Care Home: Redhouse Nursing Home

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What the care home does well The home continues to provide a service that has positive outcomes for people. Staff had access to care plans that provided clear guidance of the support people required to promote their health and welfare. People were very complimentary about the quality of the service provided; these were some of their comments: "The food is good, smashing, I clear the plate." "We have a choice of meals." "If I had a complaint, there is always someone here to have a chat with." "The staff are very nice and helpful, they always come to my bedroom to say good bye when they are going.""I would recommend living here, it is comfortable, no one bothers you." "I would recommend living here because they are all so friendly and they listen to you." What has improved since the last inspection? Efforts had been made to address the requirements identified at the last inspection visit. For example staff have now been provided with dementia awareness training. This should improve the care provided to people diagnosed with this illness. We observed that risk assessments were now in place for the use of bedrails. We saw that a medication policy was in place. This should ensure that people receive their medication as directed by the doctor. Medication trolleys had been purchased to improve the method of storing medicines. Staff had now received Adult Abuse Awareness training and the Registered Manager told us that this subject was also covered in the National Vocational Qualification training. To promote quality assurance, questionnaires were now being sent out to people who use the service, healthcare professionals and relatives. Receipts were now maintained for all expenditures on behalf of people who access the service. CARE HOMES FOR OLDER PEOPLE Redhouse Nursing Home 55 Redhouse Street Walsall West Midlands WS1 4BQ Lead Inspector Dawn Dillion Unannounced Inspection 30th June 2008 09:30 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 Redhouse Nursing Home DS0000020793.V367028.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. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redhouse Nursing Home Address 55 Redhouse Street Walsall West Midlands WS1 4BQ 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) 01922 616364 F/P 01922 616364 Mr Sukhdev Singh Sidhu Mrs Wendy Marie Morgan Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17 November 2006 Brief Description of the Service: Redhouse Nursing Home is located in Walsall, West Midlands. The home is registered to provide a service for 27 older people who require some element of nursing care. The two-storey property provides single and shared bedrooms located on both the ground and first floor. A passenger lift is in place to ensure people are able to access all facilities within the home. Four bedrooms are equipped with en suite; toilets and bathrooms are located in close proximity to all bedrooms and communal areas. Washbasins are fitted in all remaining bedrooms. Bathrooms are equipped with assisted baths. Appropriate equipment and adaptations are in place to meet the individual’s assessed needs. The home also offers a lounge and separate dining area equipped with essential furnishings and fitments. Staffing is provided on a 24-hour basis by qualified and experienced staff. People have access to relevant healthcare services. Information relating to the fees charged for the service provided at the home was not made available; the reader may wish to contact the home directly for this information. Redhouse Nursing Home DS0000020793.V367028.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 unannounced key inspection of Redhouse Nursing Home was undertaken within eight hours. The emphasis of the inspection is to look at quality outcomes with regards to people’s lifestyle and practices that promote equality and diversity. The inspection methods used to establish the quality of care provided and the effectiveness of the management of the home involved the examination of records, relating to the home’s policies and procedures. During the inspection we spoke to three people who use the service, three staff members and one visiting relative, to establish the quality of the service provided. A tour of the property was undertaken, to ensure that the environment and systems in use were safe and suitable to meet people’s needs. The Registered Manager was present during the inspection. What the service does well: The home continues to provide a service that has positive outcomes for people. Staff had access to care plans that provided clear guidance of the support people required to promote their health and welfare. People were very complimentary about the quality of the service provided; these were some of their comments: “The food is good, smashing, I clear the plate.” “We have a choice of meals.” “If I had a complaint, there is always someone here to have a chat with.” “The staff are very nice and helpful, they always come to my bedroom to say good bye when they are going.” Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 6 “I would recommend living here, it is comfortable, no one bothers you.” “I would recommend living here because they are all so friendly and they listen to you.” What has improved since the last inspection? What they could do better: We observed that personal information about people was displayed in the office and could be accessed by anyone entering the building. The Registered Person should ensure that personal information is securely maintained, so that people can be confident their privacy will be respected. Redhouse Nursing Home DS0000020793.V367028.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. Redhouse Nursing Home DS0000020793.V367028.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 Redhouse Nursing Home DS0000020793.V367028.