Inspection on 21/11/06 for Downlands Park Nursing Home

This inspection was carried out on 21st November 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

Downlands Park Nursing Home 31/01/06

Downlands Park Nursing Home 28/09/05

Downlands Park Nursing Home 15/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Downlands Park Nursing Home Isaacs Lane Haywards Heath West Sussex RH16 4BQ Lead Inspector Mrs J Hough Key Unannounced Inspection 21st November 2006 10:25 X10029.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 Downlands Park Nursing Home DS0000024137.V312859.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 and Care Homes for Adults 18 – 65*. 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. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Downlands Park Nursing Home Address Isaacs Lane Haywards Heath West Sussex RH16 4BQ 01444 457871 01444 455812 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) www.bupa.com BUPA Care Homes (BNH) Limited Mrs Kathleen Joan Hurcombe Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Downlands Park Nursing Home is registered to provide nursing care for up to 46 residents in the category of older people. The home is set in landscaped grounds, which back onto woodland. Accommodation is provided over two floors, which are serviced by a passenger lift. All resident’s rooms are single occupancy, with the majority offering en-suite facilities. In addition there are two lounge areas and a mezzanine seating area, separate dining room, television room and assisted bathing and shower facilities. There is also a large activities room, which accommodates a daily programme of varied activities which residents can access as they wish. The Registered Providers of the home are BUPA Nursing Homes Limited. A new manager has been appointed and is in the process of completing her application to register with the Commission of Social Care Inspection (CSCI). Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by one inspector June Hough on 21st November 2006 starting at 10.20 am and ending at 5.45pm. Evidence for this inspection report was taken from the information provided in the pre-inspection questionnaire, the registered provider’s monthly monitoring reports, plus evidence from previous inspections and evidence gained during the inspection visit. A tour of the premises took place and staff, visitors and residents were spoken with. Records were examined in relation to resident’s care plans and assessments, activities, medication, complaint and accident logs, maintenance records and staff files. The current scales of charges are from £750.00 to £1400.00 per week. What the service does well: The home provides comfortable and homely accommodation and residents are able to furnish and decorate their rooms with their own personal belongings if wished. The home is situated in pleasant surroundings with extensive grounds that are well maintained and accessible to residents. A wide range of activities is provided in the home to suit resident’s interests. The staffing levels within the home are maintained and residents spoke highly of the staff and the care they provided Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 6 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Admissions to the home are well planned. The home does not provide intermediate care. EVIDENCE: Two of the resident’s files were examined to look at the process for admission to the home. Both contained evidence of having had a needs assessment carried out prior to admission to the home. The manager or senior nurses carry out the pre-admission assessment and visit prospective residents in their present environment. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 9 BUPA have produced a booklet for prospective residents, giving additional information and guidance on what to look for and ask when looking for a suitable care home. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health, personal and social care needs are met by staff in the home. Medication procedures carried out in the home ensure safe practice. Staff respect the privacy and dignity of the residents. EVIDENCE: Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 11 Three care plans and assessment were looked at in detail as part of the case tracking process. Generally the care plans and assessments identified the needs of residents and gave the actions needed by staff to meet those needs. However the emotional needs of residents were not in all cases included on care plans giving staff guidance on how to deal with changes in behaviour. One assessment identified a problem with blisters to the area of the body although the care plan showed no indication of the problem or the treatment and care that was being provided. Risk assessments and nutritional assessments were updated in the records examined. All care plans gave evidence of being reviewed and updated on a monthly basis. Residents spoken with praised the staff and said they looked after them very well. The medication administration records were examined and recordings were accurate. Medicines are dispensed via Nomad cassettes pre-filled by the pharmacist. Administration of medicines is carried out so that medicines are dispensed directly from the cassettes and transported around the home in medicine trolleys. The Controlled drugs being given were accurately recorded in a separate register and kept secure in a metal cupboard. One resident took responsibility for their own medicines and although staff confirmed they monitor the times medicines were taken there was no documented evidence when this monitoring takes place. All medicines for disposal were recorded and signed by two persons. The home has a contract with a clinical waste company for the disposal of medicines. Observations of staff with residents showed that the staff approached residents in a courteous and caring manner. Residents said that staff always respected their privacy and dignity by knocking on their bedroom doors and providing care individually behind closed doors. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. A wide range of activities is provided taking into account the resident’s interests and choices. Residents are offered a nutritious and varied diet and snacks are available at all times. Residents can choose when to have visitors and visitors are made welcome. EVIDENCE: Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 13 The home employs an activity co-ordinator who plans a varied programme of activities and events taking into account resident’s interests. An activity profile is completed for all residents to find out their interests and hobbies and if they enjoy small or large group activities. The home has a large activity room where some of the activities take place as well as the large lounge area. On the day of the inspection a session entitled “what the papers say” was taking place and residents were observed having fun talking about the articles from newspaper cuttings. A weekly programme of events was displayed in the home and the activity coordinator completes an annual schedule of activities and events. The programme showed that activities were arranged in the afternoons from Monday to Friday and in the morning one to one sessions are carried out for those residents who stay in their rooms. Resident’s comments regarding the activities were very positive and they highly praised the co-ordinator for her hard work and enthusiasm. Special occasions for residents were celebrated with the agreement of residents and their families. Risk assessments were in place for all activities and outings. Visiting arrangements in the home were open but the home does request that visitors arriving after dark notify the staff beforehand for security reasons. Residents said that the staff made visitors very welcome and it was nice to know that they can come at any time. The menus had been recently reviewed by the manager together with the chef taking into account the resident’s likes and dislikes in food. Food was available for residents at all times and there was a nite bite menu from 6.30pm to 06.30 am that included snacks such as fresh fruit, sandwiches, cakes, biscuits, toast, and yoghurts. A wide selection of meals was on offer each day and special diets were catered for. BUPA had recently completed a nutritional matrix to ensure residents had five pieces of fruit and vegetables each day. Residents gave mixed comments about the food although generally the comments were positive. