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Inspection on 05/07/06 for Forde Park Nursing Home

Also see our care home review for Forde Park Nursing Home for more information

This inspection was carried out on 5th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is also a good level of communication between the staff and the service users, and the staff and the visitors who come to the home. Each of these parties gave very good recommendations about the home as did the health care professionals who also attend the home. The physical environment of the home, service users bedrooms and communal areas were well cared for and provided a choice of areas to choose from so they could mix with deferring groups of people or just be on their own. They encourage independence yet provide support and supervision where it is needed. The homes recruitment process was good and they take all the necessary steps to employ only those people who are suitable for the job. They provide good training to their staff from the point of induction onwards that enables them to meet the assessed needs of the service users at the home. There is good written evidence of everything the home does from care planning to the maintenance of equipment and the recruitment and training of staff.

What has improved since the last inspection?

The home has addressed the issues that were raised at the last inspection in a timely way. They have refurbished bathrooms to provide attractive and functional bathing areas.

What the care home could do better:

This was the inspectors first inspection of the home for several years. He found all areas to be good or excellent and can not offer any further comment on this occasion.

CARE HOMES FOR OLDER PEOPLE Forde Park Nursing Home 6-7 Forde Park Newton Abbot Devon TQ12 1DE Lead Inspector Doug Endean Unannounced Inspection 5th July 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 Forde Park Nursing Home DS0000028670.V302981.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.V302981.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 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), Terminally ill (47) Forde Park Nursing Home DS0000028670.V302981.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 15th December 2005 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 ensuite facilities. It is registered for 47 people but presently is configured for just 42 as multi-occupancy rooms have been reduced to double rooms. The home has been adapted to meet the needs of the service users 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. The nursing team are supported by housekeeping, catering, maintenance and office staff. 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. The home has its own email address : info@fordepark.co.uk And its own website : www.fordepark.co.uk Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key inspection took place on the 5th July 2006 commencing at 10.00 hours and lasted until 17.15 hours. In that time the inspector met and spoke to four service users at length and several others in passing. He also spoke to four visitors, four staff members, the Registered Manager, Registered Person, Senior Manager and the Administrator. Much of this occurred during a full tour of the home when the opportunity to review many of the records took place. Four service users records were used in the process of case tracking. Three staff files were also vetted using the homes recruitment procedure and regulations as the standard. Commission for Social Care Inspection questionnaires were returned to the inspector from service users, relatives and advocates, General Practitioners and the staff employed at the home and their comments have been used in this report. The home provided lots of information along with the completed pre-inspection form requested by the Commission for Social Care Inspection. What the service does well: What has improved since the last inspection? The home has addressed the issues that were raised at the last inspection in a timely way. They have refurbished bathrooms to provide attractive and functional bathing areas. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Forde Park Nursing Home DS0000028670.V302981.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.V302981.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply. The quality in this outcome area is excellent. 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 pre-admission assessment information was seen for the four service users who were case tracked. There was a comprehensive assessment form that was supported by addition information from referring agents where this was possible such as the National Health Services and Care Management. The Registered Manager told the inspector that this information is used to hand over details of a new service user to staff when they are admitted to the home. The information includes manual handling, tissue viability and the need for equipment and also covers sleep pattern. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. The quality in this outcome area is good. The care planning and review process is very good and the home has suitable measures in place for access to other health care professionals. The staff treat the service users with respect. EVIDENCE: Care plans were read by the inspector and then checked against care delivery where this was possible. The files had photographs of the service users and the plans were drawn up from the initial comprehensive information gathered prior to admission then added to at the regular reviews that were recorded. The plans are also very well constructed and covered all the areas of need and supported by information that the needs had been met as directed by the care plans. The areas covered included nutrition that when reviewed had triggered a monthly weight chart for some individuals. One service users notes had photographic information about the specific need for positioning. There is a daily routine plan that covers the 24 hour work plan that is kept in covered folders and placed in four areas around the home for staff to refer to. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 10 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 staff complete a monthly dependency score for each service user that was seen in each of the files that were read. This further enhanced the review process and provided evidence of changes in the needs of the service users in line with their response’s to treatment and care. Personal care needs were assessed and the level of staff involvement recorded so as to promote independence among the service users in their capacity to meet their own needs with supervision or assistance from the staff. The inspector saw that care staff record each day whatever activity they have taken part in to meet the care plan such as showering or bathing a service user. 