Inspection on 09/06/05 for Cherry Garden Nursing Home

This inspection was carried out on 9th June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cherry Garden Nursing Home 22/10/08

Cherry Garden Nursing Home 27/10/06

Cherry Garden Nursing Home 01/12/05

Cherry Garden Nursing Home 08/03/05

Cherry Garden Nursing Home 09/11/04

Cherry Garden Nursing Home 11/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE CHERRY GARDEN NURSING HOME Breadcroft Lane Maidenhead Berks SL6 3QF Lead Inspector Rhian Williams-Flew Unannounced 9 June 2005, 9.30 am 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 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. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cherry Garden Nursing Home Address Breadcroft Lane, Maidenhead, Berks, SL6 3QF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01628 825033 Amberbrook Ltd Mrs Gllian May Elston Care Home (CRH) 36 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 2 persons aged between 60 and 65 may be accommodated for respite care at any one time. Date of last inspection 8 March 2005 Brief Description of the Service: Cherry Gardens is a care home with nursing registered for 36 older people. The home is not registered to admit people with dementia. The home is a large property in a rural location. Access to the property is best achieved in a motor vehicle. The accommodation is on two floors. All of the communal areas are downstairs; these are spacious and overlook the gardens of the home. Eight of the rooms are used for double occupancy. This home was registered prior to 31 March 2002 therefore there are rooms in the home that are smaller than the present standards. There are seven single rooms under 10 square metres. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection occurring on a weekday between 9.30 and 18.45 hrs. The Registered Manager was present throughout the inspection. Of the 34 people residing in the home the Inspector spoke with eight to gain their views and impressions of the care in the home. Similarly, three relatives/visitors were also spoken with, as were some members of staff. The primary focus of the inspection was centred on the delivery of care to residents and the services and facilities provided for them in the home. A Pharmacist Inspector also conducted a full pharmacy inspection of the home. What the service does well: What has improved since the last inspection? CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 6 The home has a newly installed passenger lift. This took six months to achieve. All of the residents spoken with were delighted to be able to have access to the downstairs facilities of the home and to be able to resume visits outside the home. Members of staff were similarly pleased, as they have had an additional workload. The Registered Manager has shown her commitment to reviewing the care planning process and has started developing and implementing new care plan records. This will be a continuing project, which, if it continues to develop as well as it has started will be a significant achievement. A formal survey of residents wishes and their view of the service provided in the home has recently been completed. The Registered Manager has already implemented some of the changes identified by residents and these have been positively welcomed. This has included menu changes. Over 50 of the care staff have achieved NVQ 2 qualification. Two members of trained staff are also completing their NVQ Assessors course. The Registered Manager places emphasis on ensuring that the members of staff in the home receive the training they require. A number of the requirements from the previous inspection had not reached their deadline for action. However, it is important to note that these requirements had been addressed and plans of completion were in place. A further review of these completed tasks will be held at the next inspection. However, it is imperative that the problems with the heating in one of the lounges is resolved before the end of the summer. What they could do better: To ensure best practice in wound management the home needs a camera so they can regularly chart the progress of a wound treatment plan with photographic evidence. Three resident rooms have had their carpets damaged by the Dorgard fitments on the fire doors. The damage is sufficient enough to cause a health and safety risk and new carpets will be required to eliminate the risk. The fitting of the Dorgards should also be reviewed to ensure that further damage is not caused. The registered provider (or their representative) is required to complete an unannounced visit to the home at least once a month and complete a report of this visit, which should be sent to the Registered Manager and to the CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 7 Commission for Social Care Inspection. Either party has not received such reports since February 2005. Prior to this date the quality of the reports were poor and did not reflect the requirements of the regulation. The area in the home known as the sluice room is in need of a thorough clean. 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. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 5. The pre-admission assessment process conducted by the Registered Manager in this home is robust. This ensures that when people are admitted to the home there is a very high probability that their needs will be fully met. EVIDENCE: All residents who are admitted to the home are assessed by the Registered Manager to ensure that their needs can be met whilst they are resident at the home. The pre-admission assessment of a recently admitted resident was reviewed and was found to be detailed and reflective of the persons wishes and needs. In conversation with this resident it became evident that they felt the staff at the home were being very accommodating and trying hard to make their stay as comfortable as possible. The Registered Manager is quite clear about the admission criteria to the home. She will only offer a placement to a person if she feels that the home can meet the needs of the person. When admitted to the home all residents are invited to stay for a trial period after which a formal review is held which they are included in if they wish. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 10 CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Positive and significant changes to the care planning process are occurring. When completed residents can be assured that all their care needs are recorded and monitored regularly. JUDGEMENT OF PHARMACIST INSPECTOR The systems for the handling and administration of medicines are well organised in the home. Residents are generally well protected by the homes policies and procedures, although one resident has potentially been put at risk through inadequately labelled medication being administered. EVIDENCE: Three previous requirements (all of which were still within time limit) had been actioned and it is planned that they would be fully completed by the timescales set in the last report. These requirements concerned the recording of information in the residents care plans and ensuring that they had access to dental care. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 12 The Registered Manager has shown her commitment to reviewing the care planning process. She has sought advice from others and is developing and implementing new care plan records. For all new admissions the new care planning documents are being used and for all existing residents their care plans are being reviewed and changed in a phased way. A sample of these care plans were looked at and were found to be much improved. The manager acknowledged that further work was required to ensure that the care plans reflected the specific needs of residents. All qualified nurses are involved in this process. Monthly reviews are also being held. Inclusion of the care staff in this process is also a goal for the Registered Manager. All the health care needs of residents are recorded including, any changes. A previous requirement that all resident should have regular access to dental care has been addressed and provision has been accessed through the local NHS dental clinic. The logging of any skin deterioration or pressure area care is thorough. Occasionally, residents are admitted to the home with an existing pressure area wound, which the Registered Manager instigates a treatment plan for. It is considered, for best practice, to have photographic evidence of the wound whilst it is healing. At present, the home does not have the photographic equipment to enable this. Of the residents spoken with all confirmed that their privacy and dignity were respected at all times. This included both care staff and visiting professionals. EVIDENCE OF THE PHARMACIST INSPECTOR Medication records viewed were very well completed, with clear reasons recorded for any omitted doses. Audit records are kept in the home showing medicines received into, and leaving, the home. Medication is stored safely and appropriately (including any controlled drugs and medicines requiring coldstorage). There are detailed policies and procedures in place and the home has regular advisory visits from their supplying pharmacist. Some packs of medication for a temporary resident in the home appear to have been received labelled only with the resident’s name, and no identification or directions. Fully labelled medicines are required to comply with the law, and to ensure that residents are receiving the correct medication in accordance with the doctors directions. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 This home is responsive and flexible in its approach to providing activities and daily life experiences for the residents that they have influenced and enjoy. The Registered Manager welcomes feedback, both positive and negative, and is always keen to address residents wishes. EVIDENCE: A previous requirement is being met. The Registered Manager has engaged the Activities Coordinator in reviewing with all the residents their previous interests and hobbies. It is hoped that from this information individual care plans can be developed to include some of these experiences in the persons life again. The Activities Coordinator also intends to provide more individual sessions for those residents who find it difficult to join group activities. When talking to residents about their daily lives all were reasonably content. They were all appreciative of being able to use the communal lounges, which they had not been able to use for 6 months (from October 2004) as the lift in the home was being replaced. Residents had access to the garden area, which a number of them used throughout the day. Residents spoke of their visitors coming to see them and their opportunity to leave the home for days out with their friends and relatives. A number of the residents spoken with had really enjoyed a visiting choir and minister the previous week. They also CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 14 spoke of their pleasure at joining the sing-along sessions they have each week and the opportunity to play bingo occasionally. Members of staff have noted that the resumption of being able to meet in the communal areas has been very important for the residents. Their interest and general well being is said to have improved. Three relatives who were visiting the home were spoken with and all were complimentary about the care their relatives receive. All felt the staff, were approachable and attentive. Also, they considered the manager responsive to their requests or comments. Residents are encouraged to manage their own affairs for as long as they wish however, for the majority of