Care Home: Meadow View Nursing & Residential Home

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What the care home does well What has improved since the last inspection? People have their needs fully assessed before they move in so staff at the home know they can meet the needs of people wishing to live there. The manager keeps a record of complaints, together with details of any investigations and actions taken as a result, so people know their concerns are being listened to and acted upon. The manager told us that all staff have undertaken training in safeguarding adults so they know how to recognise possible abuse and what action to take to make sure that people living at Meadow View are protected from harm. Bathing facilities have improved with the addition of a wet room so people living in the home can have a shower rather than a bath, if they prefer. A sensory garden has been built so that people living at Meadow View can sit outdoors in a pleasant and relaxing environment. Recruitment procedures have improved so that people living at the home know that staff have been thoroughly checked before starting work. What the care home could do better: Care plans and risk assessments should be reviewed on a monthly basis to reflect any changing needs and so people receive the care they need.Meadow View Nursing & Residential HomeDS0000059120.V376695.R01.S.doc Version 5.2 Documentation relating to the prevention of pressure ulcers needs to improve so that people living in the home are fully monitored and protected. The home`s policy on safeguarding adults should be updated to reflect current best practice and so that it provides clear guidance for staff working in the home. Thought should be given to the provision of additional storage space and improving the lighting in the main lounge. Staff should undertake refresher training in safe moving and handling techniques and fire safety so they and the people they care for are protected. Key inspection report CARE HOMES FOR OLDER PEOPLE Meadow View Nursing & Residential Home Finlay Avenue Penketh Warrington Cheshire WA5 2PN Lead Inspector June Shimmin Key Unannounced Inspection 3 August 2009 09:20 DS0000059120.V376695.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. Meadow View Nursing & Residential Home DS0000059120.V376695.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 Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow View Nursing & Residential Home Address Finlay Avenue Penketh Warrington Cheshire WA5 2PN 01925 791180 01925 728730 bsamuel@ashberry.net 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) Ashberry Healthcare Ltd. Mrs Jennifer Blackledge Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Meadow View Nursing & Residential Home DS0000059120.V376695.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 people 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 The maximum number of people who can be accommodated is: 41. Date of last inspection 12 August 2008 Brief Description of the Service: Meadowview Nursing and Residential Home provides both personal and nursing care for 41 older people. It is located in Penketh, a suburb of Warrington in Cheshire. The home is on a main bus route and fairly near to shops, churches and a library. The home is a single storey building with 41 single rooms, lounge, two dining areas, conservatory, laundry and hairdressing salon. There is a small, sheltered garden at the front of the building and several smaller sitting out areas around the building. The weekly fee payable at the home ranges from £382 to £462. This does not include the £101 nursing contribution where this is appropriate. Further details regarding fees are available from the manager. Meadow View Nursing & Residential Home DS0000059120.V376695.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 stars. This means the people who use this service experience good quality outcomes. This unannounced inspection visit took place over one day and lasted seven and a quarter hours. One inspector carried out the visit. The report will refer to we and us as it is written on behalf of the Care Quality Commission. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the manager was asked to provide information about the home as part of this inspection process. We sent questionnaires to people living in the home, relatives and staff members to find out their views about Meadow View. We also spoke to several people living in the home, relatives and staff members during our visit to find out their opinions of the home. Their views are incorporated into the findings of this report. A pharmacy inspector carried out a short inspection at Meadow View in February this year to look at the way medicines are managed in the home. Following that inspection one requirement was made regarding the management of medicines. During our visit we looked at various records and the premises. Records of care plans, medication and staff recruitment and training were seen. What the service does well: Meadow View is a well managed care home and the staff who work there are highly regarded by both people living in the home and relatives. One relative commented, “overall – very, very friendly, always made welcome. She seems much happier now” and another, “always spotlessly clean and with makeup on which is very important for Mum”. A staff member said, “management is very supportive – always willing to sit down and talk to you”. People have their needs assessed before they move into the home so they know their needs can be met by staff there. Care plans and risk assessments are written when people move to the home so that their needs are identified and met. The home maintains good links with health care professionals so that advice is sought and provided promptly to make sure people living at Meadow View stay as healthy as possible. Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 6 The food provided at Meadow View is of a good standard and people are kept stimulated by a variety of activities. One person living in the home said, “food is very nice and hot when it arrives. They come round and ask you and there’s enough to eat”. Complaints are well managed so that people know they are listened to and their concerns acted upon. Meadow View has good standards of cleanliness and effective measures are in place to prevent the spread of infection. One relative commented, “no smell here – always smells lovely and fresh”. The home has good recruitment procedures so people living in the home know that they are safe and that the staff working there have been checked to help make sure they are suitable to work with vulnerable people. More than 50 of care staff have achieved NVQ 2 in care so have been found to be competent to provide care for the people living at Meadow View. What has improved since the last inspection? What they could do better: Care plans and risk assessments should be reviewed on a monthly basis to reflect any changing needs and so people receive the care they need. Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 7 Documentation relating to the prevention of pressure ulcers needs to improve so that people living in the home are fully monitored and protected. The home’s policy on safeguarding adults should be updated to reflect current best practice and so that it provides clear guidance for staff working in the home. Thought should be given to the provision of additional storage space and improving the lighting in the main lounge. Staff should undertake refresher training in safe moving and handling techniques and fire safety so they and the people they care for are protected. 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. Meadow View Nursing & Residential Home DS0000059120.V376695.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 Meadow View Nursing & Residential Home DS0000059120.V376695.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): 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 have their needs checked before they move into Meadow View so they know their needs can be met there. EVIDENCE: We looked at the assessments of three people who had recently moved into Meadow View. The manager told us that either she, one of the nurses or one of the senior carers working in the home carry out these assessments. The manager goes out initially with senior carers to support them to carry out an assessment. This means that assessments are done by appropriately qualified staff. The assessments included sufficient information about the care needs of people, any identified risks relating to their care and other information about Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 10 their family, social and leisure life so that a care plan could be drawn up based on this information. The home had also received information from social workers about the needs of people coming to live in the home. There was information about other needs such as spiritual needs so that staff would be aware of those individual needs. One relative said that she was happy with the choice of Meadow View. The manager told us that people are given written information about the home in the form of a service user guide and we saw copies of this document. The home also produces a short leaflet giving people brief details about the services and facilities provided at Meadow View, so people know what to expect when they move in. Meadow View Nursing & Residential Home DS0000059120.V376695.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): 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. Promotion of health is taken seriously at the home so the welfare and healthcare needs of people living at Meadow View are monitored to make sure they are being met. EVIDENCE: We looked at the care plans of four people living in the home; three of these for people living permanently in the home and one who was there for short term respite care. We spoke to these people where this was possible. Care plans for most care needs were usually drawn up within five days of the person moving into the home so that care needs could be promptly identified and staff would know what to do to meet those needs. Various risk assessments were also written within this timescale so that any identified risks could be monitored. The care plans were not always written in a way that focused on Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 12 the individual to make sure they were person centred. The manager told us that she is hoping to develop this approach to writing care plans in the future so that people living in the home will receive care that is individualised. The care plans had not always been kept under review on a monthly basis so that changing needs were not fully monitored and care plans amended accordingly. There were no risk assessment for the prevention of pressure sores for one person who was identified as being at risk and several risk assessments had not been kept under monthly review but had been reviewed within the month before our visit. Records showed that, where appropriate, advice was sought from a variety of health care professionals such as GPs, specialist nurses and others so people living at Meadow View received further advice regarding their health care needs when necessary. People were treated with respect and we observed staff interacting with people in a way that preserved their privacy and dignity so they were well treated. We were told by a person living in the home, “treat you like a person” and a relative, “Mum brought back to life. Good banter with staff. I go out of here and I feel happy”. We also looked at the way in which medication was being managed at Meadow View. This was of a good standard overall. At the last short inspection done by a pharmacy inspector it was noted that unwanted medicines needed to be sent back promptly to the pharmacist. We observed that unwanted medication had been recorded and collected together for a quick return to the pharmacy so that this system had improved. The systems and checks that we saw showed us that the people living at Meadow View receive their medicines safely and as their doctors had prescribed them. Meadow View Nursing & Residential Home DS0000059120.V376695.