Inspection on 04/07/07 for Forde Park Nursing Home

This inspection was carried out on 4th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Forde Park Nursing Home 23/10/08

Forde Park Nursing Home 05/07/06

Forde Park Nursing Home 15/12/05

Forde Park Nursing Home 02/11/04

Forde Park Nursing Home 11/05/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Forde Park Nursing Home 6-7 Forde Park Newton Abbot Devon TQ12 1DE Lead Inspector Doug Endean Key Unannounced Inspection 4th July 2007 10:45 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 Forde Park Nursing Home DS0000028670.V340254.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. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Forde Park Nursing Home Address 6-7 Forde Park Newton Abbot Devon TQ12 1DE 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) 01626 354037 01626 356847 www.fordepark.co.uk. Mr Paul Wood Crawford Brenda Lowe Care Home 47 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (3), Mental disorder, excluding learning of places disability or dementia (3), Old age, not falling within any other category (3), Physical disability (47), Physical disability over 65 years of age (47) Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Nursing includes young adults and older persons Date of last inspection 5th July 2006 Brief Description of the Service: Forde Park Nursing Home is accommodated in what was two large semi detached Victorian houses situated near the centre of the market town of Newton Abbot in Devon. The town is on the level to the home and can be reached by those in wheel chairs. The main line railway station is approximately a five-minute walk from the home, local buses pass close by, and shops, post office and churches are within easy reach. The home provides nursing care on a long or shorter-term basis to the elderly and young physically disabled individuals in mostly single rooms some of which have en-suite facilities. It is registered for 47 people but presently is configured for just 42 as multi-occupancy rooms have been reduced to large double rooms. The home has been adapted to meet the needs of the residents and includes specialist bathing facilities and a shaft lift. The staff team consists of a Registered Manager who is a trained nurse with many years’ experience, Registered Nurses, Health Care Assistants and administration staff. The home is accredited to provide adaptation nurse training for nurses from overseas so that they may achieve Nurses & Midwifery Council registration and also have placements for student nurses during their training. Housekeeping, catering, maintenance and office staff also supports the nursing team. The home achieved the “Investors in People Award” in 1994 and has continued to achieve the standard at each three yearly assessment to maintain this award since that time including 2004 and are working towards the next assessment later this year. The homes fees commence at £525 for a shared room and £540 for a single room. Fees are based upon the level of need for care and equipment as identified in the assessment process. The home has its own email address: info@fordepark.co.uk and its own website: www.fordepark.co.uk. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection took place on the 4th July 2007 beginning at 10:45. During the course of the inspection we talked to the Registered Manager, toured the home, had a conversation with several residents and three visiting relatives. We looked at the files of three of the people using the service, comparing what they had told us with what was written in the files. We also spoke to three staff members whose staff files were also then read. The inspection lasted 5 hours and 35 minutes. Prior to the inspection the Commission received a total of 14 completed relative/advocate surveys and one completed residents survey. What the service does well: What has improved since the last inspection? What they could do better: The inspector has only one comment that relates to the design of the building. The rear portion of the home has some bedrooms that, because of access, are Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 6 only available to a limited number of people. The Provider has recognised this and does have substantial plans to rectify the situation. 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. Forde Park Nursing Home DS0000028670.V340254.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 Forde Park Nursing Home DS0000028670.V340254.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): The homes performance was assessed against Standards 1 & 3. Standard 6 does not apply. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides an excellent level of information, in several formats, for the prospective resident and those people already living at the home and their advocates. The homes pre-admission assessment process produces good quality information for them to make a judgement about the suitability of a referral for admission. EVIDENCE: The Provider has available information for prospective patients to the nursing home, and those who already live in the home. This informs them of the service’s that can be expected of the home. This information is firstly available Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 9 in the front lobby where there is seating provided to read it. It comprises of the homes Statement of Purpose and Residents Guide. These documents are very informative and cover all the areas required of it. There is also a copy of the homes contract that sets out the terms and conditions of residence. The home will supply copies of these documents to anyone on request. In addition to this the home has its own website and email address so that any individual can use their computer to read about the home and make contact to ask questions or update their communication with the home. The website is shared with the sister residential home a few doors away. Finally there is the compliments, complaints and suggestions information. The Statement of purpose also holds information obtained from the last quality assurance questionnaire that was carried out in February 2007. The information is presented in a number of ways, i.e. written comments taken from the questionnaires and also pie charts. The inspector read the files of three people receiving nursing care as part of the case tracking exercise. The pre-admission assessment information was very comprehensive and was supported by additional information from the referring agents such as the National Health Services and Social Services Care Management. The Registered Manager said that this information is used to hand over details of all new service user to the staff when they are admitted to the home. The information includes manual handling, tissue viability, any specialist needs, and also the need for equipment. The assessment also covers the new resident’s sleep pattern. Forde Park Nursing Home DS0000028670.V340254.