Inspection on 15/11/06 for Elliscombe House Nursing Home

This inspection was carried out on 15th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Elliscombe House Nursing Home 01/02/06

Elliscombe House Nursing Home 04/08/05

Elliscombe House Nursing Home 23/02/05

Elliscombe House Nursing Home 08/09/04

Elliscombe House Nursing Home 26/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Elliscombe House Nursing Home Higher Holton Wincanton Somerset BA9 8EA Lead Inspector Justine Button Unannounced Inspection 15th November 2006 09:30 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 Elliscombe House Nursing Home DS0000003253.V320039.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. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elliscombe House Nursing Home Address Higher Holton Wincanton Somerset BA9 8EA 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) 01963 33370 Park Healthcare Limited Mrs Melanie Jane Smith Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Elderly persons of either sex, not les than 60 years, who require general nursing care Two persons of either sex, between the age of 30-60 years, who require convalescent or respite care. The Registered Manager will work a minimum of 25 hours per week to undertake the management role and in addition to the nursing staff on duty. Staffing levels detailed in the provider letter of 25/05/05 will be the minimum levels of staff on duty. The staffing levels will be reviewed with CSCI if a new Registered Manager is appointed. 1st February 2006 Date of last inspection Brief Description of the Service: Elliscombe House is a residential care home for 41 older people who require nursing care. The registration also allows for up to two people between the ages of 30 and 60 years for convalescent or respite care. The home is set in open countryside, near the village of Holton, about 3 miles from the town of Wincanton. The ground floor has recently been extended and now offers a small lounge and a further large lounge and dining room with views over the countryside. Bedrooms are situated on both the ground floor and frist floor which can be reached by stairs or lift. Also on the first floor is an office suite. The old part of the house retains many of its original features and there are large grounds leading onto open countryside. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection was unannounced and took place over one day and was conducted by one inspector, which amounted to 7 inspector hours. There were 41 residents living at the home at the time of this inspection. Prior to the inspection the manager had completed a questionnaire about the service and six residents, a GP and one Health Care Professionals had completed and returned commission questionnaires. A tour of the premises took place where a selection of bedrooms and all communal areas were seen. The inspectors consulted with at least 5 service users, 2 visitors and 5 staff during the inspection. During the inspection the inspectors observed interactions between staff and residents. The inspectors would like to thank the residents, manager and staff for their time during the inspection process. What the service does well: Prospective residents and their representatives are able to visit the home and have an informative Service User Guide before making a decision to move into the home and residents benefit from being assessed by the home before admission to see if it can meet their needs. Residents are able to have visitors at any time and keep links with the local community. Visitors seen during the inspection were satisfied with the provision of care at the home. Residents are able if they choose to continue to handle their own finances and are able to access their personal records should they wish to do so. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 6 Comments received from residents and relatives via surveys and during the inspection included: ‘I like living here’, ‘I enjoy the garden’, ‘I feel very happy in this home’ ‘the food is good’, ‘the staff are very nice’, ‘the staff are kind and helpful’ and ‘on the whole I am very happy here’. Residents benefit from safe medication systems at the home. Residents and staff spoken to were aware of the complaints procedure, which forms part of the service user guide. Residents’ benefit from a good choice of wholesome food. The gardens are well maintained. The cleanliness of the home was good at this inspection. Residents’ rooms are homely and personalised with their favourite items. Residents’ benefit from the aids and adaptations provided at the home to include adjustable beds, mobile hoists and grab rails throughout. Residents benefit from staff being trained and competent to do their jobs and understand their individual needs. Residents benefit from staff undertaking their laundry needs, one resident told an inspector that ‘they look after our clothes nicely’. Residents benefit from being able to trust the home to look after their personal finances should they be not able to look after their own monies. What has improved since the last inspection? At the last inspection conducted in February 2006 one requirement was made. This requirement related to the provision of nurse call bells in the large lounge. A number of people were sitting in this area and there was a staff presence for the majority of this time. There were however limited nurse call bells available. The management need to keep this under review to ensure that the health and safety of people living at the home is not compromised. Three recommendations were made at the last inspection. These are good practise only. The management has implemented one of these recommendations relating to staff recruitment. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 7 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. Elliscombe House Nursing Home DS0000003253.V320039.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 Elliscombe House Nursing Home DS0000003253.V320039.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): 1,2,3, 4,5. Standard 6 is not applicable. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are able to make an informed choice of whether to stay at Elliscombe House from the information available to them. Residents were assessed prior to admission to ensure the home can meet their needs. Residents have a contract of terms and conditions, which informs them of what to expect including the fees and what is not included. Fees charged range from £540-£705 per week, with additional charges for hairdressing, chiropody, physiotherapy and personal items. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 10 EVIDENCE: The home displays the Statement of Purpose for the home including the last CSCI inspection report in the reception area. A copy of the Service User Guide, which reflects the homes Statement of Purpose, was given to inspectors. The guide portrays the running structure of the home exactly, which enables prospective residents and /or their representatives to make an informed choice on any decision of living at the home. Four care plans were sampled as part of the case tracking process. Evidence of the home assessing residents before admission was seen. This enables the home to ensure it can meet the residents’ needs prior to admission. As discussed all assessments undertaken should be signed and dated. Recently admitted residents spoken to as part of the case tracking process confirmed that a representative of the home, prior to admission, had seen them. The inspectors assessed individual contracts of the residents’ case tracked. Each had a contract either from Social Services or the home. The contracts indicate the fees to be paid and what is included. There is a trial period of 4 weeks. Surveys received from service users indicated that the majority of residents had a contract that they were aware of and had received enough information about the home prior to admission. The home is staffed by at least one Registered Nurse 24 hours a day. Two nurses are on duty as agreed by CSCI staffing requirements following the expansion of the home. The home has been suitably adapted to provide for the nursing needs of older people. Elliscombe House Nursing Home DS0000003253.V320039.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): 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 Care planning practice was good however the plans should continue to be reviewed to ensure that they give clear guidance to the staf on the acre needs of the individual.. Care plans were stored in line with Data Protection. The management of medication within the home was generally very good. Residents are able to have privacy in their own rooms. Personal support was offered in a way to promote the privacy and dignity of residents. Service users were treated with respect and looked well cared for. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 12 EVIDENCE: Four individual residents care plans were assessed and the residents met as part of the case tracking process. Regular reviews had taken place with the resident and/or their representative, and there was evidence of some person centred care. Personal preferences and choices in regard to daily living and cultural needs were not reflected fully in the plans of care, for example did the individual prefer a bath or shower, which toiletries did they like to use. Some of the plans of care were ambiguous and did not give clear guidance to staff. Two specific examples were discussed with the manager at the end of the inspection and the manager agreed to look at the way the plans were written. Surveys from Health Care Professionals and GP’s indicated that they were satisfied overall with the level of care provision at the home. Visitors spoken to were satisfied with the provision of care. Residents consulted with told inspectors that the staff were kind and caring and the majority indicated that the home meets their needs. Residents seen looked well cared. Health care needs were generally well addressed. It was observed for one individual however that the staff might not be following safe working practise with regard to moving and handling. The moving and handling technique used was not in line with the individual’s plan of care. This issue could not be confirmed however as it took place in the privacy of a bathroom. This was discussed with the manager who agreed to review this with the staff concerned. In a small minority of bedrooms viewed the toothbrushes were dry and the toothpaste had not been used recently. This leads the inspector to believe that some people had not been supported to complete their oral hygiene. Staff should be reminded to offer support in this area. No persons on the day of the inspection appeared to have a an unclean mouth or dry lips. The medication records for residents were assessed and best practice was noted throughout. Controlled Drugs (CD’s) were stored appropriately and those checked reconciled with the CD register. Risk assessments were in place for all creams and lotions stored in bedrooms. The medication fridge was noted to be at the correct temperature and drugs stored appropriately in this area. Staff demonstrated a good understanding of how to promote privacy and dignity and examples of how they do this were seen. Health and social care professionals confirm that they see their residents in private through surveys received. Staff were seen interacting kindly to residents and were seen Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 13 knocking on doors before entering. Residents spoken to confirmed that staff treated them with respect and helped to maintain their privacy when delivering personal care. Elliscombe House Nursing Home DS0000003253.V320039.