Inspection on 07/08/06 for Chestnut Court Rest Home

This inspection was carried out on 7th August 2006.

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

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

Other inspections for this house

Chestnut Court Rest Home 23/07/08

Chestnut Court Rest Home 04/10/05

Chestnut Court Rest Home 13/04/05

Chestnut Court Rest Home 08/11/04

Chestnut Court Rest Home 27/04/04

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 Chestnut Court Rest Home 9 Copse Road New Milton Hampshire BH25 6ES Lead Inspector Mr Rodney Martin Unannounced Inspection 7th August 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chestnut Court Rest Home DS0000011777.V305444.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. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnut Court Rest Home Address 9 Copse Road New Milton Hampshire BH25 6ES 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) 01425 620000 Goldenpride Limited Mrs Patricia Harrison Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: Chestnut Court is set in a residential area close to local amenities and the town centre. It provides residential care for up to 25 elderly residents, some of whom may have dementia. The home is over two floors and there is a lift between the ground and first floor. There are a variety of aids and adaptations to allow residents to move about more independently. Twenty-three of the bedrooms are single and one is a double, with all these having an en suite toilet. There are two communal toilets on the ground floor and a bathroom on the first floor. There is a garden to the rear of the property. The current fees are £450 to £470 per week. This information was contained in the pre-inspection questionnaire received in the Commission’s office on 20 July 2006 and was confirmed on the day of the inspection. There are additional charges for hairdressing, chiropody, newspapers/magazines, transport, outings, clothing sales and toiletries. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.40am and 2.50pm. An opportunity was taken to look around the home, view records and talk to several service users and staff members, including the cook, deputy manager and the registered manager. On the day of the visit twenty-three service users were accommodated, with the home full. In line with the Commission’s policy, all the key standards were inspected on this occasion and the two previous issues identified at the last inspection, one relating to fitting thermostatically controlled mixer valves, where appropriate, and reports of visits made by the provider were followed up. The home was found to be meeting these. What the service does well: What has improved since the last inspection? Since the last inspection the communal areas have been decorated as well as new flooring and carpets laid. All bedrooms are provided with an en suite toilet and all, bar one, have a shower or bath provided. Since the last inspection the home has changed all, bar two, baths for en suite showers. The action required in the previous inspection report to have thermostatically controlled mixer valves has been done, along with all radiators covered. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have their needs assessed and are able to visit prior to admission to make an informed choice about whether or not the home is able to meet their particular needs. Chestnut Court does not provide intermediate care. EVIDENCE: Chestnut Court was accommodating twenty-three residents, with three male and twenty female service users, whose ages range from 70 to 97 years. Three residents have been in the home since 1997,1998 and 1999. It is noted that three-quarters of the residents have a diagnosis of dementia and there was evidence that the home is able to meet residents’ needs. Since the last inspection, seven new residents were admitted. The home also admitted some residents for a short stay. There has been one death in the home, since the last inspection. On the day of the visit a new short stay resident was admitted. New residents are shown around the home and given a copy of the service users guide. The home’s statement of purpose is on Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 9 display in the entrance hall. The manager stated that she is proposing to have a comments book for people to write their thoughts about the home. The majority of referrals come from Bournemouth Social Services and Hampshire Adult Services [previously known as Social Services]. Relatives usually visit first. Following an initial inquiry, the manager will visit the prospective service user in their own home or in hospital, to assess their needs. The majority of service users are local residents, or they have moved down to New Milton to be near their children. The prospective service user can also spend some time in the home with a complimentary meal to see if Chestnut Court is the type of home they are looking for. The assessment process also enables the home to determine whether they can meet the care needs of any prospective service user. Various residents’ assessments were sampled and these were found to contain a comprehensive range of information. Pre-admission assessments were completed before residents move into the home. The assessment detailed their past medical history, current medication, mobility, activities of daily living and also included the mental health of the individual. The inspector received seven comment cards, prior to the inspection, from relatives. One wrote, “My mother is happier now at Chestnut Court than she has ever been”. The inspector did speak with several residents who stated that they liked living in the home. However, the inspector was unable to obtain comments or opinions from most of the residents because of mental health-related communication problems. Through observation it was apparent that the residents were happy and had a good relationship with the staff. Chestnut Court does not generally provide intermediate care, although prospective residents can come for a short respite stay or longer stay, if necessary, if there is a vacancy. Short stay residents are assessed in the same way as permanent residents. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning are good, ensuring that the residents’ physical and emotional health needs are met. Medication practices and procedures ensure that residents are protected. Working practices in the home ensure the promotion of privacy and independence for service users. EVIDENCE: Each resident has a main file that contains the terms and conditions of residency, correspondence, old medication and care plan records, which is kept in the office. A working file is kept in the staff office. This includes the personal details of the resident including a life history, medical details, comprehensive risk assessments, including a nutritional risk assessment and body mass index [BMI] fire, dementia, food, finance, hygiene and manual handling assessment, a social activities care plan, a short-term care plan, where appropriate and the resident’s long-term needs assessment and care plan. Care plans are reviewed regularly. Chestnut Court operates a keyworker system, enabling staff to get to know certain residents much better, which in Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 11 turn helps in the delivery of care to the individual resident. Records gave a clear indication of the care required. The personal and oral hygiene of each service user is maintained and recorded. A record is kept of all health professional visits. Residents are registered with four local surgeries, with three in New Milton and one in Barton-on-Sea. The manager reported that there is very good support from the surgeries, including district nurses and community psychiatric nurses, from the Becton Centre. The home has a relevant medication policy, which satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. Although residents are able to self medicate within the home’s risk management framework, currently none are self-medicating. The home operates a monitored dosage system, from a local pharmacist, for administering medication. The blister packs are kept in two locked drugs trolleys, within a locked cupboard. These were found to be found to be clean, tidy and safe. The home currently has five residents on Temazepam and one resident on a controlled drug. The drug administration sheets and controlled drugs book were found to satisfactorily recorded, with no omissions. Relevant staff have received medication training through Bournemouth and Poole College, obtaining a safe handling medicines certificate. Residents, spoken to, confirmed that privacy and dignity is respected at all times. Residents can see their GP in the privacy of their own room. Lockable storage is provided in each bedroom. An appropriate lock is provided on all bedroom, toilet and bathroom doors. Residents are free to make and receive telephone calls in private. One resident said that the staff were always polite, friendly and helpful and that their privacy and dignity was respected at all times. The home has a policy on death and dying and a procedure, for staff to follow, of what to do in the event of the death of a resident. It was reported that one resident had died in Chestnut Court since the last inspection. Residents’ wishes concerning terminal care and arrangements after death are routinely recorded. The manager and deputy manager between them are on twentyfour hour call and would always come into the home in the event of a resident dying in the home. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: The home provides various activities for residents to participate in, including extended exercises, entertainers and art and craft sessions. There was evidence of the latter in the lounge, with various cards et cetera that residents had made. Two residents go out independently and another resident has a motorised mobility buggy. There is a C of E church service once a month. The manager reported that currently none of the residents go out to church. The home has two pantomimes a year, one at Christmas and one in the summer. The latter took place recently as well as a quartet playing in the grounds, with residents having strawberries and cream. Every Sunday residents enjoy a buffet tea with the opportunity to have wine and sherry. Contact with family and friends is maintained and residents have visitors. There was a notice in the hall, stating, “there are no restrictions on visiting Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 13 times. Children and pets are welcome at any time although they must be supervised by an adult. Visitors will be offered beverages free of charge. Meals may be taken although we would ask for twenty-four hours notice”. The home has arranged for a relatives support meeting for 15 August 2006 at 6pm, when someone from the Alzheimer Society is coming to talk about dementia. Residents are encouraged by the staff to make choices in their daily life and these choices include choosing which clothes they will wear and what time they get up and go to bed, this information is contained in the care