Inspection on 06/02/07 for Dunwood Manor Nursing Home

This inspection was carried out on 6th February 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

Dunwood Manor Nursing Home 03/01/08

Dunwood Manor Nursing Home 07/09/05

Dunwood Manor Nursing Home 26/04/05

Dunwood Manor Nursing Home 23/11/04

Dunwood Manor Nursing Home 19/08/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Dunwood Manor Nursing Home Dunwood Manor Nursing Centre Sherfield English Romsey Hampshire SO51 6FD Lead Inspector Anita Tengnah Unannounced Inspection 6th February 2007 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 Dunwood Manor Nursing Home DS0000011422.V326307.R03.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. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dunwood Manor Nursing Home Address Dunwood Manor Nursing Centre Sherfield English Romsey Hampshire SO51 6FD 01794 513033 01794 519700 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) Sentinel Health Care Limited Mrs Kelly Victoria Wrighton Care Home 55 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (55), of places Physical disability (25), Physical disability over 65 years of age (55), Terminally ill (25), Terminally ill over 65 years of age (55) Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2007 Brief Description of the Service: Dunwood Manor is a large Victorian country house and was converted for use as a nursing home. Sentinel Healthcare Ltd owns the service with four other homes in Hampshire. It is set in extensive grounds with panoramic views of the surrounding countryside. It is located in Sherfield English and the nearest town is Romsey. The building has 2 storeys and has been improved and refurbished over time. The east wing was extended and some accommodation upgraded in 2004. Dunwood Manor is registered to accommodate 55 service users who require nursing care. It has 34 single and 9 double bedrooms, and 19 bedrooms benefit from en-suite facilities. The communal facilities comprise 3 lounges and a separate dining room. There is also a hydrotherapy pool in the grounds of the home and this is available at an extra cost to all the service users. The current fee charged is £525-£750 per week. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the service was undertaken as part of the inspection on the 6th of February 2007. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking 6 staff and 9 service users views were sought and care records were looked at. Information gained from the pre inspection questionnaire was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. Positive comments were received from the service users regarding the care that they were receiving at the home. The commission received 8 comment cards from the service users and some contained input from their relatives. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and care was provided in a respectful manner. What the service does well: The home has a comprehensive assessment process in place in looking at the needs of both potential and existing service users to ensure that the home can meet their needs. The service users are provided with a warm and homely accommodation that they said met their needs. The care plans and records of care given were good that ensured that residents received the support and help they required. The management system and procedures in the home worked well including, dealing with complaints, quality monitoring and the service users’ money. The service has staff that are skilled and knowledgeable about the care needs of older people and regular training was available to them. The meals and activities at the home were good and offered the service users choices and variety and met with their satisfaction. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 6 The service users bedrooms on the ground floor allow them direct access to the beautiful garden. 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. The summary of this inspection report can be made available in other formats on request. Dunwood Manor Nursing Home DS0000011422.V326307.R03.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 Dunwood Manor Nursing Home DS0000011422.V326307.R03.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. 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 this service. The pre admission assessment process is good and ensures that service users’ needs are assessed and the home can meet them. The home does not provide intermediate care. EVIDENCE: The care records of three recently admitted service users were looked at as part of case tracking. Detailed pre admission assessments of their needs were carried out and staff reported that this information is used to formulate their initial care plans on admission. Assessments of needs included mobility, diet, Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 9 likes and dislikes, communication, continence and skin integrity. There was evidence that family members are involved as appropriate in order to ensure that all care needs are identified. Records indicated that assessments from care managers were also sought as appropriate as part of the pre admission process. The service users are offered the choice of visiting the service prior to admission. The manager reported that the service users’ family visited, as the service users were unable to do so due to their frailty. The manager confirmed that the service does not provide intermediate care. Dunwood Manor Nursing Home DS0000011422.V326307.R03.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. 