Inspection on 11/12/06 for Fontenay Nursing Home

This inspection was carried out on 11th December 2006.

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

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

Other inspections for this house

Fontenay Nursing Home 01/11/05

Fontenay Nursing Home 20/04/05

Fontenay Nursing Home 30/03/05

Fontenay Nursing Home 13/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Fontenay Nursing Home 39 Watts Avenue Rochester Kent ME1 1RX Lead Inspector Marion Weller Key unannounced Inspection 11 December 2006 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 Fontenay Nursing Home DS0000026167.V318704.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. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fontenay Nursing Home Address 39 Watts Avenue Rochester Kent ME1 1RX 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) 01634 843753 01634 830173 Mr Thomas Michael Kelly Mrs Florence Mary Hussin Care Home 28 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (27) of places Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate one person with dementia whose date of birth is 19.09.1919. 1st November 2005 Date of last inspection Brief Description of the Service: Fontenay Nursing Home is a detached Victorian property situated in a residential area less than a mile from Rochester town centre. The home is located on a main bus route and within walking distance of shops and a Post Office. Fontenay is a 27-bedded unit providing nursing care to older people. There is a mixture of single and shared rooms and residents’ bedroom accommodation is arranged over the first two floors. A further third floor accommodates the home’s communal areas. There is a passenger lift to all floors. The home has attractive front and side gardens with seating for residents use. There are no dedicated visitors parking spaces available on the premises. The home employs registered nurses and care staff working a roster, which provides 24-hour cover. Ancillary staff for catering, maintenance and domestic duties are also employed. Current fees range from £496 to £700 according to assessed personal need. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was conducted by Marion Weller, Regulatory Inspector between 10:00 am and 2:00 pm. During that time the inspector spoke with some residents, the manager and some of the staff on duty. Some judgements about the quality of life within the home were taken from observations and conversation. Some records and documents were looked at. In addition a tour of the building was undertaken. Twenty-six comment cards regarding the service provided at the nursing home were received prior to the inspection. Responses from residents, relatives and health professionals indicated they were very satisfied with the standard of care the home provided. Statements on comment cards included: “Absolutely no complaints. I am very happy here” “It’s marvellous here and the staff are very nice. I’m now on top of the world!” “Every one has welcomed me into the home and they look after me so well. I have improved since coming here” “Staff at this nursing home are always professional and respectful of residents and visitors.” “I am extremely pleased with my relatives care and would defiantly recommend this nursing home to anybody” The manager and staff gave their full co-operation throughout the inspectors visit. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: A good practice recommendation was previously made to quantify mini mental test scores used and whilst this has been completed the significance of the scores on this and some other completed assessments is still not made sufficiently clear to the reader. A good practice recommendation is made to amend the current wording of the home’s complaints procedure so that it is made clear that the Commission can be involved at any stage of a complaint raised with the home. Please contact the provider for advice of actions taken in response to this Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 7 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. Fontenay Nursing Home DS0000026167.V318704.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 Fontenay Nursing Home DS0000026167.V318704.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): 1.2.3.4.6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service have all the information they need to make an informed decision about whether the service is right for them. The personalised pre admission needs assessment means that people’s diverse needs are identified and planned before they move to the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide are maintained as separate documents. Both documents are reviewed annually and regularly revised to ensure information is current and kept up to date. These information documents were seen to be comprehensive, informative and their content met all the requirements of regulation. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 10 The home has a clear process for undertaking pre admission assessments. The manager visits the prospective resident to make a decision about whether the home can meet the person’s needs. Information is also obtained from other parties, including relevant health care professionals. A Good practice recommendation was made on the last inspection to quantify mini mental test scores used and whilst this has been completed the meaning of the scores on this and some other completed assessments in care plans is still not made sufficiently clear. On admission the individuals initial plan of care is completed by the manager to ensure consistency and clarity of the information gained during assessment. Pre admission assessments form the basis for all residents care plans in the home. Additional assessments are made when the person is admitted to ensure their needs will be fully met. Residents or their representatives are able to visit the home before moving in and some survey respondents said staff had been very helpful in assisting relatives to settle in. Each residents or their representative was provided with a contract between the home and themselves. The contracts are comprehensive with fees to be charged in evidence. The home’s contracts clearly state the responsibilities of the home and the rights of the resident. Intermediate care is not offered at Fontenay. Fontenay Nursing Home DS0000026167.V318704.