Care Home: Clyde Court Nursing Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well What has improved since the last inspection? Although there were no concerns raised about staffing levels at the last inspection visit in May 2006 we could see that the management team now regularly review the staffing levels in the home in order to make sure people`s identified needs are being met at any one time. CARE HOMES FOR OLDER PEOPLE Clyde Court Nursing Home 22/24 Lapwing Lane Didsbury Manchester M20 2NS Lead Inspector John Oliver Unannounced Inspection 6th May 2008 10:10a 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 Clyde Court Nursing Home DS0000021540.V363439.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. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clyde Court Nursing Home Address 22/24 Lapwing Lane Didsbury Manchester M20 2NS 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) 0161 434 1824 0161 448 8501 clyde-court@dsl.pipex.com Manager post vacant Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The maximum number of service users requiring nursing care shall be 24. The maximum number of service users requiring personal care only shall be 9. Minimum staffing levels for service users requiring nursing care as specified in the Notice dated 10 November 2004 issued under Section 13 of the Care Standards Act 2000 shall be maintained.. A copy of the Residential Forum Guidance ` Care Staffing in Care Homes for Older People` must be available in the home. Staffing levels for service users who require personal care only must comply with the minimum requirements of the Residential Forum guidance. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 16th May 2006 Date of last inspection Brief Description of the Service: Clyde Court Care Home is a large detached property built originally in 1895. The home has been adapted to accommodate a maximum of 33 residents. The home was first registered in 1992 and consists of a three-storey building, with a newer ground floor extension. There are twenty-two single rooms and five double rooms available. There is a passenger lift. The home only allows smoking in resident’s own bedrooms if they are able to do this unsupervised, otherwise smoking is allowed on the external patio area. The home is wheelchair accessible. There is a lift available to the three main floors but in the three cases were individual bedrooms are up a further small number of stairs, hoists are provided. There is provision for car parking at the front of the building. At the rear of the house there is a large patio leading from the dining area, from which access, via a ramp, to the lower patio area and garden area can be obtained. There is easy access to local shops, cafes, pubs and public transport. The current fees for the home are £373 to £575 a week. Hairdressing, private chiropody and newspapers are extra. Clyde Court Nursing Home DS0000021540.V363439.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. The inspection was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to the home prior to the site visit. This visit, which the home did not know was going to happen, took place over the course of 9 hours on Tuesday 6 May 2008. During the course of the site visit we spent time talking to the residents, the registered manager, the general manager and staff on duty to find out their view of the home. Before the site visit we sent the manager of the home an Annual Quality Assurance Assessment (AQAA) document for them to complete and return to us with information about the service they provide. This was returned before the visit took place and contained information that helped us to assess the service being offered by the home. Before the visit to the home people who use the service, their relatives and members of staff were sent surveys and were asked to comment on the agency. By the time of the visit 11 people had returned surveys. We also spent time examining various files and written information and spent some time looking around the building. What the service does well: The management and staff team had continued to further develop and improve the way in which people’s needs and support were identified and recorded. We saw examples of care plans that contained clear information about people and focused on what was important to them in their daily living. The manager told us that her focus was to develop a care planning system that was fully person centred. We saw evidence that the management and staff team were fully aware of the importance of the need to protect vulnerable people. The procedures and practices had been put into place that demonstrated staffs’ awareness of how to respond to incidents and allegations if they occur. We asked both the manager and staff specific questions about their individual roles in protecting people and they showed a good understanding of what they should do. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 6 Complaints are taken seriously by the management team of the home and people are supported to express any concerns they may have. We saw that records are kept and that the manager had responded to the concern appropriately. Regular meetings for both residents and staff gives opportunities to discuss how the home operates and to express any views or concerns they may have. To further enhance staff’s knowledge and awareness about protecting vulnerable adults the manager had purchased a professional teaching aid to enable her to deliver further in-house training in this subject. Staff training is seen as an important part in making sure staff have the right skills and knowledge to meet people’s needs in the best way possible. Staff commented that the support they received from the management team was positive. Comments included “We get regular training including moving and handling, food hygiene, No Secrets and fire training” and “We get refresher training every year for those courses where necessary”. Residents spoken to were very complimentary about the standards of care and support given by staff. One resident told us “(I) cannot fault the staff and management of the home – all are good”. What has improved since the last inspection? What they could do better: When medication is being administered to residents ‘as and when’ required it is important that a true balance of that medication be reflected in the records. We found this was not always being done in the records we examined which could place individual resident at risk of medication being inappropriately administered. We saw that the carpet in the main lounge was ‘rippled’ in places and could be a potential tripping hazard to both residents and staff. It is important that such matters are dealt with promptly to reduce this risk. The laundry is located in the basement of the home and provides appropriate facilities for maintaining residents’ clothing to a good standard and for dealing with soiled linen. Hand washing facilities have been made available for staff to use once the have finished dealing with soiled linen but evidence seen indicated that this was not being used. It is important that good standards of hygiene are maintained by staff at all times to minimise the risk of infection and cross contamination being carried throughout the home. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Clyde Court Nursing Home DS0000021540.V363439.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 Clyde Court Nursing Home DS0000021540.V363439.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents receive a full assessment of their needs prior to admission into the home. EVIDENCE: Any potential resident is only admitted into the home following a pre-admission assessment undertaken by the referring agency and if the admission is for nursing care, a National Health Service (NHS) funded nursing care assessor. The manager, deputy manager or a senior nurse of the home also visits the person in his or her own environment and carries out a pre-admission assessment on behalf of Clyde Court. In the information returned to us in the Annual Quality Assurance Assessment (AQAA) the manager told us “When a resident makes a decision that they would like to move to Clyde Court or come to stay for a period of respite care one of our senior nurses will arrange to visit the prospective resident where we Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 10 complete our pre-admission assessment. This assessment is to ensure that we can meet all their needs and individual requirements and that we have all the specialist equipment necessary to meet the needs”. Prospective residents are given the opportunity to visit the home prior to admission if they are able to do so, and their relatives are also encouraged to visit and ask the management about any concerns or questions they may have. We looked at the files of three recently admitted residents and saw that assessments undertaken by the referring agency and the home were in place. The manager confirmed that the home did not offer the services of intermediate care. Clyde Court Nursing Home DS0000021540.V363439.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were in place that detailed the needs of the individual resident and supporting policies and procedures were in place to ensure the safe handling and administration of medication in the home. EVIDENCE: Each resident had care plans in place that had initially been written using all the pre-admission assessments that had been undertaken, together with any risk assessments undertaken following admission. Since the last inspection visit to the home the home’s manager and senior staff had worked hard to further develop the care plans so that they focused on a more person centred approach when thinking about how to meet a person’s needs. At the front of each resident file is a care plan with details of any support and interventions that may be required and from this initial care plan are Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 12 developed care programmes. These detail specific ways in which interventions are to be offered by staff, for example, when assisting a resident with mobility and personal hygiene. We also saw that people’s health care needs, such as mobility, nutrition and oral care were identified through the assessment process and were reviewed on a monthly basis. We also saw evidence of more formal reviews being undertaken by the purchasing authorities. Input from healthcare agencies, such as the District Nursing Service, General Practitioners and others were recorded in individuals’ files. We also saw that people who required support with specific health conditions such as diabetes, were continued to be supported to access the relevant community health services, such as chiropody and opticians. The way in which medication is administered in the home was examined. Nursing staff administer medication to all residents using a monitored dosage system and all staff had been trained by a member of the Primary Care Trust (PCT) in the Safe Handling of Medication. It is recommended that regular competency assessments be carried out to ensure staff with the responsibility for administering medication continue to do so safely. Medication administration records were sampled and found to be mostly accurate except for three where medication which was not in the monitored dosage system did not balance. Where medication is to be given as and when required or has a fluctuating dosage it is important that an accurate balance is recorded in order that a clear audit trail can be maintained and to minimise any risk to residents from errors in administration occurring. Controlled drugs were examined, and the stock levels balanced with the records. One resident manages and takes her own medication, which is identified in her care plan. An up to date risk assessment was in place and she has been provided with a lockable metal cabinet in her room and a key to her door. When asked, this resident said “I am quite happy with the way my medication is handled”. We watched staff working and interacting with people living in the home and saw that they treated people in a positive way whilst respecting their privacy and dignity. We received eleven survey questionnaires back from residents living in the home and ten stated they “Always” receive the care and support needed and one stated “Usually”. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, were encouraged to maintain contact with the community and are provided with a wholesome and well balanced diet. EVIDENCE: The home uses the services of an activity organiser who is based at the sister home, Westleigh. This organiser arranges programmed events for both homes, which includes entertainers and outings. The manager of the home arranges all other in-house activities and entertainment such as film shows, bingo and quizzes. On the day of our visit a quiz was taking place in the afternoon, which was well attended and enjoyed by the residents. Although a record of activities taking place is kept, no record of those residents participating was maintained. It is recommended that information about the activities programme and those people involved be kept on file. During the visit family and friends were visiting people. There were no restrictions on when people could visit (other than recommending not at meal times) and people had the choice of private and communal areas in which to see their friends and family. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 14 We saw that people received their mail unopened and those who were independently mobile could access all communal areas without any restrictions being placed upon them. The manager and staff consider meal times to be a social occasion where residents are encouraged to come together and enjoy each other’s company. Lunchtime was observed and it was found to have a relaxed and informal atmosphere with staff providing assistance where required. Residents are offered the choice of two main meals and can select at the time the meal is being served. It was evident from the various meals seen that the cook could provide diets for residents with clinical conditions such as diabetes or particular likes/dislikes. Following the main meal a sweet trolley is taken around from which residents can choose from a wide selection of sweets. One resident told us “(The) food is not bad at all really – we do get offered choice” Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and training measures were in place for staff to support residents to raise any issues of concern and to try and protect residents from neglect and abuse. EVIDENCE: The home had a Complaint Policy and procedure that was available through information provided to prospective residents and/or their relatives at the time of admission into the home. The procedure was also displayed throughout the home. The manager maintains a written log of all concerns and complaints received and the records showed that those complaints received since the last inspection visit to the home had been appropriately investigated and responded to. The management team followed the organisation’s policy and procedure for responding to adult protection issues. The manager had access to the contact details of the different local authorities that placed people at the home. Discussion with the management team and staff demonstrated that they were aware of their roles in reporting allegations and incidents to the relevant local authority and for notifying other agencies such as the Commission for Social Care Inspection when incidents occur. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 16 Information in the Annual Quality Assurance Assessment (AQAA) returned to us before this visit took place told us “All staff are issued with the homes abuse and whistleblowing policy which clearly specifies the procedures the home uses to protect the service users. Our staff attend training sessions in the recognition and reporting of abuse and bad practice.” Since the last key inspection one referral had been made to the local authority in relation to a concern over people’s safety and wellbeing. The manager and staff team had followed the procedures and informed the relevant agencies. Training records showed that staff had received safeguarding adults training which had mainly been delivered by Manchester City Council training consortium. To further enhance staff’s knowledge and awareness about protecting vulnerable adults the manager had recently purchased a professional teaching aid to enable her to deliver further in-house training on this subject. We spoke to a number of staff who were aware of adult protection issues and of their role in reporting concerns to the management and in the returned surveys we received from eleven residents all indicated that they were aware of how to make a complaint or raise a concern. Comments included “I would tell the nurse”, “I would tell the nurse in charge on the day” and “I would speak with Liz or Lovella (managers)”. Clyde Court Nursing Home DS0000021540.V363439.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment was clean and well maintained and overall the environment met people’s needs. EVIDENCE: At the time of our visit the home was clean, tidy and well maintained. The maintenance person keeps on top of day-to-day matters regarding repairs and maintenance and we saw a number of toilet and bathroom areas that he had refurbished and re-tiled to a high standard. Those bedrooms we saw were furnished to a reasonable standard but some furnishings were showing signs of wear and tear and should be considered for replacement as part of the rolling programme of maintenance and renewal. Discussion with the general manager confirmed that it was hoped the building of a new extension to the premises would start very soon and replacement of Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 18 such furnishings would be taking place as part of this refurbishment programme. The carpet in the main lounge was rippled in places and must be re-stretched to minimise the potential tripping hazard to residents. We saw that the home provided a good range of aids, adaptations and equipment that enables them to support and meet the resident’s needs. The home was found to be kept clean and fresh and was also free of any unpleasant odours. The laundry is sited in the basement area of the home and was found to be appropriately equipped. Hand washing facilities were available but it was evident that staff were not using this facility as the sink was dirty and no liquid soap or paper towels were available. It is important that staff maintain good hygiene routines when they have dealt with soiled linen in order to minimise the risk of cross infections occurring. The manager told us within the annual quality assurance assessment and during discussion at the inspection that appropriate infection control regimes are in place and that staff have received training in this subject. Of the eleven resident survey questionnaires returned to us before the inspection all eleven stated that the home was “Always” fresh and clean and comments included “Very happy with the cleaner” and “Domestic comes in every day”. It was also confirmed that the domestic staff have achieved a National Vocational Qualification at level 2 in cleaning. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are employed in the home, with staff training and development helping to ensure staff are competent to carry out their jobs. A robust recruitment and selection process helps to protect residents from unsuitable people working in the home. EVIDENCE: On the day we visited the home sufficient numbers of staff were on duty to meet the needs of the residents. At the time of our visit staffing levels in the home were two nurses and four carers on during the day plus the manager, with sufficient numbers of domestic and catering staff. We observed staff spending time with residents not just in supporting and assisting their needs but also in social interaction such as sitting and talking with them. Information provided by the manager in the Annual Quality Assurance Assessment (AQAA) told us that twelve of the fifteen non-qualified staff had achieved the National Vocational Qualification (NVQ) level 2 with three staff undertaking the course. We looked at a sample of four files of staff that had been employed in the home since the last inspection visit. All had a Criminal Record Bureau (CRB) disclosure and a Protection of Vulnerable Adults (POVA) First check. The manager told us that she was very clear that POVA First arrangements should Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 20 only be used in emergency situations. Two references were in place and had been obtained following the homes recruitment policy that wherever possible references must relate to the person’s previous employment. Both the manager and general manager confirmed that to make sure staff are safe to work with vulnerable people all required pre-employment checks and documentation will be obtained prior to staff starting work in the home. At the time of this visit the management team were in the process of reviewing the induction programme for the service in line with Skills for Care Induction modules. During the induction period new staff have a mentor who works with them in assessing whether they have gained the knowledge and skills from the induction training. We saw evidence in staff training records that core training was being provided such as fire awareness and moving and handling. Staff had access to training provided by Manchester City Council that included things such as Protection of Vulnerable Adult training. Each member of the staff team has a separate record of any training that they have participated in and these records are regularly reviewed by the manager who then arranges any refresher training required. A number of staff spoken to told us “We get regular training including moving and handling, food hygiene, No Secrets and fire training” and “We get refresher training every year for those courses where necessary”. Clyde Court Nursing Home DS0000021540.V363439.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living in the home benefit from having the support of a manager with the skills to provide a good quality service. Procedures are in place to promote their interests and well being. EVIDENCE: The registered manager is a Registered Nurse who has worked at Clyde Court for over ten years. Her role is supported and complemented by a general manager who deals with all administrative and finance matters. Information provided in the Annual Quality Assurance Assessment (AQAA) returned to us before the inspection visit took place tells us that the “day-to-day administrative functions of the home are dealt with separately to the care Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 22 functions of the home which allow the Nurse Manager to remain fully focused on the highest standards of care delivery possible”. Residents and staff were complimentary about the management of the home and comments included “(I) cannot fault the staff and management of the home – all are good”, “The home is well managed”, “Overall good management” and “Good manager, she has helped me a lot, the manager knows every resident in the home”. Residents were also very clear that they could express their views and opinions at the regular meetings held between residents and the home’s management. These meetings were also used to feed back the results of quality assurance audits undertaken about the home, which were not only undertaken by an external body but also regular internal audits via a questionnaire sent out by the management team. The management of the home do not control any resident’s finances. Charges for things such as hairdressing, chiropody and medical requisites not available via prescription are charged for in the form of a monthly invoice. The management team regularly reviews its policies and procedures and undertakes regular servicing and maintenance checks of equipment and aids and adaptations used in the home. We randomly selected a number of service records to check and found them to be in order. Clyde Court Nursing Home DS0000021540.V363439.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 2 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 Clyde Court Nursing Home DS0000021540.V363439.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) (4) Requirement Staff with the responsibility for administering medication must do so in accordance with policies and procedures for receipt, recording, storage, handling, administration and disposal of medication. The carpet in the main lounge must be re-stretched or be replaced to minimise the risk to resident’s from tripping. Action must be taken to ensure that staff uses the hand washing facilities provided in the laundry area after dealing with soiled linen. Timescale for action 08/07/08 2 OP19 13 (4) (a) (c) 08/07/08 3 OP26 13 (3) 08/07/08 Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 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 2 Refer to Standard OP9 OP12 Good Practice Recommendations It is recommended that a formal system for assessing the competence of staff in applying the knowledge and skills they learn through medication training be implemented. It is recommended that information about the activities programme and those people involved be kept on file. Clyde Court Nursing Home DS0000021540.V363439.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Clyde Court Nursing Home DS0000021540.V363439.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!