CARE HOMES FOR OLDER PEOPLE
Albany Park Nursing Home 43 St. Stephens Road Enfield Middlesex EN3 5UJ Lead Inspector
Tony Brennan Key Unannounced Inspection 24th May 2007 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 Albany Park Nursing Home DS0000027799.V333433.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. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Albany Park Nursing Home Address 43 St. Stephens Road Enfield Middlesex EN3 5UJ 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) 020 8804 1144 020 8804 7733 GSG Nursing Homes Limited Ms Milda Williams Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Room 12, ground floor, is unsuitable for wheelchair dependent service users. 5th April 2005 Date of last inspection Brief Description of the Service: Albany Park Nursing Home is a purpose built care home registered to provide nursing care for a maximum of forty-three service users. Albany Park is to provide nursing care for older people. It is owned by GSG Nursing Homes Ltd. The home is a detached four-storey building. All bedrooms have en-suite facilities. The home is situated in a residential area. It is close to shops, restaurants and public transport links. Fees are linked to the assessed level of nursing care that servcie users need. These range from £539 to £635 a week. This report is available through the internet. Copies may also be obtained from the provider of this service. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced key inspection was undertaken as part of the annual inspection programme. I sought to confirm that the five areas for improvement identified at the last random inspection was addressed. The inspection took place over one day. Millie Williams, registered manager, assisted the inspector with the inspection. The inspector spoke with the four people who live at Murrayfield, and three members of staff. The inspector observed care practice and interaction between people living at the home and staff. The inspector toured the building and examined a number of records relating to the care, health and safety and management of the home. I would like to thank Millie williams and staff who assisted me by answering questions about the running of the home. The inspector would also like to thank the four people who live at the home who discussed their views of the service they receive. What the service does well:
The statement of purpose identified the skills and staffing resources that are to be available to meet the needs of people living at home. The statement of purpose confirmed that the cultural and religious needs of people would be respected. People spoken to told me that they had access to representatives from the various religious groups that they were members of. A number of people living at the home are seventh day Adventists. Records show that these people were supported by the home to maintain contact with their church. Some of the people who live at the home are vegetarians and the menu showed that a vegetarian option is provided daily. Caribbean food is also provided for people. People living at the home have varying degrees of disability. The environment has been adapted so that it is accessible and they are able to live as independently as possible. The initial assessment for one person case tracked highlighted that they had a history of falls and a need for support with all aspects of the personal care. These needs were addressed in the Persons care plan. The specific nursing support needs of people were identified in initial assessments. Nursing and care staff spoken to were able to explain the individual needs and preferences of the three people case tracked. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 6 Care plans were based on initial assessments carried out on the people case tracked. There were clearly defined actions highlighted in the care plans to meet the needs of people. Care plans had been reviewed, and people has been consulted about their needs should be met. Care plans were personalised, and referred to the cultural needs of people. A person spoken to told me that she is a seventh day Adventist. She explained that the staff and the registered manager of the home understood her religion. Diary notes showed that appropriate medical attention and advice is sought promptly. Diary notes showed that the people case tracked had access to their GP when necessary. I saw that there were records of a regular audit that had been carried out of the medication administration system. I observed that activities were provided for people living at the home. Staff provided activities, these included word games, listening to music, discussions and drawing. People who live at the home told me that they had a range of activities each day. They explained that they also have regular visits from entertainers. Registered manager explained that she had reviewed and updated the menus. The range of vegetarian options has been increased. Halal meat is available for muslin people living at the home. I observed a number of people enjoying a choice of meals. Meals are provided that reflects the cultural diversity of people living at the home. There have been three complaints since the last random inspection. These have been fully dealt with. Actions had been taken to address issues that had arisen from the complaints. No adult protection issues have been raised about the home since the last key inspection. I went round all floors and found that they were appropriately decorated and furnished. Bedrooms were personalised with items of furniture and pictures belonging to the people who live at the home. The rota showed that a consistent staffing level was being maintained in the home. This confirmed that sufficient staff are available to meet the needs of people. The registered manager explained that at present 72 of staff have achieved the National Vocational Qualification in care. The home has over 50 of care staff with this qualification. The home has managed to maintain this consistently over the last three inspections. People who live at the home with whom I spoke generally felt that staff understood how to meet their needs. Staff spoken to confirmed that they had
Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 7 all the areas of required training. Further training is planned on pressure care, dietary needs and continence care. The home has a system for obtaining the views of the quality of the service it provides and ensures that any areas for improvement are addressed. A survey of the views of people who live at the home, relatives and professionals was in place. Fire drills were taking place and the fire alarm was tested regularly. The fire risk assessment includes an assessment of all the potential fire risks in the home. Staff understood fire safety procedures. All health and safety policies were available. The home has an effective system for monitoring accidents to ensure the safety of people who live and work at the home. What has improved since the last inspection? What they could do better:
No areas for improvement were identified at this inspection. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 8 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. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose is an accurate description of the service provided to meet the needs of people living at the home. People’s needs are assessed prior to admission to the home to ensure they receive the care and support they need. EVIDENCE: I found that the needs of the people case tracked were within a range of those specified in the statement of purpose. The statement of purpose also identified the skills and staffing resources that are to be available to meet the needs of people living at home. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 11 The statement of purpose confirmed that the cultural and religious needs of people would be respected. People spoken to told me that they had access representatives from the various religious groups that they were members of. A number of people living at the home are seventh day Adventists. Records show that these people were supported by the home to maintain contact with their church. Some of the people who live at the home are vegetarians and the menu showed that a vegetarian option of the daily. Caribbean food is also provided for people. People living at the home have varying degrees of disability. The environment has been adapted so that it is accessible and they are able to live as independently as possible. I spoke with people who live at the home who informed me that they had received information on what the home provided before deciding to come to live there. One person spoke to said, “ I came and saw what the home is like”. Needs identified in the initial assessments of the three people case tracked were highlighted in their risk assessments and care plans with guidance on how needs should be met. There are detailed assessments of people needs. As part of the assessment process information on the needs of people had been obtained from health professionals. This had been used to inform the home’s own assessment of the needs of these three people. The initial assessment for one person case tracked highlighted that they had a history of falls and a need for support with all aspects of the personal care. These needs were dressed in the Persons care plan. The specific nursing support needs of people were identified in initial assessments. Nursing and care staff spoken to were able to explain the individual needs and preferences of the three people case tracked. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s personal, social and medical care needs are fully planned for. People who use the service are fully protected by safe procedures for handling medication. People’s right to privacy is supported. EVIDENCE: I found that the care plans of all the people case tracked were detailed and clearly identified how the needs of people would be met. Care plans were based on initial assessments carried out on the people case tracked. There were clearly defined actions highlighted in the care plans to meet the needs of
Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 13 people. Care plans had been reviewed, and people has been consulted about howtheir needs should be met. The registered manager explained that since the last inspection more information about the choices and preferences of people have been put into their care plans. The care plans for the people case tracked were found to reflect their choices and preferences. The care plan of one person case tracked recorded that they liked to spend time reading, and enjoyed the company of others. Care plans were personalised, and referred to the cultural needs of people. One person case tracked told me that she liked to attend church services. This was recorded in her care plan. Another person spoken to told me that she is a seventh day Adventist. She explained that the staff and the registered manager of the home understood her religion. Detailed nutritional, tissue viability, falls and manual handling assessments have been put in place. The people case tracked all had nutritional assessments. These clearly identified where they might be at risk of being malnourished due to medical or other needs. People were being weighed regularly and action taken if their weight changed. Information on the tissue viability needs of people living at the home. Were a high risk of developing pressure sores had been identified appropriate