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. Residents’ health and social care needs are clearly set out in care plans ensuring that these needs will be met. Residents are protected by the home’s policies and procedures regarding medication and they can be confident that their privacy and dignity will be considered important. All residents’ benefit from being consulted regarding their wishes concerning end of life care and arrangements after death. EVIDENCE: Each resident has a care plan. Three were inspected in detail and were found to be comprehensive, detailed and contained consistent information based on Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 12 sound assessment. The format the home uses includes residents’ social care needs and their choices and preferences in daily life. Care plans were seen to have been regularly reviewed and changes made where necessary to the main plan. Daily records were being maintained appropriately and reflected care plan demands. Care plans also included residents’ wishes for end of life care and arrangements to be made after death. Risk assessments were in place for a variety of aspects of care. Attention was paid to the prevention of falls and the moving and handling needs of residents. Discussions with the manager clearly indicated that residents’ health needs are monitored and responded to. Some individual’s health care needs are quite complex. Records indicated that other health care professionals offer support or advice when needed. Residents are weighed regularly and this is recorded as part of their ongoing assessment and review procedure. A waterlow score based assessment is undertaken to identify any risk associated with maintaing a resident’s skin integrity. A monitored dosage system for dispensing medication is used. There was a very well organised clinical area seen. Trained nurses administer medication in the home. The controlled drugs register was inspected and drug balances were checked for two residents. Both were correct and entries had been accurately completed. Temperatures were regularly taken of medication storage areas, including cold storage and records were maintained. The home has two designated lockable medication fridges. Some medication administration sheets were inspected. No recent gaps in recording administration to residents were found. The home had a current medication policy and nurses have access to additional guidance documents. Residents prescribed medication is reviewed by their GP quarterly and the home regularly reviews its own list of homely remedies. All staff that administers medication had recently completed a 13-week Asset medication-training course. The home has a contract for the disposal of all waste medicine. Medication in the home was handled competently and professionally. A commendable outcome to the medication standard was therefore evidenced. Care plans contained information about how a resident might prefer to be addressed. Staff were observed to be respectful when speaking to residents and good interaction was seen between staff and residents. Personal care is given in a way that clients are known to prefer. Screening is provided in shared bedrooms to promote individual privacy and dignity. Staff said that they try to ensure individuals are given a choice in relation to sharing a bedroom and are both compatible. Survey respondents spoke of the home’s careful management of this situation. It was clear from care plans that the situation is monitored and people’s ongoing agreement to sharing a bedroom is sought. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 13 Residents spoken with very happy with their care and were content. Some spoke of themselves or their families being involved in care planning and the assessments undertaken by the home to keep them safe. Fontenay Nursing Home DS0000026167.V318704.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. Social activities and opportunities for mental stimulation are well managed and as much as possible provide daily variation and interest for residents. Residents are enabled to maintain contact with friends and family who are made welcome in the home. Wherever possible residents are given opportunities to make choices, therefore allowing for an important level of control over their lives. The meals in this home offer both choice and variety and cater for residents’ particular and special needs. EVIDENCE: Information about residents past work, interests and hobbies are noted on care plans. Daily living routines and preferences are also recorded if they are Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 15 known. Routines in the home are flexible and varied to suit residents’ preferences where practicable. The home operates a key worker system, which enabled closer resident/staff relationships where likes, dislikes and needs were shared. Activities and opportunities for stimulation within the home are considered an important part of residents’ lives. To this end they offer an activities programme and employ a dedicated activities organiser for 16 hours per week. There was also a plentiful supply of leisure/recreational facilities available to residents such as videos, books, electric organ, jigsaws, board games, music cassettes, radios etc. Some residents chose not join in with formal activities, preferring to keep to their rooms and this was respected by the home. The activities programme however provided meaningful and stimulating opportunities for those wishing to take part. Family and friends felt welcome and knew they could visit the home at any reasonable time. Staff said they always try to make time to talk with visitors and share patient information where it is appropriate. The food provided on the day of the site visit looked and smelt good. The home’s cooks are experienced in cooking for older people and considered to be important members of the care team. Residents were aware of their right to make menu choices and how to organise that with staff. The home’s food menus are changed seasonally twice a year. Residents spoken with complimented the food provided by the home. One resident said, “The food is good, always a choice on offer and we always get what we want.” Special diets are catered for and great effort is put into making sure that residents with particular cultural dietary needs have those met in full. Fontenay Nursing Home DS0000026167.V318704.