Care Home: Stockingate Nursing Home

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What the care home does well To make sure the home can meet peoples personal and healthcare needs these are assessed before coming to live in the home. Peoples care plans are looked at regularly and changed to reflect peoples changing needs. People were observed being treated with dignity and having their wishes respected. There appeared to be good relationships fostered between those living in the home and those caring for them. People were observed relaxing in clean and pleasant surroundings. Some were sitting in the dining room having breakfast and others in the lounges and bedrooms. Everyone appeared to be happy and well cared for. One person says "its like home from home" and another said the "staff are very good" and very caring". One person says the "food is very good" and they "have a choice". The menus show people have a choice from a varied and balanced diet of their choice. Discussion with the cook found food is sourced locally and freshly made every day, including home baking. People are protected by the way staff are recruited and selected as records show references, police and health checks are taken up before they are employed. People are protected by the way medicines are dealt with as some peoples` medicines were checked and found to be correct and recorded properly. Staff training records show people giving medicines have been trained in how to do this safely. People are protected from any kind of abuse as staff records show they have Safeguarding training. The staff said they like working in the home and feel supported in the work they do. To fully meet peoples personal and healthcare needs training records show staff has received Dementia Awareness training. Discussion with staff found they have a good understanding of the support needs of people living in the home. What has improved since the last inspection? To make sure peoples personal and healthcare needs are properly assessed only the acting manager or another qualified nurse carry out the assessments before people come to live in the home. All staff now have a National Vocational Qualification at Level two of above some are currently registered on level three courses. This good standard is to be commended. To make sure peoples support needs can be better met staff records show they now have Dementia Awareness training. To make sure people are safe records show people giving medicines have now been trained to do this safely. To further protect people the way medicines are dealt with has changed and there is a better system in place that is checked and monitored regularly. To keep people safe the cooker in the kitchen has been repaired and there is a new cooker on order. There is a new dishwasher improving hygiene standards in the kitchen. To improve the environment for people living in the home, on the day of the visit the entrance to the home is currently been redecorated. Discussion with the acting manager found a number of bedrooms`; the toilets, the bathrooms and corridors have been decorated since the previous inspection visit. What the care home could do better: The assessments and care plans show peoples choices and preferences, likes and dislikes. However, the daily records do not contain enough descriptive words to reflect and show peoples` choices and preferences or any decisions they make about how they live their daily lives. To make sure peoples needs are fully met and peoples rights protected the manager says staff would benefit from Mental Health Act training and in particular Deprivation of Liberty Training. The manager says someone from the administrators comes to the home to check and see if everything is running well. However, there are no copies of these monthly regulation 26 reports in the home. The acting manager says they have yet to send an application to become the Registered Manager to the Care Quality Commission. The manager says they intend to seek the views of people living in the home, their relatives and other visitors through surveys and provide a report reflecting their views and comments. CARE HOMES FOR OLDER PEOPLE Stockingate Nursing Home Stockingate South Kirkby Pontefract W Yorks WF9 3QX Lead Inspector Tony Railton Key Unannounced Inspection 08:20 7th April 2009 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 Stockingate Nursing Home DS0000066612.V374090.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. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stockingate Nursing Home Address Stockingate South Kirkby Pontefract W Yorks WF9 3QX 01977 648683 01977 648683 janet.db@btconnect.com 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) Home currently in administration. Val Ward Acting Manager Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (25) Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th April 2008 Brief Description of the Service: Stockingate Nursing and Residential Care Home registered to provide nursing and personal care for 25 elderly people who may have a diagnosis of dementia or other mental health problems. Bedrooms are mostly single, although a few double rooms remain. The home does not provide en-suite facilities. However, there are bathroom and toilet facilities on both levels of the building. Other communal facilities consist of two lounges, a dining room and there is an enclosed garden where a sensory garden has been developed. Communal TVs are in the two lounges and activities are available. The provider informed the Commission for Social Care Inspection in April 2008 that fees range from £359 to £492 per week. Additional charges include hairdressing, private chiropody and newspapers. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. A copy of the most recent inspection report is available in the entrance hall. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As a result of this visit the home has been given a Two Star rating, which means people living in the home experience good quality outcomes. This visit commenced at 08.20 and ended at 14.00. During this visit a number of improvements were noted and included compliance with the outstanding requirements and recommendations from the previous inspection visit. There was the opportunity to speak to people living in the home, the acting manager, senior nurse, care workers, activities coordinator, domestic and kitchen staff, administrator and handyman. Some peoples’ records were seen and include assessments, care plans, daily and medical records. Some peoples medicines and finances were also checked. Some staff records were also seen and included application forms, references police and POVA (Protection of Vulnerable Adults List) checks. Staff training records were also seen and a tour of the premises undertaken. Other information considered included the service history and previous inspection visit reports. The medication administration system was checked. The recommendations made following a Health and Safety visit were discussed with the local authority Health and Safety Inspector. It was noted that the home is currently in administration, which means it has no current owner. However, an owner is being sought. The inspector would like to take the opportunity to thank the people living in the home, the manager and the staff team for their hospitality and cooperation throughout the visit. What the service does well: To make sure the home can meet peoples personal and healthcare needs these are assessed before coming to live in the home. Peoples care plans are looked at regularly and changed to reflect peoples changing needs. People were observed being treated with dignity and having their wishes respected. There appeared to be good relationships fostered between those living in the home and those caring for them. People were observed relaxing in clean and pleasant surroundings. Some were sitting in the dining room having breakfast and others in the lounges and bedrooms. Everyone appeared to be happy and well cared for. One person says “its like home from home” and another said the “staff are very good” and very caring”. One person says the “food is very good” and they “have a choice”. The menus show people have a choice from a varied and balanced diet of their choice. Discussion with the cook found food is sourced locally and freshly made every day, including home baking. People are protected by the way staff are recruited and selected as records show references, police and health checks are taken up before they are employed. People are protected by the way medicines are dealt with as some peoples’ medicines were checked and found to be correct and recorded properly. Staff training records show people giving medicines have been trained in how to do this safely. People are protected from any kind of abuse Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 6 as staff records show they have Safeguarding training. The staff said they like working in the home and feel supported in the work they do. To fully meet peoples personal and healthcare needs training records show staff has received Dementia Awareness training. Discussion with staff found they have a good understanding of the support needs of people living in the home. What has improved since the last inspection? What they could do better: The assessments and care plans show peoples choices and preferences, likes and dislikes. However, the daily records do not contain enough descriptive words to reflect and show peoples’ choices and preferences or any decisions they make about how they live their daily lives. To make sure peoples needs are fully met and peoples rights protected the manager says staff would benefit from Mental Health Act training and in particular Deprivation of Liberty Training. The manager says someone from the administrators comes to the home to check and see if everything is running well. However, there are no copies of these monthly regulation 26 reports in the home. The acting manager says they have yet to send an application to become the Registered Manager to the Care Quality Commission. The manager says they intend to seek the views of people living in the home, their relatives and other visitors through surveys and provide a report reflecting their views and comments. Stockingate Nursing Home DS0000066612.V374090.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. Stockingate Nursing Home DS0000066612.V374090.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 Stockingate Nursing Home DS0000066612.V374090.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): Standards 3 and 6. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. To make sure the service can meet peoples personal and healthcare needs these are assessed before coming to live in the home. The home does not provide a specialist intermediate service. EVIDENCE: A sample of peoples records show assessments including mental health assessments that are completed before coming to live in the home. To make sure peoples needs are properly assessed either the acting manager, who is a Registered Mental Health Nurse, or another qualified RMN nurse goes out to complete the pre admission assessment. The acting manager says this is important as some people wanting to live in the home have mental health needs and some suffer with Dementia. Records and in particular the Easy Care Assessment and Care Plans show some people already have their needs assessed by the local authority. The acting manager confirmed the home does not provide a specialist intermediate or rehabilitation service. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 10 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): Standards 7,8,9 and 10. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. Peoples’ personal and healthcare needs are met and they are protected by the way medicines are dealt with. EVIDENCE: A sample of three peoples records show their personal and healthcare needs are set out in a plan of care. To make sure peoples changing needs are reflected in their plans these are looked at regularly and amended to show any changes. To make sure people are safe there are risk assessments, nutritional assessments, moving and handling assessments and these are also checked regularly. The healthcare records show visits from the General Practitioner, District Nurses, and Continence Advisors. Some people are also supported through hospital-based consultants and on the day of the visit one person was assisted to attend a hospital appointment. Some records show the support and involvement of the Community Mental Health Team. People were observed throughout the visit being treated with dignity and having their wishes respected and although their choices and preferences are recorded in the assessments and care plans. The daily records do not contain Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 11 enough descriptive words to reflect and show peoples’ choices, preferences, or any decisions they make about how they live their daily lives. People are protected by the way medicines are dealt with as the home has a new medicine administration system. The acting manager says a new Pharmacy contract has been secured and the new blister pack and returns system is much better and safer. Records show that the medicines are now also checked regularly. A sample of three peoples’ medication was checked and was properly stored, appropriately administered, and recorded correctly. One person is currently prescribed a controlled medicine that has to be kept and recorded differently to keep people safe. This was also checked and is properly stored and recorded. To further protect people taking medicines staff training records show staff that give medicines have been trained to do so safely. There was the opportunity to observe the giving of peoples’ medicines and this was done sensitively with regard to peoples’ wishes, choices and preferences. To make sure peoples emotional and mental health care needs are met staff training records show they now have Dementia Awareness Training and some senior workers are currently attending a more in depth Dementia course provided by Park Lane College. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 12 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): Standards 12,13,14 and 15. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. Life in the home matches peoples’ expectations and they have a choice from a varied and balanced diet. EVIDENCE: Discussion with nearly all the people living in the home found they are happy and comfortable. Even those suffering with Dementia and Mental Health Problems were observed to be relaxed and un-agitated. People were observed throughout the morning enjoying a group activity and craft items made for the Easter celebrations were displayed around the home. Discussion with the activities organiser found that there are activities arranged on a regular basis that include group and individual activities. The record of activities and daily records confirmed this. A programme of activities is displayed on the notice board. The acting manger said the activities organiser is shared with a sister home and visits at least four days per week. People are supported and encouraged to be part of the local community and records show some people enjoy visits to local shops and public houses. On the day of the inspection some people were enjoying talking to family and friends visiting the home. The menus show people are offered a balanced and varied diet and people were observed having a choice and selecting their own menu. The inspector had the opportunity to join in and sample the lunchtime meal. People were Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 13 observed enjoying their meal that was well presented, well cooked and tasty. One person said the “food is very good”. Another says they “have plenty to eat”, another that they “can choose their meals”. The cook says that all of the food is sourced locally and all meals are freshly cooked daily. They also said there are freshly baked cakes and buns provided daily. Some staff was observed assisting people with their meals in a sensitive, relaxed and unhurried manner. People were observed throughout the visit being treated with dignity and having their wishes respected, however, the daily records do not contain descriptive words to reflect and show peoples choices preferences likes and dislikes. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People know what they say will be taken seriously and acted upon and they are protected from any kind of abuse. EVIDENCE: The service history shows there have been two Safeguarding referrals made to the local authority this year. Discussions with the acting manager and the minutes of the Safeguarding meetings show that these were appropriately dealt with. To further protect people there is a Safeguarding Policy and Procedure for staff to follow. Staff training records show that all staff has had Safeguarding training. The service history shows the CQC has not received any complaints about the home of the service it provides. The record of complaints shows what people say is taken seriously and acted upon. Some people living in the home said they know how to make a complaint but have never had to do this. There is a copy of the complaints policy and procedure displayed in the home. Discussion with the care staff found they have complaint training as part of their induction. They also confirmed they have received Safeguarding training. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 15 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): Standards 19 and 26. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People live in a well decorated well maintained home that is comfortable and safe. EVIDENCE: People were observed throughout the visit relaxing in homely and comfortable surroundings. One person said they “like living in the home” its like “home from home”. Another said they “have everything they need”. Another said they “like the colour of the new lounges” as they have recently been redecorated. The acting manager said there have been a number of improvements to the home since the previous inspection visit including redecoration of the toilets, bathrooms, corridors, and lounges. A tour of the premises confirmed this and also found the redecoration of the entrance in progress. Discussion with the Local Authority Health and Safety Officer found that all of the recommendations made following a recent visit has been completed, with the exception of one. They said they would follow up providing an Asbestos Certificate for the home through their own regulatory process. To protect people from cross infection the manager said the home now has a new dishwasher. A tour of the kitchen confirmed this. They also said the Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 16 cooker has been repaired and the pilot lights have been isolated to prevent the production of carbon monoxide. The cooker maintenance report confirmed this. The acting manager said they intend to replace the old cooker and a new one is on order. Shelving in the kitchen has been removed and a new wall surface provided to maintain hygiene standards. To keep people safe the maintenance records show the fire equipment including fire alarms and emergency lighting are serviced and checked regularly. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 17 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): Standards 27,28,29 and 30. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. Peoples personal and healthcare needs are met by trained and qualified staff that are supervised and they are protected by the way staff are recruited and selected. EVIDENCE: To maintain the standard of care for people living in the home the manager said all care staff have a National Vocational Qualification Level 2 or above. The staff training records confirmed this. This practice is to be commended as it is over and above minimum standards. The manager also confirmed that the housekeeper also has a NVQ Level 2 and other ancillary workers are also undertaking appropriate related courses. To make sure people are cared for properly and to keep them safe the staff training records show they have First Aid, Moving and Handling, Food Hygiene, Infection Control and Health and Safety training. To make sure support workers have the skills to meet peoples’ care and support needs training records show all staff have Dementia Awareness training. Records also show some staff are currently attending an advanced Dementia Care course run by Park Lane College. People are protected by the way staff are recruited and selected as a sample of three staff records show application forms, references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 18 People living in the home say they like the people caring for them and positive relationships were observed being fostered between people and those caring for them. One person says that staff is “wonderful” and “very caring”. Another say’s “they are angels”. Another person say’s “they are so “patient and caring”. One carer say’s “Its so nice working here the people are lovely”. One nurse said, “The home continues to improve”. Another carer say’s they “feel confident and supported in their work”. The acting manager said staff receive regular line management supervision, however, not all have had six line management supervision sessions over the past twelve months. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 19 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): Standards 31,33,35 and 38. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People live in a well run well managed home that is run in their best interests and where they are safe. EVIDENCE: People live in a home that is managed by a person that is a qualified nurse and experienced manager. However, they have yet to submit their application to register with the CQC. Since coming to the home the acting manager has made improvements to the care management systems, including the assessment and reviewing process, and the medication systems. There have also been improvements to staff management systems including staff selection and recruitment, and in particular staff training. There have also been improvements to the environment with redecoration and in particular improvements to the kitchen to meet Health and Safety recommendations. People are protected by the way their finances are dealt with as a sample of three peoples monies were checked and found to be properly kept and recorded and safe. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 20 The maintenance records and discussion with the handyman found that the health, safety and wellbeing of people and those caring for them is promoted and protected. They show regular maintenance checks including fire safety equipment and alarm testing and fire drills. The acting manager said to check and see if the home is running well and to see if people are safe monthly visits are made from the person appointed by the administrators. However, there are no copies of the monthly regulation 26 visits kept in the home. The acting manager also said they intend to survey people living in the home, their relatives and other visitors to seek their views on the quality of care and services provided and provide a report reflecting what they said by the end of the year. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 21 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 2 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 3 Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 22 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 OP14 Good Practice Recommendations It is acknowledged that people living in the home are treated with dignity and their wishes are respected. However, the daily records would benefit from the use of descriptive words to reflect and show peoples choices, preferences, likes and dislikes and any other decisions they make about how they live their daily lives. It is acknowledged that staff have received some mental health training and in particular Dementia Awareness. However, as a matter of good practice the home should consider sourcing some Mental Health Act and in particular Deprivation of Liberty Training. The law says the home should have a registered manager the uncertainty of the homes future ownership is acknowledged. However, the acting manager should submit an application to be registered with the CQC as soon as is practicable. The views of people living in the home and those of their DS0000066612.V374090.R01.S.doc Version 5.2 Page 23 2 OP30 3 OP31 4 OP33 Stockingate Nursing Home relatives and those of visitors on the quality of the services provided should be sought and the information collated and a report provided reflecting what people have said and any changes to the way the home operates as a result of their comments. Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 24 Care Quality Commission Yorkshire and Humberside Region Citygate Gallowgate Newcastle Upon Tyne NE1 1NB 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 Stockingate Nursing Home DS0000066612.V374090.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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