Care Home: Adeline House Nursing Home

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Staveley Birk Leas Nursing Home
• Carentan House

What the care home does well People told us that they liked living at the home, and people confirmed they were happy with the care provided. People said they liked their bedroom and were encouraged to bring items of furniture, which had helped them settle into the home. People staying at the home for a short stay period said they would be happy to come back to the home to give relatives a rest however, they said they were looking forward to going back home. People told us they were aware of the complaints procedure and would feel happy to talk to the manager about Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.2 their concerns. The home is good at arranging social activities for people who use the service. There were lots of photographs, memorabilia and examples of arts and crafts on notice boards which confirmed people can access a variety of activities. People said they liked the food provided at the home, they said there was lots of choice and the food was good quality. What has improved since the last inspection? Since the last inspection they have improved there recruitment and selection procedures to ensure the right staff are employed to keep people safe. References, Criminal Records Bureau checks and gaps in employment were found on all files looked at. Healthcare records confirmed that consent had been gained prior to people receiving the influenza injection, and records showed clearly the intervention required when people have skin tears and pressure ulcers. The environment has improved, with new carpets decoration of bedrooms and the gardens have been landscaped to the rear of the building. The two internal quadrangles have been cleared of clutter and new furniture has been purchased. Security lighting outside the main entrance has improved and new fencing has been put up to make the rear garden more secure. What the care home could do better: The home could improve the way they record essential information about people’s food and fluid intake. Some were not consistently completed which means people may not receive the care they need. The recording of people weight was inconsistent and agreements about the taking of photographs must be fully completed. Care plans must be clearly written so that staff can meet the needs of people, as some hand writing was difficult to read. Gaps in staffs training could pose significant risk of harm to people who use the service. Some essential health and safety training is out of date and staff who have not received moving and handling training must not carry out transfers of people until they have undertaken the training. The manager has arranged some training for staff to ensure they know what action to take to keep people safe, although the dates are early next year. Some checks on people’s knowledge on safeguarding adults should be undertaken until they receive the formal training.Adeline House Nursing HomeDS0000015848.V378325.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE Adeline House Nursing Home Queen Street Thorne Doncaster South Yorkshire DN8 5AQ Lead Inspector Valerie Hoyle Key Unannounced Inspection 18th November 2009 09:30 DS0000015848.V378325.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Adeline House Nursing Home Address Queen Street Thorne Doncaster South Yorkshire DN8 5AQ 01405 815512 01405 813594 adeline.house@fshc.co.uk None provided County Healthcare Ltd, a wholly owned subsidiary of Four Seasons Health Care Ltd Siegfred Laguio Care Home 40 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) Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (40) of places Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places 40 2. Physical disability - Code PD, maximum number of places 40 The maximum number of service users who can be accommodated is: 40 25th November 2008 Date of last inspection Brief Description of the Service: Adeline is situated in the heart of Thorne village, and is in easy reach of local shops and amenities. Grounds are well maintained usually by the handyman and a gardener and the drive leading to the entrance is block paved leading to the conservatory entrance. A quadrangle in the centre of the home is easily accessed by a sloping ramp and is a popular location for people who use the service, and their visitors. The home has three lounge areas; one is designated as the smoking area. The main entrance is a conservatory area with domestic type seating including sofas and coffee tables. Qualified nurses provide the necessary care to those with nursing needs, and trained care staff provides care to the residential service users. Information gained on the 18th November 2009 indicated the current weekly fees range from £398.72 up to £547.63. Additional charges include hairdressing, newspapers and outings. The home provides information to people who use the service and their relatives prior to admission into the home. Service Users Guides are available on request from the manager. The last published inspection report is available on request and a copy is available for visitors to read. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use the service experience adequate quality outcomes. This unannounced inspection took place over 6.5 hours starting at 09:30 finishing at 16:00. The visit included a partial inspection of the home. Seven people who use the service, the manager Siegfred Laguio, and six staff and were spoken to during this inspection, their views are included within this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations but only when it is considered that the people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Occupancy at the home shows 34 of the 40 beds were occupied, this includes people who were staying at the home for a short stay. Three peoples care plans were looked at. Policies relating to medication, complaints, protection and handling of people’s money were looked at. Five recruitment and training records were looked at to assess how people were protected. Procedures and risk assessments relating to health and safety were looked at and discussed with the operational managers. The Annual Quality Assurance Assessment was sent to the home for the manager to complete. This was received in a timely manner. An AQAA is a self-assessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their services. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. What the service does well: People told us that they liked living at the home, and people confirmed they were happy with the care provided. People said they liked their bedroom and were encouraged to bring items of furniture, which had helped them settle into the home. People staying at the home for a short stay period said they would be happy to come back to the home to give relatives a rest however, they said they were looking forward to going back home. People told us they were aware of the complaints procedure and would feel happy to talk to the manager about Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.2 Page 6 their concerns. The home is good at arranging social activities for people who use the service. There were lots of photographs, memorabilia and examples of arts and crafts on notice boards which confirmed people can access a variety of activities. People said they liked the food provided at the home, they said there was lots of choice and the food was good quality. What has improved since the last inspection? What they could do better: The home could improve the way they record essential information about people’s food and fluid intake. Some were not consistently completed which means people may not receive the care they need. The recording of people weight was inconsistent and agreements about the taking of photographs must be fully completed. Care plans must be clearly written so that staff can meet the needs of people, as some hand writing was difficult to read. Gaps in staffs training could pose significant risk of harm to people who use the service. Some essential health and safety training is out of date and staff who have not received moving and handling training must not carry out transfers of people until they have undertaken the training. The manager has arranged some training for staff to ensure they know what action to take to keep people safe, although the dates are early next year. Some checks on people’s knowledge on safeguarding adults should be undertaken until they receive the formal training. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.2 Page 7 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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 Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were assessed before moving into the home to ensure their needs can be met. EVIDENCE: All new people receive a full comprehensive needs assessment before admission; this was carried out by the manager who had the required skills and competencies. The service was efficient in obtaining a summary of assessments undertaken by the placing authority, and insists on receiving a copy of the care plan before admission. Staff confirmed that information contained in the assessment was essential to understand what staff needed to do to ensure people’s needs were met. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 10 Three assessments were looked at and they focused on achieving positive outcomes for people who use the service. Before agreeing admission the manager and staff carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. People said they had visited the home prior to admission, and found the staff to be very warm and friendly. Two people who was receiving respite care said, “we have been here for a couple of weeks, and we are happy with our care although we want to go back home”. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive requires some improvements to ensure they receive the care they need. The principles of respect, dignity and privacy are put into practice. EVIDENCE: A number of care plans were looked at. They included sufficient information to enable staff to deliver peoples care. Risk assessments and daily records provided information to staff to enable people remain independence while remaining safe. There was evidence that the care plans were reviewed and family was kept informed about any changes to the persons care. Some entries in the care plans looked at were difficult to read. Therefore it could lead to misunderstanding if staff were unable to follow direction from the plan. The healthcare needs of people who use the service were generally met; however some records had not been completed. A consent form regarding the Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 12 taking of photographs of the person was signed but the agreement had not completed. Food intake records were in place for some people, although a number were not fully completed. Some said the meal had been refused, although there were no details in the care plan to give staff direction when meals are refused. There was no evidence to confirm supplements were offered when meals were frequently missed. Fluid intake charts were in place, although these were not consistently completed which means it is difficult to assess the information recorded. Records showing individuals weights had not been consistently completed, although staff said they were recorded on a chart showing all service users’ weight. The lack of a consistent approach to completing records could pose significant risk to people’s health and wellbeing. The nursing staff have responsibility for administering medication to people who use the service. An audit of the records and observation of the medication being administered to people confirmed the procedures were followed. The storage for controlled medication was appropriate and the records and medication were well managed. Staff was observed interacting with people throughout the day, they spoke in an appropriate manner and were seen offering choice with regard to refreshments and meals. Some people stayed in bed until late into the morning and the staff said they were provided with choice of times to get up and go to bed. People were addressed using their first name which was agreed with the individual. Staff were observed knocking on people’s bedroom door before entering and people confirmed staff respected their privacy and dignity. People have access to a call system in all areas of the home; however the inspector observed the call system to be constantly sounding, which could cause distress to some people. This was discussed with the manager, and he should monitor the time taken to attend to calls. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to socialise with family and friends and mealtimes were well managed. EVIDENCE: People were able to join in a variety of activities including outings to Bridlington, Cleethorpes and a zoo. Staff was employed with the specific role to organise activities and there was evidence to confirm arts, crafts and outings takes place. Notice boards and photographs showed people enjoying outings and there was a wall covered with memorabilia from the war and old photographs. People were involved in a Halloween party and they said they had enjoyed the event. One person said she liked to help out by selling raffle tickets. People were engaged in a quiz which discussed famous people. The activity coordinator said they were raising funds for future events including Christmas party entertainment. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 14 The home actively encourages relatives to be involved in functions at the home and they have no restriction to times when they can visit. A number of people received visitors during this inspection and they were greeted warmly and escorted to where their relative was sitting. The manager operates an open door policy and encourages them to discuss any issues. People were offered choice throughout this inspection. People were asked about their choice of food and hot drinks. People were able to choose where they spent their time some people preferred to stay in their bedroom and staff were seen taking meals and drinks throughout the day. Mealtimes were well managed, staff offered assistance where required and were available throughout the meal. People said they had enjoyed their lunch, they said the meals were always very nice with lots of choice. Hot and cold drinks accompanied the meal of lamb hotpot or pork faggots. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service could access the complaints procedures and the manager investigates concerns appropriately. Adult safeguarding procedures were followed to promote the protection of people from abuse. EVIDENCE: The home has a robust complaints procedure which was seen during this inspection. The AQAA confirmed that two complaints had been received since the last inspection. These were investigated within the timescales stated in their procedures and action was taken as a result of the complaints being upheld. People said they were aware of the complaints procedure, and they were confident that concerns would be dealt with swiftly. There is a comprehensive safeguarding adult’s procedure and staff follow the procedures to ensure people are protected from harm. The AQAA told us that there had not been any referrals to safeguarding since the last inspection. The manager told us that two referrals had been made since the AQAA had been returned to us. The incidents were discussed with the manager who has followed safeguarding procedures by referring them to social services. The AQAA told us that staff receives training to ensure they understand the action they need to take to keep people safe and protected. However the training Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 16 matrix identified that some staff now require refresher training which was scheduled for January 2010. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a well-maintained safe environment suitable for people. The home provides a clean and hygienic environment to maintain the health and safety of people who use the service. EVIDENCE: The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for people. Since the last inspection a number of rooms have been decorated and refurbished. They have improved the grounds by levelling the rear garden and creating a pleasant seating area. Internal quadrangles have been cleared of clutter making them more inviting to people. A partial inspection of the building found it to be clean and fresh. Bathrooms have been improved with new tiles and lighting. One bathroom is awaiting refurbishment to improve the walk-in shower facility. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 18 Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a stable staff group who has access to training which enables them to meet the needs of people who use the service. Recruitment procedures are followed to ensure the right staff ware employed to keep people safe from harm. EVIDENCE: There is a stable staff group with a number of staff that has worked at the home for a good length of time. Rota’s confirmed they have sufficient care and nursing staff to deliver the care people need. The manager has developed a training plan which identifies gaps in staff’s competencies. The plan was looked at and it highlighted that some staff require training in health and safety, infection control, food hygiene and 4 staff have not undertaken training to safely move and handle people. Nursing staff continue to maintain their professional qualification by attending regular training. Training to ensure staff have an understanding of the Mental Capacity Act 2005 and Deprivation of Liberty safeguards should be arranged as soon as practicable. There was a robust induction and probationary package, which was service specific. The manager only confirms permanent employment when satisfied Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 20 that competence and progress had been shown to be satisfactory against their induction standards. The registered provider continues to make a commitment to National Vocational Qualifications (NVQ) for staff. Fourteen staff holds the qualification. A number of staff (six) was progressing with NVQ level two, and a further six staff will commence the award in the near future. They have improved the way staff are recruited to work at the home and all staff files that were looked at, had the required employment checks. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home promotes openness and respect and they have effective quality assurance systems which helps people to give their views on the service. The lack of health and safety training means people may be at risk from harm. EVIDENCE: The registered manager has been in post for a good length of time. He holds the relevant nursing qualifications and attends professional and internal training courses to ensure he has the competencies and skills to lead a team of staff. People spoke fondly of the manager and staff said he was approachable and supportive. The manager had completed and returned the AQAA (Annual Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 22 Quality Assurance Assessment) it contained sufficient quality information. The AQAA provides a picture of the current situation within the service. It demonstrates where improvements are required to improve the service. Monthly quality assurance audits take place to ensure people receive a service which is value for money. Staff was encouraged to take ownership of the audits and a representative of the organisation undertakes and monthly visits to assess the home against national minimum standards. The organisation takes the lead for obtaining the views of people who use the service and they collate the data from yearly quality assurance surveys. A monthly newsletter has been developed and there was evidence that joint resident’s relatives meetings take place. The meetings were used to inform people of forthcoming events and to gain peoples views on the service that is being provided. Arrangements for safeguarding people’s money were in place, and a number of financial records were looked at. The procedures were discussed with the administrator. Accident reports were analysed by the manager to ensure risk assessments were developed where required, to minimise risks to people at the home. Maintenance and service records were up to date and current to the services provided. The manager had the required health and safety policies and procedures, relevant notices were displayed. Gaps in essential training including health and safety, food hygiene, infection control, and moving and handling means people may be put at significant risk of harm. Therefore this has been reflected in the adequate rating given for this outcome group. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 24 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 OP8 Regulation 12 Requirement Records confirming the health and welfare of people must be consistently completed. To ensure their needs are met. Staff must receive training to ensure they have the required skills and competencies To ensure they can meet the needs of people who use the service. Staff must receive refresher training in health and safety infection control, moving and handling and food hygiene. To ensure they have the required skills and competencies to help keep people safe from harm. Timescale for action 16/12/10 2 OP30 18 17/01/10 3 OP38 18 17/01/10 Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Care plan records must be clearly written so that staff can follow directions to deliver care to people who use the service. The manager should monitor the response times to people using the call system to ensure their health and welfare needs are met. 2 OP38 Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 26 Care Quality Commission Care Quality Commission Yorkshire & Humberside Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.yorkshirehumberside@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 27 Adeline House Nursing Home DS0000015848.V378325.R01.S.doc Version 5.3 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!