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. The care plans and records of care given were good. Staff had clear information about the support that the service users required with nursing care. The health care needs and access to external agencies are well managed. The medication management was satisfactory. The management of prescribed feeds and ointments need reviewing in order to meet with practice guidance. The service users are treated with respect and dignity and their right to privacy maintained. EVIDENCE: Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 11 The care plans of 4 service users were seen as part of this visit to look at how the home plans to meet the needs of the service users. The care plans were detailed and contained good information about the assessed needs of the service users and actions required in order to meet them. The assessments included moving and handling, dietary needs, likes and dislikes, communication, skin integrity and pain control. The home has a number of service users with high care needs and required nursing in bed. The care plans contained details of frequent change of positions and pressurerelieving equipments were in place for the prevention of pressure ulcers. The registered person discussed that a review of night care plans were being undertaken to ensure that detailed plans are in place for night care. There were a number of service users who required PEG feeding and assessments from dietician had been completed and care plans clearly identified that these service users did not have oral fluids. Further development of care plans for the service users with PEG feeds and indwelling catheters with details of their management would give clearer guidance and inform staff practices. The manager said that this would be put in place. The care plans were reviewed regularly to reflect any changes in the needs of the service users. The manager reported that as part of the continuous review a service user had been identified as requiring less care support and would be moving to a smaller home. Service users spoken with were complimentary regarding the care that they were receiving. Three service users said that they were assisted as required. Comments included “the staff know what I need” and “the girls are good”. The manager reported that the home had developed and maintained good relationship with the local primary care trust and felt supported. All the service users are registered with the local surgery. The GP undertook a weekly visit to the home and was available at other times as required. Advice was sought as required from external healthcare professionals, such as referrals to speech therapist for swallowing assessments and advice on nutrition was recorded in care plans. One of the GP spoken with at the time of the visit said that there are regular weekly visits from the two surgeries that supported the home. There was a good relationship with the staff and all worked well. The home has a medication policy and procedure in place. All medications were stored securely including those that should be kept in the fridge and controlled drugs. Staff reported that the registered nurses were responsible for the administration of medication and that regular updates in medication was available. A sample of the Medication Administration Record (MAR) sheets seen indicated that all oral medication administered was recorded accurately. The home has a good procedure in place for dealing with homely medication. A list of homely medication was available and signed by the GP. The manager was Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 12 reviewing the process to ensure that the home has sight of the all prescriptions of medications ordered, prior to them going to the pharmacy. It was noted that 3 ointments/ creams did not contain the names of the service users. The registered person confirmed that these would be prescribed for individual service users. A review is needed and the ointments must be labelled with the service users’ names to ensure that they are only administered to the named service user as prescribed. The management/ ordering of feeds was discussed, as there was a large quantity of feeds stored in one service user’s bedroom. The manager reported that this would be rectified with alternative storage facility. The ordering of feeds would also be reviewed and prescribed on individual’s MAR sheets. Comments cards received and 8 service users spoken with confirmed that the home provided a good service and they had autonomy and choice regarding the activities of daily living. Comments included “the staff are excellent”. Service users said, “staff are very good and kind and friendly”. Another service user said that she “was staying in bed till later and this was not a problem”. Comments cards from 9 service users also stated that they “always” received care and support when they required them. Staff were observed to knock prior to entering the service users bedrooms and treated the service users with respect. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social and recreational facilities for the service users are good and well managed. The service users are supported to maintain links with the community and their family and friends. The service users autonomy and choices are respected in their activity of daily living. The meals are good and meet with the satisfaction of the service users. EVIDENCE: The home has a planned and varied programme of activities for the service users. The home employs two activity coordinators and the manager reported Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 14 that this worked well. The inspector observed an activity session with a group of the residents. The activity session was interactive and two service users commented that the activities were “very good” and “plenty going on “. Activities available included visiting library, quiz, shopping, trips out, games, theatre, football trips and meals out. The home has a hydrotherapy pool in the ground that is staffed separately and available to the service users. The staff reported was very popular with the service users, particularly as it was opened for long hours during the day. Three service users spoken with were aware of the activities available and said that they joined in with most of them. Comments included that