Inspection on 19/09/07 for Fort Horsted Nursing Home

This inspection was carried out on 19th September 2007.

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

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

Other inspections for this house

Fort Horsted Nursing Home 29/03/07

Fort Horsted Nursing Home 24/10/05

Fort Horsted Nursing Home 05/05/05

Fort Horsted Nursing Home 27/01/05

Fort Horsted Nursing Home 30/04/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Fort Horsted Nursing Home Primrose Close Chatham Kent ME4 6HZ Lead Inspector Sue McGrath Key Unannounced Inspection 10:00 19 September 2007 th 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 Fort Horsted Nursing Home DS0000026168.V345858.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. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fort Horsted Nursing Home Address Primrose Close Chatham Kent ME4 6HZ 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 406119 F/P 01634 406119 Dr Prathap Padmanabhan Jana Mrs Jyothi P Jana Post Vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Terminally ill (2) of places Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th March 2007 Brief Description of the Service: Fort Horsted is a privately owned, purpose built, 30 bedded home, providing 24 hour nursing care to older people. The property is a single storey detached bungalow. There are a variety of aids and adaptations around the home, which enable independence for residents. The home is situated in a residential cul-de-sac close to Chatham town centre, located on a main bus route, and within walking distance of shops and a Post Office. The home has an attractive garden to the rear of the property and also some car parking facilities at the front of the premises. Parking on the road is time restricted. 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 £575 per week according to assessed personal need. Information on fees can be obtained from the Manager of the home. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 19th September 2007 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. The requirements made at the last inspection had been complied with except for regular fire drills. Overall this was a positive inspection with good outcomes for service users. The inspector on leaving the home was satisfied that service users were both safe and well cared for. Responses received from residents and relatives prior to the inspection indicated they were satisfied with the standard of care the home provided. Statements made during the site visit included: ‘I am really looked after very well’ ‘The staff are very willing to help’ ‘I really enjoy having a lay in and breakfast in bed when I want to’ ‘The food is very good and we always have a choice’ What the service does well: Information about the home and the service it offers people is easily accessible and staff are effective in helping new residents settle in. The home enjoys good relationships with other health care professionals, which is to the benefit of the people who live there. Each resident has a detailed care plan in place so that staff know exactly what support they would like and need. Residents care plans cover interests and hobbies and any preferences they have about their care. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 6 The activities programme is varied and extensive. Service users say they enjoy the activities and some like the trips out. Diversity and equality are important to the staff and service users benefit from being treated as individuals. Residents enjoy a wholesome and varied menu of meals and the home is able to cater for special dietary needs. Relatives and friends are always made welcome when they visit. The environment is homely, clean and very comfortable. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fort Horsted Nursing Home DS0000026168.V345858.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 Fort Horsted Nursing Home DS0000026168.V345858.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with the information they need to make an informed choice about moving into the home. Service users benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Service users and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The home has a comprehensive statement of purpose that contains all of the information required by legislation. As recommended in the last report the complaints procedure now includes the details of Social Services and the Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 9 Commission. This document is easy to read and gives detailed information to the prospective service user and or their family. The home also has a detailed service user guide, which is available to all service users. Visitors confirmed they had received a copy of the information and felt well informed prior to visiting the home. Is was also confirmed that prospective service users are encouraged to visit the home, where possible, prior to admission so they can assess for themselves whether they like the home. If they are unable to visit the home, their relatives are encouraged to view on their behalf. Trail periods are arranged to ensure the home can meet their needs and the service user is happy to remain. If the services are purchased through Social Services a care manager is involved with a formal review at this stage. The home undertakes a full assessment of needs, which is detailed and comprehensive. The owner has recently undertaken a course on equality and diversity and is introducing this into the admission process to ensure all needs are taken into account. This information provides the basis for the individual care plans to be started. Although several service users said they were not involved with their admission all said their families had arranged the process and all were happy with this. Several had been too poorly to visit the home at the time of admission. Records viewed and discussion with staff confirms that training had been given a high priority recently and staff say they feel well supported in this area. The home does not offer intermediate care. Fort Horsted Nursing Home DS0000026168.V345858.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Health needs are met and service users benefit from having full access to all professional health care services as required. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Each service user has a written care plan, which gives clear guidance to staff. Care plans have been reviewed monthly and rewritten six monthly or earlier if necessary. The plans of care are very detailed and well written, promoting the independence of service users. Individual preferences were highlighted and a Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 11 social history was included. All necessary information was recorded as recommended in the previous report. Care plans are completed and reviewed in consultation with the service users who sign to confirm this. In all the files sampled, risk assessments were completed; these included moving and handling/ avoidance of falls, and other relevant areas of risk to the individual, as well as to the staff. Some care staff stated they would like to be more involved with risk assessments. On discussion with staff and the senior management team, it is evident they have a sound knowledge of the service users living in the home. Records indicate that health needs are well met and the intervention of health care professional is well recorded. Service users have access to community tissue viability nurses, OT, physiotherapist, chiropody, district nurses, opticians and dieticians as required. Hearing test and dental treatment can also be arranged as required. The home can