Care Home: Belle Vue Nursing Home

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What the care home does well The home provides a pleasant, comfortable and well maintained environment for people who live there. People expressed satisfaction with the care they receive, the activities and the meals provided by the staff at the home. Comments received by the inspector from people who live at the home or their families included, `The care is excellent` `Staff are cheerful, kind and helpful`, `Provides lots of activities and trips` `Staff are very approachable` `The best place in the whole of Cleveland` `The care is above what is needed` `Staff make sure families are up to date with any changes` The home has a range of policies and procedures that promote peoples safety and wellbeing. What has improved since the last inspection? A range of activities have been developed and implemented. People who spent time with the inspector told her they enjoyed the things on offer and spoke of regular trips out and entertainments as well as activities within the home. People expressed satisfaction with the variety of meals provide and said they met their expectations. The manager has obtained her certificate to confirm she has successfully completed her NVQ level 4 in management. Reference forms have been developed to include dates of employment. These are to be implemented. What the care home could do better: The registered person must ensure all staff comply with best practice policies and procedures in relation to safe handling of medication. To safeguard the health and welfare of people living in the home. Further development is required to ensure all plans of care reflect the person`s abilities and preferences, and details of how staff are to give assistance. New documentation to record the person`s assessment in relation to activities of daily living has been introduced. These were seen to contain less detail than the older records previously used. A full employment history should be obtained and any gaps in employment explored prior to commencing employment at the home.Belle Vue Nursing HomeDS0000000146.V376934.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE Belle Vue Nursing Home 26a Belle Vue Grove Middlesbrough TS4 2PX Lead Inspector Jane Bassett Key Unannounced Inspection 29th July 2009 09:00 DS0000000146.V376934.R01.S.do c Version 5.2 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. Belle Vue Nursing Home DS0000000146.V376934.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 Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belle Vue Nursing Home Address 26a Belle Vue Grove Middlesbrough TS4 2PX 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) 01642 852324 Belle Vue Healthcare Limited Dr Dilip Basant Acquilla, Mrs Sushma Acquilla Mrs Dorothy Matthews Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (60) of places Belle Vue Nursing Home DS0000000146.V376934.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: 60 2. Physical disability - Code PD, maximum number of places: 60 The maximum number of service users who can be accommodated is: 60 22nd August 2007 Date of last inspection Brief Description of the Service: Belle Vue Nursing Home is registered to provide personal and nursing care to sixty residents. The home is situated on Belle Vue Grove in Middlesbrough, and is close to all Local amenities and shops. The home is a two storey, modern, purpose built facility providing accommodation in the form of fifty-six single bedrooms and two double bedrooms. All bedrooms have ensuite facilities, which comprise of a toilet and hand washbasin. All bedrooms meet the required amount of space. The home offers a large dining area and a number of lounges. Belle vue is set in grounds, which are accessible to residents, and provides car-parking facilities for visitors. Belle Vue Nursing Home DS0000000146.V376934.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 2 star. This means the people who use this service experience good quality outcomes. This inspection was a key inspection. As a key inspection, all of the key standards were looked at or discussed. This was to check that the home meets the standards that the Care Quality Commission (CQC) say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services 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. The visit was unannounced. The inspection visit lasted five and a half hours. During this time the inspector looked at a range of documentation including, the files of people who live at the home and staff who work there. The Inspector walked around the home with the Manager. The inspector spoke to four people who live at the home, three family members, five staff members, the deputy manager and the manager. Eleven people who use the service and five staff returned surveys to CQC. Comments received can be read within the report. The manager of the home completed an Annual Quality Assurance Assessment (AQAA). At the time of the inspection the home was providing services to 54 people. The cost of care at the time of the inspection visit (depending on the category of care) ranged from £410 to £480 per week. The details of any issues identified at this inspection requiring action are to be found at the back of this report. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 6 What the service does well: The home provides a pleasant, comfortable and well maintained environment for people who live there. People expressed satisfaction with the care they receive, the activities and the meals provided by the staff at the home. Comments received by the inspector from people who live at the home or their families included, ‘The care is excellent’ ‘Staff are cheerful, kind and helpful’, ‘Provides lots of activities and trips’ ‘Staff are very approachable’ ‘The best place in the whole of Cleveland’ ‘The care is above what is needed’ ‘Staff make sure families are up to date with any changes’ The home has a range of policies and procedures that promote peoples safety and wellbeing. What has improved since the last inspection? What they could do better: The registered person must ensure all staff comply with best practice policies and procedures in relation to safe handling of medication. To safeguard the health and welfare of people living in the home. Further development is required to ensure all plans of care reflect the person’s abilities and preferences, and details of how staff are to give assistance. New documentation to record the person’s assessment in relation to activities of daily living has been introduced. These were seen to contain less detail than the older records previously used. A full employment history should be obtained and any gaps in employment explored prior to commencing employment at the home. Belle Vue Nursing Home DS0000000146.V376934.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. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 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 Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 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): Standards assessed 3 and 6. 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 has procedures that should ensure that prospective service users have their needs assessed and those needs can be met. EVIDENCE: During the visit the inspector examined the files of two people who have recently been admitted to the home. Both contained a pre admission assessment carried out by qualified nursing staff from the home prior to that person’s admission. Files also contained information gathered from other health professionals. The AQAA returned to CQC detailed the pre admission assessment process. This included visits to the home by the person and their representatives. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 10 One person who spoke to the inspector told her they had been impressed on their first visit to the home, they said ‘we came unannounced and staff spent time with us, they were so friendly’. Belle Vue Nursing Home does not provide intermediate care Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 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): Standards assessed 7, 8, 9 and 10 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 health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: During the visit the inspector examined the files of four people who live at the home. Each was found to contain a range of assessments and risk assessments in relation to the persons health needs. These were seen to be reviewed on a regular basis. Two files seen contained new documentation to record the person’s assessment in relation to activities of daily living. These were seen to contain less detail than the older records previously used. The deputy manager is currently reviewing the risk assessment in relation to the use of bed rails. Two of the files seen contained detailed information relating to that persons specific needs. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 12 The four files examined each contained plans of care in relation to needs identified in the assessment documentation. However the level of detail in plans of care varied. For example some plans of care in relation to personal hygiene state assist with but give no detail of how this is to be done. Further development is required to ensure all plans reflect the person’s abilities and preferences, and details of how staff are to give assistance. Plans of care were seen to be reviewed and evaluated on a regular basis. Records are kept of daily interactions and interventions. Information in the files indicates people have access to GPs and other health professional as required. People who spent time with the inspector confirmed this. The manager told the inspector where possible people who live at the home or their representatives are involved in the care planning process and agreements are sought. One person who lived at the home and family members confirmed plans of care had been discussed and agreed with them. Staff who spent time with the inspector were able to demonstrate through response to questions a good knowledge of people’s needs and how these are met. Staff spoke of promoting individuals privacy, dignity and independence. The inspector observed good interaction between staff and the people who live at the home. People who spent time with the inspector expressed satisfaction with the care that they receive. Comments received by the inspector included ‘the care is excellent’, ‘staff look after my relative with great care’ ‘staff know my likes and dislikes’ and ‘the care is above what is needed’. The answer in one survey returned to CQC responding to the question ‘what does the home do well’, simply stated ‘care’. Information contained in the AQAA returned to CQC indicated the home has a policy and procedure in relation to the safe handling of medications. The inspector was informed all medications are administered by qualified nursing staff. A sample audit of ordering, storage and recording of medication identified no major concerns. A sample audit of MAR (Medication administration records) found no gaps in recording. However the inspector observed two staff ‘potting up’ a number of controlled medications prior to administration. The manager told the inspector action would be taken in relation to this unsafe practice. Belle Vue Nursing Home DS0000000146.V376934.