they “enjoy playing scrabble and going out”. Another service user said that activities were available but she did not like to join in and “enjoyed having people pop in for a chat”. The home has an open visiting policy and it was evident from the record of visitors as kept by the home that there was no restriction on visiting. Comment received and three service users confirmed that they have autonomy to receive their visitors in private. The service users spoken with said that they have autonomy and choice with their daily living activities. A service user commented that the staff attended to her “always when I need them”. Another service user said, “you only have to ask”. A service user in a shared room said that her privacy is always respected when receiving personal care. The home has a planned menu that is rotated on a regular basis. Comment cards received and the service users spoken with said that the meals were very good and hot and cold drinks were available at all times. Comments included “excellent food” and “good choice “. A service user said that he did not choose cooked breakfast but he helped one of the service users sometimes with his breakfast and “it always looks nice and makes me want it”. Another service user commented that there was “good choice and can ask for special meals when you like”. The chef stated that he went round to see the service users and discussed with them the menu for the day. The lunchtime menu offered the service users the choices of three cooked meals and a salad. The chef reported that the service shared the kitchen facility with the sister home in the ground and that this worked well. The lunchtime meal was observed and indicated that choices were available. Meals appeared well presented, nourishing and staff were available to offer support with meals as required. The meals were organised in two sittings in the dining room and the service users were aware of this. A relative was helping one of the service user’s with her meal and said that the meals always looked nice and her relative was offered a pureed meal. Another service user said that she preferred to take her meal in her room and that meals were always served hot. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaint management is good and the service users are confident that their complaints would be listened to. Staff have clear understanding of adult protection and ongoing training ensures that the service users are protected. EVIDENCE: There is a complaint procedure in place and comments received indicated that the service users/ relatives were aware who to complain to. A copy of the complaint procedure was available in the service users’ guide. Information from the 9 comments cards received indicated that all the service users were satisfied with the care and how to raise any concerns. The service users spoken with also said that they would approach the manager if they were not happy. The manager maintained a log of all complaints received. The home has the Hampshire adult protection procedure in place that was available to staff. Three staff spoken with had good understanding of what constituted abuse and action they would take if any allegations of abuse were reported to them. Training in the prevention of abuse was available. There has Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 16 been one allegation received about the home since the last visit. This was reported to the local social services office and had been investigated. This has now been resolved and the social services department would be carrying out a review in a month time. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the service users with a homely and clean accommodation that meets their needs. The infection control procedures at the home are good and ensure that the service users are protected. EVIDENCE: A tour of the premises was undertaken as part of the visit and a number of bedrooms, communal areas, bathrooms, and kitchen were viewed. The manager reported that the home has an ongoing programme of refurbishment. The home was clean and homely. Furnishing was of good standard and appropriate to the needs of the service users. The service users are provided Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 18 with ample communal areas where a variety of activities are undertaken. All the bedrooms have views of the countryside or the garden. The service users’ bedrooms were highly personalised with pictures, televisions, computers and family photos. Screens were available in the shared rooms. The registered person discussed future refurbishment plans of the shared rooms to single accommodation with en suite facilities. The service users spoken with said that they liked their rooms and “it’s all lovely”. Other comments included “I am very comfortable in this home” and “the home is spotlessly clean”. The home has a large well-maintained garden, with a decking area and extensive lawn garden, ornamental pond and easily accessible for wheelchair users where seating was also provided. The home has information on infection control procedures. The staff practices observed at the time of the visit indicated that the staff were aware of this and used infection control equipment in their daily practices. Alcohol gels were available in various areas in the home including the entrance hall that visitors could use. The laundry facility is shared with the sister home in the ground and has not been inspected on this occasion. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing numbers are adequate to meet the present needs of the service users. The home has system in place to ensure that staff have the skills to deliver care safely. The recruitment process is not satisfactory. CRB and POVA checks must be obtained prior to employment to ensure the safety of the service users. There is a good training programme in place to ensure that staff are supported in their work. EVIDENCE: The home has a duty roster for nurses and carers and a separate roster for ancillary workers. A sample of the staff roster indicated that there are 4 trained staff and 7 carers on the early shifts, and 2 trained staff and 7 carers Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 20 on the afternoon shifts. The night staff included 2 trained and 3 carers. Staff and service users spoken with confirmed that they felt that there were adequate staff to meet their needs. Comments from the service users were that there was “always” staff available when they needed assistance. Information received showed that home has 3 carers who have completed NVQ2 or above. This indicated that only 11.5 of carers have achieved this qualification and this may fall short of the expected 50 of care staff who are required to complete this training. There was one carer who was due to start NVQ training soon. Further development in NVQ training may be needed should staff who are employed from overseas, not have qualifications equivalent to NVQ 2. A sample of four recently recruited staff records were seen as part of case tracking. The home has a good recruitment policy and procedure in place. Measures need to be put in place to ensure all aspects of the recruitment policy of the home are adhered to and required recruitment records obtained. Three of the staff had completed an application form and references were available including one from the last employer. There was evidence that three of the staff were subject to criminal record bureau and POVA first checks as part of the recruitment process. However there was no record for one newly recruited staff available. This was brought to the attention of the registered person who must ensure that all necessary checks are completed prior to employment in order to safeguard the safety of the service users. The home has an ongoing training programme. Three staff spoken with said that training is “very good” and they felt supported in their work. Record of some recent training/ updates included mandatory health and safety training. The community psychiatric nurse (CPN) provided training in dementia. There is also a good programme of in house training available to staff, some of the training is shared with the other homes in the group. Two registered nurses were undertaking training in blood taking. The home has an induction programme in place and induction training as per “Skills for Care” is being developed. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a manager who has clear lines of accountability for the service. The financial interests of the service users are safeguarded through good accounting. The process of seeking the service users’ views is well managed and ensures that the home is run in their best interests. There is a satisfactory procedure in place to ensure the health and safety of the service users is promoted. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 22 EVIDENCE: The home has a registered manager who is also a registered nurse. The manager has an open and inclusive management style and demonstrated clear lines of accountability within the home. She undertook regular updates to maintain her skills and to upkeep her nursing registration. Service users spoke highly of the manager and said that she was “always around if you needed her”. The manager spent two days a week providing care and said that she enjoyed this work and had got to know the service users better and gave her a good insight of the care provided. It was evident from interaction observed that staff have developed good relationship between themselves and the service users. One staff commented, “we work as a team”. Staff said that they felt supported and the manager was fully involved in the day-to-day management of the service. An annual audit of all the service users, relatives and other professionals is planned for this year. Reports of Regulation 26 visits as undertaken by the responsible individual are sent to the commission on a regular basis. There are 5 service users that the home acts as appointee for with their financial affairs. The administrator confirmed that these bank accounts were in the service users’ names. A sample of personal allowance as managed by the home was seen. This indicated that receipts of all transactions were maintained and records of invoices raised were also available. Random checks of three of the service users’ personal account were found to be accurate. All transactions undertaken with the service users were recorded accurately including a signature from the service user. Information received indicated that there are regular reviews of policies and procedures to ensure that they meet current legislation/ guidelines. The fire officer last visited in December 05. There is an ongoing programme for the servicing of fire equipment, hoists, wheelchairs, lift and emergency lighting. Records seen showed that they were all completed in the last 6 months. The registered person is aware substances that are hazardous to health (COSHH) must be kept locked away. A review of a locked cupboard in the sluice area was planned for the safe keeping of hazardous substances. Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 23 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 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 24 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. 1 Standard OP29 Regulation 19(1) Requirement Measures must be put in place to ensure that aspects of the recruitment policy of the home are adhered to and required recruitment records obtained. All checks including CRB and POVA first checks must be received prior to staff’s employment. Timescale for action 30/03/07 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 Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Dunwood Manor Nursing Home DS0000011422.V326307.R03.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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