Inspection on 09/01/07 for Fieldgate Nursing Home

This inspection was carried out on 9th January 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

Fieldgate Nursing Home 30/10/08

Fieldgate Nursing Home 14/11/05

Fieldgate Nursing Home 08/06/05

Fieldgate Nursing Home 07/02/05

Fieldgate Nursing Home 09/09/04

Fieldgate Nursing Home 10/07/03

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 Fieldgate Nursing Home 153 Portsmouth Road Horndean Hampshire PO8 9LG Lead Inspector Mrs A Peace Unannounced Inspection 9th January 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 Fieldgate Nursing Home DS0000011488.V323597.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. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fieldgate Nursing Home Address 153 Portsmouth Road Horndean Hampshire PO8 9LG 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) (023) 9259 3352 Extraservices Limited Mrs Muriel Joy Emery Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability (4), Physical disability of places over 65 years of age (39), Terminally ill (4), Terminally ill over 65 years of age (39) Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 50 years of age Date of last inspection 14th November 2005 Brief Description of the Service: Fieldgate nursing home is a registered care home providing nursing and personal care to 39 service users in the older person category. The home is situated in a residential area close to local amenities. The service users accommodation comprises of seven single rooms and sixteen shared rooms and there is a passenger lift that allows access to both floors. There are a variety of aids and assisted baths to meet the needs of the residents. The service also benefits from a large and well-maintained garden with access for wheelchair users. The fees range from £520 to £763. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this unannounced fieldwork inspection on 9th January 2007. This is the first inspection for the year 20062007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, records held on file and information received from the home since the last inspection were reviewed. The Manager Mrs Emery completed a pre inspection questionnaire and sent it back to the Commission in good time for the inspection. Twenty-four surveys were completed by residents and their relatives which gave their opinion about the home. The surveys were all generally positive about the home and the way it is managed. Some comments were made about meals, laundry and activities these were discussed with Mrs Emery during the inspection. During this inspection the Inspector toured the building, visited the majority of rooms, and joined the residents in the lounge areas. A case tracking exercise was undertaken for a number of residents. The tracking exercise looked at records and tracked the records to the care given for individual needs identified and any equipment supplied. The exercise indicated that a good standard of care is given at Fieldgate by a caring and well-trained team of staff. The Inspector then examined records of any accidents, concerns or complaints, to make sure that the residents at Fieldgate Nursing Home are being taken care of. Eleven residents and three visitors were spoken with and they were all very happy with the home. Residents who could not talk to the inspector were noted to be relaxed and content in their environment and in their interactions with the staff. The Inspector was able to speak to three visitors who were visiting the home and take into account their comments, i.e. “I am very happy with the care given to my mother and have no complaints”. “Staff are always welcoming and keep us well informed”. “My husband is always clean, well looked after and always looks comfortable”. All eleven residents asked said they were well looked after, “the staff were kind and supportive”, a number said ”the home has a nice friendly atmosphere”. Other comments included, “staff are very kind and always find time to talk to her”. “I could not be looked after any better”. “staff are always helpful and willing to do all that is needed”. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 6 Requirements made at the previous inspection have been complied with and no requirements were made following this inspection. Since the previous inspection the Commission had received no complaints for Social Care Inspection. What the service does well: What has improved since the last inspection? Some decoration has been carried out to hallways and bedrooms. A new bath and shower has been installed. Staff training is more organised to give a clear picture of when staff require updates and additional clinical training for all qualified staff has been purchased to provide continuity of care for residents. Two new standing hoists have been purchased to aid staff and residents. The basement food store has been re-furbished and re-decorated. A new maintenance facility has been provided. Fieldgate Nursing Home DS0000011488.V323597.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. Fieldgate Nursing Home DS0000011488.V323597.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 Fieldgate Nursing Home DS0000011488.V323597.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): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide have been recently updated to tell people about the home. The pre admission assessment enables the management to determine that the needs of person admitted to the home can be met. All residents have contracts. Intermediate care is not provided. EVIDENCE: The home’s Statement of Purpose and Service User Guide are displayed in the hallway of the home. The documents have recently been updated, however Mrs Emery was advised to record that the home does sometimes take nursing students. The documents clearly record services provided to assist prospective residents, relatives and placing social worker to make an informed decision as to whether the service will be able to meet their needs. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 10 Pre admission assessments seen at this visit demonstrated that prior to moving into the home a senior member of staff, usually the manager undertakes an assessment of the prospective resident to ensure that the service can meet their needs. Prospective residents and/or their relatives are given the opportunity to visit the home and meet staff. Where resident’s placements are contracted by other agencies, management assessments and care plans were available. All residents had full and up to date assessments and records. Twenty-four surveys were completed and returned to the Commission by residents or their relatives. All confirmed that they felt that they were provided with sufficient information about the service prior to their relatives moving in. Intermediate care is not provided. Fieldgate Nursing Home DS0000011488.V323597.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): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care needs of residents are documented in updated individual Care Plans which enable staff to monitor and maintain continuity of care. Systems are in place for the safe handling of medication. Resident’s privacy and dignity is respected and maintained by staff. The home has best practice guidelines for staff to follow when residents are dying. EVIDENCE: A key worker system is operated in the home to ensure staff are aware of residents needs and for continuity of care. A named member of staff is responsible for a group of residents. Daily care sheets are kept of the care provided and notes any changes in the resident’s health and well-being. Resident’s health care is monitored and appropriate action taken. The home is operated on two floors with designated staff allocated to each floor; this ensures that there is continuity of care for the residents. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 12 Six resident’s records were examined, individual assessments and care plans are well written and contain all the information necessary for staff to look after the residents. Individual risk assessments are in place and had been updated. Monthly updates are carried out on basic observations. The inspector tracked care records to care given and equipment provided and was able to speak to some of the residents and relatives, she could confirm that the staff care for the residents to a good standard. Staff who were spoken to were knowledgeable about the residents and their care and were noted to be attentive. Residents with an identified risk of pressure area damage had pressurerelieving equipment in place. Mrs Emery was reminded to ensure that airflow mattresses were checked regularly and set for the correct weight for the resident. Night care plans are compiled and these had been updated on a regular basis. All eleven residents asked said they were well looked after. “The staff were kind and supportive”. A number said, “The home has a nice friendly atmosphere”. Other comments included: “Staff are very kind and always find time to talk to me”. “I could not be looked after any better”. “Staff are always helpful and willing to do all that is needed”. Three visitors were spoken to and all were complimentary about the home and the staff. Some comments were: “I am very happy with the care given to my mother and have no complaints”. “Staff are always welcoming and keep us well informed”. “My husband is always clean, well looked after and always looks comfortable”. The home has recently undertaken a Quality Assurance survey which asked about the care given to residents all responses were positive about the care given. General practitioners, opticians, dentists and other professionals also visit the home when requested and records are kept of all such visits. Medication is stored safely and records are well kept in regard to the administering and disposing of them. Qualified nurses always administer medication. A number of these were checked and were in order. Staff were observed to treat the residents sensitively showing them respect. Privacy and dignity issues are covered in the induction training for new staff. Many of the rooms are shared, however during a tour around the home the inspector was impressed by the way in which the privacy and dignity of residents is respected by care staff carrying out personal care. Screens are provided in all shared rooms. The home has adopted the Liverpool Care Pathway for managing palliative care; this promotes best practice for care of the dying. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 13 Fieldgate Nursing Home DS0000011488.V323597.