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 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from potential abuse and have access to a clear complaints procedure which they understand and know how to use. They further benefit from having their views and concerns listened to and acted upon without delay. EVIDENCE: The home had no complaints recorded since the last inspection a year ago. The manager said as a team they are very effective in resolving any dissatisfaction at an early stage and any concern, however minor, is dealt with quickly and to the complainant’s satisfaction wherever possible. Residents spoken with were aware of how to complain and who to. All said they felt safe and secure in the home. The complaints procedure is included in the home’s information documents and provides appropriate timescales for resolution. The published procedure includes The Commissions contact details. A good practice recommendation was made to amend the current wording so that it is clear that The Commission can be involved at any stage of a complaint. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 17 Staff spoken with were aware how important it is to listen and pass concerns on at an early stage and make residents feel safe and secure. Staff training records for attendance at adult protection courses were in evidence. The home’s induction procedure for new staff provides a comprehensive overview of adult protection issues and information on whistle blowing. There are procedures in place for responding to suspicion or evidence of abuse and neglect to ensure the safety of residents. The manager evidenced a sound knowledge of adult protection procedures. Staff spoken with were aware of the home’s procedures and who to take issues to in the first instance. The Manager expects staff to report any concerns immediately. The home has a copy of Kent & Medway’s revised Adult Protection Policy document and bases its own safeguarding adults policy on this. Fontenay Nursing Home DS0000026167.V318704.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 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’ benefit from living in a safe, well maintained, and clean environment in which good standards of décor and furnishings are maintained. EVIDENCE: The home’s layout and location is suitable for its stated purpose. It has received visits from the fire officer and the environmental health dept and has met all requirements. The home has an arrangement of communal lounges spread across the third floor of the building, which is accessible by a passenger lift. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 19 The communal area is divided into three sections one of which is a quiet area; another for viewing the television and the third is used for activities. The home also incorporates a small dining area into this space. Most residents however chose to eat in their rooms. The manager stated that some areas of the home have been redecorated since the last inspection and an ongoing programme of redecoration and refurbishment is in place. Residents spoken to commented on the homely and welcoming feeling of the home. Residents have a choice as to whether they like their bedroom doors open or closed. Most stated that they prefer doors left open and although it adds to the noise and hustle and bustle they enjoyed feeling part of a busy lively home. Two bedrooms have ensuite toilet facilities. Rooms where these were not included, a suitable bathroom/toilet was located nearby. The home has sufficient toilet and bathroom facilities for the number of service users it accommodates. Bedrooms viewed had all been highly personalised by the occupant with personal effects that reflected their individual tastes and interests. The rooms were all clean and well decorated. Bedrooms had sufficient space to accommodate the furniture to meet minimum standards. The home evidenced good standards of cleanliness. Domestic staff have cleaning schedules, which indicate the rooms to deep clean daily. No odours were detected anywhere in the house. The home has a separate laundry room, which met all infection control requirements and a red bag system is in operation to further protect residents and staff from unnecessary harm. The home’s kitchens were not viewed on this inspection. The home has two sluice rooms and a large basement, which provided additional storage space and a staff room. Hand washing facilities are prominently sited and the provision of protective clothing was clearly seen to be provided. The home has a 6 monthly contract for servicing hoists and parker baths. The handy person employed by the home checks and services residents wheel chairs regularly. All of the home’s radiators in resident areas are covered, and windows have window limiters fitted to protect residents. Call systems for summoning staff assistance were seen in all residents’ bedrooms and communal areas. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 20 Fontenay Nursing Home DS0000026167.V318704.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 being cared for by a dedicated staff team who are well supported and supervised. The home continues to effectively train its staff to ensure residents’ needs are met at all times. Residents are protected from any potential abuse by the home’s robust recruitment procedures. EVIDENCE: Residents and their relatives spoke highly of the staff, saying they were friendly, skilled and always professional in their approach to work. Statements on comment cards included: “ A lovely home with happy staff who can’t do enough for you” “The matrons are brilliant, so caring and professional” Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 22 “ I feel so safe here, the staff are the best” Appropriate levels of staff are available to residents. The manager stated that she has total autonomy to deploy additional staff as required during high levels of activity to secure residents welfare. There are currently no staff vacancies. Vacant duties on staffing rosters are covered with substantive staff taking on additional hours. No agency staff are used by the home. The manager and the home’s nursing sisters all work weekdays and weekends on a roster and therefore have an excellent understanding of the home’s activity levels and demands. There is an excellent atmosphere in the home. Staff spoken to say they would be reluctant to work elsewhere. Staff receive an increased hourly rate when they have acquired a relevant NVQ qualification. The home also arranges for domestic staff to complete NVQ qualifications. 