Inspection on 12/12/06 for Abbotts Barton Nursing Home

This inspection was carried out on 12th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abbotts Barton Nursing Home 17/10/08

Abbotts Barton Nursing Home 06/02/06

Abbotts Barton Nursing Home 19/01/05

Abbotts Barton Nursing Home 21/07/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Abbotts Barton Nursing Home 40 Worthy Road Winchester Hampshire SO23 7HB Lead Inspector Pat Griffiths Unannounced Inspection 12th December 2006 10:00 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 Abbotts Barton Nursing Home DS0000012204.V321718.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. Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbotts Barton Nursing Home Address 40 Worthy Road Winchester Hampshire SO23 7HB 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) 01962 626800 01962 626803 abbotsbarton@coltencare.co.uk www.coltencare.co.uk Colten Care Limited Mrs Denise Smyth Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability over 65 years of age of places (60) Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user in the category PD whose date of birth is 29/10/1944 may be accommodated. Date of last inspection Brief Description of the Service: Abbotts Barton Nursing Home is owned by Colten Care Ltd (the organisation), who own and manage a number of care homes in Hampshire and Dorset. The home was opened in 2001 and accommodates up to 60 older people, providing both personal and nursing care. It was purpose built and the accommodation is arranged on three levels, all bedrooms are single rooms with en-suite facilities. The home benefits from a variety of communal areas and passenger lifts provide access to all floors. The home is set in pleasant landscaped grounds and is located in a residential area, close to local amenities and the centre of Winchester. Other facilities and services provided by the home include a variety of organised activities, hairdressing and a laundry service. The current weekly fees are £826 for personal care and £993 per week for nursing care. Extra services such as hairdressing [£16 - £52] and chiropody [£15] are usually billed monthly. Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This fieldwork visit was unannounced and took place on 12th December 2006. All key standards were examined and the visit included looking at areas of the home such as bedrooms, communal and shared areas and the home’s kitchen and laundry as well as the gardens. Documents and records were examined and staff working practices were observed where this was possible without being intrusive. Residents, visitors and staff were spoken to in order to obtain their views of the service that the home provides. Visitors that spoke to the inspector were very positive about the care their relatives received. One resident commented that ‘nothing is too much trouble’. The manager, her deputy and the deputy area operations manager were present throughout the visit and other members of staff provided assistance and information when required. Other information included in this report is obtained from information that the commission has received since the last visit made to the home in January 2006, such as notices received about incidents that have occurred in the home. What the service does well: What has improved since the last inspection? The home does not rest on its laurels and continues to seek the opinions of the residents and their friends and relatives, to ensure the service that is provided is a good one. Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 6 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. Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 7 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 Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 8 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s admission procedures included good assessments of the needs of potential residents before they moved into the home to ensure that the home could provide the care and support that individuals required. EVIDENCE: The home has written policies and procedures regarding the admission of new residents to the home, which indicate the importance of assessing the needs of any potential residents and the care and support they require before they move into the home. The manager said that potential residents are sent brochures and invited to visit the home, often relatives visit on behalf of someone in hospital and information and general details about the home are available on the company’s internet web site. Potential residents who are in hospital and unable to visit the Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 9 home are visited by the manager who provides brochures and photographs of the home. The files for three recently admitted residents were examined. Each contained a comprehensive assessment, which had been completed prior to admission. The assessments identified personal and social needs as well as health and nursing care needs. Areas that had been assessed included personal care; social, religious and cultural needs; dietary likes and dislikes; mobility, sight and hearing. The home does not provide intermediate care but offers respite care if a bed is available. Abbotts Barton Nursing Home DS0000012204.V321718.