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 good. This judgement has been made using available evidence including a visit to this service. A programme of activities is provided. Residents are assisted to maintain contact with family, friends, and representatives and access the community. Residents are assisted to exercise choice over their daily lives. Residents are offered a well-balanced and varied diet EVIDENCE: The routines are flexible within care needs and relatives and friends feel welcome and know they can visit at anytime. Residents are encouraged to make decisions with help, although many are heavily dependent and do not have the mental capacity to make choices so have to rely on staff. Residents can bring personal possessions into the home to make their rooms homely and personalised. Most residents were in the lounges although some in their rooms through choice. There was a list of seasonal planned activities and 3 care staff are allocated as an addition to care staff 3 afternoons a week, there was a record of activities undertaken both communal and individual. Some of the surveys had been completed by relatives who perhaps are not aware of all of the activities Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 15 arranged in the home. The residents spoken to all said they were happy with what was on offer. There were photographs of various events carried out at the home. The home has a sensory room that contains soft lighting, slides and music. The local vicar visits on a monthly basis and service users receive communion as requested. A hairdresser attends the home. The main meal on the day of the visit was roast lamb, roast potatoes, mashed potatoes and mixed vegetables. There was an option available. The inspector sampled the meal and found it very tasty and well-balanced, residents in one of the lounges also said they had enjoyed it. Residents were seen to be eating well and staff sensitive to the needs of residents who needed help with feeding. They sat with them and helped in an unhurried manner. The mealtime was relaxed and residents were seen to enjoy their meal. One comment made in one survey about the catering service was discussed with the manager and the Inspector was made aware that the issue had been dealt with. Birthdays and celebratory occasions are made special for residents. Residents can have their meals in their rooms if they wish and a number were doing this on the day of the visit. Fieldgate Nursing Home DS0000011488.V323597.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): 16.17.18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled in accordance with the home’s procedure and relatives stated that their views are listened to and acted on. Residents confirmed their legal rights are protected. Staff are trained in the protection of vulnerable adults procedures. EVIDENCE: Complaints are recorded, all of those recorded were minor issues and able to be dealt with in house. The home has a clear complaint procedure which is on show in the home. All surveys indicated that residents and their relatives feel able to complain and know who to complain to. Residents confirmed that they are able to vote in local and national elections. Six new staff training files were seen and all evidenced training in the protection of vulnerable adults. The home has a copy of the local authorities Adult Protection procedures. Staff are aware of their responsibility to “Whistle Blow” should they suspect abuse of a resident. Staff spoken with during the course of the inspection demonstrated that they know what action they must take to report a suspected incident. They were also aware of the types and indicators of abuse. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 17 Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents live in a safe, homely and comfortable environment and there are sufficient facilities and equipment to meet their needs. The home is well maintained and furnished in a homely fashion. Maintenance and safety records are well kept and the home is clean and hygienic. EVIDENCE: The home is situated in a residential area of Horndean in Hampshire and there is a large car park to the front of the home with ample parking. Whilst touring the home the inspector was able to establish that the physical environment is well maintained and meets the needs of the current residents. The pre inspection questionnaire indicated that some bedrooms and hallways have recently been redecorated, and a new bath and shower fitted. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 19 Rooms have been personalised with resident’s belongings to make them more homely. The home is well lit; comfortable, homely, well furnished and smells fresh. Communal lounges are pleasant, furnished in a homely fashion with high back comfortable chairs available. Residents say they do like to go into the large garden in the better weather and staff are always available to assist. Safety checks on equipment and regular training for staff ensure residents are protected as far as possible. Standards of hygiene and cleanliness throughout the home were of a good standard. No odours were present. The QA survey indicated that generally people were happy with the environment. A new workshop has been created for the maintenance men and two new standing hoists purchased to aid in the care of residents. Following an Environmental Health Inspection the food store was refurbished and re decorated. This meets the recommendations made. Aids and equipment are provided although none of the residents presently accommodated can mobilise on their own and need staff to help them. All areas used by residents can be reached by the use of a passenger lift and the lift was in working order on the day of the inspection. Call bells are available in all areas used by the residents. These were noted to be working during the inspection. All bedroom doors have locks on them, however Mrs Emery said that none of the present residents have elected to lock their doors. Adjustable nursing beds are available and screening to protect privacy and dignity is available in all shared rooms. Pipe work and radiators are covered and windows are restricted to protect residents. Emergency lighting is provided and that and other fire safety equipment is being tested as required. Staff are trained in fire safety procedures. The fire training records of the night staff were seen. There is also a procedure notice for visitors if a fire should occur. The maintenance and servicing records were well kept and easy to inspect. The kitchen, laundry and sluice areas were clean and tidy and cleaning staff were seen to follow safe procedures. The inspector concluded that Fieldgate Nursing Home is a pleasant and safe place to live Fieldgate Nursing Home DS0000011488.V323597.