residents their carers and relatives manage their affairs for them. Of the rooms seen it was clear that each resident had personalised them with their own furnishings and/or ornaments. One resident had been permitted to bring her pet cat with her, with the proviso that her relatives and supporters provided the care of the cat. A new menu has recently started. Of the residents spoken with all of them, with the exception of one, said how much they enjoyed the new choices. The home had conducted a survey of the residents as to their likes and dislikes, with regard to the previous menu. They were also encouraged to express preferences that they would like to try. This appears to have been a very positive and inclusive experience for the residents. One resident said how delighted they were that they were having beetroot sandwiches again as it reminded them of when they grew their own beetroot. There was one resident who told the Inspector that they would prefer alternative food; they were requesting food that reflected their cultural and ethnic needs. The manager was certain that the Cook would be more than willing to accommodate this persons wishes. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The Registered Manager ensures that the complaints procedure is proactive. EVIDENCE: A previous requirement has been met. The manager now ensures that all complaints received at the home or with the business manager, Mrs Nanji, are logged in the homes complaint book and all subsequent investigations and outcomes are recorded. The complaints log was reviewed and it was noted that all complaints had been dealt with in a timely manner and responded to within timescale. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 23, 24, 25 & 26. The general areas of the home is clean and homely. The newly installed lift is fit for purpose and all remedial repairs and decorations are scheduled to occur in the near future. There are three rooms (identified in evidence) whose carpets present a health and safety risk to residents and staff. EVIDENCE: Two previous requirements have been met and two are scheduled to be met in the near future. One has not been met. The home now has a fully operational lift that is a brand new installation. It is bright and light inside and has sufficient room to enable wheelchair passengers and their carers to travel together. The redecoration of the hallways, stairway and entrance hall have commenced and the recarpeting of the said areas were scheduled to be completed in the next few weeks. The work on replacing two radiators in one of the lounges must be completed before the end of the summer, as this room has no heat. The heating engineers have informed the Registered Manager that the task is complex. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 17 An occupational therapist has been contracted with, to evaluate whether the home has the correct environmental adaptations and disability equipment to meet the needs of its residents. This will be an important document that will need to be reviewed by the Registered Manager and the Responsible Individual to ensure that any actions proposed are followed through. This home was registered prior to 31 March 2002 therefore there are rooms in the home that are smaller than the present standards require. There are seven single rooms under 10 square metres. These smaller rooms do not allow for people who require lifting hoists or other equipment to reside in them. However, in two of the rooms overhead tracking hoists are due to be installed. The manager hopes that this will assist in providing care within a smaller space. The home has a large garden, which is accessible to residents, including those in wheelchairs. During the inspection a number of residents and their relatives made use of the garden. A selection of rooms were visited and it was noted that they are all provided with the required furnishings and equipment. The manager acknowledged that the home does not provide door locks that are suited to the residents capabilities and are accessible to staff in emergencies however, she has taken a pragmatic approach to this issue and if residents express a preference for these specific door fittings then she will arrange for them to be fitted. This issue is also now included in the care planning process so that the resident and/or their carers are aware that the option is available to them. It is preferable that the service provides these facilities as a standard fitment. There are three rooms, namely rooms 17, 20 and 27 where the carpets have been damaged by the “Dorgard” fitment. The damage is sufficient enough to cause a health and safety risk to residents and staff. It will be a requirement that these carpets are replaced to eliminate the risk. A review of how the “Dorgards” are fitted would be advisable to prevent further damage. The general areas of the home were very clean. The worker conducting the cleaning schedule was noted to be very thorough. She commented that she wanted to do her best as it was important to how to her to do a good job. The room that contains the sluice facility must be scheduled for a thorough clean. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28. There is almost a full complement of staff in this home that are qualified and competent to care for the residents who live there. EVIDENCE: The Registered Manager confirmed that the home has a nearly full complement of staff. There are two vacancies for part-time staff which had been advertised and interviews are to be held shortly. When speaking with residents they confirmed that the staff were, pleasant and approachable and always willing to help. Comments such as, the nurses are kind, they usually come quickly when we call them, matron comes to see us every morning to ask how we are. Residents also observed that the staff were very busy and on the rare occasion when they could not come immediately to a residents call they always told them how long they would have to wait. Some residents commented that they had difficulty understanding some of the carers, as their spoken English was not clear. However, the residents also commented that as they got to know these staff they understood them a little better. This matter was raised with the Registered Manager who evidenced that the home does provide English teaching for staff whose first language is not English. A tutor from the local college visits the home and provides coaching in speaking, listening and writing English. 