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Inspection on 20/11/06 for Ashdown Nursing Home

Also see our care home review for Ashdown Nursing Home for more information

This inspection was carried out on 20th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Visitors to the home say that they are made to feel welcome and one relative spoken with during the visit felt that their relative living at the home had improved since moving into the home. Quality assurance questionnaires report that staff are very helpful and courteous. Staff were observed to treat residents with care and consideration and did respect their dignity

What has improved since the last inspection?

What the care home could do better:

Some attention should be made to the quality and availability of information provided to prospective residents and their families about the home. All residents have contracts but these do not show how the fees are divided to show who is contributing to the payment of fees.The home has admitted a resident who is slightly under the age of 65 the Inspectors informed the manager that if they wish to admit people under the age of 65 then an application to vary the condition must be made stating how they are going to meet the needs of people under the age of 65 years. One resident has been admitted to the home without a variation to registration being made. The manager was informed that the home should apply to CSCI for a variation without delay and that the resident`s Social Worker should be contacted for an urgent review. Residents weight is being regularly monitored however the manager was asked to review one resident`s care where his weight had been recorded as decreasing over a three month period and no remedial action had been taken. Further improvements to the environment need to be made and some areas of infection control need to be addressed so that there are fewer opportunities for cross infection. The manager of the home must submit an application for Registration.

CARE HOMES FOR OLDER PEOPLE Ashdown Nursing Home 2 Shakespeare Road Worthing West Sussex BN11 4AN Lead Inspector Mrs D Peel Unannounced Inspection 20th November 2006 9:45 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 Ashdown Nursing Home DS0000062422.V319434.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. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashdown Nursing Home Address 2 Shakespeare Road Worthing West Sussex BN11 4AN 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) 01903 211846 Newcare Homes Limited Post Vacant Care Home 40 Category(ies) of Dementia (40), Mental disorder, excluding registration, with number learning disability or dementia (40) of places Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of forty Service Users may be accommodated. Service Users in the category mental disorder may only be admitted if they have an associated dementia illness and are over 65 years of age. 13th April 2006 Date of last inspection Brief Description of the Service: Ashdown Nursing Home is situated in a residential area of Worthing in West Sussex. The registered providers are Newcare Homes Ltd who purchased the home in 2004. Ashdown is registered for 40 residents over the age of 65 years who have dementia. The Statement of Purpose states that the home has 3 en-suite bedrooms, 16 single rooms and 12 shared rooms. Resident’s accommodation is on ground and first floors. Communal areas consist of a lounge on the ground floor and a second lounge on the first floor. There is a small dining room adjacent to the lounge on the ground floor. There are other small sitting areas in the entrance hall and upper and lower corridors, which lead to bedrooms. A passenger lift is available for rooms on the upper floor. There is a garden to the rear of the property, which is not currently available for use by residents. Not all of the single rooms bedrooms meet The National Minimum Standards for Older People, however the Commission for Social Care Inspection (CSCI) have been informed that this will be addressed with the future planned improvements for the home. A manager has been appointed but the Commission For Social Care has yet to receive an application to register the manager. The current scale of fees being charged at the home is from £500 to £650 per week. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Diane Peel and Mrs Ann Peace carried out this unannounced on the 20th November 2006. This was the second key inspection carried out at Ashdown Nursing Home since the 1st April 2006 and was a continuation of the monitoring of the home against an improvement plan agreed with the responsible individual, Mr Beeharee, Mrs Jan Foley, Regulation Manager and Mrs Ann Peace, Regulatory Inspection on the 14/12/05. One additional visit was made to the home on the 21st June 2006 to monitor compliance with Statutory Requirements included in the last inspection report dated 13th April 2006. An additional visit letter sent to the registered person following this visit can be obtained from the Commission for Social Care Inspection (CSCI) office on request. Prior to this visit to the home the inspectors reviewed previous inspection reports and communication from the providers in response to requirement notices being issued following the visits on the 30th January 2006 and 13th April 2006. A case tracking exercise for six residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met. The inspectors met all thirty residents living at the home during the visit but only one of the residents were able to express an informed opinion of what it was like to live at the home. The records of four staff were inspected and staff were spoken with informally during the visit to find out what it is like to work at the home. The inspectors took the opportunity to speak to two visitors who visited the home during the inspection. Samples of other records required to be kept by the home were viewed during the visit to ensure that the providers are meeting their obligations with regard to the administration of the home. There has continued to be an improvement to the home but the inspectors raised some concerns, which need to be addressed. What the service does well: Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 6 Visitors to the home say that they are made to feel welcome and one relative spoken with during the visit felt that their relative living at the home had improved since moving into the home. Quality assurance questionnaires report that staff are very helpful and courteous. Staff were observed to treat residents with care and consideration and did respect their dignity What has improved since the last inspection? What they could do better: Some attention should be made to the quality and availability of information provided to prospective residents and their families about the home. All residents have contracts but these do not show how the fees are divided to show who is contributing to the payment of fees. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 7 The home has admitted a resident who is slightly under the age of 65 the Inspectors informed the manager that if they wish to admit people under the age of 65 then an application to vary the condition must be made stating how they are going to meet the needs of people under the age of 65 years. One resident has been admitted to the home without a variation to registration being made. The manager was informed that the home should apply to CSCI for a variation without delay and that the resident’s Social Worker should be contacted for an urgent review. Residents weight is being regularly monitored however the manager was asked to review one resident’s care where his weight had been recorded as decreasing over a three month period and no remedial action had been taken. Further improvements to the environment need to be made and some areas of infection control need to be addressed so that there are fewer opportunities for cross infection. The manager of the home must submit an application for Registration. 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. Ashdown Nursing Home DS0000062422.V319434.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 Ashdown Nursing Home DS0000062422.V319434.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): 1,2,3,4,5,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information about the home provided to prospective residents and relatives needs to be improved so that an informed choice can be made about the suitability of the service offered. For the majority of resident’s pre assessment are undertaken before they move into the home to ensure the home can meet their needs and assessments carried out when admitted. The home should also use a mental health assessment tool so that they can be sure that the home has the ability to meet assessed mental health needs. EVIDENCE: Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 10 The Statement of Purpose and Service User Guide was not readily accessible in the home but were noted to be in a file in the nursing office. A recent survey undertaken by the home identifies that there needs to be improvement in the area of providing information. The Manager records that “the home are presently in the process of producing new documentation”. All residents have contracts, however the fees need to be split to show who is contributing. The records of 6 residents were case tracked from pre admission to care given and equipment provided. Pre assessments and full assessments are carried out and care plans written, in the majority of cases the documentation is good. More emphasis should be put on using an additional assessment tool designed for residents with mental health needs. The Inspectors noted that one resident had been admitted out of category and there was a discussion with the manager about whether the home was able to meet her needs. The manager was informed that the home should apply to CSCI for a variation without delay and that the resident’s Social Worker should be contacted for an urgent review. Ashdown Nursing Home does not offer intermediate care. Ashdown Nursing Home DS0000062422.V319434.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In the majority of cases care plans record the physical health and social care need of the residents but more emphasis should be put on the mental health care needs of residents. The homes policies and procedures for the management of medication promote safe practices. EVIDENCE: Care plans are written which identify the individual needs of the residents and how staff are to meet those needs. The majority of the records seen were in order with care plans being updated to reflect changing needs and risk assessments carried out. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 12 Resident’s basic health observations are updated on a monthly basis, however the manager was asked to review one resident’s care where his weight had been recorded as decreasing over a three month period and no remedial action had been taken. The mental health and physical needs of another resident was discussed with the manager because the Inspectors were doubtful if the home was meeting those needs. The manager said he would request a visit from the GP regarding identified health needs and the resident’s social worker to review the placement. Visits from other professionals are recorded with any action that needs to be taken. More emphasis should also be put on care plans to meet the mental health needs and social care needs of residents as well as their physical needs. Some of the beds used in the home are very basic and would not be suitable for high dependency nursing. Minimal pressure relieving equipment is available in the home but in one case the airflow mattress was not suitable for the bed it was placed on. The manager was asked to address this at the conclusion of the inspection. There is a medication policy which is accessible to staff and medication records are up to date. Part of the lunchtime medication round was observed and confirmed safe practice. A random supply of drugs was checked and were in order. Staff were observed to treat residents with care and consideration and did respect their dignity. Screens are provided in shared rooms. The staff notice board indicated that training is provided on a regular basis to ensure staff know how to care for residents with varying health care needs. Ashdown Nursing Home DS0000062422.V319434.