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): 12, 13, 14, 15. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Activity provision at the home was adequate. Individual residents social care profiles were completed. Residents’ rights and choices were promoted in the majority of areas. Residents are encouraged to maintain links with their families and friends. Visitors are made welcome at the home. Service users are offered a choice of nutritious well-balanced menus promoting their health and well-being. EVIDENCE: Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 15 The home has an activities organiser who arranges a varied programme, including one-to-one opportunities for those who are unable or do not wish to be part of a group. There are regular trips out including shopping or to places of interest. Communion was taking place on the day of the inspection and there had been a service at the home on remembrance Sunday. Other activites included “scrabble club”; quiz mornings, arts and crafts and bingo. People living at the home stated that they enjoyed the opportunities available to them. Visitors spoken to confirmed that they are made welcome at any time. Choice was seen to be promoted at times. The exception to this was when morning coffee was served. The staff member did not routinely offer biscuits to the people living at the home. One person asked for a biscuit and the staff member readily obliged by putting a biscuit on the saucer. It would have been good practise and more hygienic to offer the tin to the person requesting the biscuit. Home made cake was served with afternoon tea. Consideration should be given to increasing the range of snacks available. This is particularly important to those who are loosing weight or who have swallowing difficulties. Lunch was observed on the day of the inspection. This is the main meal of the day. People living at the home can chose to eat in the communal dining area or in the privacy of their bedroom. The meal seen consisted of sausages with gravy or fish in lemon sauce. Mashed potatoes, peas and carrots were also served. The meal looked and smelt appetising. All the people spoken during the inspection stated that the food was of a good standard and a choice was always available. Following the main course a choice of lemon meringue pie, fruit salad or jam sponge and custard was available. Staff may like to consider serving the vegetables to the table to allow people the opportunity of choosing what and the quantity they would like. Staff supported people who required it in a dignified and respectful manner The menu’s were observed. These showed that a lighter meal is served in the evening although this usually includes a “hot” option. On the day of inspection this included cheese and potato pie, prawn cocktail or a range of sandwiches. On the day of the inspection the kitchen was in good working order, clean and tidy. The storerooms contained a good range of fresh, frozen and dry produce. The cook was spoken to and she described the meals she prepared as “traditional home cooking”. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 16 Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 17 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 good This judgement has been made using available evidence including a visit to this service. Residents and visitors to the home have the information to enable them to make a complaint or raise concerns. Arrangements for protecting residents from harm or abuse were good. EVIDENCE: The home had a complaints procedure, which was available to service users, staff, and visitors. It forms part of the Service User Guide and is detailed in the Statement of Purpose. Service users who were able and staff spoken with informed the inspectors that they would not hesitate in raising concerns if they had any. No complaints had been received by the home since the last inspection. The CSCI had not received any against the home since the last inspection. Staff spoken to understand the lines of communication should they suspect any form of abuse. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 18 POVA First checks had been undertaken before staff had commenced working at the home. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 19 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, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users’ benefit from comfortable, homely, well maintained surroundings. Bedrooms are personalised according to service user preferences. All areas of the home are kept clean and tidy. EVIDENCE: Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 20 A tour of the premises was made and found all areas clean and tidy. The home has a range of equipment and adaptations that are suitable for the service users accommodated. The home has adjustable beds suitable for those who require assistance in bed; the manager has assessed the need for these and keeps this under review. Service user bedrooms seen were comfortable and personalised with their own belongings. A number have an outlook onto the garden and open countryside. There are adequate toilet and bathing facilities for the current service users. A new hoist has been ordered for one of the bathrooms. There are en-suite facilities in most rooms and in all the new bedrooms. These were clean and tidy. A nurse call system is in place and service users are also able to have a pendant when sitting in the lounges or outside. It was noted during the inspection that there were times when service users would not be able to summon assistance from the small sitting room and this must be addressed. The home was clean throughout and control of infection measures were satisfactory and minimised any risk of cross infection. The laundry facilities are satisfactory and staff confirmed that they are suitable for the needs of the home. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from adequate numbers of staff, to meet their individual needs. The service has a core staff team that ensures residents are in safe hands. Staff training needs have been identified and implementation of training for individual staff had taken place. Residents were protected by robust recruitment procedures. EVIDENCE: At the time of this inspection there were 41 residents living at the home. The manager was on duty in a management role. There were two Registered Nurses (RN) on duty and in charge of the shift from 8-2pm. There is one registered nurse on duty at all other times. There were adequate numbers of care staff on duty during the morning. Minimum staffing levels were being met at this time. The manager keeps the provision of staff under review and Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 22 assesses the dependency levels of service users regularly to ensure that the staffing levels are adequate. Duty rotas seen evidenced consistency of staffing levels. The manager keeps the provision of staff under review and assesses the dependency levels of service users regularly to ensure that the staffing levels are adequate. People spoken to indicated that staffing levels were adequate even though they had to wait to be seen sometimes. The majority of staff spoken to felt that staffing was adequate. There are 29 care staff employed at the home. 72 have gained an NVQ in care, which exceeds Standard 28. Records seen and speaking to staff evidenced that all staff had received mandatory training and induction. Individual staff training needs had been identified and recorded. Four staff recruitment files were examined which evidenced good recruitment practises. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 23 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): 31,32, 33, 35, 36, 37,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are benefiting from an experienced, knowledgeable manager. The manager has implemented a person centred approach to meeting the social care needs of the residents therefore enabling equality and diversity. The manager had implemented systems to monitor compliance with the homes plans, policies and procedures. Residents have an opportunity to manage their own finances if they wish. The home does not hold any monies on behalf of service users. People living at the home are protected by the health and safety checks in place. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 24 EVIDENCE: The home’s manager, Mrs Smith, was appointed in 2003. Mrs Smith has experience managing a care home for nursing. She is a Registered nurse and has completed the Registered Manager’s Award and additional qualifications. Staff and service users spoke very highly of the manager and feel she is approachable and will take action if any concerns are raised. There was clear evidence of the targets and projects to be achieved during the coming year. Staff spoken to were clear about their roles and felt well supported. There was a team approach to supporting service users. Mrs Smith’s continues to work regular shifts ‘on the floor’ to work with staff and to supervise the care of the service users directly. She spoke of the positive effects this had for the service users, staff and also herself. A key worker system is in place. Tasks are delegated to senior staff to assist with the running of the home and this process should continue. The home does not manage any monies on behalf of service users. Records required for inspection were held appropriately, well managed and made available. A tour of the premises were made and all areas seen were free from hazards. All staff have received recent fire training. Accidents are recorded and the manager makes a thorough analysis of each one and takes any action necessary. Mrs Smith regularly conducts audits of the home to seek the views of stakeholders. The last Audit in the form of a questionnaire was conducted in September 2006. The majority of comments from this audit were satisfactory. It could not be confirmed what action had been taken to address the few minor issues raised. Mrs Smith however stated that she would be reviewing these in the near future. Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 25 A range of records was examined and were well maintained and ordered and demonstrated satisfactory checks are carried out, these included: • • • • Fire equipment and systems Water temperatures and showers Hoists Bed rails Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 26 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 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 27 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 Refer to Standard OP8 Good Practice Recommendations It is recommended that the manager ensures that staff are aware of peoples moving and handling needs and that safe working practises in line with the assessment are used at all times It is recommended that the manager ensures that all people at the home are supported to complete oral hygiene was required. The manager must ensure that care plans detail all service user needs with clear strategies for staff to follow. Plans should detail the likes and dislikes of the individual. 2 3 OP8 OP7 Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Elliscombe House Nursing Home DS0000003253.V320039.R01.S.doc Version 5.2 Page 29 - 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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