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that the home takes all complaints seriously and takes the necessary action to resolve them. The home has policies and procedures in place and training for staff on abuse to ensure residents are protected from harm. EVIDENCE: The home has a complaints procedure in place that is given to all residents on admission as part of the admission pack. Complaint leaflets are also available around the home. Residents spoken with said they felt able to speak with the manager or senior members of staff on any matters of concern. The complaints log was examined and there had been seven recorded complaints since the last inspection in January 2006. All complaints had been resolved and dealt with in line with the home’s complaint procedures. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 15 The manager of the home had recently carried out an audit of staff training as some mandatory training for staff had fallen behind. Plans are now in place to remedy this situation by arranging training sessions for all staff. It was confirmed that all staff have training on abuse as part of the induction programme to the home and further updated training is again being planned for the future. BUPA have policies and procedures in place for adult protection and prevention of abuse together with a Whistleblowing policy. Staff spoken with understood their responsibilities in reporting any incidents or allegations of abuse within the home. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The home offers residents a safe, comfortable and clean environment in which to live. EVIDENCE: Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 17 A tour of the premises showed that all areas of the home were clean and fresh and well maintained. Decorating of rooms is carried out when rooms become vacant and all other areas are decorated when necessary. Residents spoken with said the home was always kept clean and they appreciated their pleasant environment. Resident’s rooms varied in size but all were comfortable and homely. Residents are able to furnish their rooms with their own small pieces of furniture from home and personal possessions of their choice. The home offers excellent communal space with two lounges and a dining area as well as a large activity room. The home is surrounded by extensive gardens that are well-kept and accessible to residents and provide a very pleasant outlook. The laundry is sited away from areas where food is prepared and served and offers hand washing facilities. It was confirmed that all housekeeping staff had training on infection control procedures in relation to handling soiled linen. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Staffing levels in the home ensure resident’s needs are met. Residents are protected from harm as far as practicable. EVIDENCE: Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 19 Staff rosters showed that the ratio of staff is seven in the morning and five in the afternoon. The numbers of trained nurses working on each shift various, although there is always a trained nurse working on each shift. At night there is a trained nurse plus two to three care assistants. Residents spoken with had no complaints about staffing numbers and said staff responded well to their calls for assistance and there was generally a member of staff available when needed. Evidence was available that staff were given the opportunity to work towards the National Vocational Qualifications and the pre-inspection questionnaire showed that seven care staff had achieved this qualification. Two staff files were examined to check the recruitment procedures for the home. Both members of staff had completed an application form and had two satisfactory references. Protection of Vulnerable Adults (POVA) checks had been carried out prior to commencing work in the home. However, Criminal Record Bureau (CRB) checks had not been confirmed as satisfactory prior to staff working in the home. This issue was discussed with the manager who confirmed that due to some Criminal Records Bureau checks taking several weeks to be processed and returned, some staff were employed and commenced on the induction training where they were supervised at all times. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The home is run by an experienced and competent manager. The resident’s health and safety is protected as far as practicable. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 21 EVIDENCE: The new manager Lisa McClintock is at present in the process of applying for registration with the Commission of Social Care Inspection (CSCI). She is a qualified registered nurse with 11 years experience working with the elderly and has gained the registered managers award. It was confirmed by the manager that a quality assurance survey had been carried out in October 2006 from head office and the home is waiting for the results of the survey. Surveys were carried out by BUPA each year. There is also an on-going audit system in place where all departments in the home are assessed against set criteria and results collated at head office. The home handles small amounts of spending money for some residents that are recorded by the administrator. All money held is kept in the safe and all transactions are recorded and signed by two persons one of those being the manager. The maintenance records showed that all in-house checks were carried out by the maintenance man in line with the home’s procedures. External contractors serviced and maintained equipment and systems in the home. Accidents, injuries and incidents were recorded and reported to the appropriate authorities. Senior nurses monitor accidents on a monthly basis and findings were submitted to head office as part of the internal audit. Any recurring accidents/incidents were identified on resident’s care plans and risk assessments completed. All accidents/incidents were recorded even if the resident had no injuries. Staff training had fallen behind but following a recent training audit carried out by the manager training programmes are being arranged to ensure all staff are updated as required. Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 4 20 X 21 X 22 X 23 X 24 X 25 X 26 4 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 23 No 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. 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 Downlands Park Nursing Home DS0000024137.V312859.R01.S.doc Version 5.2 Page 24 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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