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. The response from the four General Practitioner’s who responded to the Commission for Social Care Inspection survey showed a good level of satisfaction with the service provided by the home although one commented that on occasions their had been communication problems with nurses whose first language is not English. The General Practitioner will make referrals to other National Health Services specialists as is required by the service users they visit and the home will plan transport and escorts if this is not provided. The service users have access to all other community services such as chiropody and opticians and can attend private appointments as a matter of choice. The storage areas, for all medication, are suitable for the purpose. The records of administration were satisfactory and each of the charts was supported by photographic identification of the service user. The Boots monitored dosage system is used by the home and all administration is carried out by Registered Nurses. There was a current drug reference book available for the nursing staff. The provision of personal care is detailed in the care plans and this takes place in the privacy of the service users own room or other area such as the bathrooms. The home has completed the refurbishment of two bathrooms to provide two new “wet rooms”, one on each floor, that are of good size and have improved the facilities to the service users. The inspector noted that several of the service users do have their own private telephone lines and apparatus and the service users told him that they receive their own bills form the service provided that they have chosen. There is a public telephone for those who do not have their own telephones. During the inspectors interview with a new staff member she disclosed that the induction she had received was very good and that she was told and shown how to treat service users with dignity and respect. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 11 The Manager told the inspector that service users can see their General Practitioner in their own room particularly when an examination is required. One General Practitioner did comment that there has been a need to request this level of privacy on occasions. Shared rooms are provided with screens to provide privacy for each of the service users in the room. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15. The quality in this outcome area is good. The home provides a suitable amount of activities for the service users who can chose to take part or not. The quality of the food served to the service users is very good and meets the diverse needs of the service users at the home. EVIDENCE: The home has there own Activities Coordinator who was appointed in April 2006. She uses the information gathered by staff about the interests and hobbies of service users, and their life history, to guide her in how and what activities to arrange. She has also gained personal knowledge about service users to plan for individual and group activities that include shopping trips, cross word groups and book reading groups. There are film sessions with ice cream supplied to bring that feeling of authenticity to the occasion. The inspector spoke to the Activities Coordinator who was enthusiastic about her work. The planned activities are displayed on a notice board and one to one sessions are arranged with individuals. Some of the service users are able to make their own arrangements for activities and one service users told the inspector about her trips into town. The home’s routine is flexible around the plans and needs of the service users Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 13 who may wish to have meals in their rooms or a late meal due to attending an appointment that they have made or that has been made at their request. Relationships with family and friends are nurtured by the home who will have individual service users ready to go out for a visit or a meal with family if prior notice is given. Service users have planned holidays for themselves in the past and their success is dependant upon keeping the staff informed of the planned event. The staff ask each of the service users what their preference would be for the meal that is planned for the following day from the choice being provided. The chef will produce another alternative for service users who do not wish to eat a meal from the planned menu’s. Visitors may call at any reasonable time and can see the service users in their room if that is the service users wish. The inspector spoke to four visitors during the inspection and each reported that they were more than satisfied with the service that the home provides. Five written responses were received from relatives using the Commission for Social Care Inspection questionnaire and they included comments such as “excellent home” and “superb staff”. The home is also happy to allow well manners pets to visit. The home provided copies of their 6 weekly rotating menu’s to the inspector and the current menu were seen to be displayed. The main meal that was being served during the inspection looked very appetizing and several service users that were spoken too said that they always enjoyed the food. Service users were given assistance to eat their meals in an unhurried and respectful way. Of the five Commission for Social Care Inspection service user questionnaire that the inspector received four service users responded that they always like the meals. The food store was seen and there was a good stock of fresh and frozen foods correctly stored. The staff encourages the service users to take adequate fluids and where there are problems with this fluid balance charts were seen to be kept. The chef prepares food that meet the needs of those at the home who have a disability that compromises their swallowing reflex or who may, by choice have a particular dietary need such as vegetarians. He will also prepare food to meet religious and cultural dietary needs of the service users. Some service users still manage their own affairs and one told that she is billed personally for her telephone and that she handles the payment personally. The home has use of Community Transport that is actually kept in the rear car park and has wheel chair access. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The quality in this outcome area is good. The 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 displayed in the home. There is also a copy in the complaints procedure in the “Information file” that is on display in the lobby where chairs and good light are provided so that anyone can sit and read this very informative pack of information that covers other issues such as “Funded Nursing Care” and holds a copy of the last inspection report. The Registered Manager provided evidence that the staff have received Adult Protection training that began during the induction period when new staff shadow a Senior Carer for two weeks. The importance of dignity and respect is dealt with during this early stage of the employment. There are policies and procedures for adult protection and this included a whistle blowing policy. All this information and the disciplinary procedure were held in the homes staff handbook that is available to each member of staff. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22 and 26. The quality in this outcome area is good. 