Care Home: Pytchley Court Nursing Home

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What the care home does well The Statement of Purpose and Service users Guides are available within the front entrance of the home these documents give people information about the home, the staff qualifications and the range of services available. Sufficient information is sought through pre admission assessment to enable a decision to be made as to how people’s needs are to be met at the home. People using the service have access to specialist healthcare professionals to promote health and wellbeing. Specialist equipment needed to meet the needs of people using the service is provided and used appropriately. Medications are managed in accordance with the homes medication policy and regular medication audits take place to ensure people received their medications as prescribed. Planned individual and group activities are available and involvement with the local community is promoted. The acting manager operates and open door policy, any concerns or complaints people have are listened to, treated seriously and acted upon. Regular meetings take place with people using the service, staff and visitors. Staff receive regular one to one supervision which ensures that staff are supported and fully aware of their roles and responsibilities. What has improved since the last inspection? New carpets have been fitted within some private and communal areas, and more replacement carpets are programmed to take place. The provision of a set of hoist scales has been arranged, this will ensure that all people using the service can have their weight gains and losses monitored effectively. The acting manager promotes opportunities for staff to meet and communicate with each other through regular staff meetings, in addition all staff now receives one to one supervision and support. The acting manager has been proactive in raising the quality of the service at Pytchley Court, which has been achieved through increased service user and Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.2 staff involvement and improvements in record keeping, policies and procedures. What the care home could do better: The registration requirements for Health and Social Care services highlight the importance of having a Registered Manager in post. The new Health and Social Care Act 2008, coming into force next year states that all health and social care services must have a registered manager in place. The acting manager needs to ensure that his application to register with the Care Quality Commission is submitted without delay. Incidents of skin tissue damage such as pressure sores, need to have a specific care plan in place to ensure that the treatment and outcomes are be fully recorded, monitored and updated as and when conditions change. This will ensure effective promotion of tissue viability and ensure that staff can continue to provide care for people in the right way. Care plans need to be updated as soon as peoples needs and conditions change this will ensure that staff follow the current objectives to meet people’s needs. Key inspection report CARE HOMES FOR OLDER PEOPLE Pytchley Court Nursing Home 5A Northampton Road Brixworth Northampton Northamptonshire NN6 9DX Lead Inspector Irene Miller Key Unannounced Inspection 16th November 2009 11:45 DS0000012634.V378441.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Pytchley Court Nursing Home DS0000012634.V378441.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 Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pytchley Court Nursing Home Address 5A Northampton Road Brixworth Northampton Northamptonshire NN6 9DX 01604 882979 01604 882993 pytchleycourt@schealthcare.co.uk 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) Southern Cross Healthcare Services Limited Manager post vacant Care Home 40 Category(ies) of Dementia (40), Old age, not falling within any registration, with number other category (40) of places Pytchley Court Nursing Home DS0000012634.V378441.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: Older Persons - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is: 40. 5th November 2008 2. Date of last inspection Brief Description of the Service: Pytchley Court is a purpose built home in the village of Brixworth. There are local facilities and amenities including shops and there is a bus service that runs through the village to the main towns of Northampton and Market Harborough. It provides accommodation for up to forty residents in need of nursing care; within this they are registered to provide personal care only for up to eight residents. The home provides care for people who are over the age of 65 and who require support due to old age, physical disability or terminal illness. Accommodation is provided over two floors with a passenger lift and staircase for access to the first floor. On the ground floor there is a large communal lounge and separate dining room, with a further lounge and dining facility on the first floor. Over the two floors there are 36 single and 2 shared bedrooms, all have en-suite toilet and wash hand basins. Local Authorities who are funding residents are charged at a set rate of depending on assessed needs. Those requiring nursing care are charged £344.78 plus any additional nursing contribution. Residents funded by the local authority will be asked for a ‘top up’ fee, which varies according to their ability to pay. Privately funded residents are charged between £525 and £625, with those requiring nursing care charged up to £650 plus any additional nursing contributions. The actual fee is dependent on the resident’s assessed needs. The fees include personal care and where applicable nursing care, meals and accommodation. Chiropody, hairdressing services, and newspapers can be Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.2 Page 5 arranged and are charged separately. Other costs would include clothing and toiletries. Information about the services provided including the complaints procedure is displayed in the foyer of the home. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This normally means the people who use this service experience good quality outcomes. At this inspection we focused on the key standards under the National Minimum Standards (NMS) for Older People, and the Care Standards Act Regulations 2001. The key standards are considered by the Care Quality Commission (CQC) to have a particular impact on outcomes for people who use the service. Inspection of the standards was achieved through review of care plans and associated care records for people using the service. We looked at other information on the service such as the Annual Quality Assurance Assessment (AQAA) which is a declaration provided by the service on how they view they are meeting the NMS. We looked at the previous inspection report, requirement and recommendations and other correspondence and contact with the service and people associated with the service. The inspection lasted over one and a half days and was carried out by one inspector. The first day of the inspection took place on 16th November 2009 and was unannounced, the inspector returned to the service on 17th November to complete the inspection by arrangement. We used a method of inspection called case tracking, which involved looking at samples of care records and assessments for people using the service and listening to their experiences of using the service. Because Pytchley Court provides care for people with dementia, some people are not always able to tell us about their experiences, in which case we observed interactions between staff and people who use the service and looked at how peoples dignity and independence was promoted and protected. We looked at how peoples medication was managed through review of individual medication administration records and records of the ordering, receipt and disposal of medications. We checked on the adequacy of staff recruitment and training and how people using the service were being protected. Verbal feedback was given to the acting manager and the operations manager during the inspection. Throughout the body of the report the term ‘we’ is used to describe the Care Quality Commission (CQC) as a collective body. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.2 Page 7 What the service does well: The Statement of Purpose and Service users Guides are available within the front entrance of the home these documents give people information about the home, the staff qualifications and the range of services available. Sufficient information is sought through pre admission assessment to enable a decision to be made as to how people’s needs are to be met at the home. People using the service have access to specialist healthcare professionals to promote health and wellbeing. Specialist equipment needed to meet the needs of people using the service is provided and used appropriately. Medications are managed in accordance with the homes medication policy and regular medication audits take place to ensure people received their medications as prescribed. Planned individual and group activities are available and involvement with the local community is promoted. The acting manager operates and open door policy, any concerns or complaints people have are listened to, treated seriously and acted upon. Regular meetings take place with people using the service, staff and visitors. Staff receive regular one to one supervision which ensures that staff are supported and fully aware of their roles and responsibilities. What has improved since the last inspection? New carpets have been fitted within some private and communal areas, and more replacement carpets are programmed to take place. The provision of a set of hoist scales has been arranged, this will ensure that all people using the service can have their weight gains and losses monitored effectively. The acting manager promotes opportunities for staff to meet and communicate with each other through regular staff meetings, in addition all staff now receives one to one supervision and support. The acting manager has been proactive in raising the quality of the service at Pytchley Court, which has been achieved through increased service user and Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.2 Page 8 staff involvement and improvements in record keeping, policies and procedures. What they could do better: 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. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.2 Page 9 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 Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 10 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): Standard 3 (standard 6 is not applicable to this service) 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. Information gained from pre admission assessments ensures that the needs of people using the service are met. EVIDENCE: Documents containing information about the services provided at the home were available within the front entrance of the home. This included the homes Statement of Purpose, (which provides information on the management of the home and qualifications of staff). The Service User Guide (which provides information on the range of services provided at the home and the local community) and a copy of the most recent Care Quality Commission inspection report (formerly CSCI). Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 11 We looked at pre admission assessment information that was contained within the care file of a person who had recently moved into Pytchley Court. There was sufficient information available to demonstrate that the home had carried out a full assessment of the person’s health, personal, social and emotional needs prior to moving into the home and information was available within the persons care file from the placing authority. This combined information enables an informed decision to be made as to whether the home can meet the person’s needs. This is important in helping to ensure that people’s needs are known and can be met by the home. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 12 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 7,8,9 & 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. Recording peoples changing needs ensures that staff can continue to care for people in the right way. EVIDENCE: Each person using the service has an individual care plan, we looked at a sample of care plans of which all contained written information on how staff were to meet the needs of people. We spoke with people using the service about their experience of receiving care at the home and we spoke with the staff providing the care for people at the home. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 13 We looked at the care of a person who had recently returned back to Pytchley Court following a stay in hospital. Their care plan had been reviewed upon readmission into the home, and generally reflected their changing needs. Within the daily notes staff had recorded that the person had developed a pressure ulcer to their heel, and recorded when they had assisted the person to reposition to prevent further skin tissue damage. A wound risk assessment for another person who had developed a pressure ulcer identified the dressings to be used and the frequency of checks to the wound. A ‘skin integrity’ care plan had been put in place which contained general information on caring for pressure areas. This skin integrity plan did not refer to the pressure ulcer which had developed, however in discussion with the staff they confirmed that the pressure ulcer was fully healed. Pressure relieving equipment was seen to be in place where required and used appropriately, the pressure area care plan contained details on the settings for air filled pressure mattresses in relation to the weight of the person and their position in bed. Risk assessments were in place for moving and handling, falls and nutritional intake. Records showed that where people were shown to be at risk appropriate action had been taken to address and reduce risks to a minimum. Records show that care plans and risk assessments are reviewed on or around each calendar month; it is important that as and when peoples needs and conditions change their individual care plan is updated to reflect changes and to ensure that the objectives remain current so that staff can continue to care for people in the right way. Records show that people are seen by a range of health and social care professionals such as general practitioners, the tissue viability nurse, podiatrists and occupational therapists. The medication storage and administration records showed that the medication is generally well managed, the acting manager carries out regular audits and staff double check the medication records during each shift handover, this ensures that any problems are identified and people receive their medications as prescribed. We observed staff interactions with people using the service during which we observed that staff ensure peoples rights to choice, dignity and independence was respected. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 14 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 12,13,14 &15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are generally happy with the lifestyle at Pytchley Court EVIDENCE: We spoke with people about their experience of living at Pytchley Court people told us that the food was good, and that they enjoyed living at the home, and were happy at the home. An activity person is employed at the home; this person works with small groups and individuals the emphasis is on providing people with the opportunities to engage in meaningful activities to stimulate them. Within the care plans viewed there was records of when people had participated in individual and group activities such as bingo, sing a longs and craft sessions. During the lunchtime meal, we observed staff assisting people who require help with their meals this was conducted in a manner which preserved dignity and promoted independence. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 15 Information provided within the Annual Quality Assurance Assessment identifies that Pytchley Court seeks to involve people from within the local community, this involves some local volunteers visiting and socialising with people, local schools and church members. In discussion with the acting manager he said this is an area in which he hopes to develop further. A gardening club has been introduced and residents meetings take place regularly to consult with people using the service as to what activities they would like provided at the home. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 16 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 16 & 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are protected by the homes policies, procedures and practices. EVIDENCE: The acting manager operates an open door policy, and has been pro active in addressed areas of concerns raised directly from people using the service, visitors and staff and through carrying out regular quality audits and staff supervision. Regular residents meetings take place during which people using the service and their relatives have the opportunity to discuss any areas of dissatisfaction, in addition to these meetings if people wish to discuss anything of a more personal nature they are encouraged to speak with their named keyworker / nurse or the acting manager. Minutes of residents meetings and records of concerns and complaints were viewed during the inspection. All concerns and complaints are logged and records were available of complaints and safeguarding investigations and outcomes. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 17 The homes complaints policy was on display and contained the information people need if they wish to raise a concern. People spoken with during the inspection said they would not hesitate to raise any problems they have with the staff or the acting manager, and felt that they would be listened to and their concerns acted upon. Staff training records viewed demonstrated that staff receive training on safeguarding of adults, having this training ensures that staff are aware of their responsibility to keep people safe. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 18 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 19 & 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with a clean and comfortable standard of accommodation. EVIDENCE: We observed that equipment was available according to peoples identified needs, such as bedside rails, hoists and pressure relieving equipment. The bedrooms viewed were individualised with small items of furniture, ornaments and pictures and a TV and telephone point was available in all rooms. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 19 We observed that personal protective equipment (PPE) to reduce the risks of cross infection, such as disposable gloves, aprons, antibacterial liquid soap and hand sanitizer were available within the en suite facilities and within the communal bathrooms and WC’s throughout the home. At the last inspection visit we made a requirement that suitable weighing scales be made available to ensure that all people using the service have the opportunity to have their weight gains and losses monitored. We were informed at this visit that Pytchley Court were using hoist scales on loan from another Southern Cross home. The acting manager confirmed that quotes had been obtained for Pytchley Court to purchase their own hoist scales and during the inspection it was confirmed that a set of hoist scales had been placed on order. Some carpets had been replaced within bedrooms and communal areas of the home, the acting manager confirmed that it was planned for more carpets to be replaced throughout the home. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 20 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): 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. Effective staff recruitment procedures ensure that people using the service are safe and supported. EVIDENCE: Records were available to demonstrate that staff recruitment is effectively managed and necessary staff pre-recruitment checks are carried out to ensure that people employed at Pytchley Court are suitable to work with older people. Information was available to demonstrate that staff are provided with induction training to ensure that they are aware of their roles and responsibilities this includes being accustomed with the companies own policies and procedures, fire safety awareness, food hygiene, infection control, moving and handling, health and safety and the safeguarding of adults protocols and procedures. Within the staff files certificates were available to demonstrate training courses that staff had attended such as, dementia care, pressure area care, managing challenging behaviour, nutrition awareness. This ensures that people using the service are safe and cared for appropriately to their needs. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 21 We looked at the staffing levels and if care was being delivered in a timely and appropriate way, on this visit we found that there was sufficient staff on duty to meet people’s needs. The acting manager promotes opportunities for staff to meet and communicate with each other and regular staff meetings have been introduced, in addition all staff receives one to one supervision and support. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 22 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 31,32,33,35 & 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 management of the home protects people’s health, safety and well-being. EVIDENCE: The current acting manager has been in post since February 2009 he informed us that he is in the process of applying to become the registered manager at Pytchley Court. The registration requirements for health and social care services highlight the importance of having a Registered Manager in post. The new Health and Social Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 23 Care Act 2008, coming into force next year states that all health and social care services must have a registered manager in place. Southern Cross Healthcare has a range of quality assurance monitoring tools and audits to measure the quality of care. The acting manager carries out regular health and safety audits and in addition unannounced visits take place by a representative from Southern Cross to monitor the quality of care provided at Pytchley Court. The acting manager has been proactive in raising the quality of the service provided at Pytchley Court, through increased service user and staff involvement and improvements in record keeping, policies and procedures. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 24 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 N/A 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 2 3 X X 3 X X 3 Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8 Regulation 15 Requirement A pressure area care plan must be in place for incidents of skin tissue damage such as pressure sores. This is to ensure that staff can continue to provide care for people in the right way. 2 OP8 15 The changing needs of people must be reflected within the individual care plans as soon as conditions change. This is to ensure that the care objectives remain current and staff continue to care for people in the right way. 31/01/10 Timescale for action 31/01/10 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 1 OP31 The acting manager should ensure that his application to DS0000012634.V378441.R01.S.doc Version 5.3 Page 26 Pytchley Court Nursing Home register with the Care Quality Commission is submitted without delay. Pytchley Court Nursing Home DS0000012634.V378441.R01.S.doc Version 5.3 Page 27 Care Quality Commission East Midlands 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. 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