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. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents that are able are encouraged to maintain contact with their family and friends so that they can satisfy their social and emotional needs. The social activity programme is flexible to cater for individual residents abilities and to offer variation to daily living. Systems for monitoring dietary needs have now improved so as to ensure that those nutritional needs are being met. The standard of food and arrangements for eating meals has been improved so that residents can enjoy an appealing diet with more choice. EVIDENCE: Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 14 The area of activities provided by the home had been mentioned in the residents questionnaires returned to the manager as part of the home quality assurance process. In a question “what are you not happy about?” The response had been “lack of activity for patients” and “feel more music of all kinds should be played.” The manager’s response to this “that they have been looking at activities and a review of the type of music residents would like. A version of musical bingo has been ordered.” A record of activities and events which residents take part in is kept within their care plan. Staff confirmed that residents are encouraged to take part in activities and notices posted around the home detailed the weekly activities programme. Visitors spoken with during the visit confirmed that the staff made them “very welcome” and that they could visit the home whenever they want. One resident spoken with told the inspectors that they were expecting to move, as the home was not suiting their needs and expectation. The manager confirmed that a case review was planned with this persons Social Worker to discuss alternatives. Feedback from relative’s questionnaires provided by the manager identified that there had been a need for improvements in both the area of the variety and quality of food. The manager’s response to this has been to introduce new menus and provide more staff supervision and training. Since the last visit to the home the small dining room has been refurbished and is a much more pleasant place to eat. Not all residents eat in the dining room but are assisted at small tables in the two lounge areas. Staff were visibly present to assist those residents who couldn’t manage to use the utensils on their own or who needed encouragement to eat. Menus were seen to be on display in the kitchen and at lunchtime in the dining room. Menus showed a varied diet with alternatives available at all meals. A suggestion has been made that menus and alternative are available in picture form. On the day of this visit the main meal of the day was Shepard’s pie, carrots and cabbage followed by a fruit jelly. It was observed that at least one person was eating a ham salad. The meal was sampled by an inspector and found to be of a good standard. Records of what residents had chosen to eat were observed to be in place in the kitchen which the kitchen staff maintain and then charts are now kept by care staff to record the actual amount of the meals are consumed by each individual. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 15 Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 16 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. The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. Staff have now had adult protection training to ensure that they are fully aware of their responsibility to recognise and report abuse. EVIDENCE: There is a clear complaints procedure on display in the entrance hall assuring residents, relatives and visitors that all complaints will be taken seriously and acted upon. On the day of this visit an inspector observed the complaints records, which showed that the manager had received three complaints with satisfactory outcomes recorded. The Commission is aware of one concern raised since the last inspection by a Social Worker after a resident was admitted to hospital. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 17 Staff records show that all staff have now had Adult Protection training and the organisation has an Adult protection policy, which is used in conjunction with the West Sussex Multi Agency Adult Protection procedures. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There have been some improvements to the décor of the home but there are further improvements, which need to be made so that residents have a more pleasant home to live in. Some areas of infection control need to be addressed so that there are fewer opportunities for cross infection. EVIDENCE: Many area of the home have been cleaned and decorated which has improved the premises. Corridors were clean and uncluttered and had recently been painted. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 19 Staff spoken with were very pleased with the environmental improvements to the home. The communal areas, which include the entrance hall, main lounge, small dining room and upstairs lounge, were comfortable and have a good standard of furniture in them. There have been some improvements to bedrooms with some bedroom furniture having being replaced but furniture in other rooms still look tired and in need of replacement. It was observed that some mattresses are still two long for the bed frames and footboards cannot be fitted. A tip back chair in one bedroom was ripped and would therefore be an infection control hazard. The bathroom floor covering in the bathroom accommodating the parker bath on the ground floor is split and is an infection control hazard because it cannot be cleaned properly. This split was identified at the last key inspection to the home on 13th April 2006 and action was taken to seal the split with tape as a temporary measure. The providers had told the inspector that the bathroom was to be refurbished. This tape had been removed at this visit. A further requirement has been made that this is rectified. The patio area outside the fire door leading from the corridor near to bedroom nine has now been made safe for and residents and staff in an emergency evacuation of the building. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence including a visit to this service. The staffing numbers are set at a level, which allows residents assessed needs to be met. Whilst the training and the skills of staff are satisfactory residents would benefit from more staff trained to NVQ level 2 in care. Recruitment procedures safeguard and protect residents at the home. There is an ongoing training plan to make sure that staff have the combined skills to meet the needs group of residents. EVIDENCE: Staff rotas were available in the home. On the day of this visit there were two registered nurses, and five care assistants looking after 30 residents. The manager and the assistant manager were also available for assistance if required. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 21 Staff deployment was organised so that residents were being attended to adequately without being rushed. Under 50 of staff have an NVQ qualification but the manager has confirmed that other staff are currently undertaking their NVQ. The home has a training programme in place, which since the last visit to the home has been extended to cover dementia care training and adult protection training. The records of four were viewed at this inspection and were observed to be in good order. All records seen included a job description, evidence of identity, two references and evidence that CRB and POVA or POVA first clearance had been received. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 22 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 adequate. This judgement has been made using available evidence including a visit to this service. There are some improvements to the management of the home, which are providing leadership, and guidance to staff. The views of resident’s families and friends are now being sought to measure how successful the home is at meeting its aims and objectives. Some practices, environmental issues and lack of documentation do not protect the health, safety and welfare of the residents EVIDENCE: Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 23 Since the last visit to the home the organisation has appointed a manager for the home who has yet to submit his application to the commission to become registered under the Care Standards Act. The manager could not provide copies of Regulation 26 visits to the home which show monitoring by the providers. The home has started to implement a quality assurance system, and has recently sent out survey forms to twenty-two of the resident’s relatives and representatives. The results of the survey were available to the inspectors. The areas covered were parking, warmth of welcome, information provided, cleanliness and ambiance, experience, facilities, nursing care, bedrooms cleanliness, bedroom décor, bedroom facilities, organisation, quality and choice of food, communication. General questions were asked about the home and if any improvements were needed. Following the analysis of the survey, action has been planned to address negative issues highlighted. Some positive comments were “a lot has been done recently”. “Have got to know staff reasonably well and am always made to feel welcome”. “Staff are courteous and helpful”. “Mum was clearly well looked after”. The manager said that generally monies are not held on behalf of residents. Any purchases, which are not covered in the fee, are invoiced to relatives or advocates. For those who have a small amount of money kept by the home records of all deposits and purchases are kept. One resident at the home had asked for a larger sum of money to be kept on their behalf and the manager said that this had been deposited in the bank account with records kept. Infection control hazards were identified in the bathroom housing the parker bath and a tip back chair, which was ripped. The flooring in the parker bathroom was also a trip hazard. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 24 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 1 2 3 2 2 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 2 3 2 2 2 2 3 1 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP4 Regulation 14 Requirement The registered person must confirm in writing that the resident’s needs can be met in the home. An application to vary registration must be made immediately. The improvement plan must continue to replace furniture in bedrooms. The floor covering in the downstairs bathroom must be repaired or replaced as a matter of infection control. The tip back chair identified to the manager must be repaired or disposed of. Regulation 26 reports must be available in the home. The manager must make an application for Registration. Timescale for action 18/12/06 2. 3 OP19 OP26 23 13.3 18/12/06 18/12/06 4 5 6 OP26 OP33 OP31 13.3 26 8 18/12/06 18/12/06 18/12/06 Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 26 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 2 3 4 Refer to Standard OP1 OP2 OP8 OP28 Good Practice Recommendations The quality and availability of information provided to prospective residents and their families about the home should be improved. Contracts should show how the fees are divided to show who is contributing to the payment of fees. When a resident’s weight has been recorded as decreasing the remedial action taken should be recorded. 50 of care staff should acquire an NVQ in care at level 2 or above or equivalent. Ashdown Nursing Home DS0000062422.V319434.R01.S.doc Version 5.2 Page 27 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 Ashdown Nursing Home DS0000062422.V319434.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. 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