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): 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. Staff are on duty in sufficient numbers to meet the needs of the current residents. The skill mix of staff was observed to be appropriate. There is a robust recruitment procedure in place which protects residents. Mandatory safety training is carried out and staff are encouraged to undertake other training appropriate to the need of residents and the service. EVIDENCE: Duty rotas showed that a good number and skill mix of staff is employed over a 24-hour period to meet the needs of the residents. Records of staff recruited since the last inspection were examined, all were in order and contained the information required by legislation to protect residents. Comments in surveys from residents suggested that residents are getting the support they needed from the staff. All residents who could offer an opinion were very complimentary about staff. Staff observed going about their work and they seemed happy and were caring and patient towards residents. Those spoken to said they enjoyed working at the home. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 21 Staff said they were well supported and that they were able to look after residents how they would wish. They confirmed they had training to be able to look after the residents, all knew the adult protection procedure and staff said they are encouraged to undertake other training. The home ensures the staff have specific training to meet needs of the residents accommodated and these training records were seen. The homes has 37.5 members of staff trained to NVQ 2, this does not meet the standard but the inspector is aware that other staff are undertaking the qualification and the home is working towards meeting the standard. Fieldgate Nursing Home DS0000011488.V323597.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): 31,32,33,34,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being managed well. The financial interests of residents are safeguarded. Resident/relatives views are sought. The health and safety of residents is promoted and protected. EVIDENCE: During the inspection it became apparent to the inspector that the residents and staff benefit from Mrs Emery’s management and leadership. It could also be seen that Mrs Emery has worked extremely hard to get the home running in line with legislative requirements and compile the records Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 23 required. Since the last inspection she has concentrated on ensuring staff have the required training to look after the residents and keep them safe. The home has a open, friendly and positive atmosphere. There is a comments/suggestion book in the foyer and visitors are encouraged to report in. From reading the book it could be seen that suggestions have been acted on where appropriate. Residents and visitors said Mrs Emery was always available if they wanted to see her and most people spoken to did comment on how nice the home was because the friendly atmosphere. Twenty-four residents /relatives surveys were sent back to the Commission the majority indicated that they were very happy with the home. The home had also carried out a survey in December this covered opinions about self care, hygiene, safety, privacy and dignity, nutrition, continence, pressure ulcers, record keeping and communication, the majority of the feedback was positive, where issues were identified these have been acted on. There is a quality assurance system in operation with internal audits being carried out on a regular basis. The results of the homes survey is available in the foyer. The home does not look after any monies for the residents. The insurance cover for the home is displayed in the foyer. A supervision and appraisal system is in operation and supervision records were seen in staff files. The record keeping system is good; it made the inspection easier because the files are well maintained and up to date. Policies and procedure for safety are followed and backed up by training for all staff, records were seen. Water temperatures are tested and 2 baths did need slight adjustment on the day of the inspection. The maintenance man said the plumbing system was old and it was planned to overhaul it in the summer. Mrs Emery confirmed this. There were Regulation 26 reports in the home but the recent one was not there. Mrs Emery spoke to the provider Mr Merali who then spoke to the inspector he apologised and then faxed the report through to the home. Window restrictors are provided and risk assessments carried out both individual and general. A fire risk assessment has been carried out. All staff receive induction and training, records were seen. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP25 Good Practice Recommendations Thermometers should be available in all bathrooms so that staff can test the water before bathing residents. Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 26 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 Fieldgate Nursing Home DS0000011488.V323597.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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