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): The homes performance was assessed against Standards 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an excellent care planning and review system in place. The monthly dependency level assessment does provide a valuable check on how the resident is responding to the care provided. The home has suitable measures in place to access other health care professionals for the benefit of the residents. The staff treat the residents with dignity and respect. EVIDENCE: The inspector read three sets of case records as part of the case tracking process. Each one had a well constructed care plan that covered all the areas of need and were supported by information that the residents needs had been met as directed by the care plans. The files had photographs of the residents Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 11 and the care plans were drawn up from the initial comprehensive information gathered by the home prior to admission, then added to at the regular reviews that were recorded. Risk assessments for such things as continence, pain, mood and behaviour complimented the usual risk assessments to provide a full picture of how the resident was. The information was used at the monthly review when the dependency profile was updated looking at a total of 24 areas of need. Where the review showed a change, or a residents health deteriorated, there was evidence that showed that the General Practitioner had been asked to examine the resident and their wishes for treatment were recorded. The home does not discriminate against anyone on the grounds of their presenting disability and makes every effort to meet their needs. Neither do they discriminate on the grounds of race, culture or religion. They will help individuals to fulfil their religious or cultural needs and desires wherever possible. The resident and staff group come from a multinational multicultural background and this has added to the character of the home. There is a daily routine plan that covers the 24-hour work plan. This is kept in covered folders and placed in four areas around the home for staff to refer to. This folder also has information about the continence pad assessment and allocation. Each service user has a key worker who is responsible for checking that the care is provided as planned even though they may not have delivered it themselves. The provision of personal care is detailed in the care plans and this takes place in the privacy of the residents own room or other area such as the bathrooms. Shared rooms are provided with screens to provide privacy for each resident. When personal care is being provided in a bedroom the staff display a notice on the door so as to avoid problems with dignity being compromised. The staff were also seen knocking on bedroom doors that were closed before they entered the room. The General Practitioner will make referrals to other National Health Services specialists as is required by the residents they visit, and the home will plan transport and escorts if this is not provided. The residents have access to all other community services such as chiropody and opticians and can attend private appointments as a matter of choice. Each service user has a tissue viability assessment and where equipment was identified it was provided. The Tissue Viability Specialist is also one of the many specialist nurses that the Registered Manager has contact with should this be required. Medications are securely stored in the home. The records of administration were seen and found to be satisfactory. Each of the administration charts was supported by photographic identification of the residents. The home uses a monitored dosage system and the Registered Nurses carry out all medication administration. There was a current drug reference book available for the nursing staff. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 12 The residents have the freedom to choose who will deliver their personal care in the home. They also make choices about what they will wear and where they wish to spend their day, such as in the communal areas or in their own rooms. The inspector noted that several of the residents do have their own private telephone lines and apparatus and the residents told him that they receive their own bills from the service provided that they have chosen. There is a public telephone for those who do not have their own telephones. Several residents were spoken to in the course of the inspection. Each were complimentary about the home and the service they receive. The resident’s file does have a record of when they receive a visit, attend an activity such as having their hair done or attend an outpatient’s appointment. Forde Park Nursing Home DS0000028670.V340254.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): The homes performance was assessed against Standards 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a suitable amount of activities for the residents who can chose to take part or not. The quality of the food served to the residents is very good and meets the diverse needs of the residents at the home. EVIDENCE: The home now employs an activities coordinator who is also an experienced psychiatric nurse but not currently registered. She told the inspector that she has undertaken a gradual process of interviewing individual residents to find out their social interests and hobbies. She has also used information taken from relatives and the case files to establish planned activities for groups and individuals living in the home. She has the planned activities displayed on a notice board near the front entrance to the home. There was recently a crafts training day for the residents and more craft events are being introduced into the program. They also have dominoes, cards and occasional trips out using Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 14 the community transport. A small number of the residents are independent enough to make their own arrangements to meet their social needs and they do leave the home regularly to go shopping and meet friends. There is also information available to residents and their visitors about the area, and places of interest in it. Visitors may call at any reasonable time and can see the residents in their room if that is the residents wish. There are several communal areas for residents to carry out their visit in if they do not wish to use their own room. The inspector met three people who were visiting relatives. They both spoke to him and commented that they were happy with the service that the home provides and the level of communication they receive about there relative. The inspector received a total of 14 responses from relative and advocates Commission for Social Care Inspection survey. All said that the staff were polite and helpful but sometimes rushed. One felt that they could respond more patiently towards their disable mother and not wheel her too fast in the wheel chair. Another felt that she would like to see more trips out from the home. The home does employ overseas care staff and one comment was that as English was not their first language sometimes