89 of staff, excluding trained nurses, are qualified. A commendably high proportion. Most of the remainder are either completing NVQ competency frameworks or waiting to commence. The home has well-maintained training records, which provide a clear overview of staff training completed, staff training planned and when training updates are due. The home has a comprehensive induction programme for new staff. Copies of training completion certificates were seen in staff files. Staff files met fully with regulation. CRB & POVA checks were clearly in evidence on all staff files. The home follows a robust recruitment process, which protects residents from any potential for harm. The manager stated that since the last inspection staff members are now asked to sign the home’s policies and procedures to confirm they have both seen and understood the content. Copies of the home’s key policies are given to them to keep for future reference and guidance. Fontenay Nursing Home DS0000026167.V318704.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 34 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’ benefit from an experienced manager who is able to discharge her responsibilities fully and a staff team that receive regular formal supervision and identification of their training needs. Residents’ financial interests are protected and their welfare promoted through regular maintenance and equipment safety checks. Policies and procedures are in place, which support the best interests of residents. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 24 EVIDENCE: Throughout the inspection the manager was able to evidence that she had the ability to discharge her responsibilities with total autonomy to the benefit of the resident group. She was clearly well supported by the home’s owner and registered provider. She was open and transparently honest during the inspection process and was seen to communicate a clear sense of leadership and direction to her staff. Staff indicated that they felt part of an effective and efficient team and this was due to the way the home was managed. The manager is commendably able to lead by example and many of the home’s good practices come from her sound leadership skills. Residents spoken with on the day and relatives survey responses said they felt the manager to be very approachable, understanding and professional. The manager is a trained nurse with many years experience caring for and nursing an older client group. She has managed Fontenay Nursing Home for 19 years, her personal investment and commitment has made it a commendably good quality service that admirably reflects the home’s stated purpose, aims and objectives. The home’s record keeping is effective and efficient with reviews of policies, procedures, information documents and systems of work being undertaken annually to ensure they always reflect current legislation and up to date good practice guidelines. Records were seen to be kept in a manner that preserved confidentiality and safeguarded residents’ rights and best interests. The home encourages residents’ families and representatives to manage their finances. Neither residents nor their families expressed any concerns about the home’s management of monies or valuables. Commendably the home makes no additional charges for costs that would normally be considered additional to the stated fee. For example hairdressing, chiropody and toiletries. Staff records complied with regulations. The manager ensures formal staff supervision and appraisal is carried out at least six times a year and also carries out informal supervision of staff while they are working. She remains satisfied with the high standard of work they evidence. Records evidenced that staff had regular fire training and participated in fire drills at the required frequency. Fire exits were kept clear of obstructions and fire fighting equipment was regularly serviced and maintained. Staff were seen to be diligent in ensuring COSHH requirements were adhered to. Fontenay Nursing Home DS0000026167.V318704.R01.S.doc Version 5.2 Page 25 The manager evidenced on pre inspection data and on the day of the site visit that all records of maintenance and safety checks were up to date. Fontenay Nursing Home DS0000026167.V318704.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 X X 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 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 3 3 Fontenay Nursing Home DS0000026167.V318704.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 Home’s 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 OP3 Good Practice Recommendations A good practice recommendation was made at the last inspection to quantify mini mental test scores used in pre admission assessments. Whilst the assessments are generally clearer the significance of the scores on this and some other completed assessments should be made sufficiently clear to the reader. It is recommended that a recording system be set up and maintained to identify the home’s designated person/ nurse responsible for holding and safely keeping the medication keys on each shift. A good practice recommendation is made to amend the current wording of the home’s complaints procedure so that it is clear that the Commission can be involved at any stage of a concern/complaint raised with the home. 2 OP9 3 OP16 Fontenay Nursing Home DS0000026167.V318704.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 Fontenay Nursing Home DS0000026167.V318704.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!