Inspection on 08/06/07 for Conifers Nursing Home

This inspection was carried out on 8th June 2007.

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

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Conifers Nursing Home The Conifers Hambleton Nr Blackpool Lancashire FY6 9EP Lead Inspector Christopher Bond Unannounced Inspection 8th June 2007 09:30 X10015.doc Version 1.40 Page 1 09:30 08/06/07 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 Conifers Nursing Home DS0000069015.V339262.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. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Conifers Nursing Home Address The Conifers Hambleton Nr Blackpool Lancashire FY6 9EP 01253 701777 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) Conifers Care Ltd Lisa Charlesworth Care Home 44 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (29) of places Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 44 service users to include: up to 29 service users in the category of OP (Old age not falling within any other category); up to 15 service users in the category of DE (Dementia) Date of last inspection Brief Description of the Service: The Conifers is a purpose-built care home situated in the rural village of Hambleton. The home is located in a quiet cul-de-sac within its own grounds. The home provides nursing and dementia care for 44 people and is situated within a residential area on the banks of the River Wyre. There is a small selection of shops in Hambleton and pubs and restaurants are nearby. The towns of Blackpool, Cleveleys and Poulton-le- Fylde are fairly close and can be reached by bus services. The accommodation comprises of 36 single and 4 double rooms, 16 of which have en suite facilities. There are lounge and dining room areas on both floors and a through floor lift is available. There is a large parking area to the front of the home. A large garden is situated at the rear of the house where residents can sit out in good weather. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (08/06/07) the information given to the Commission showed that the fees for care at the home are from £342.50 to £535.00 per week, with added expenses for hairdressing and chiropody. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process an unannounced site visit took place over a total of 5 hours on the 11th June 2007. A tour of the home was carried out, which included bedrooms, lounge, dining areas, and bathrooms. All areas were clean and hygienic. The residents’ personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication records for the home were also examined. The managers, residents, care staff and visitors to the home were spoken to during the inspection and the lunchtime meal was sampled. The Commission for Social Care Inspection sent out survey comment cards to the residents and their families for them to express their views on the service. A number of these were returned and the results of this survey have been expressed in the report. What the service does well: There was an excellent standard of care at this home. Both residents and their families were very complementary of the service that was on offer. One relative commented, “I’m very happy that I’ve found somewhere that I can trust to look after (my relative) properly. The standard of care has improved immensely over the past few months.” A resident wrote of the home, via a Commission for Social Care Inspection survey, ‘most of all the Conifers looks after those residents who can’t express their own thoughts and wishes, they are very good at what they do.’ The residents’ care is well planned and reviewed regularly to promote positive outcomes. Health matters are dealt with properly and professionally. The care staff and trained staff that were spoken to were knowledgeable and professional regarding their roles within the home. There was a strong commitment to ensure that the staff well trained in both care of residents and safety around the home. The manager of the service has only been in place for a short period of time but has made positive changes regarding the running of the home and the care that is on offer. She is part of a strong management team that is respected by the staff team and other people involved in the service. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 6 Activities were planned and varied and the home had an activities coordinator. Activities were aimed at different levels of involvement and there were specific activities for those with cognitive impairments. There had been a recent change to the registration of this home and more people who have dementia can now be admitted. There had been training in dementia awareness and the residents had a choice of lounge. There were planned activities specifically aimed at those with dementia. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 7 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. Conifers Nursing Home DS0000069015.V339262.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 Conifers Nursing Home DS0000069015.V339262.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): Standards 1, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information given to prospective residents and their families about this home is good meaning that an informed decision can be made about the suitability of the service. EVIDENCE: There was plenty of information available for prospective residents to make an informed and balanced decision as to whether the Conifers would be able to address their individual needs. The home had a Statement of Purpose and a Service User Guide. These were given to each individual resident to explain the services that were on offer and the arrangement that were made within the home to care for people successfully. There was also a copy of the last inspection report that was completed by the Commission for Social Care Inspection so that prospective residents and their families had information about the homes performance. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 10 Three residents said that they were able to have a look round the home with their families before making a decision as to whether the home was right for them. Each of the personal care plans that were looked at had detailed pre-admission assessments. These were completed by the management team prior to a resident living at the home so that accurate information about their needs could be on hand immediately. This assessment also helped the manager to make a decision as to whether or not the home would be able to care for that person properly, and meet their needs. One person had been admitted on the previous day to this site visit. This person had a detailed pre -admission assessment, which detailed their health and social needs. This information was being used to formulate a care plan, which would assist the staff to attend to their particular needs. Conifers Nursing Home DS0000069015.V339262.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): Standards 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents health and social care needs are met and well planned. Residents are supported and protected in their daily lives. The people in this home were looked after well and treated with dignity and respect. EVIDENCE: Everyone who lived at this home had a plan of care that documented all of their daily needs and how the staff would address these needs. There was lots of information written down. The inspector looked at five of the care plans and there was enough information in each of these plans to show that the care needs of the residents were being dealt with properly and appropriately. It was also evident that each resident had their needs assessed on a monthly basis to make sure that any changes in their condition was noted and acted upon. There was lots of good, recent information in the care plan about the health needs of the residents and how the staff at the home were addressing these needs. There was also good information written down about how the home had Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 12 asked for the involvement of health care professionals such as doctors, district nurses, psychiatrists, physiotherapists etc. No one at the home had any pressure sores. The residents were regularly monitored and action was taken to prevent these. There was equipment within the home to help prevent pressure sore development. The manager said that she would seek the help and advice of the district nurses should a pressure sore be discovered. Only the trained staff had the responsibility of helping the resident with their prescribed medication. The medication record sheets of each resident were looked at and they were completed appropriately. Everyone had a photograph attached to his or her records to help identification. Systems were in place that ensured that all medication was handled correctly and professionally ensuring the safety of service users. None of the residents were able to look after their own medication. None of the residents were prescribed controlled medication. This is medication that is recorded and administered separately because of its content or strength. The manager was aware of the home’s responsibility regarding controlled medication and the actions that the home should take should controlled medication be prescribed. There had been a recent inspection of medication administration by the local pharmacist, which helped to ensure that things were in order and that the residents’ prescriptions were being handled properly and professionally. There was a certificate available to verify this. There were lots of good examples seen during this inspection of how the residents were treated with respect and dignity. The staff were speaking people to politely, care was being taken when assisting residents to move around the home. One visitor to the home commented, “The carers here are really pleasant and from what we see, they do a brilliant job.” There was a key –worker system in operation at the home. This meant that particular care staff had the responsibility of ensuring that the needs of individual residents were being met properly. One visitor to the home commented, “I have absolutely no worries about how (their relative) is being treated. I visit the home regularly and the staff are always great.” Care home surveys, provided by the Commission for Social Care Inspection, were given to the residents and their relatives, carers and advocates. Six were received back from the residents. All of these said that they ‘always’ or ‘usually’ received the medical support they needed. Six residents were spoken to and all said that were pleased with the standard of care offered by the service. One resident commented, “I enjoy living here, I’ve made some nice friends and the care is pretty good.” Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 13 There had been a recent change to the registration of this home and more people who have dementia can now be admitted. There had been training in dementia awareness and the residents had a choice of lounge. There were planned activities specifically for those with dementia. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 14 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): Standards 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Activities were varied and well planned, which contributed to the well being of the residents. Visitors were welcomed and valued family relationships were encouraged. EVIDENCE: The home had it’s own regular newsletter which had been published monthly for some time. This held lots of information about forthcoming events, new staff, entertainment, and support groups. This helped the families and friends of the residents to be involved and informed about what was happening at the home. A Summer Fete was being planned and friends, relatives and neighbours were to be invited. The care plans held lots of valuable information about each resident regarding their lives, occupations, interests and family. This is important because good information helps the carers