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): 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. Residents have individual plans of care and their health care needs are met. Good practices ensure safe medication administration. Staff training ensures that the residents’ rights to privacy, dignity and respect are upheld. EVIDENCE: The home has written policies and procedures concerning “Care Planning and Assessment” that set out the practice and methods that the home uses to ensure that the help the residents’ need is provided. The inspector looked at four care plans and found that they each have an ‘index of needs’ which covers assessed needs such as activities of daily living, manual handling needs, nutrition and skincare assessments and plans for any wounds that need dressing. The care plans are reviewed regularly and the residents and their relatives are encouraged to be as involved as they wish with planning their care. The manager said that they are introducing a lifestyle Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 11 diary for each resident which will contain information such as their likes and dislikes and which activities or hobbies they enjoy or wish to follow. The manager said that the care staff work in teams, care needs are planned and written up the day before and the information is then passed on at staff handover. Nursing and care staff spoken to were fully aware of the contents of the care plans that were sampled and the assistance that the residents concerned required. The home has many long-term staff and there is good continuity of care. The manager said that the residents are registered with a local doctors surgery, whose doctors visit the home weekly. A doctor in the home on the day of the visit commented that the staff were flexible in their care practices and there was a good liaison between the home and the surgery. Residents confirmed that they were able to see their doctor when they wished. Other visiting healthcare professionals include the local dentist, optician and a chiropodist. The home has written policies and procedures in place regarding the management and administration of medication in the home. The inspector saw that medicines were stored safely and appropriately in two locked medicine trolleys, as well as locked metal cabinets. A locked medical refrigerator was also used for medicines requiring special storage conditions. The temperature of the refrigerator was regularly checked to ensure that it was working effectively. Medicines were dispensed from their original containers and all of these were dated when they were opened/started. One of the registered nurses has overall responsibility for ordering the medication, which is done a month in advance and records kept in a ‘drug order file’. The nurses in the home administer the medication and the manager said that several have completed a distance-learning course in “safe handling of medication”. The medication administration sheets were seen and all drugs that had been administered had been signed for, with no gaps seen on the records. There were copies of the signatures of the nurses who dispensed medication readily available. Reference material, such as the British National Formulary, was available for the staff. Abbotts Barton Nursing Home DS0000012204.V321718.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): 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. Arrangements ensure that there are a variety of activities available for the residents and the home has an open visiting policy. Residents are encouraged to exercise control over their lives. Arrangements ensure contact is maintained with family and friends and a wholesome and balanced diet is available. EVIDENCE: The manager said that there is an activities organiser in the home every day, as well as a ‘social carer’. The activities for the week of the visit included decorating the home for Christmas, a minibus trip to see the Christmas lights in Winchester, making sweets, a pub lunch, games of scrabble and hangman and the music club. Visiting entertainers included a group of bell-ringers, a ‘PAT’ dog, a group of singers and a gentleman playing the keyboards. Communion is held in the home for those who wish to attend. Many of the residents gather every day in the lounge at midday for a sherry before lunch. The home has recently introduced a scheme where a member of staff works for a day with residents on a one-to-one basis, this may be for a chat, a hand massage or a trip to the shops. Staff that undertake this work do not have to Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 13 be care staff but do complete some extra training, which is organised by the company activities co-ordinator Visitors that spoke to the inspector were very positive about the home ‘lovely place’, my mother loves it here – nothing is too much trouble’. Residents said they felt that they were able to make choices, such as what to wear each day or how to spend their time, and that staff were available to help if necessary. Some residents are still able to get out and about, on their electric scooters or by taking a taxi into town and some spend weekends away with their families. All residents spoken to said that the food provided by the home was good. Visiting relatives were also complimentary about the food. Residents said that they were advised of the choices available and orders for meals were taken in advance, that they had three meals a day and could have snack and drinks at other times. The residents are able to take their meals in their own rooms or in the dining room. Information about the needs of service users with specific dietary requirements was readily available in the kitchen e.g. diabetic, soft, chopped up, etc. Pureed meals were provided with all their constituents prepared separately ensuring that their appearance was attractive. Menus that were seen indicated that there were a wide variety of meals available. The chef told the inspector that the company plans the menus and purchases the food for the home and the likes and dislike of the residents are known and catered for. The company catering manager visits the home weekly and speaks to the staff and the residents. On the day of the visit there was a notice in the passenger lift to say that he was visiting the next day and at what time he would be available to meet the residents. Abbotts Barton Nursing Home DS0000012204.V321718.