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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given relevant information to enable them to establish if the home will meet their assessed needs to promote their wellbeing. People can be confident that their assessed needs will be met to promote their welfare. EVIDENCE: We looked at the home’s Statement of Purpose that showed that people were given relevant information about the service. This enabled them to make a decision whether the home would be suitable to meet their assessed needs. For example, it told us about the Registered Provider, Registered Manager, Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 10 staff’s qualifications, social activities, equipment and adaptations available in the home, how to make a complaint amongst other things. The fees charged for the service was not identified on the Service User Guide. The Registered person should ensure people have access to this information. The Registered Manager told us that the Statement of Purpose and Service User Guide were located in each bedroom and people were also given a welcome pack that included a brochure. This told people about the philosophy of the home, aims, brief description of the property and information about the staff team. Staff told us and records we looked at showed that a Needs Assessment was carried out before people moved into the home. This assessment enables the home to gather what people’s care needs are and the level of support they will need to promote their health and welfare. One person who had recently moved into the home told us they looked around the home before they made the decision to move in. The home provided permanent and respite care but does not provide intermediate care. Redhouse Nursing Home DS0000020793.V367028.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. The health and personal care that people receive is based on their individual needs to promote their health and welfare. Medication systems and practices ensure that people receive their medicines appropriately to ensure their health. EVIDENCE: The Needs Assessment provided the basis for the development of the care plan. We looked at three care plans that provided staff with guidance about the support and assistance people needed, to live an independent lifestyle. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 12 The care plans showed people had access to relevant healthcare services, such as a Doctor, Tissue Viability Nurse, Dentist and Optician. Efforts had been made to encourage people to participate in their plan of care. We saw people’s signature on care plans, which evidenced their involvement. The homes Statement of Purpose stated, “All clients will be involved in the reviewing of the plan of care and will have the opportunity to provide input into their care.” We saw dates recorded on care plans, this showed they were reviewed monthly to reflect changes to people’s needs. The Registered Manager told us and we observed that specialist care plans were in place. For example, people diagnosed with pressure sores and diabetes. These plans were reviewed more frequently. We looked at records of assessments which showed specific equipment required to promote people’s health and safety. This information was also included in the care plan. For example, one care plan showed that a person was at risk of falling out of bed. A crash mattress was used to reduce injury. This is a special mattress, which is placed on the floor by the side of the bed. We also saw this mattress in use. Another care plan showed a pressure relief mattress was used to assist with the treatment and prevention of pressure sores. We heard one person ask the Registered Manager if she could have her hair done and said, “My teeth need sorting out as well.” We observed the Registered Manager making an appointment for the hairdresser and dentist for this person. We observed that the home’s medication system and practices were thorough and ensured that people received their medicines as directed by the doctor. We looked at medication administration records that were signed to show that medicines had been administered. A requirement was made at the last inspection visit, to improve methods of storing medicines. The Registered Manager told us that two medication trolleys had been purchased. She also said the temperature in the treatment room where medicines were stored was now recorded on each shift. We saw the record of the room temperature. We saw a protocol for the administration and control of medicines that identified, “The principal of this protocol is to ensure that medication is handled safely and to ensure service users are supported to take their medication.” Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 13 The Registered Manager told us only qualified nurses administer medicines. One nurse told us they do not receive competency training. This would ensure nurses have up to date skills and knowledge to make sure people receive their medicines appropriately. We looked at a number of bedrooms and saw privacy curtains in shared bedrooms. We observed staff knocking on bedrooms doors before entering, to preserve people’s privacy. We saw personal information about people was displayed in the office that could be accessed by anyone entering the building. The Registered Person should ensure that personal information is securely maintained, so people can be confident their privacy will be respected at all times. The Registered Manager told us she would look at an alternative system to ensure this information is more secure. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 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. 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. People have access to various activities and are able to practice their religious faith promoting their individuality. People can be confident that meals provided will reflect their likes, dislikes and religious beliefs. EVIDENCE: Staff told us and we observed that a number of people had complex healthcare needs and some did not have the physical or mental capacity to engage in social activities. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 15 The home’s Statement of Purpose stated, “As far as possible, Redhouse aims for its clients to maintain any hobbies or interests they participated in, prior to admission.” “However, we do have an expanding list of in house activities, which include chair aerobics, bingo, regular entertainment, birthday celebrations, parties, outings and trips weather permitting.” One person told us she was visually impaired and had access to listening books. We spoke to a number of people who told us they could have visitors at anytime. A visiting relative said they can visit the home at anytime and were always made welcome. Some people were from the ethnic minority group; care plans showed people were able to continue to practice their religious faith. For instance, information recorded in one care plan showed a person was able to attend the local temple on a daily basis with assistance from their family. One person was of the Seven Day Adventist faith; the care plan showed this person was able to observe the Sabbath. We saw that information was in place about a special diet due to their religion. The Registered Manager told us the Church of England Clergyman visited every four weeks to give Holy Communion. The home’s Statement of Purpose stated, “Religious services can be made at the request of individual clients.” “Holy Communion can be arranged and where possible contact can be maintained with the individual’s church.” We saw people had access to a self-advocacy service (Age Concern). This service provided independent support. We saw people were able to bring their personal possessions to personalise their bedroom. The homes Statement of Purpose stated, “We encourage all our residents to personalise their rooms within safety limits.” We observed a ‘Residents Charter’ that promoted dignity, autonomy, individuality and the right to take risks. The Cook told us they had a four-week seasonal menu; we looked at menus that showed an alternative choice was offered. Some people required a special diet because of health reasons or religion. We observed the catering staff purifying meals for people who required a soft diet. The food was not pureed separately. For example, meat, vegetables were Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 16 pureed altogether and did not look appetising. The Cook told us that it would take too long to puree the food separately. One person who recently moved into the home said, “I never use to eat, I needed building up.” “I am eating now, the food is lovely, we have a variety and it is very nice.” Further comments were as follows: “The food is the main thing, it is nice and edible.” “The food is good, smashing, I clear the plate.” “We have a choice of meals.” Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 17 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. People are able to express their concerns and have access to an effective complaints procedure. The home’s recruitment procedures ensure people are protected from abuse. EVIDENCE: People had access to a clear complaints procedure. This document needs to be reviewed to ensure the contact detail for the Commission for Social Care is up to date. Discussions with people that use the service confirmed the following: “If I am not happy I would speak to my Social Worker.” “If I had a complaint, there is always someone here to have a chat with.” Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 18 “I would go the X (Registered Manager) she is very good.” The home’s Statement of Purpose stated, “The Manager or Deputy is always available if clients or families have any concerns about the delivery of care, or an appointment can be made if a particular time needs to be met, in order to suit all parties concerned.” We saw several safeguarding policies; this is a document that tells staff what to do to safeguard people from potential abuse. The Registered Manager told us she would obtain up to date information about safeguarding to produce one document. A requirement was identified at the last inspection for staff to receive Adult Abuse Awareness training. Staff training records showed they had received this plus the Mental Capacity Act training. The Registered Manager told us all staff had been given a copy of the Whistle Blowing policy, staff we spoke to confirmed this. This is a policy that provides staff with guidance on how to report poor practices that could be deemed as abuse. We have not received any concerns, complaints or safeguarding issues about the service since the last inspection visit. The Registered Manager told us they had received one complaint about the hygiene standards within the home. The home was currently investigating this. We looked at three personnel files pertaining to staff, that showed appropriate safety checks were carried out to ensure people who use the service were protected from potential abuse. For example each file contained evidence of a Criminal Record Bureau (CRB) and Protection of Vulnerable Adults 1st (POVA 1st) clearance and two written references. These checks provide some assurance that staff are suitable to work in the home. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 19 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, 20, 22 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in comfortable environment to ensure their welfare. People can be confident their independence will be promoted having access to necessary equipment and adaptations to meet their physical needs. EVIDENCE: Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 20 Redhouse Nursing Home is located in Walsall, West Midlands. Demolition work was currently being undertaken on a neighbouring property, this would enable the home to extend the property to increase the number of bedrooms. The current work did not impinge on the service delivery. The two-storey property provided single and shared bedrooms located on both the ground and first floor. Four bedrooms were equipped with en suite; washbasins were fitted in the remaining rooms. We looked at a number of bedrooms; some were institutional in appearance and needed decorating. For example, the paint was peeling off the wall in one room and there was no carpet on the floor. The Registered Manager told us since the last inspection visit; new flooring had been fitted in the corridor, stairwell and dining room. Bathrooms and toilet areas were located in close proximity to bedrooms and communal areas. Equipment and adaptations were in place, such as assisted baths, grabs rails, hoist, nurse call alarms and ramp access to the building. A passenger lift was also in place. This ensured people had access to all the facilities within the home. There was a lounge and separate dining area equipped with essential furnishings and fitments. People had access to a well-maintained garden, the Registered Manager told us the garden had recently been landscaped and had raised plant beds to enable people to touch and smell the flowers. The home was clean and tidy and appropriate systems were in place to promote infection control. For example washing machines were equipped with a sluice programme. Personal Protective Equipment (PPE), such as disposal gloves and aprons were available to staff. Some staff had also received infection control training. We spoke to a visitor who told us the home was always very clean and tidy. We observed mouth swabs stored in the sluice room; in the interest of infection control this should be stored in a more sterile area. We raised concerns about the torn fly screen in the kitchen, with the demolishment of a neighbouring property the possibility of dust and debris contaminating the food preparation area. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 21 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. People benefit from a staff team who are skilled, trained and provided in sufficient numbers to meet their assessed needs. People can be confident that the home’s recruitment practices will protect them from potential abuse. EVIDENCE: The home was registered to accommodate 27; staff told us that 21 people were in residence on the day we visited. We looked at staff rotas that showed sufficient staffing levels were provided. The Registered Manager told us that a qualified Nurse was allocated to work on each shift. We observed staff interacting with people in a professional, friendly manner and were attentive to their needs. For example, we heard a person call out to Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 22 a Care staff, “Can you pass me the stool?” The Care staff attended to this person immediately. One person who preferred to spend most of their time in their bedroom said, “The staff are very nice and helpful, they always come to my bedroom to say good bye when they are going.” We looked at staff training records that showed they had received the following training: Adult abuse, stoma care, fire awareness, moving and handling, mental capacity amongst others. The Registered Manager told us all staff had received dementia awareness training. The Registered Manager told us that 73 of staff had obtained the National Vocational Qualifications Level 2 in Care. One staff we spoke to confirmed that they had received this training. We looked at three personnel files; all showed appropriate safety checks were undertaken prior to people commencing employment. This should ensure peoples’ protection. For example each file contained evidence of a Criminal Record Bureau clearance (CRB), Protection of Vulnerable Adult 1st (PoVA 1st) and two written references. The home’s Statement of Purpose showed all care staff had an induction and foundation training. “We aim for a minimum of 50 of care staff on shift at any one time to have National Vocational Qualification Level 2, however, those members of the care team that do not have this qualification, have a vast amount of experience in the field of care.” Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 23 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. The management and administration of the home is based on openness and respect to promote the welfare of people. An effective quality assurance system promotes quality standards to guarantee people’s rights and independence. People cannot be confident their finances will be managed properly to ensure they are protected from potential abuse. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 24 EVIDENCE: The Registered Manager told us she was a Registered General Nurse and had obtained the Registered Managers’ Award. She had several years experience in social and healthcare and confirmed she undertook periodical training. For example, wound care, health and safety, fire officer training, amongst others. We saw that questionnaires were given to people to establish their views about the quality of the service provided. Questionnaires were also sent to healthcare professionals and relatives. The Registered Manager told us that information gathered from these questionnaires were put into a report and given to people who completed the questionnaire. One person said, “I would recommend living here it is comfortable, no one bothers you.” Another person told us, “I would recommend living here because they are all so friendly and they listen to you.” We spoke to the Registered Provider who told us he visited the home on a regularly basis to monitor the quality of the service so that he could identify strengths and any possible shortfalls in the service being provided and the outcome is used to improve the service. We looked at records of financial transactions and money held for safekeeping. Two were well managed and one showed a deficit of £4.00. A requirement was made at the previous inspection visit that a financial policy should be in place. The Registered Manager told us the policy was now available in draft format. We saw that receipts were maintained for all financial transactions. We looked at a number of records, which showed safety checks of equipment were undertaken on a regular basis to ensure the safety of people. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 25 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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 3 2 X 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 26 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. 3. 4. 5. 6. Refer to Standard OP9 OP15 OP19 OP26 OP26 Good Practice Recommendations Staff with responsibility for administering medicines should have a competency test to ensure they have the knowledge and skills needed to handle medicines safely. Food should be purified separately so that meals are appealing and appetising. To ensure the comfort of people who use the service a planned programme for refurbishment should be implemented. In the interest of infection control, mouth swabs should be removed from the sluice room and stored in a more sterile area. Fly screens in the kitchen should be replaced to promote hygiene standards. Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Redhouse Nursing Home DS0000020793.V367028.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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