Inspection on 28/08/07 for Fabee Nursing Home

This inspection was carried out on 28th August 2007.

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

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

Other inspections for this house

Similar services:

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 HOMES FOR OLDER PEOPLE Fabee Nursing Home 35 Fearon Road Hastings East Sussex TN34 2DL Lead Inspector June Davies Key Unannounced Inspection 28th August 2007 9.15 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 Fabee Nursing Home DS0000069347.V345340.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. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fabee Nursing Home Address 35 Fearon Road Hastings East Sussex TN34 2DL 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) 01424 436485 Reshad Nahoor Mrs Rita C Cripps Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user under the age of 65 years on admission may be accommodated in the home. New Service Date of last inspection Brief Description of the Service: Fabee Nursing Home is situated in a quiet residential area of Hastings and offers nursing care to 17 older people. The home has a shaft lift to the first floor. Bathrooms are situated on both ground floor and first floor, and both bathrooms have bath hoists. There are 11 single bedrooms with washbasins, and 3 double bedrooms, two of which have en-suite facilities. To the rear of the property there is a large garden area, but this is not accessible to frail older people. Fees charged are at £482.00 per week for all residents in the home. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place on the 28/08/07 over a period of six hours; during the time the inspector spoke with six residents three members of staff, the manager and one visitor. A tour of the home was carried out which also included the exterior of the premises. The inspector also viewed all documentation relating to the standards inspected. What the service does well: What has improved since the last inspection? This home is newly registered with a new registered provider. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2 and 3 Quality in this outcome area is good. The homes statement of purpose and service user guide are good and provides prospective residents and residents with information they need to make a decisions about moving into the home. Pre-admission assessments are sufficiently detailed to ensure that the home can meet the needs of the prospective resident and there is good information on which to base a care plan. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new owner of the home has, recently reviewed the statement of purpose and service user guide, and these comply with the Care Standards Act. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 9 All residents have a contract and state of terms and conditions; these were seen to be signed by the resident’s relatives. Pre –admission assessments were available for all residents. The manager of the home had carried out her own pre-admission assessment and several residents have pre-admission assessments and plan of care from Bexhill and Rother NHS. All pre-admission assessments contained detailed information on which to assess the needs of the residents and on which to base a care plan. Two residents spoken to during the visit stated that all their care needs were met. The home does not offer intermediate care. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good. The care planning system in the home is good and provides the staff with good information to enable them to meet the needs of the residents. The health care needs of the residents are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure the resident’s needs are met. Personal care is offered in a way to protect the resident’s privacy and dignity and promote independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 11 The inspector found that care plans, were detailed and provided all the relevant information based on the pre-admission assessment to ensure knew how to meet the needs of the residents. Evidence was available in the care plans to show that risks had been properly assessed and gave good guidelines to staff as to how the risk could be kept to a minimum. Care plan reviews take place on a monthly basis, and any changes are properly recorded and dated. An overall annual review takes place, and residents and their relatives are informed of any changes relating to the level of care required. Good recording on the personal hygiene matrix that both nurses and care staff, ensure is kept up to date daily for all personal hygiene tasks that they have given assistance with or supervised. Particular attention is paid to all resident’s pressure areas, and this is recorded on each check in the care plan. The home has sufficient equipment available to ensure that any resident who is at risk of developing a pressure area is given suitable cushions or mattress to alleviate the situation. Where a resident is admitted into the home with a pressure area, the manager calls for advice from the tissue viability nurse. Any resident who needs assistance with continence aids is assessed and the appropriate aids are supplied. The manager described how many of the residents are admitted into the home with catheters in situ. The home aims if possible to remove these catheters as soon as possible and get the residents onto a toilet routine. The manager reported with a regular toileting regime this works and many of the residents remain continent. There is an opportunity for all residents to be involved in a regular exercises – armchair exercises, ball games (hands and feet). The manager also described how all residents are encouraged by the staff to do some exercise each day, even if it is moving out of their chair just a few steps before they sit down again. Nutritional screening is carried out regularly and recorded in the care plan; this also includes all residents being weighed monthly. From information in care plans it is clear that residents have access to health care professionals – dentists, opticians, chiropody, speech and language therapists, dieticians, tissue viability nurse and the consultant psychiatrist. Medication in the home is well managed with good policies and procedures for the receipts, administration, handling, storage and disposal of unused medication. Only RGN’s are permitted to administer medication. Controlled drugs are well managed. Unused medication is dealt with appropriately and the home has a contractor who collects any medication that is not required. The medication refrigerator needs to be replaced. The inspector did note that liquid medication is not dated on the day of opening. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 12 During the course of this visit the inspector witnessed that staff respected the privacy and dignity of the residents. Talking to the residents quietly and at their level, ensuring that bedroom, toilet and bathroom doors where closed when in use and knocking on resident’s doors before entering. Residents are able to see their G.P., and other visitors in the privacy of their own bedroom if they wish. The inspector observed during the visit that a GP visited one of his patients in their bedroom. Another resident was able to entertain her husband in the privacy of her own bedroom. One resident has their own telephone in their bedroom and this facility is open to other residents if they wish. All residents were individually dressed. The residents preferred term of address is entered onto their care plans. Four residents said that they are very well looked after in the home, and praised both the nursing staff and health care assistants. Fabee Nursing Home DS0000069347.V345340.R01.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): Standards 12, 13, 14, and 15. Quality in this outcome area is good. Residents are offered a range of activities to participate in if they wish, and also have access through arranged outing into the community. Visitors are welcomed into the home at any time, and are able to be entertained in the resident’s own bedroom. The meals in the home are good offering both choice and variety and catering for special diets. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the residents in the home have a choice of when they get up or go to bed. On the morning of the inspection the inspector noted that some residents were going for breakfast at 9.30 a.m. in the morning. The residents have a wide range of activities on offer – card games, scrabble, draughts, ball games (feet and hands), manicures, other board games, Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 14 armchair exercises, reading letters; magazines; newspapers, entertainment from musician, outings, fund raising events. Each care plan has an activities matrix and all activities that a resident’s takes part in are entered onto the matrix. One resident said, “What a lovely outing we had last Saturday to Sovereign Harbour in Eastbourne. We watched the boats in the Marina, and sat and eat ice creams. We had a wonderful time.” The inspector witnessed activities taking place in the morning, where a large snakes and ladders sheet was placed on the floor and with the help of a staff member the residents played snakes and ladders, which they enjoyed very much. Three residents attend the St Raphael Day Centre, on Wednesdays. The home has an open visiting policy. Relatives and friends can visit at any time. On the day of the inspection, a husband was visiting his wife in the home. He said, “I am very happy with the care my wife gets here.” The local Church of England visits the home monthly to give communion, and residents are able to go to church on Sunday if they wish. Some residents have other denominations and arrangements are made for lay preachers or ministers to visit from those denominations. None of the residents are able to manage their own financial affairs. This is usually done by relatives and in one case a solicitor. Up until recently one of the residents had an advocate, but this has now finished due to the illness of the advocate. The manager is still looking for an advocacy service. All records in the home are kept in accordance with the Date Protection Act 1998. The menus indicate that residents are given a varied, wholesome and nutritious diet. The cook explained that because many of the residents need encouragement to eat, meals are prepared individually for those resident who do not wish to eat what is on the menu. Some residents can only manage finger food and this is given to them, and the cook ensures that they are offered something different each day. Some residents in addition have food supplements and these are given at mealtimes. Residents also have a choice of breakfast menu, varying from just cereals, toast and marmalade to a cooked breakfast if they wish. Tea menu is varied offering sandwiches, soup or a light cooked meal. None of the residents at the present time require specialised diets or peg feeding. Some residents do require soft food, and this is catered for and served attractively. Residents are able to take their time over their meals and are unhurried. Where it is needed staff give the residents encouragement to eat, sitting with them, talking to them and Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 15 explaining what food they have in front of them. The residents are offered a variety of hot and cold drinks between mealtimes. Two residents said, “ The food here is very good, we can have what we like, we have put on weight since we came to live here”. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 17 and 18. Quality in this outcome area is good. Residents know their complaints will be listened to and acted upon. Arrangements for protecting residents from abuse are good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no complaints in home. The complaints procedure is on display in the main entrance hall. The complaints policy and procedure has been reviewed and gives a clear timescale for investigating a complaint and when the complainant can receive a recorded outcome. One resident said, “I do not need to complain, everything here is very good, but I would know how to complain if I needed to.” There have been no complaints in home. The complaints procedure is on display in the main entrance hall. The complaints policy and procedure has been reviewed and gives a clear timescale for investigating a complaint and when the complainant can receive a recorded outcome. One resident said, “I do not need to complain, everything here is very good, but I would know how to complain if I needed to.” Fabee Nursing Home DS0000069347.V345340.R01.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): Standards 19, 20, 24, 25 and 26 Quality in this outcome area is adequate. Improvements to the environment will improve the residents’ quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The location and layout of the home is suitable for its stated purpose, the inspector did note that there is a lack of storage space especially for clean towels, bed linen. The manager said that the registered provider has plans for decorating the home but at the present time there is no written programme of maintenance and renewal. The inspector did note that communal rooms, bathrooms and bedrooms were in need of redecoration. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 18 The home has one lounge and one dining room. The inspector noted that the dining room did not have sufficient table or seating for all of the residents. The manager said that new furniture has been ordered for the dining room. Lighting is domestic in character. Radiators are covered The lounge was clean but in need of redecoration. Lighting is domestic in character. Radiators are covered. There is a concreted area at the back of the house where the residents can sit, but the lawned areas can only be accessed via steep steps, and would be a great risk to the frail residents. The back garden is secure. With the exception of two bedrooms all beds are adjustable. All bedrooms have curtains, over bed lighting and a main light in the room. All bedrooms were appropriately furnished. All bedrooms were carpeted. Residents are able to choose if they require locks fitted to their bedroom doors and there is signed forms in all care plans to state their wishes. All double bedrooms have curtain screens around the bed, and where en- suite facilities are not available a curtain is provided around the washbasin. All hot water outlets through the home have thermostatic control valves fitted. All rooms have a good degree of natural light. All rooms both communal and private are centrally heated and all radiators are covered. Emergency lighting is provided throughout the building and this is checked on a regular basis and any faults reported for maintenance immediately. On the day of the visit the home was clean and tidy, and free from any offensive odours. The laundry is sited in the basement of the home away from any food handling facilities. The laundry floor is impermeable to water, but the inspector did note that the floor was wet and this was due to a water leak from one of the machines. The home does have policies and procedures in place for the control of infection. As will be reported later under staff training none of the staff have received infection control training. The laundry room has one sluicing machine, two industrial washing machines and two tumble driers. Clinical waste sacks are available in the two sluice rooms in the home. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 19 All toilets have liquid soap and paper hand towels. plastic aprons and disposable gloves. Staff are supplied with Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is good. There is sufficient qualified and unqualified staff on duty in the home at all times to meet the assessed needs of the residents. Recruitment policies are good and ensure that residents receive care from appropriately vetted staff. Both mandatory and job related training in the home needs to improve to ensure that staff at all times have the skills and knowledge to meet the assessed needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs 8 full time qualified nursing staff, 13 part-time nursing staff and 11 health care assistants. The inspector looked at the staffing rotas and found that with the present 13 residents there were sufficient hours to meet the needs of the residents. Two staff on duty said that at the present time they had time to spend with residents, but when the home is full, due to the high level of dependency they often found their shift very busy and did not find time to spend social time with the residents. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 21 At least 50 of health care assistants have obtained their NVQ qualification to level 2 or above. A further two health care assistants are waiting to sign up for an NVQ qualification. The inspector looked at three staff personnel files, and one of these included the personnel file of the newest member of staff. All documentation including application form, POVA check, CRB check, 2 written references, 2 forms of identification photograph, terms and conditions of employment and training certificates. The manager and staff confirmed that they have completed some of their mandatory training, none of the staff have received infection control training and only ten out of thirty-five staff have received fire safety training. Some staff have received job related training, mainly from present and previous employment. The provider does not pay staff for attending work related training, and if staff do want to attend a course they have to pay for it themselves. Some RGN’s have received the following training – Management of Continence, Skin Care, Palliative Care/Terminal Care, but this is mainly through other employment. When specialised nursing training is available it is mainly the manager who attends these courses, and she is expected to cascade training to the RGN’s. Two staff said they would be willing to do further training provided they could be paid for doing it and the registered provider paid for these courses. All staff have received induction training and the two newest members of staff have started on Skills for Care Induction. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 23 Standards 31, 33, 34, 36 and 38 Quality in this outcome area is good. The manager is supported well by the staff team in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Quality assurance systems need to improve to ensure that residents receive the best quality of care. Any valuables or monies held on behalf of the residents are well recorded and kept safely within the home. Staff receive formal supervision on a regular basis, and this enables them to highlight areas that are in need of improvement. Health and safety in the home is generally good so that residents and staff know they live and work in a safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has worked in this home as manager for a number of years. She is a qualified RGN and District Nurse and has her RMA. When possible she regularly updates her knowledge and training. At the present time the registered manager is part of the duty rota, and only has 12 management hours per week. She feels that she is always playing catch up with outstanding administration work, despite this the home is very well run, and credit must be given to the manager for achieving this. Staff spoke highly of the manager, saying that she was fair, open and supportive, they did say that without the manager working hands on with them, the job would be much harder. The inspector observed that the manager’s interaction with the staff was sensitive, friendly and professional. Quality assurance system is still being developed. Residents questionnaires have been sent out and replies received. The manager acknowledges that relatives completed most of the residents’ questionnaires. At the present time there are no relative or stakeholder questionnaires sent out. There is a recorded Health and Safety and Fire Risk Assessment carried out and this was done in May of this year. The manager does monitor the medication on a regular basis as she often administers the medication to the residents herself, and notices if any mistakes are made. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 24 Monitoring of cleaning, care plans, meals and kitchen rotas are done but not recorded. The manager pointed out that if she had more management hours then quality assurance systems would be more structured. Most of the resident’s relatives deal with personal finances; they do leave monies with the manager to pay for chiropody and hairdressing. Each residents has their own personal allowance account book, all monies handed in to the office or monies spent on behalf of the residents is recorded in the individual accounts book. Receipts are kept of all monies spent. Monies are kept separately in a plastic wallet for each resident and locked safely away in the home. Where a solicitor deals with personal allowances, the manager pays the bill and the solicitor is invoiced at the end of each month. All staff receive six formal supervisions per year. One of the RGN’s who works nights does the supervision for night staff. The manager was able to show the inspector completed supervision forms for the staff. All equipment maintenance certificates were seen to be in date. The policies and procedures for Health and Safety have been reviewed in 2007. Risk assessments have been completed for the whole of the building. The inspector did note that while touring the building some of the bedroom doors had magnetic release systems in place, but in the case of one bedroom this did not have a magnetic fire release and the door was wedged open. The inspector viewed the HSE accident book and found that all accidents had been recorded appropriately. All staff receive initial health and safety induction as part of the introduction to working in the home, this is also covered in Skills for Care induction. Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 25 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 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 2 2 X X X 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 26 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 OP9 Regulation 13(2) 1. Requirement The registered provider must replace the medication refrigerator to ensure that all medicines requiring refrigeration are kept at the appropriate temperature. 2. The registered manager must ensure liquid medications must be dated on the day of opening The registered provider must ensure all parts of the care home are kept reasonably decorated; this also includes communal toilets and bathrooms. The registered provider must ensure that the leak in the laundry room is repaired. 1. The registered provider must ensure that staff receive three paid days training per year. The registered provider must ensure that staff Timescale for action 01/10/07 2. OP19 23(2)(d) 17/12/07 3. OP26 23(2)(c) 01/10/07 4. OP30 18(1)(c) 19/11/07 12(1)(a) (b) Fabee Nursing Home 2. DS0000069347.V345340.R01.S.doc Version 5.2 Page 27 13(4)(c) 18(1)(a) (b) 5. OP33 24(1)(a) (b)(2)(3) 6. OP38 12(1)(a) 13(4)(a) (c) receive all mandatory training and job related training to meet the assessed needs of the residents. The registered provider must ensure that a good quality assurance system is in place so that residents receive the best quality of care. The registered provider must ensure that bedroom doors are not wedged open but fitted with an appropriate release system that will activate when the fire alarm sounds. 17/12/07 17/12/07 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 Fabee Nursing Home DS0000069347.V345340.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Fabee Nursing Home DS0000069347.V345340.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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