident in approaching her if they had any concerns. Reports of Regulation 26 visits as undertaken by the responsible individual are sent to the commission on a regular basis. There has been no auditing of the service users views and the manager was not aware if one was planned. The registered person must ensure that an audit system to seek the views of the service users is developed and put in place. The home will look after small amounts of service users monies. Accurate records for the individual monies are kept, with all money being received and expenditure by the service user recorded. Staff reported that the service users and their representatives are able to view the records when they wish to. Information received indicated that there are regular reviews of policies and procedures to ensure that they meet current legislation/ guidelines. The fire equipment check was last completed in November 2006. There is an ongoing programme for the servicing of fire equipment, hoists, lift and emergency lighting. Records seen showed that they were all completed in the last 6 months. The manager must ensure that all substances that are hazardous to health (COSHH) are kept locked, as a bottle of cleaning fluid was not maintained safely. A random check of the hot water in the first floor bathroom indicated that the hot water in the sink was being delivered at 60 degrees centigrade. This was brought to the attention of the manager. The registered person must ensure that hot water is delivered safely and at the correct temperature for the safety of the service users. The staff confirmed that the sinks taps were not fitted with thermostatic control valves. Reports following recent visits from the fire officer in October 2006 and the environmental officer in November 2006 indicated that there were a number of requirements made that the provider must address. Windy Ridge Nursing Home DS0000011456.V327291.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 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Windy Ridge Nursing Home DS0000011456.V327291.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. 1 Standard OP3 Regulation 14(1) Requirement All new service users must have a pre admission assessment of their needs before they can be admitted to the home. All service users must have a plan of care in place. Timescale for action 30/04/07 2 OP7 15(1) 30/04/07 3 OP27 18(1) 4 OP29 19 5 OP29 19 The plan must set out detailed action which staff need to take to ensure that all assessed care needs are met. Staffing numbers must be 30/04/07 appropriate at all times to meet the assessed needs of the service users. This must include domestic staff to ensure that care hours are not eroded. All staff must have two written 30/04/07 references and records of these maintained. This is a repeated requirement from 30/10/05 that remains outstanding. All staff members must have 30/04/07 CRB and POVA first checks prior to commencing employment at the home. This is a repeated DS0000011456.V327291.R01.S.doc Version 5.2 Page 25 Windy Ridge Nursing Home 6 OP38 12. 13(5) requirement from 30/10/05 that remains outstanding. All staff at the home must receive training with regard to moving and handling. This is a repeated requirement and the previous timescale of 30/07/05 and 30/10/05 were not met. 30/04/07 7 OP38 16(2) (j) 8 OP38 All staff involved in food preparation must have training in food hygiene to protect the service users. 13 (4) (c ) The hot water must be delivered at the correct temperature and safely to protect the service users. 30/04/07 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. No. Refer to Standard Good Practice Recommendations Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Windy Ridge Nursing Home DS0000011456.V327291.R01.S.doc Version 5.2 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. 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!