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 12, 13, 14 and 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 who use the service are enabled to make choices about their lifestyles. Social and recreational activities meet individual’s expectations. EVIDENCE: The home employs a number of part time activity coordinators. Files seen by the inspector contained details of people’s social and family history, and information on peoples preferred activities. The activities coordinators produce a regular newsletter and keep records of the activities that have taken place. People said they were given choice in daily activities and could spend their time as they wished. People told the inspector they were happy with the range of activities available and spoke of bingo, dominoes, quizzes, films, the gardening club, entertainers and trips out. On the day of the inspection a number of people went out to Redcar. The inspector was also told of a recent garden fete and a planned trip to a local folk festival. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 14 Comments received by the inspector included ‘the home provides a lot of activities and trips’ and ‘there is plenty to do’ The home has provided computer facilities for people. The inspector was told visitors are always made to feel welcome, one person said ‘there is always a homely atmosphere, the staff are really friendly’, another said ‘visitors are always welcomed’. People who spent time with the inspector told her they enjoyed the meals. They said there was a satisfactory choice of meals and alternatives were available. People can eat in either the dining room or in their own rooms, one person said ‘you can eat where you want; I have my tea in my room’. Other people told the inspector ‘the meals are tasty’ and ‘I enjoy the meals, we are well fed’. Belle Vue Nursing Home DS0000000146.V376934.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 16 and 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 are enabled to express their concerns and have access to a complaints procedure. Staff are aware of procedures to follow if abuse is suspected which helps to protect people who use the service. EVIDENCE: Information in the AQQA returned to CQC indicated the home has procedures in relation to handling of complaints and safeguarding vulnerable adults. Further information indicated the home has received 4 complaints within the previous 12 months, 2 of which were upheld. The manager records complaints received, details investigations undertaken and any actions taken. People who spent time with the inspector said they knew how to raise any concerns. People said staff and the manager listen to them and things are acted upon. One person said ‘all the staff are approachable’, another said ‘I would speak to the manager, she comes to see us everyday’. Staff who spent time with the inspector confirmed they had received training in relation to prevention of abuse and reporting concerns. All were able to demonstrate through response to questions the actions they would take if a concern was identified. There have been no referrals to adult protection within the last twelve months. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 16 Belle Vue Nursing Home DS0000000146.V376934.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 19 and 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 standard of the environment within this home is good providing the people who live there with and attractive, homely and comfortable place to live. EVIDENCE: Belle Vue Nursing Home is a two storey, modern, purpose built facility that can provide accommodation to a maximum number of sixty people. There are fifty-six single bedrooms and two double bedrooms, however double bedrooms are currently being used for single occupancy. All bedrooms have a toilet and hand washbasin. There are a number of lounge areas and one large dining area on the ground floor. The home is well maintained with furniture provided in both communal areas and bedrooms being of a good standard. On the day of inspection the home was found to be clean, tidy and odour free. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 18 The Inspector walked around the home with the Manager. People are encouraged to personalize their bedrooms. Although furniture is provided many of the bedrooms contained residents own furniture, ornaments and pictures that they had brought from home to make their room more homely. Externally there is a pleasant and accessible garden area, including flower beds and containers cultivated by people who live at the home. Information contained in the AQQA indicated the home and equipment are maintained as required. Belle Vue Nursing Home DS0000000146.V376934.