medical advice had been sought. A flow chart and guidance is used to determine the most appropriate mattresses or pressure relieving cushions for people at risk of developing pressure sores. I saw that this equipment has been provided. Falls and manual handling assessments were found to identify risks to and needs of people living at home. Appropriate equipment had been provided to assist people to mobilise safely and independently. The continence needs of people had been assessed and recorded as part of their care plans. The registered manager gave me an example of how the home had supported a person to be more independent in the management of their continence. This person had initially had an indwelling catheter. They had been put on a regular toileting program and were now able with staff support to manage their own continence without the need for the catheter. Diary notes showed that appropriate medical attention and advice is sought promptly. Information provided as part of the pre-inspection questionnaire showed that people living at the home are registered with the number of GP practices. Diary notes showed that the people case tracked had access to their GP when necessary. Diary notes also confirmed that where the GP had Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 14 recommended specific medical interventions these were followed up and put in place. The records of medicines received, administered and returned to the pharmacist were all complete. I found where the GP had made changes to peoples medication this was signed by the GP to confirm the change had been made. I found that the medication for each of the people case tracked was accurately recorded. Medicines were stored safely. All medicines are stored at the appropriate temperature. Separate records were maintained for controlled drugs. I found these were complete and the amount of medication held corresponded with those recorded in the controlled drugs book. A regular audit had been carried out of the medication administration system. The registered manager explained that this allows her to monitor and ensure that medication is administered safely. Training has been provided on the safe administration of medicines. I spoke with staff and found they were clear about their responsibilities and how to handle medicines safely. Training records also contained certificates confirming that this training had taken place. I was able to observe staff administering medication and confirm that this was done safely. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are provided with varied activities to meet their needs. People living at the home are supported to maintain contact with relatives and other representatives of their choice. People living at the home are able to make choices about how they live in the home. The menu reflects the preferences of people living at the home and offers a balanced diet. EVIDENCE: I observed that activities were provided for people living at the home. Staff provided activities, these included word games, listening to music, discussions and drawing. People who live at the home told me that they had a range of activities each day. They explained that they also have regular visits from
Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 16 entertainers. One person with whom I spoke explained that she does not want to be involved in any of the activities provided by the home. She said that staff respects her choice not to participate in activities. The religious and cultural needs of people were recorded in their care plans. People with whom I spoke to told me that various representatives of different religious groups come to the home and hold services on a regular basis. I spoke with people who live at the home they confirmed that visitors are always made welcome. I observed that staff treated visitors well and they were given information on the needs of people who live at the home. The menu showed that two options are offered at each meal. The registered manager explained that she had reviewed and updated the menus. Meals are provided that reflect the cultural diversity of people living at the home. The range of vegetarian options had been increased. Halal meat is available for muslin people living at the home. I observed a number of people enjoying a choice of meals. People who live at the home were generally pleased with the quality of the food provided. A person who lives at the home said, “ staff ask you what you would like to eat”. There was specific guidance on individual people’s plans where they had dietary needs. I saw that meals were well presented and they were provided in a relaxed environment on all three units. Where a person needed pureed foods this was provided. Sufficient staff was available, and when necessary, people who live at home were observed being assisted to eat. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 17 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are confident that their complaints will be listened to, taken seriously and acted upon. The home’s procedures protect people from abuse. EVIDENCE: People with whom I spoke confirmed that they knew how to make a complaint. There have been three complaints since the last random inspection. These have been fully dealt with. Actions had been taken to address issues that had arisen from the complaints. The complaints record showed actions taken to resolve complaints. There were comprehensive policies on handling abuse and protection. People living at the home felt confident that any concerns they raised would be handled sensitively and appropriately. No adult protection issues have been raised about the home since the last key inspection. I found that staff had received training on adult protection matters.
Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 18 Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 19 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home are provided with equipment to add their mobility. People live in a home that provides a safe and homely environment. The home is clean and hygienic. EVIDENCE: I went round all floors and found that they were appropriately decorated and furnished. There are two passenger lifts providing access for people who live at the home to all floors. I observed that people were able to access all areas in
Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 20 the home safely. The home has the necessary adaptations to support people to access all areas safely. This includes the provision of handrails and assisted baths. Since the last inspection the carpet in bedroom 31 had been cleaned. There is no longer an odour in this bedroom. Bedrooms were personalised with items of furniture and pictures belonging to the people who live at the home. I observed that where people had nursing needs they were provided with the appropriate nursing bed. The maintenance records show that ongoing maintenance of the homes environment was dealt with. Appropriate measures are in place to prevent cross infection. The home has detailed policies on the prevention of cross infection. Staff have received training on infection control measures. Staff spoken to understood how to work to minimise the possibility of cross infection. Staff confirmed that they had access to disposable gloves and aprons. Liquid soap and paper towels were available throughout the home. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 21 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff are available at all times to meet the needs of people who live at the home. Staff do have all the skills to meet all the assessed needs of people who live at the home. People who live at the home are protected by the home’s recruitment policy and procedures. EVIDENCE: The rota showed that a consistent staffing level was being maintained in the home. This confirmed that sufficient staff are available to meet the needs of people. The registered manager has carried out a review of staffing levels in relation to the current dependency and needs of people living at home. This confirmed that there is an adequate staffing level to meet the needs of people currently living at home. I spoke with staff who said that sufficient staff were available to meet the needs of people who live at home. People living at the home told me that staff are available to meet their needs.
Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 22 I observed that staff were available at key times of the day (e.g. mealtimes) to assist people. Staff were also observed to spend time with people both individually and in small groups. This allowed more attention to the individual needs of people who live at the home. The registered manager explained that at present 72 of staff have achieved the National Vocational Qualification in care. The home has over 50 of care staff with this qualification. The home has managed to maintain this consistently over the last three inspections. People who live at the home with whom I spoke generally felt that staff understood how to meet their needs. Staff spoken to confirmed that they had all the areas of required training. Training records also confirmed this. Training records showed that staff had also received training in dementia care and person centred dementia care. The registered manager explained and was able to produce evidence to confirm, that other training needs had been identified and would be met. Further training is planned on pressure care, dietary needs and continence care. I examined four staff files and found that these contained all the required information relating to their recruitment to protect people who live at the home. I found that there were no unexplained gaps in the employment history of recently recruited staff. A health check has been carried out to ensure that staff coming to work at the home could safely meet the needs of people. The file of one nurse was seen, this had evidence of their current professional registration. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 23 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate management structures are in place to ensure that people recieve the care they need. People who live at the home are consulted about the quality of the service provided and encouraged to make suggestions for improvement. People’s financial interests are protected by the home’s procedures. People who live at the home and staff are protected by the home’s health and safety procedures. EVIDENCE: Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 24 The registered manager is a qualified nurse with over 30 years experience of working with older people. The registered manager has recently completed an undergraduate degree. The registered manager explained that the she has ensured that her continuous professional development is maintained. This has mainly consisted of doing short courses on various aspects of nursing care. All requirements made at the random inspection have been addressed. Since the last random inspection a deputy manager has been appointed. Currently the deputy manager is going through her supervised predation period. Both staff and people living at the home commented positive on the open and approachable style adopted by both the registered manager. The home has a system for obtaining the views of the quality of the service it provides and ensures that any areas for improvement are addressed. A survey of the views of people who live at the home, relatives and professionals was in place. The Company also has a system to monitor all areas of the quality of the home. People who live at the home and their relatives have meetings on a regular basis to discuss their views of how they wish the home to be run. Staff meetings are taking place to ensure staff are aware of plans to develop the service. The home does not hold money for people who live at the home. The home invoices their families or the relevant social service department for any expenditure made on their behalf. A system is in place to ensure receipts are obtained for any expenditure. Fire drills were taking place and the fire alarm was tested regularly. I found that the fire risk assessment includes an assessment of all the potential fire risks in the home. I questioned staff on the fire safety procedures and found that they understood fire safety issues. All health and safety policies were available. Certificates for gas, legionella and electrical testing were in date. COSHH guidance was in place and chemicals were stored safely. I discussed health and safety issues with staff and they demonstrated their understanding. The home has an effective system for monitoring accidents to ensure the safety of people who live and work at the home. The temperature of food delivered to and cooked was recorded. The temperatures of the fridges and freezers were recorded and within safe limits. Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Albany Park Nursing Home DS0000027799.V333433.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!