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place, enabling residents, relatives and staff to make complaints should they wish. Staff training in adult protection promotes the safety of the residents. EVIDENCE: The home has a complaints and whistle-blowing policy in place, details of which are available for staff, residents and their visitors. The home has a complaints log, which is kept locked away to maintain confidentiality, should anyone make a complaint. The manager said that the home has policies and procedures in place regarding adult protection and they have an up to date copy of the local authority adult protection policy, which is available for staff to read. Staff training in adult protection and abuse awareness is undertaken in the induction period for all staff and is on-going throughout the year. The home has a training co-coordinator/facilitator who arranges the training for the staff. The manager has also completed a ‘train the trainers’ course in adult protection. Abbotts Barton Nursing Home DS0000012204.V321718.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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for maintaining the home ensure that residents stay in a safe environment that is pleasant, clean and hygienic. EVIDENCE: The inspector was able to tour the home and see the kitchen, laundry, communal areas and some of the bedrooms. The home has a sitting room on each floor, two dining rooms, and an activities room. There is also a hairdressing room and a small treatment room just off the reception area where the local doctor sees some of the residents. There are several seating areas in reception, where residents and visitors gather during the day. On the day of the visit the home was seen to be clean and tidy, with no unpleasant odours. The nursing and care staff in the home are supported by ancillary staff, such as cleaners, laundry staff and kitchen staff. The manager Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 16 said that maintenance staff attend the home two days a week to complete any repairs or maintenance and the company has a maintenance manager on call should there be any problems. There is also a gardener for the gardens. The manager said that the home has a rolling programme of decoration and the corridors and dining rooms had been recently redecorated. All bedrooms are en-suite with a sink and lavatory and there are baths and shower rooms on each ‘wing’ of the home. The bathrooms provide a level access shower, a ‘assisted’ parker bath and an ordinary bath, all are tiled and look colourful and homely. The bedrooms seen by the inspector looked light and airy and had been personalised by the residents and their families, with small pieces of furniture, pictures and ornaments and bookcases. Residents on the ground floor had also installed their own bird tables or feeders outside their bedroom patio doors and windows. Residents commented “My room is very nice, it is warm and you get a good view of the gardens from here” “The room is very good, it is comfortable and the furniture is more than adequate. The laundry has sufficient washing machines and dryers and is accessed from the corridor so that dirty linen is not taken through the kitchen or food preparation areas. There is also a separate area where the clean clothes are kept until retuned to their owners. The cook showed the inspector the kitchen and storage areas and discussed the menu and the choices that were available. The kitchen was busy but looked clean and tidy. The cook said that they are using the ‘Safer food, better business’ documentation in the kitchen. It is used to record daily temperatures of the fridges, freezers and cooked food as well as the ‘cleaning diary’ for the kitchen. The gardens have level access paving and there are several sitting areas around the lawns. The home has policies and procedures in place regarding infection control, which have been regularly reviewed. Suitable equipment such as disposable gloves and aprons were supplied throughout the home and staff were seen using them when required. There are four cleaners on duty each day, one in each ‘wing’, all have received training in infection control and on control of substances hazardous to health [COSHH] and the company housekeeper provides training updates for them. Communal toilets had liquid soap, paper towels and disinfecting hand wash provided. Abbotts Barton Nursing Home DS0000012204.V321718.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): 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. The numbers and skill mix of staff ensure that needs of the residents are met. Arrangements ensure that the recruitment practice protects the residents and staff. Arrangements for induction and training ensure that the staff are able to meet the needs of the residents. EVIDENCE: The home employs nine registered nurses and thirty-one care assistants as well as ancillary staff, such as cleaners, laundry and kitchen staff. The care staff are divided into four teams and each day-duty team consists of 2 registered nurses and five care assistants, who change teams each four months. The ‘wing’ is a ten bedroom corridor. The manager and the deputy, who is also head of care, are supernumerary to the staffing numbers. The manager said that currently eight staff have National Vocational Qualifications in care and four are doing the course. When these staff have completed their course the home will not have reached the required national standard of 50 of care staff in the home with an NVQ 2 or above, but will have 38 of the staff trained. Several of the carers are trained nurses in their own countries and have been credited with an NVQ at level 3. The inspector and manager discussed the benefits of having these staff formally assessed by Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 18 an NVQ assessor so that they can be awarded the appropriate NVQ. The manager said that English language classes are also available for the overseas staff, but most have worked at the home for several years and have a good command of the language. All staff spoken to confirmed that they had opportunities to obtain formal qualifications and also enhance their skills and knowledge by attending courses and training events in subjects appropriate to the type of work they were involved in, such as catheter care, continence awareness, and care of the dying as well as general nursing and personal care. They also said that they attended regular training sessions in core/statutory health and safety subjects. The home now has a robust recruit policy and the registered manager said that part of the recruitment procedure was to obtain a Criminal Records Bureau (CRB) disclosure and the Protection of Vulnerable adults (POVA) check prior to employment, or to obtain a POVA first check and contact the commission for permission to start the member of staff’s induction. The inspector looked at the files of four new members of staff and found that all the relevant checks had been completed, such as obtaining references and CRB disclosures. Other staff files were checked and found to contain the correct information, such as proof of identity, and there was evidence that the nurses have had Nurses and Midwives Council checks on their professional qualifications before starting work in the home. Training records seen by the inspector indicate that staff have attended training this year in manual handling, fire safety, food hygiene, first aid and adult protection. The manager said that training planned for 2007 includes fire safety and infection control. Abbotts Barton Nursing Home DS0000012204.V321718.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, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the home is well managed, but resident’s views are not formally sought. The residents’ financial interests are safeguarded. Arrangements are in place to ensure that the health, safety and welfare of the residents and staff is protected. EVIDENCE: The registered manager is a qualified nurse and has managed the service for many years and was able to demonstrate a sound knowledge of the needs of the residents. Since the last inspection the she has completed the registered manager’s award, which is a National Vocational Qualification in management Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 20 at level 4. She maintains her continuing professional development by attending internal and external study days. The manager said that there are formal residents meetings every three months and residents know that there is an ‘open door’ style of management in the home and the manager is available daily to speak to the residents. Residents are encouraged to voice their opinions and to make choices about all aspects of their daily life. Comments by residents to the inspector include ‘it’s a lovely place, I’ve been here for years’ ‘they are lovely, never in a rush’ ‘I’ve been here since it opened and everything is wonderful’ ‘my wife was here, so I came too’ The manager said that the company audits different services and systems in the home, such as the call-bell response times, analysis of accident reports and food and housekeeping audits. The company employs an external firm to complete a formal customer satisfaction survey every two years and the results are made available to any interested parties. Regular meetings are held for different groups of staff in the home according to their roles, such as hotel services, trained nurses, senior health care assistants and care teams. The manager said that she attended the various meeting in order to relay information and discuss matters of general or common interest or concern to all staff. There are also regular meetings arranged for residents and relatives, which are also attended by senior managers, such as the catering manager. The manager said that the home did not take responsibility for the financial affairs of any of the residents. For security purposes the home can hold small amounts of personal monies on their behalf, sometimes it is given to the manager by relatives to hold for individual residents. A number of residents spoken to said that they received independent help and advice with these matters or managed them for themselves while others had been pleased to give the responsibility to a nominated relative or representative. The home had a range of written policies and procedures that informed staff working practice. They were regularly reviewed and updated as necessary. Records indicated that risk assessments have been completed for all working practices in the home and systems and equipment in the home have been tested and serviced at within the relevant timescales. This includes fire safety equipment, the boilers and central heating system, all lifts, hoists and slings, Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 21 and the hot water system for legionella. Fire safety equipment had been regularly serviced and staff fire safety training was on-going to ensure that all staff attended. Weekly fire alarm test are being conducted and the results logged. Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 22 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 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? 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. Refer to Standard Good Practice Recommendations Abbotts Barton Nursing Home DS0000012204.V321718.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Abbotts Barton Nursing Home DS0000012204.V321718.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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