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 well maintained home that has been adapted for the purpose of delivering nursing care having bathrooms with ceiling track hoists and a shaft lift among its equipment. Evidence of maintenance was seen by the inspector during this inspection and full information was provided in the pre-inspection form sent to the Commission for Social Care Inspection by the home. The Registered Manager showed the inspector the recently completed two refurbished wet rooms (shower rooms) that are on the ground and first floor. The main body of the home is on just two levels both being accessible by the shaft lift. There are a small number of Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 16 rooms to the rear of the home that are only accessible by use of the stairs from the inside of the building. The service users have decorated their rooms to their liking without removing the need for them to be functional so that their nursing needs can be met. 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 service users can also use the large park that is at the front of the home and used by the general public. There is also a large room at the bottom of the garden area with easy access that could be used for a variety of purposes and some discussion is taking place about how it can be best used. Good parking is available on the street at the front of the home or in the car park at the rear of the home. There are no outstanding issues from previous Environmental Health or Fire & Rescue Department reports. The home was seen to be clean and uncluttered during the inspectors tour that included a visit to the homes laundry facilities. This laundry service deals only with the service users personal clothing as linen is laundered through an external contract. The laundry has two new washing machines each with a sluicing cycle plus one washing machine without a sluicing cycle. There are two dryers. Baskets are provided with service users names on them and cloths are marked. The laundry is staffed seven days a week by the house keeper and her eight staff who are also responsible for the cleaning of the home. There are adequate sluicing facilities in the home. There were no chemicals on display and the cleaning staff kept their trolleys with them whilst carrying out their work. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The quality in this outcome area is good. The home is satisfactorily staffed with individuals who are suitably qualified and trained to carry out the duties expected of them. EVIDENCE: The home employs a multi skilled multicultural staff group who collectively meet the identified needs of the service users. Four weeks duty sheets were supplied along with the pre-inspection questionnaire and these provided evidence as to how the home is staffed in a satisfactory way and that the home is always managed by a Registered Nurse. The home also has an Activities Coordinator who has a caring role and who works full time. The home also has access to many health care professionals such as the tissue viability nurse and continence nurse should there skills be needed. In addition to the care staff the home employs a Housekeeper and eight Ancillary staff, a chef and supporting catering staff, an Administrator and Administration staff, a Maintenance person and there is also the Senior Management Team that includes the Registered Person. In addition to this there is also a Training Coordinator employed for 26 hours a week who is a Registered Nurse. The names of staff and the number of contracted hours they work was also supplied to the inspector along with full details of the training that staff have undertaken at the home over the last two years that includes dementia, peg feeding, first aid and stroke care. There is Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 18 currently 65 of the care staff who are educated to National Vocational Qualification level 2 or above. 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 recruitment procedure was read along side a sample of three staff records. It was found that the home does follow the procedure and was able to provide evidence that all the staff recruited by the home have been fully vetted including the taking up of two references and a Criminal Records Bureau check. One of the staff interviewed had been recently recruited by the home and was able to give a detailed account of her induction. Her first day was a 7 hour shift and she walked around with staff who were working. At the end of the day she was interviewed and asked if the work was as she had expected and did she wish to continue, which she did. She was introduced to the outlay of the home and given her first fire instruction. The first two weeks were spent shadowing a National Vocational Qualification level 3 member of staff who showed her the tasks she would be involved in giving instruction. She would then practice the task with the person who she was shadowing and have any points corrected as necessary. In the first week she had Manual Handling Training and was taught how to feed people and administer drinks. This carer remarked to the inspector “I love my job”. 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. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The quality in this outcome area is good. The home is well managed by the management team who use their audit tool to positively identify how they are meeting their aims and objectives and planning to do better where this is identified. 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 service users at the home. There is a further management structure at the home that includes the Registered Person and the Senior Manager. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 20 The homes quality assurance system was shown to the inspector and evidence was provided to show that it now meets the latest ISO 9002 standard. The Administrator explained the system that is monitored by an external auditor and provided very comprehensive ongoing information in the audit files that included their review dates. Some of the audits seen covered 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 has also continually maintained and improved the standard required to keep the “Investors in People Award” since 1994 and are audited for this every 3 years. The home does not manage the affairs of any of the service users. Some service users are independent in the management of their affairs whilst others have relatives acting for them following the home’s advice on the matter. Social Services do act for one service user. The home pay for any service not provided within the agreed fee 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. The home provided 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 provided in the pre-inspection questionnaire and verified from the information obtained during the inspection. The home provides the staff with the training and equipment to enable them to deliver care to the service users 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. Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 21 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 X X 4 X X N/A 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Forde Park Nursing Home DS0000028670.V302981.R01.S.doc Version 5.2 Page 22 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.V302981.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 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.V302981.R01.S.doc Version 5.2 Page 24 - 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!