13 of the 17 care staff have achieved NVQ 2 and above. This exceeds the minimum standard that 50 of care staff achieve this qualification by the end CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 19 of 2005. Members of staff are also attending courses on infection control. Two senior members of staff are completing their NVQ Assessors course. The cook is about to complete her NVQ 2 in the preparation and cooking of food. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35 and 37. The manager of this home is personable as well as competent and qualified. Quality assurance systems are developing well and feedback from residents is influencing change in the home. EVIDENCE: Two previous requirements have been met. The manager of this home is qualified and competent. She has considerable experience in running the home and is well liked by her staff team, the residents and their carers. She is approachable and always willing to consider any requests or suggestions made to her. Regular staff meetings are held as are resident/relatives meetings. The minutes for these meetings were reviewed and were found to be detailed and informative. The home has conducted a resident survey, which the home had CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 21 responded to by changing some of the routines and events in the home. The resident feedback to these changes had been positive. It is intended, in the near future, to conduct a relative’s survey. The manager has also implemented, and continues to implement, audit checks conducted by her on all aspects of the services provided within the home. All of these strategies provide feedback to the manager and help inform quality assurance standards in the home. Under regulation 26 the registered provider of an organisation should visit the care home they are responsible for at least once a month and this visit should be unannounced. It is intended that the person, whilst on the visit, should interview, with their consent and in private, residents and their representatives and people working in the care home in order to form an opinion of the standard of care provided by the home. They should also inspect the premises, its records and any complaints. They are then required to provide a written report on the conduct of the home. This report should be forwarded to the Registered Manager and to the Commission for Social Care Inspection. The registered provider, in this case Mr Nanji, can devolve the responsibility to other individuals within the organisation. These can be the partners of the company; other directors; other persons responsible for the management of the organisation or an employee of the organisation who is not directly concerned with the conduct of the care home. Usually, Mrs Nanji, Business Manager, has performed this role. However, the last such report sent to the Commission for Social Care Inspection (prior to this Inspection) was dated February 2005. The Registered Manager confirmed that she had not received one since this time. These reports should be an important part of reviewing the quality of care and delivery of service within the home. The information in the previously received reports did not reflect the details of the regulation. Mr Nanji will be asked to ensure the visits and reports occur regularly and their content reflects the requirements of the regulations. The Registered Manager safeguards a small amount of money for a small number of residents. A random sample of these were found to be accounted for and were being stored appropriately. Similarly all records concerning residents and the running of the home are kept securely. CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 x 2 3 3 2 2 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 2 x 3 x 3 x CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 23 YES 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. 1. Standard 8 Regulation 17(1)(a) Requirement A camera should be provided to ensure that photographic evidence is used to record the treatment outcomes for pressure area care. That all medication being administered by nursing staff is fully labelled, to ensure that the correct medication and dose is being administered in accordance with the prescribing doctors directions. The carpets in rooms 17, 20 and 27 must be replaced as they present a risk to health and safety. The two radiators in one of the lounges must be repaired/replaced to ensure there is effective heating in this room. THIS REQUIREMENT HAS BEEN MADE ON TWO PREVIOUS OCCASIONS. The sluice room should be thoroughly cleaned and incuded on the cleaning schedule for regular cleaning. The Registered Provider visits should occur as detailed in the regulations. Timescale for action 31.08.05 2. 9 13(2) 01.07.05 3. 19 13(4)( c) 31.07.05 4. 25 23(2)(p) 31.08.05 5. 26 16(2)(K) 31.07.05 6. 33 26 31.07.05 CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 1015 Arlington Business Park Theale Berks RG7 4SA National Enquiry Line: 0845 015 0120 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 CHERRY GARDEN NURSING HOME H52-H01-S10980-Cherry Garden-V222357090605-Stage 4.doc Version 1.30 Page 26 - 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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