to develop a good knowledge of the residents and initiate conversation regarding past lives. There were plenty of planned activities for the residents to do during the week. One of the care staff had taken on the responsibility of being an activities co-ordinator and an activities board had been set up in the hallway to inform the residents what activities Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 15 were available on a given day. These included aromatherapy, dominoes, trips out, reminiscence groups etc. An entertainer visited the home on a regular basis and there had been seasonal activities, such as Easter bonnet making and Halloween activities. Special events took place when it was a residents’ birthday. It was a warm day when this site visit took place and some of the residents were sat in the back garden of the home. Parasols, sun hats and sunscreen were provided as well as cool drinks. A few of the residents were singing along to Vera Lynne and there was a general atmosphere of wellbeing. One of the residents had a greenhouse and had grown bedding plants for the garden. There were tomato plants and cucumbers growing too. The residents are able to follow individual interests and this helps to make their life at the home more fulfilling. Some of the residents had dementia and there were special activities for those with cognitive impairment. Six residents filled out care home surveys provided by the Commission for Social Care Inspection. These stated that there were ‘always’ or ‘usually’ activities arranged by the home for residents to take part in. Some of the residents went to church and a priest visited the home on a weekly basis ensuring that people could participate in religious observances should they choose to do so. The menus for the Conifers were available and lunch was being prepared during the inspection. Meals were well planned and nutritionally balanced. Fresh fruit, vegetables and meat were delivered regularly from the local supermarket. The dining area was pleasant and tables were set properly and attractively for the lunchtime meal. The care plans showed that the residents’ likes and dislikes regarding food were recorded properly. It was also written down when someone had a special diet, or needed specific help with their eating. The inspector sat with the residents during the meal and all that were spoken to said that they enjoyed the meal and that they looked forward to meal times. Six people who filled out care surveys provided by the Commission for Social Care Inspection said that they ‘always’ or ‘usually’ liked the meals provided by the home. Conifers Nursing Home DS0000069015.V339262.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safeguarded through good training, policies and procedures. Complaints are treated seriously to ensure that the residents’ rights are protected. EVIDENCE: All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. The manager was aware of her role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. Two residents who filled out care home surveys provided by the Commission for Social Care Inspection said that they did not know how to make a complaint. It is important that everyone is fully aware of how to voice their opinion about the service they are receiving. There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that were spoken to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should there be any question Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 17 regarding how the residents were being supported and safeguarded. Recent training had taken place regarding safeguarding adults for most of the staff. All of the care staff that work at the home have access to this information which helps to ensure that any safeguarding issues are dealt with properly. Copies of all the home’s policies and procedures were available in the main office for the staff to read to help them in their roles as carers. Conifers Nursing Home DS0000069015.V339262.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): Standards 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment at this home was tired and in need of investment to make it a better place for the residents to live in. Bedrooms were personalised, meaning that residents should feel at home with their belongings around them. EVIDENCE: A tour of the home took place during this site visit. It was found that some of the rooms were in need of decoration, the décor of the building was looking quite ‘tired’ and needed brightening up. There were unpleasant smells in some bedrooms and some of the carpets were stained and needed replacing. Some of the bedroom furniture was looking old and needed replacement. The manager said that the new proprietor was aware of the issues regarding the environment and work was planned to start to improve the general decoration of the building. Some of the window frames were old and single glazed. There were plans to replace these as well. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 19 Many of the bedrooms were personalised and had ornaments and photographs in to make them more personal for the residents. The residents felt more at home with their own pictures, ornaments and important memento’s around them. The lighting in some areas of the building was poor and the lighting units were old and in need of replacement. The owner of the home has confirmed that there are plans to renew some of the lighting. Lighting should be brighter and more homely. The bathrooms were also in need of refurbishment and there were plans to install ‘wet rooms’ in the near future. Electric storage units heat the home. This is hard to control and cannot be turned off when temperatures rise during the day. Sometimes the home can feel quite stuffy because of this and bad smells can linger. The owners of the home need to consider replacing the heating system with a system that is easier to control so that it can be turned off in warmer weather. This would make the general environment more pleasant for the residents. Some of the residents had been encouraged to use the lounge on the first floor. This took pressure off the main lounge and made it more relaxing and a nicer place to be. A large new flat-screen television had been purchased and had been fixed to the wall so that the view wasn’t restricted. All of the care home surveys that were filled in by residents said that the home was always fresh and clean. One resident said, “It’s a nice place to live, I enjoy living here and my room is nice and homely.” One of the visitors commented, “We tend to come quite regularly and sometimes there is a bit of a smell. This doesn’t affect the quality of care which is very good.” There was specialist equipment throughout the building to help the residents to maximise their independence. One of the bathrooms had a ceiling hoist to help move people safely and comfortably. Conifers Nursing Home DS0000069015.V339262.