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): 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 living in Meadow View enjoy a good standard of catering and have access to a range of social activities so they have quality of life and variety in their daily lives. EVIDENCE: People living in Meadow View have a choice of meals at both the main meal of the day served at lunch and also in the evening. The quality of food provided was good and we were told that the home uses a variety of fresh and frozen produce. The menu is written on a board in the dining room so people can see what the choices are. The main meal of the day is served at lunch. The manager wrote to us before the inspection and said that the chefs will make and prepare any special or preferred meals, drinks and snacks to the residents’ own liking. Residents are offered a choice of menu daily and nothing is ‘assumed’ about their preferences on any one day. Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 14 An activity organiser is employed at Meadow View and she plans a weekly activity programme which is displayed in the reception area. She helps residents to compile a monthly newsletter, which is available in large print so that most people can read it. A summer fair had been held the week before our visit and we were told this had been a great success. Transport is hired when needed and a number of people were going to Chester Zoo later in the week of our visit. Other activities within the home included monthly fundraising quizzes, painting plant pots, making scrapbooks and cards for sale in the home. A number of residents had been involved in planning and setting up a sensory garden. The activity coordinator told us that she takes residents into Warrington and surrounding areas for shopping trips. She said that activities are organised on a one to one or group basis so that everyone living in the home can benefit from the type of activity that best suits their needs and preferences. Relatives told us that they were made to feel welcome when they visited and found the staff friendly. One relative told us that her family member was not forced to join in activities and another that their relative was given choice on a daily basis. The activity coordinator said that she tries to complete a life history about the person soon after they arrive at Meadow View so that staff understand the person’s background and what they prefer to do. This is good practice as it means care is person centred and staff treat the person as an individual. One person was pleased that the home had ensured that she was able to take part in Holy Communion, as this was very important to her. Meadow View Nursing & Residential Home DS0000059120.V376695.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): 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. Systems are in place to ensure that people are protected from abuse and harm and they know whom to contact if they want to make a complaint or raise a concern. EVIDENCE: Meadow View has a complaints policy and procedure. The procedure is displayed in the reception area of the home and includes our details if anybody wishes to contact us. The complaints procedure is also in the service user guide, which is given to people when they come to live in the home. We looked at the record kept of complaints and these showed us that complaints had been investigated, with appropriate actions taken as a result so people would know that their concerns were being listened to and taken seriously. We also looked at how the home manages safeguarding issues. There are policies and procedures for the home on safeguarding but the policy had not been reviewed to reflect current best practice. The manager told us that all staff had received training from a senior manager within the last year on safeguarding adults. She told us that care staff are given advice about this during induction and it is also covered during NVQ training so care staff should Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 16 be aware about how to recognise abuse and what to do. The manager has recently undertaken training on the Deprivation of Liberty safeguards set up under the Mental Capacity Act and has systems in place to ensure that people’s rights are protected. Meadow View Nursing & Residential Home DS0000059120.V376695.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): 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. Improvements have been made to Meadow View so that it is a pleasant and safe home to live in. EVIDENCE: We looked around the building and found it to be clean, tidy and with no noticeable smells. Several people told us they were satisfied with the standards of cleanliness at Meadow View. Effective measures were in place to control the possible spread of infection in the home. Various improvements have taken place since our last big inspection at the home. These include the completion of a conservatory, which is now being Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 18 used as an activity area and has a computer terminal for people who live in the home to use. Externally the home staff have made a sensory garden that provides a pleasant and relaxing environment, which people and their families can enjoy. Several aspects of the home’s environment still need to improve. Storage facilities at the home are limited so that some equipment is being stored in bathrooms. The area at the back of the lounge is dark and has limited daylight. A relative commented about this. The carpets in the main lounge were stained and shabby in appearance. It was also noticeable that two televisions were on in the main lounge but no one was watching. There is still a lack of quiet areas for people to sit other than their own bedroom but the manager told us that she is hoping that the main lounge is to be divided to provide a quiet area. Paintwork on a number of doors had been badly knocked and needed repainting. There is now a wet room which can be used by people who prefer to take a shower. Doors to the main entrance and secured garden now have wider wheelchair access to make it easier for people to enter. The doors of toilets have been painted one colour to help people identify where the toilets are. A number of windows have been replaced and the manager told us that they are three quarters of the way through the replacement programme. Meadow View Nursing & Residential Home DS0000059120.V376695.