her mother did not fully understand them. The inspector did speak to two of the overseas staff and found their command of English good. They had worked in the home for more than one year. The majority of comments were very positive such as “”Always seemed to have time for relatives, Always offer comfort and refreshments” and “Encourage visits from relatives keeping them up to date with matters concerning their relative”. There were comments that relatives always looked clean and well dressed and that people were happy with the service. The inspector saw that many rooms had been personalised by the people living in them. This included the use of their own furniture, televisions and DVD’s. Some residents enjoy the facility of their own private telephone line to keep in touch with relatives and friends. Residents do manage their own affairs for as long as this is practical to do so and the home has information for them and their advocates on how they can make suitable arrangements when they no longer wish, or able to, manage their affairs. All the residents have a full nutritional assessment that includes the recording of their likes and dislikes and also special needs due to health and religious needs. The inspector found this information in the files he read. The information obtained from the assessment was also in the kitchen to aid in the preparation of meals. The chef has had training in the planning and preparation of special diets. The home has a six weekly rotating menu and the residents make their choices a day in advance. The Manager told the inspector that there are always alternatives available. The main meal that was being eaten during the inspection varied between different residents. The ones spoken to all said that they were enjoying their meal. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against Standards 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good arrangements in place to allow complaints to be reported and investigated. The adult protection arrangements, including training, are of a good standard. EVIDENCE: The home has a clear complaints procedure that is on displayed. There is also a copy of the complaints procedure in the “Information file” that is available in the front lobby. It provides clear information about how to raise a complaint and who should be told. The document procedure also gives the contact details of the Commission for Social Care Inspection should the complainant wish to raise their issue with them if they have not been satisfied with the homes investigation. There is also a compliments and suggestions procedure. Of the 14 relatives/advocates surveys received 10 knew that there was a complaints procedure, three did not and one did not comment. The one residents survey form received said that they knew there was a complaints procedure but said they “Never had a need to complain”. The Registered Manager provided evidence that the staff have received Adult Protection training that began during the induction period when new staff Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 16 shadows a Senior Carer for two weeks. The home has a training coordinator who is a nurse. She has received training in Adult Protection and carries out in house training for all grades of staff. Thereis a policies and procedures file for use by all the staff that is kept at the reception desk. Another copy is kept in the Administration Office. The policies include one on whilstle blowing. The procedures include those that deal with safeguarding people. Forde Park Nursing Home DS0000028670.V340254.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): The homes performance was assessed against Standards 19, 20, 21 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well decorated, well maintained and suitably adapted and equipped for the purpose of delivering nursing and social care. EVIDENCE: The home is well located for the town centre of Newton Abbot that is a short distance away and accessible by wheel chair. It is a clean, uncluttered, and well maintained home that has been adapted for the purpose of delivering nursing care having disabled baths with ceiling track hoists, wet rooms, and a shaft lift among its equipment. The home has a nurse call system that uses pendants, these operate through out the home and identify the residents whereabouts. There was evidence of maintenance of the equipment seen by the inspector during this inspection. The main body of the home is on just two Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 18 levels both being accessible by the shaft lift. There are a small number of rooms to the rear of the home that are only accessible by use of the stairs from the inside of the building. The home has a variety of communal space on the ground floor that includes two large lounges, a conservatory and a separate dining room. Each are comfortably furnished and appointed. The residents do use the communal areas for leisure, activities and to see their visitors in. Adequate toilet facilities are close to the communal areas. There is good natural lighting in all of the home thanks to large windows and the building being detached from other properties on all sides. The residents have decorated their rooms to their liking without removing the need for them to be functional so that their nursing needs can be met. Several have their own televisions and telephone lines. Many have items of their own furniture in them. Residents who were in their rooms during the inspection told the inspector that they were comfortable and liked their rooms. Some of the bedrooms have their own en-suite facilities. There is a level garden to the rear of the home laid to lawn, and a gazebo that is used in good weather. The gardens are kept in good order. The residents can also use the large park that is at the front of the home that is frequently used by the general public. Good parking is available on the street at the front of the home or in the car park at the rear of the home. The laundry service deals only with the residents personal clothing as linen is laundered through an external contract. It is in the basement area of the home well away from any food preparation area. The laundry has two washing machines, each with a sluicing cycle. One additional washing machine does not have a sluicing cycle. There are two dryers. Baskets are provided with residents names on them and cloths are marked. The laundry is staffed seven days a week by the housekeeper and her eight staff who are also responsible for the cleaning of the home. There are adequate sluicing disinfector facilities in the home on each floor occupied by residents that are separate from resident’s toilets and bathrooms. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against Standards 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. The home is satisfactorily staffed with individuals who are suitably qualified and trained to carry out the duties expected of them. The recruitment process and structure of staff files is excellent. EVIDENCE: The home employs a multi skilled multicultural staff group who collectively meet the identified needs of the residents. The group include registered nurses, care staff with more than 50 holding a National Vocational Qualification’s in care, a training coordinator who is also a registered nurse, and an activities coordinator who has a nursing qualification. The chef is trained in the preparation of the type of special diets demanded by the residents. The domestic staff have also received training appropriate to the needs of the home. The business also has an Administrator who has her own support staff. The duty sheets were looked at by the inspector, they provided evidence that the levels of staff on duty. The random checking of care files, and the discussions with the residents and their visitors suggests that the levels of staffing have been adequate to meet the needs of all the residents at the home. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 20 The home has a well developed induction procedure that begins with the new staff member following an experienced member of staff for one day whilst they work. The Registered Manager then interviews the new staff member to obtain their views about the work. Had the job been as they had expected and did they wish to continue? They are then given the statutory training such as fire and moving and handling whilst shadowing a senior care staff member for two weeks. Once experienced they will become a key worker for a small number of residents and responsible for checking that the care is provided as planned even though they may not have delivered it themselves. All staff are given a handbook that informs them of the terms of their employment and what is expected of their conduct. It also has procedures that they need to know. A copy of the handbook is available at four nurse stations of the home where residents daily routine plans are kept. The home employs Registered Nurses from overseas and then provides them with Nursing & Midwifery Council accredited training so that they may have their name entered on the register and practice as a Registered Nurse in this country. Those who have not yet carried out this training work in the home as Senior Care Staff. The inspector spoke to three staff members. One registered nurse who did her accreditation training at the home, and has continued to work at the home, said she found the employment satisfying and continues to receive training to up date and improve her skills. In the last year she has had training in male catheterisation, nutrition, infection control and dementia care training. A care staff member who moved from Poland to work at the home also said she was happy at the home. She has just completed her National Vocational Qualification in care at level 2 and has also done the dementia care training, fire and infection control. Both staff members had a good command of spoken English. The Activities Coordinator also spoke to the inspector. She has only worked at the home for a short time and is getting to grips with the position. She has a psychiatric nursing background that has its benefits in communication and planning events that are achievable and that will raise the esteem of individuals. The files of the three staff spoken to were looked at and found to be complete with all the documentation expected of them filed in a logical way. They were very well constructed and easy to read. The recruitment procedure had been followed including the taking up of two references and a Criminal Records Bureau check. Staff who are employed from overseas had current work permits to work at the home. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against Standards 31, 33, 35 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager is a very competent nurse and manager and with the Provider they have good systems and personnel in place to enable them to deliver a service that benefits the people who live in the home. The Quality assurance systems are thorough and provide valuable information about how the home achieves its aims and objectives. The way information is recorded about care and the general management of the functions of the home is excellent. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Registered Manager is an experienced Registered Nurse who also has a recognised management qualification. She has worked at the home for several years and been a part of its continuing development. She has provided evidence of her continuing updating to maintain her registration and also to meet the needs of the residents at the home. The relatives and residents that were spoken to during the course of this inspection, and the survey responses, had nothing but praise for her and the role she plays in the good standards of care that is provided. She presented the inspector with all the information requested throughout the course of the inspection in a professional and factual way. There is a further management structure at the home that includes the Registered Person and the Senior Manager. Under her management and that of the team the home has continued to improve and has continually achieved the Investors in People Award at every re-assessment and also now the BS EN ISO 9001:2000 through the efforts of the Administrator. This involved the information that is gathered by the home in its quality assurance exercises that included audits seen that cover such things as care plans, questionnaires of families and friends including the action plans as a result of the audit, the policy book and Health & Safety issues. The home does not manage the affairs of any of the residents. Some residents are independent in the management of their affairs whilst others have relatives or others, such as solicitors, acting for them. The home does offer advice on the subject. The home pay for any service not provided within the agreed fee, such as hairdressing and chiropody, and then invoices the appropriate person for payment. The management of the records for this is the responsibility of the administration staff and they provided clear accounts for inspection. There was good evidence that the home is well maintained and that the equipment is serviced according to its need and any legislation, such as that for hoists. Dates of servicing were verified from the information obtained during the inspection. The Registered Manager and the Provider manage the home well with an overview on all of the functions that make up the service. They provide the staff with the training and equipment to enable them to deliver care to the residents safely. The environment is appropriately adapted, equipped and maintained for those who live and work in it. The staff are kept up to date with the importance of fire safety by regular fire instruction and drills and evidence of these happening was provided during the inspection. Accidents are reported, recorded and audited to reduce the risk of a reoccurrence. Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Forde Park Nursing Home DS0000028670.V340254.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!