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 27, 28, 29 and 30 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. Staff at the home are trained and skilled to meet the needs of people living at the home. The home has a recruitment procedure that should promote the safety of people living there. EVIDENCE: At the time of the inspection there were 54 people living at the home. The homes duty rota showed that there were eight to nine Care Assistants on duty between the hours of 8:00am and 2:30pm, seven to eight Care Assistants on duty 2:30pm to 9:15 pm and four Care Assistants on duty during the night. In addition there are two trained nurses on duty during the day and night. The Manager of the home, who is also a nurse, is supernumerary and as such works in addition to the staff numbers above. The deputy manager has a number of supernumerary hours to facilitate training. People who spoke to the inspector told her there were ‘plenty of staff to look after us’, ‘staff are cheerful, kind and helpful’ and ‘you couldn’t find a better bunch of staff’. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 20 Information in the AQQA and other records seen indicated 20 of the 37 care staff have achieved NVQ level 2 or above and other staff are undertaking training. Records were available to confirm that regular training is provided to staff working at the home, this included Moving and handling, fire safety, prevention of abuse, infection control, falls awareness, deprivation of liberties and dementia awareness. A training plan seen indicated training into nutrition and safe handling of medication was to take place. Staff who spoke to the inspector confirmed they received regular training and supervision. The inspector examined the files for 3 staff who were recently recruited. These were found to contain evidence of application with employment history, two written references and PoVA (Protection of Vulnerable Adults) first / CRB (Criminal Record Bureau) check obtained prior to employment. However the employment history for two of the staff did not contain full dates of employment and listed years only. Reference requests have recently been altered to request dates of employment from previous employers. These are to be implemented. The file of one qualified staff recently recruited contained evidence of a PIN (Professional Identification Number) check. The manager also carries out annual PIN checks to confirm continued eligibility to practice. Belle Vue Nursing Home DS0000000146.V376934.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed 31, 33, 35 and 38 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 is well managed and generally run in the best interests of the people who use the service. The health, safety and welfare of people who live at the home and staff was promoted and protected. EVIDENCE: The Manager is a Registered Nurse who has worked in the nursing and social care environment for many years. The manager has completed her NVQ level 4 in management and has received her certificate. Information contained in the AQQA returned to CQC indicated quality assurance and quality monitoring practices are in place. Surveys are sent out Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 22 to residents on a yearly basis to see if they are happy with the home and care that is provided. People told the inspector the provider visits on a regular basis and talks to both people who live at the home and staff. However a Regulation 26 report is not produced. Further information indicated the home and equipment are serviced and maintained as required. Accidents are recorded appropriately and analysis takes place. Fire alarms are tested weekly. Hot water temperatures are checked and recorded weekly. The AQQA contained details of a range of policies and procedures that should promote the safety and well being of those who live there. The manager told the inspector these were currently being reviewed. A sample audit of people’s personal monies held by the home found no discrepancies between the amount held and the amount recorded. Records are audited on a monthly basis. People who spoke to the inspector told her communication was good. People who live at the home and their representatives told the inspector ‘the staff make sure families are up to date, they let us know if anything happens’. One person said ‘this is the best place in the whole of Cleveland’, another said ‘the care is excellent’. A further person said ‘it is home from home’. One staff member who spoke to the inspector said ‘the manager is good, all trained staff are approachable and supportive’ another said ‘there was an open door policy; you could always raise any issues’. Belle Vue Nursing Home DS0000000146.V376934.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 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 OP9 Regulation 13 (2) Requirement The registered person must ensure all staff comply with best practice policies and procedures in relation to safe handling of medication. To safeguard the health and welfare of people living in the home. Timescale for action 01/09/09 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. 2. 3 4 Refer to Standard OP7 OP7 OP29 OP33 Good Practice Recommendations Further development is required to ensure all plans of care reflect the person’s abilities and preferences, and details of how staff are to give assistance. Each person should have a comprehensive assessment of need including all activities of daily living. A full employment history should be obtained and any gaps in employment explored prior to commencing employment at the home. The provider should complete Regulation 26 visit reports DS0000000146.V376934.R01.S.doc Version 5.2 Page 25 Belle Vue Nursing Home on a monthly basis. Belle Vue Nursing Home DS0000000146.V376934.R01.S.doc Version 5.2 Page 26 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@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). 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