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): 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. Staffing arrangements, recruitment and training ensure that people are cared for and supported safely. EVIDENCE: We looked at staffing levels in the home. These appeared to be good during the morning but there were fewer staff on duty later in the day. We received comments from several people about staffing levels who felt that these could be better during the afternoon and early evening. However, one nurse working in the home felt that staffing levels had improved. Staff are highly thought of by people living in the home and relatives. One person living in the home said, “very good really, on the whole they’re alright” and a relative, “very homely, very caring”. We spoke to three staff who said they enjoyed working at Meadow View, “very supportive team” and “very friendly place, everyone’s helpful”. Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 20 We saw the recruitment records of two new staff. These were satisfactory and showed that the manager had carried out various security checks to make sure that the staff employed were suitable to work in a care home. Staff also receive training to help them carry out their role competently and the manager told us that more than 50 of care staff had achieved national vocational qualifications (NVQ) at level 2 in care. These are nationally recognised qualifications for staff working in care and achievement shows that they are competent to provide good quality care and support. Many care staff have done training in dementia so understand the needs of people with dementia and are developing skills to meet those needs. Staff said they received support to do training and that they had supervision regularly so they were given sufficient guidance to help them do their job. Meadow View Nursing & Residential Home DS0000059120.V376695.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): 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. Meadow View is well managed so that it is run in the best interests of the people who live there. EVIDENCE: The manager is a first level registered nurse and has a background in education. She has been registered with us as required by law and is working toward the Registered Manager’s award, which she expected to complete later the year in which we did this inspection. The manager was formerly deputy manager at the home; she became the manager in October 2008 so has a Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 22 good understanding of the needs of the home, its residents and staff. Staff and relatives told us that they thought the home was well run, “management at the moment is very good. The manager is approachable and open”. The manager and senior management use various techniques to find out if the home is providing a good service. A senior manager representing Ashberry Healthcare, the company that runs the home, visits the home every month to assess how well the home is performing. The manager has held meetings for people living in the home, staff and relatives so that they can put forward their own views about how the home is run. The manager keeps us informed of events taking place at the home that they are required to tell us about by law. We looked at the way in which the home manages small amounts of money held on behalf of people living there. These were satisfactory and demonstrated that the home uses safe systems to protect the money of people living there. We also looked at records for staff training in mandatory subjects such as safe moving and handling and fire safety. These showed that some staff have not done recent training in both topics so might not be fully aware of their responsibilities. The manager provided us with information before the inspection which indicated that facilities and equipment at the home are serviced regularly and are safe. Meadow View Nursing & Residential Home DS0000059120.V376695.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 2 8 3 9 3 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 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 2 Meadow View Nursing & Residential Home DS0000059120.V376695.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. Standard Regulation Requirement Timescale for action 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 Documentation relating to the prevention and management of pressure ulcers should improve to show that staff are knowledgeable about what they are doing and so that people receiving care are protected. Care plans and risk assessments should be kept under regular review so that changing care needs are fully recorded and people are not put at risk. The home’s policy relating to safeguarding adults should be amended to make it easier to understand and to give staff clear guidance about what to do if they suspect someone is being abused. There should be a review of the way shared living spaces are used so that people can enjoy social interaction of their choice without the interference of excessive noise. DS0000059120.V376695.R01.S.doc Version 5.2 Page 25 2 OP7 3 OP18 4 OP20 Meadow View Nursing & Residential Home 5 OP22 Items should not be stored in bathrooms and the provision of storage space should be reviewed so that people living in the home have easy access to toilets and bathrooms at all times. All staff should undertake annual refresher training in safe moving and handling techniques so that they and the people they move are kept safe. All staff should undertake regular fire safety training and drills so they know what to do in the event of fire and so they and people in the home are protected. 6 OP38 7 OP38 Meadow View Nursing & Residential Home DS0000059120.V376695.R01.S.doc Version 5.2 Page 26 Care Quality Commission Care Quality Commission North West Region 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). 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. 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