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): Standards 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 were protected by good staffing numbers and well trained care staff. Good recruitment practices helped to make sure that people were safer. EVIDENCE: There were enough care staff on duty during the inspection to ensure that the assessed needs of the residents were adequately dealt with. The staff rotas showed that staffing was good and that there were plenty of staff on each shift to ensure that people were being properly looked after. The rota also showed that the residents were being properly supported at night. Most of the care staff had achieved a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There was a good induction process to help ensure that new care staff were competent before commencing their role. There was also a good training programme to ensure that the care staff were able to improve their skill and learn new ways to care for people. There had been recent training in dementia awareness, safeguarding adults, medication management and fire safety. Two of the care staff and one trained staff were spoken to during the inspection and it was clear that they had the knowledge, skills and abilities to provide a good standard of care for the residents of the home. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 21 It is also very important to ensure that the staff are taught how to help move people who may not be able to move properly themselves. There had been regular moving and handling training to ensure that people were assisted to move the residents safely and professionally. Staff records showed that new carers had been properly checked before starting their jobs, including obtaining Criminal Records Bureau checks. This helped to make sure that the residents were safer by ensuring that suitable staff are employed. There was evidence within the care staff files to show that the correct information had been gathered prior to employment. Conifers Nursing Home DS0000069015.V339262.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): Standards 31, 32, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in a competent and a professional manner. Good safety procedures and a well-trained staff team protect the residents. The home is being run in the residents’ best interests. EVIDENCE: The manager of the Conifers has a nursing qualification and a nationally recognised management qualification. This means that she is well qualified to run the home and has the necessary skills and ability to do this successfully. The care staff that were spoken to were complimentary of her management style and the way that the home was being run. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 23 It was clear that this home was being managed in the best interests of the residents who lived there. Their care was well planned and the home was run safely and professionally. Good records were being kept of safety checks within the home. These showed that professionals were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. Trained maintenance people were also checking the lifting equipment in the home on a regular basis. Staff were being instructed in safety aspects within the service. They were being shown how to move those residents, who had difficulty in supporting their own weight, safely and respectfully. Other safety training included fire safety awareness, food hygiene and health and safety. All of the care staff that were spoken to were able to confirm that they had received safety training. The home was due to have a fire safety inspection shortly after this site visit. A fire risk assessment had been completed and regular fire drills were held which helped to make the staff and residents more prepared in the event of a fire. There was evidence on the personal files of the care staff to show that everyone was being supervised properly. This means that time was set aside for regular one to one meetings with the staff to ensure that they were happy and doing there jobs successfully and professionally. There were several quality checks undertaken by the management team on all aspects of the running of the home. This meant that spot checks were completed randomly to ensure that things were running smoothly and the residents were being cared for appropriately and professionally. Conifers Nursing Home DS0000069015.V339262.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 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 3 3 2 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP20 OP25 OP19 OP19 OP19 Good Practice Recommendations Electrical lighting in some areas of the home should be brighter and more homely. The home should explore ways of heating the home more efficiently and effectively. Single glazed and old window units should be replaced. Stained carpets in some of the bedrooms should be replaced. Old and damaged bedroom furniture should be replaced. Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Conifers Nursing Home DS0000069015.V339262.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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