Care Home: Treeton Grange Nursing Home

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well People who wish to use the service of Treeton Grange have the information needed to make an informed choice and be assured that the staff will meet their needs. Individuals are involved in making decisions about the care they receive and the staff make sure that the individuals play an active role in planning the care and support they receive.The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice by the staff working at the home. People who use this service are able to make choices about their life style, and are supported to maintain their life skills. Social, cultural and recreational activities on the whole meet individual`s expectations. Mealtimes are celebrated and enjoyed by the people using the service. People who use the service are able to express their concerns and have access to a complaints procedure. They are protected from abuse, and have their rights protected by the staff and the management. The physical design and layout of the home enable people who use the service to live in a safe and comfortable environment, which encourages independence. The staff are trained, skilled and in sufficient numbers to support the people who use the service. This helps with the smooth running of the service. The management and administration of the home is based on openness and respect. The management promote and protect the people`s health, safety and welfare by ensuring all staff are trained and also by identifying and managing the risks. What has improved since the last inspection? The management and the staff have taken the following action to comply with the requirements made. Records have been maintained of all medication received from the pharmacy. Leisure, social and cultural interests of people living at the home have been noted in the care plans and the activities offered provide stimulation and seem to suit the needs and preferences and capacity of the people living at Treeton Grange. Those people who have their meals in their room were not forgotten and care staff were allocated to serve them the meals at the same time as those eating in the dining rooms. This was witnessed by us on the day of our visit. The central heating system had been repaired and the people were able to control the temperature in their rooms. We checked this during the tour of the premises. The care staff confirmed during interviews that those who have had POVA first clearance worked under full supervision. The staff knew that this was to protect the people who live and work at the home. Two written references had been sought for staff as part of recruitment to ensure suitable people are being employed. The three staff files checked and the four staff interviewed confirmed that the staff have had manual handling training and fire safety training during the last 12 months. The manager continues to seek the views of the people who use the service and the staff who work at the home. The feedback and the action plan was available for us to check. All the staff working at the home have commenced receiving formal supervision at regular intervals. Two staff made positive comments about the supervision and how they felt valued and supported by the management when time is set aside for them. What the care home could do better: The following requirement has been made to ensure that the people living at the home receive the appropriate support from the supplying pharmacists. The arrangement for the receipt, the storage and the disposal of medicine need to comply with the Medicine act. There was a lack of provision by the pharmacist. This is to avoid mismanagement of medicine. Allowing an unacceptable build up of unwanted drugs by the supplying pharmacist leaves open the medicines to be abused. A programme of routine maintenance and renewal of the fabric and decoration of the premises need to be produced and implemented with records kept. This will help the management to ensure work has been carried out to their timescale and find out the progress made in keeping the environment safe and comfortable for the people using the service. The present arrangement was not satisfactory and did not fit the purpose. The windows must conform to recognised standards. Risk assessment must be completed to ensure safety of people. Pipe work supplying hot water in the communal areas need to be guarded so that the people do not accidentally burn themselves. In the best interest of those people who continue to smoke, the management should make arrangements so that they are able to smoke in a safe area. CARE HOMES FOR OLDER PEOPLE Treeton Grange Nursing Home Wood Lane Treeton Rotherham South Yorkshire S60 5QS Lead Inspector Marina Warwicker Key Unannounced Inspection 8th July 2008 09:20 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 Treeton Grange Nursing Home DS0000003092.V367859.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. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Treeton Grange Nursing Home Address Wood Lane Treeton Rotherham South Yorkshire S60 5QS 0114 2692826 F/P0114 2692826 NONE 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) Treeton Grange Limited Manager post vacant Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th July 2007 Brief Description of the Service: Treeton Grange is a care home with nursing situated on the outskirts of the village of Treeton that is near both Rotherham and Sheffield. Buses pass by the home, though access to the village is limited for people with disabilities. The home is set in large grounds overlooking the countryside, and has ample car parking. The building was converted to a home from offices, and has had a large purpose built extension. The fee charged for a week at ‘Treeton Grange’ is between £343 and £470 at the time of the site visit. Treeton Grange Nursing Home DS0000003092.V367859.