plans. The majority of residents have breakfast in their room, although they can have it in the dining room, if they wish. Care staff ask each morning what the resident would like for breakfast, which is served from 8am onwards. The food records indicated residents had a choice at breakfast, including a cooked breakfast at the weekend. Residents have a set meal at lunchtime, although an alternative is offered if the resident doesn’t like what is on the menu. The inspector had lunch with the residents. Lunch was observed to be unhurried. Care assistants served the meal from a hot trolley and asked each resident how much they would like on their plate. A couple of residents complained that the food was getting cold between the various servings of vegetables et cetera, as well as their cup of tea afterwards not being piping hot. This was discussed with the manager, who agreed to look into this. Residents had homemade chicken pie with cauliflower, sprouts, carrots and mashed potato. Residents had rice pudding with raspberry jam for dessert and some residents were offered yoghurt as an alternative. Residents, spoken to, enjoyed their meal and said that the food was good in Chestnut Court. One resident also told the inspector they enjoy laying the tables in one of the dining rooms. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: The complaints procedure is displayed on the back of each bedroom door and is in the statement of purpose. The procedure includes appropriate timescales. The home has a complaints log although no complaints were recorded. The comment cards received prior to the inspection indicated that relatives were aware of whom to complain to should they have a need to raise a complaint or issue. One relative had written that they had made a complaint but that it was “dealt with straight away”. Residents, spoken to, were aware of the complaints procedure but had nothing but praise for the home. The Commission has not received any complaints. Chestnut Court has an adult protection policy and staff, spoken to, were aware of the issues involved. Staff have received adult protection training. Since the last inspection there were allegations that one resident had assaulted another. An adult protection, under the protection of vulnerable adults [PoVA], meeting was held on 5 January 2006. The outcome was that everything that could have been done was done by the home and the incident could not be substantiated. No further action was taken. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and pleasant environment, where they have individualised their bedrooms, to meet their needs. EVIDENCE: A tour of the building was undertaken. Chestnut Court is a large building over two floors with a passenger lift. Residents have access to the garden, which is enclosed. There is a patio area and gazebo, for residents to enjoy. There is a CCTV camera outside the front door for security purposes. The home is situated close to local amenities and facilities in New Milton. Since the last inspection new flooring and carpets have been laid in the communal areas, as well as decorated. All bedrooms are provided with an en suite toilet and all, bar one, have a shower or bath provided. Since the last inspection the home has changed all, bar two, baths for en suite showers. Chestnut Court has twenty-three single bedrooms and one double bedroom, Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 16 which is occupied by a married couple. The action required in the previous inspection report to have thermostatically controlled mixer valves has been done, along with all radiators covered. Bedroom 6 was vacant, on the day of the visit, and was being redecorated and re-carpeted. Bedrooms are routinely redecorated following vacation by the previous resident. Chestnut Court has two dining rooms, with one situated upstairs. Residents can choose where they sit and which dining room they use. The home has a hairdressing room, so residents can sit in the comfort of a salon atmosphere, whilst having their hair done. There was evidence of residents’ personal belongings in the rooms. There were no adverse smells noted. The home has a separate laundry room, which is situated away from food preparation. The home has two commercial washing machines and a commercial dryer, which have a measured liquid chemical feed to regulate the correct amount of washing ‘powder’ and fabric softener. Each resident has an individual laundry basket for ease of clothing recognition. The laundry room was clean and tidy. There was evidence of COSHH [control of substances hazardous to health] policies and procedures in place. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by sufficiently trained and supervised staff, to ensure that their needs are met. EVIDENCE: Chestnut Court employs fifteen care staff, including a deputy manager and two ancillary staff who also provide care duties. The home also employs two cooks, a domestic, maintenance person and the registered manager. Since the last inspection the home has recruited two care assistants and the inspector met both these staff members on the day of the inspection. The manager reported that the home has a full compliment of staff. There were four carers on duty, which included a senior care assistant, plus the deputy manager and manager. One relative had written in the comments that, “I am aware at times everyone is busy with someone and an extra pair of hands may benefit staff and residents, but staff always seem hard working when I’m there”. The perception that the home needed more staff on shift was discussed with the manager. However, from observation on the day of the visit and from the assessment of care needs within Chestnut Court, the staffing levels were sufficient to meet the needs of the residents. Three staff have obtained NVQ [national vocational qualification] at level 2 and three more are currently on an NVQ level 2 course, through Basingstoke College. The manager reported that the college would only take three students at a time, which is limiting her staff obtaining an NVQ. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 18 The staff file of the latest staff member appointed on 31 July 2006 was seen. This contained the application form, which included a signed declaration under the Rehabilitation of Offenders Declaration, two written references, proof of identity and a copy of the interview questions and answers. The home had received a negative reply under PoVA first [protection of vulnerable adults register] and were waiting for a returned CRB [criminal records bureau] notification. The staff member confirmed that she had received induction and manual handling training and was due to have first aid and health and safety training the following week. The home operates a comprehensive training programme for staff, through a recognised training organisation, which includes a comprehensive induction programme, fire safety, food safety, manual handling, first aid, health and safety, infection control, diet and nutrition, risk assessment, coping with aggression and adult protection. Staff have attended Dr Gemma Jones’s courses on dementia as well as receiving dementia awareness training. They also have the opportunity to enrol for NVQ and as seniors, attend a safe handling of medicines course. Staff have regular monthly staff meetings. The last one took place on 18 July 2006. The staff work well as a group and are prepared to stand in for each other to cover shifts et cetera. The inspector was able to speak in private with all four carers on duty. They confirmed that they were supported by the management and enjoyed working in Chestnut Court. A system of supervision is in place. Staff have received supervision and there was evidence of this. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides good leadership, which ensures staff are supported and residents’ health, safety and welfare promoted through the home’s practices. EVIDENCE: Pat Harrison, registered manager, is suitably qualified to run Chestnut Court and has many years experience of working within various care settings. She has completed the registered managers award for NVQ level 4 in both management and care. She communicates a clear sense of direction and leadership within the home. Chestnut Court has a deputy manager, who has just finished NVQ level 3 in care and is being ‘groomed’ by the manager to take on some of the management functions within the home. The manager has been able to cascade relevant training to the staff. There is an open, Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 20 friendly and transparent atmosphere within the home. Residents spoke warmly of staff and the way the home is run. The home is committed to improving the standards within the home for both residents and staff. This was evidenced by the home ensuring the health and safety of residents by fitting thermostatic mixer valves, covering radiators and replacing en suite baths with showers. The home is financially sound. The employers liability insurance is due for renewal on 24 June 2007. As a part of the home’s quality assurance programme, questionnaires are sent out on a yearly basis to residents’ relatives and also to care managers. The views are collated and changes put into practice as appropriate. There are regular monthly visits by the proprietor under Regulation 26 [there is a condition that where the registered provider is not in day to day control there needs to be regular unannounced monthly visits to Chestnut Court, with a report made and to supply a copy of the report to the Commission]. The home is not appointee for any service user. The majority of residents are subject to power of attorney orders with relatives or solicitors as appointed representatives. Again, the majority of relatives have already resolved the issue of looking the resident’s money before they come into the home. When a new resident is admitted the home gives the family the option to leave a float or manage the resident’s money for them, if they are not capable of doing this themselves. Families usually leave £50 as a float that the home looks after. Chestnut Court is not responsible for the resident’s financial affairs. A record is kept of all money that is spent, with receipts, which covers for the hairdresser, chiropody, activities in the community, toiletries, newspapers and when the home has a clothes party. The fire log was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. Staff have received fire safety training and the home had a fire drill on 24 July 2006. A current fire risk assessment is in place. The manager ensures the safe working practices by planning courses on health and safety within Chestnut Court, including first aid, adult protection, manual handling, food hygiene, fire and medication. Risk assessments are in place. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 X 3 3 3 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 3 3 X 3 X X 3 Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 Chestnut Court Rest Home DS0000011777.V305444.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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