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 that the people who use this service experience good quality outcomes. An inspection of this care home was carried out on Tuesday 8th and Friday 11th July 2008. On the first day we visited the home between 9.30 and 3.30pm. The staff, the manager and the people using the service were not informed of our visit and therefore it was unexpected. Eight people who use the service and four visitors were consulted on the day. We also spoke with nine staff that were on duty. A further three relatives and four professionals were contacted by post to obtain their views on the service. Comments received from the surveys have been included in the body of the report. Any comments received after the publication of this report will be shared with the management of the home. We spoke to people using the service, relatives and the staff to get an insight into the quality of life and the standard of care and dignity given to the people, as well as looking at the quality of food and activities where people were involved. The premise was inspected, which included bedrooms of people using the service, the communal areas and the service areas such as the kitchen and the laundry. The private areas were accessed with the permission of the people and the staff at the home so that we respected the people’s wishes. Samples of records such as the care plans, staff recruitment and training files were checked. We would like to thank the people who live at Treeton Grange, their relatives, the staff and the manager for their contribution towards this process. What the service does well: People who wish to use the service of Treeton Grange have the information needed to make an informed choice and be assured that the staff will meet their needs. Individuals are involved in making decisions about the care they receive and the staff make sure that the individuals play an active role in planning the care and support they receive. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 6 The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice by the staff working at the home. People who use this service are able to make choices about their life style, and are supported to maintain their life skills. Social, cultural and recreational activities on the whole meet individual’s expectations. Mealtimes are celebrated and enjoyed by the people using the service. People who use the service are able to express their concerns and have access to a complaints procedure. They are protected from abuse, and have their rights protected by the staff and the management. The physical design and layout of the home enable people who use the service to live in a safe and comfortable environment, which encourages independence. The staff are trained, skilled and in sufficient numbers to support the people who use the service. This helps with the smooth running of the service. The management and administration of the home is based on openness and respect. The management promote and protect the people’s health, safety and welfare by ensuring all staff are trained and also by identifying and managing the risks. What has improved since the last inspection? The management and the staff have taken the following action to comply with the requirements made. Records have been maintained of all medication received from the pharmacy. Leisure, social and cultural interests of people living at the home have been noted in the care plans and the activities offered provide stimulation and seem to suit the needs and preferences and capacity of the people living at Treeton Grange. Those people who have their meals in their room were not forgotten and care staff were allocated to serve them the meals at the same time as those eating in the dining rooms. This was witnessed by us on the day of our visit. The central heating system had been repaired and the people were able to control the temperature in their rooms. We checked this during the tour of the premises. The care staff confirmed during interviews that those who have had POVA first clearance worked under full supervision. The staff knew that this was to protect the people who live and work at the home. Two written references had been sought for staff as part of recruitment to ensure suitable people are being employed. The three staff files checked and the four staff interviewed confirmed that the staff have had manual handling training and fire safety training during the last 12 months. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 7 The manager continues to seek the views of the people who use the service and the staff who work at the home. The feedback and the action plan was available for us to check. All the staff working at the home have commenced receiving formal supervision at regular intervals. Two staff made positive comments about the supervision and how they felt valued and supported by the management when time is set aside for them. What they could do better: 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. Treeton Grange Nursing Home DS0000003092.V367859.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 Treeton Grange Nursing Home DS0000003092.V367859.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): 1,3 & 5, 6 not applicable People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who wish to use the service of Treeton Grange and their representatives have the information needed to make an informed choice and be assured that the staff will meet their needs. EVIDENCE: We spoke with people using the service and checked the documentation at the home. The staff carried out needs assessments of people before accepting them into the home. The majority of people have had their needs assessments completed by Social workers or the placing authorities. The statement of purpose and the service user guide needed updating to reflect the changing needs of the people living at the home. The manager informed us that staff were to receive training on caring for people with dementia since some of the people were developing dementia. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 10 People using the service said that they had visited the home before coming in. One person said that this home was close to their family and she was able to have regular visitors. Treeton Grange Nursing Home DS0000003092.V367859.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): 7,8,9,10&11 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Individuals are involved in making decisions about the care they receive and they play an active role in planning the care and support they receive. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice by the staff working at the home. EVIDENCE: Five care plans were viewed and staff and people using the service were consulted. Time was spent observing people using the service in the communal areas. The care plans reflected the people’s needs. There had been regular reviews of care plans by the staff. People using the service and/or their representatives had been involved in some of the reviews. The management ensured that the people using the service had access to health care. The care home had people requiring personal care and nursing care and they all had the services of the nurses and the health care workers. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 12 The people using the service were very positive about the care they received from the staff. We witnessed the manager organising specialist medical and therapeutic services for the people. There was evidence of nutritional screening. On the whole, those who needed help with diets or had problems swallowing had documentation of nutritional screening and monitoring of their intake. On the day of our site visit the manager said there was no one with pressure sores at the home. The care staff supported this. The arrangement for medication management was not satisfactory. The trolleys provided by the pharmacist were unable to house the medication of all the people using the service. There were several boxes of medication waiting to be disposed of. Delivered medication in the blister packs was stored on the windowsill of the room. There was a lack of pharmacy support and audits at the home. However, the people said that they received their medication on time and without failure. A nurse was observed administering medication according to the NMC code of conduct. The people using the service had individual medicine administration record and the staff had maintained records of medication administration. The nurses supported those people who wished to manage their own medicines to do so. There were systems to monitor compliance by the people. When we visited the home on the 11th July we checked the arrangements for the storage, receiving the medication from the pharmacist and the disposal of all the unwanted medication. They had been organised to comply with the relevant medication and safety legislation. The supplying pharmacist had visited the home and worked with the manager in ensuring the safe management of medication supplied by them to Treeton Grange. All the people and the relatives spoken with said that the staff were very kind, welcoming and they felt like a big family. Staff said that they knock on the bedroom doors before entering, they always kept the people informed of their actions when giving personal care and although they were friendly with the people living at the home they always treated them with respect and dignity. The care staff said that they had not had any formal training with regards to caring for people at the end of their lives. One carer said, “I keep talking to the person as normal and let them know what I was doing. Main thing is that they should be kept free of pain and made comfortable.” The manager informed us that they were working in partnership with the Rotherham Hospital on training staff in Palliative care and End of Life care. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14&15 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who use this service are able to make choices about their life style, and are supported to maintain their life skills. Social, cultural and recreational activities on the whole meet individual’s expectations. Mealtimes are celebrated and enjoyed by the people using the service. EVIDENCE: Three people said that they joined in with the activities and enjoyed them. Two people said that they did not feel like participating but liked watching the others. Relatives said that there were a variety of activities and that the people enjoy them. One comment received with regards to activities was allocation of an area in the grounds for the people to develop their own gardens and grow vegetables or flowers as they wished. A further suggestion came from another person that once a year a completion to see whose garden is the best would encourage family involvement and people working as groups. Three people said that they enjoyed going to the local club and taking part in the club games. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 14 We witnessed people using the service maintaining contact with their family and friends. The staff and the management encouraged the visits and made people welcome. One relative said that the administrator helped with the management of the finance and kept them up to date. We observed lunchtime. We saw people given a choice of dinners and the staff dishing the meals out from the heated trolleys. The resident and their families said that they preferred meals being dished out in front of them. They saw this as a personal touch. We witnessed people having as much or as little as they wish and if they needed a small portion of both choices they were able to have them too. The staff were around to help those who needed help. Those people who preferred to have their meals in their own rooms had their meals delivered by the care staff at the same time as those in the dining rooms. Some visitors too were offered lunch and they said that the meals were tasty and that the staff were very kind and sensitive. The care plans had information on people’s likes and dislikes in relation to food however this was not readily available to the cook. The cook also needs to keep a record of the special diets so that they are able to order and prepare according the requirement. The liquidiser needed replacing and those who needed liquid diets were given soft mashable diets. Staff said that they maintained food charts to those who needed to be monitored. On our second visit we checked that an up to date documentation on people’s likes and dislikes were displayed in the kitchen and the cook was to purchase a liquidiser on that day. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who use the service are able to express their concerns and have access to a complaints procedure. They are protected from abuse, and have their rights protected by the staff and the management. EVIDENCE: Four staff interviewed said that they were aware of the home’s complaints policy. Two people using the service said that ‘like anywhere sometimes things get misunderstood but they were able to talk to staff and sort them out.’ One relative said that the manager was approachable and that they were happy to talk things through with her if they were unhappy about anything. The home maintained a register and there had been one formal complaint since the last inspection visit and the manager had handled it appropriately. Four staff files were checked and there was documentation to state that the staff have had training in Protection Of Vulnerable Adults. Three staff were able to verbalise what they would do if they were to witness abusive action by staff, a resident or anyone else. We have not been informed of any issues linked to safeguarding at the home by the local social services or the manager. We asked two people living at the home whether they felt safe and respected? One person said that the staff made them feel safe and the other said that it was a close knit community and they can share their concerns with other residents and the staff. This made them feel safe. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25&26 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The physical design and layout of the home enables people who use the service to live in a safe and comfortable environment, which encourages independence. EVIDENCE: During the tour of the premises we noted that the grounds were kept tidy and attractive. Discussion took place with the handyperson and the manager with regards to an annual programme of routine maintenance and decoration of the premises. There was no formal programme in place and we ascertained that jobs were informally agreed and carried out by the handyperson. Due to safety reasons we have refrained from stating the replacements and repairs needed at the home. These were highlighted on the day and the manager had agreed to rectify without delay. We checked these on our second visit on 11th July and all were completed. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 17 On the whole the cleanliness of the home was good. But there were areas where staff had been complacent and these were identified and corrected on the day. Comments have been received that those who continue to smoke did not have a satisfactory area to take shelter when the weather turned bad and that the older people had to stand in the wind and rain. In the best interest of these individuals we have requested the management to look into temporary shelter. Staff said that they had enough aids and equipment to give the people appropriate care. There was a request for more slide sheets to be available. The manager was made aware of this. The peoples’ own bedrooms were individualised and some had photos on the doors and some others did not want their names displayed on the door. The manager said this was down to individuals’ choice. The rooms were individually and naturally ventilated. There were some concerns with regards to the windows conforming to safety standards. These were discussed on the day and plans were made to correct them. Laundry facilities were sited where the staff were able to transport the soiled and infected linen from the bedrooms. The laundry staff said that they had enough washing and drying machines to do their jobs efficiently. Staff were aware of the infection control policy and the procedures. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 18 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&30 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The staff are trained, skilled and in sufficient numbers to support the people who use the service. This helps the smooth running of the service. EVIDENCE: Four staff, three people using the service and one relative were consulted. The records relating to this outcome area was also checked. The staff rotas were maintained. The staffing numbers and the skill mix reflected the needs of the people using the service. Domestic staff were employed in sufficient numbers. Care staff interviewed said that they had completed NVQ Level 2 in care. Three staff files were checked with the help of the manager. The records were up to date and satisfactory. There was evidence of staff having; • satisfactory criminal record bureau checks, • references obtained from the previous employers, • received statements of Terms and conditions. The staff said that they received training and on the job supervision by the senior members of the team. Due to the changing needs of the people using the service the manager informed us that the staff will be receiving training on Palliative care and dementia care. We noted on the day the staff appeared confident and competent when dealing with the people using the service and the visitors. Treeton Grange Nursing Home DS0000003092.V367859.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): 31,33,36&38 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The management and administration of the home is based on openness and respect to people using the service and the visitors to the service. The management promote and protect the people’s health, safety and welfare by ensuring all staff are trained and also by identifying and managing the risks. EVIDENCE: The manager is an experienced nurse who is in the process of being registered with the Commission for Social Care Inspection. The manager and her staff said that they sought comments about the service from the people using the service and the visitors to the home. They held meetings to discuss the comments and made improvements. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 20 Staff said that they received regular supervision. The staff also said that they have had training on moving & handling, fire safety, health & safety, Infection control, food hygiene and first aid. These were documented in their training files. Treeton Grange Nursing Home DS0000003092.V367859.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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 3 18 3 2 3 3 3 3 3 2 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 X 3 X 3 Treeton Grange Nursing Home DS0000003092.V367859.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. 1. Standard OP9 Regulation 13 (2) Requirement The arrangement for the receipt, the storage and the disposal of medicine must comply with the Medicine act. This is to avoid, • Mismanagement of medicine by not storing medication in a safe and secure place. • A build up of unwanted drugs by the supplying pharmacist at the home leaving open to abuse. A programme of routine maintenance and renewal of the fabric and decoration of the premises must be produced and implemented with records kept. This will help the management to ensure work is carried out to their timescale and find out the progress made in keeping the environment safe and comfortable for the people using the service. The windows must conform to recognised standards. Risk assessment must be completed to ensure safety of people. DS0000003092.V367859.R01.S.doc Timescale for action 11/07/08 2 OP19 16 08/09/08 3 OP25 23 08/09/08 Treeton Grange Nursing Home Version 5.2 Page 23 Pipe work supplying hot water must be guarded so that the people did not burn themselves. 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 OP38 Good Practice Recommendations To maintain safety and comfort of those people who continue to smoke in the best interest of those people the management should make arrangements so that they are able to smoke in a safe environment. Treeton Grange Nursing Home DS0000003092.V367859.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street 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 Treeton Grange Nursing Home DS0000003092.V367859.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!