offer residents a choice of GP from the many surgeries situated locally but also has it’s own Visiting Medical Officer. The home uses ‘Waterlow’ score charts to monitor the risk to residents skin integrity. Mini mental health charts are in use. Service users weight and diets are recorded and regularly monitored. The use of bed rails and bumpers is been well managed and the multi disciplinary decision whether to use them or not is recorded for each person. An anonymous concern was raised regarding the level of infection control in the home and this was inspected during the day. It was found that the home has robust procedures in place and regularly consults with the Health Protection Agency for advise where necessary. The home also has a link infection control nurse, who has attended several seminars/ courses on infection control. The home provides staff with personal protective equipment and has written policies and procedures in place. A good practise recommendation will be made regarding the use of a spillage kit, which contains all the necessary equipment needed to deal with any spillages of body fluids. The home operates a key worker system where residents have an identified staff member to liaise with and help them. Daily records were seen. Staff record sufficient detail in the daily reports and the home also has handover meetings. The deputy manager said the manager has an ‘open door’ policy to ensure good communication with all staff and continuity for residents. One nurse said there was good communication between nurses and carers and that they all worked well as a team. In shared rooms it was noted that curtains are in place to protect the privacy and dignity of the occupants. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 12 The home’s administration of medication was assessed and was found to be robust and safe. Only trained nurses administer medication to service users. The home had a dedicated drugs fridge for cold storage of medication, which is maintained at the correct temperature. There is a process for establishing an individuals capacity to self medicate if they wish to do so and provides them with suitable resources to lock medication away. However in reality all service users choose the home to take that responsibility. The home’s medication policy has recently been updates as suggested in the previous report and now reflects current practise. Service users are consulted regarding their wishes concerning terminal care / major illness and arrangements after death. This is well recorded on individual care plans. Fort Horsted Nursing Home DS0000026168.V345858.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ social and recreational interest and needs are well provided for with a wide range of activities organised and they can lead a life which as closely as possible matches their preferences, beliefs and social aspirations. Service users benefit from the flexible visiting policy that enables friends and relatives to visit at all reasonable times. Service users benefit from the appetising meals and balanced diet offered by the home and those service users requiring specialist diets are well catered for. EVIDENCE: The home employs an activity organiser who works both at Fort Horsted and its sister home Valley View. Although fairly new to the post she is very enthusiastic and has a range of activities in the pipeline. As stated in the previous report the home offers an activities programme and uses volunteers as well as an activity co-ordinator to facilitate the activities. In conversation it Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 14 was clear that the activities organiser is focussed on providing good quality diversionary activities and tries to offer a varied approach. There are numerous opportunities listed on the activities programme for residents to join in with and enjoy. Trips out shopping and to other community-based events regularly take place. The home also arranges for paid entertainers to visit regularly. Residents’ religious and cultural needs are well catered for. The local Church visits often and offers Holy Communion. People are enabled to visit local places of worship if they request this. Information about residents’ interests and hobbies are clearly noted on care plans. Chosen daily routines and preferences are also noted where known. Residents spoke of the home being as flexible as possible with daily routines and people largely decided for themselves when they wished to go to bed and get up. Visitors are encouraged to come at any reasonable time and are made welcomed by staff. Several visiting relatives confirmed this. It was also confirmed that the home contacts them if there is a change in the condition of their loved ones. One service user did say she missed the regular residents meetings, although she did say she felt she could mention any issues to the management team at any time. It is recommended that these be reinstated. Meals are mainly taken in the dining room but can be served in individual rooms if needed or requested. Staff were observed to offer appropriate and sensitive assistance and encouragement at meal times to those who required help. Specialist diets are well managed. Service users are verbally asked about food choices the previous day by the catering staff. Records are maintained of all diets taken. Catering staff were observed delivering mid morning drinks to service users in the lounge and in their bedrooms. The kitchen uses fresh fruit and vegetables where possible and a choice is offered at each meal. The evening tea is normally prepared by the main cook but, if absent, some care staff complete the preparation of food. All have been trained in Food Hygiene and management is reminded that they must wear appropriate clothing and change form their care overalls. It is recognised that this is not a regular occurrence. Fort Horsted Nursing Home DS0000026168.V345858.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a robust complaints system and service users and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The home has a clear step-by-step complaints procedure that meets the requirements of regulation. The majority of the relatives comment cards returned stated they were aware of the complaints procedure and felt their complaints would be listened to and acted upon. One relative did say they were not aware of any complaints procedure and the home may wish to take this on board. Service users spoken with on the day were aware of how to complain and said they felt comfortable to do so. There is a comments/ concerns book for visitors/ residents in reception. The home is currently dealing with an ongoing complaint and has worked with the family and care management to come to a satisfactory outcome for the service user concerned. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 16 The home has an Adult Protection procedure. The owner provides training for all staff at induction; they also attend courses in the local authorities protocols on Adult Protection, as well as having a copy of the updated lead agencies policy on file in the home. The home also has a whistle blowing policy. Senior staff confirmed they were confident of their procedures and care staff spoken with displayed a good understanding of Adult Abuse and Protection. Fort Horsted Nursing Home DS0000026168.V345858.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a clean, safe, well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. Service users are encouraged to maximise their independence by having access to the range of specialist equipment supplied by the home. EVIDENCE: The home is well maintained and decorated throughout. The communal areas and dining areas are pleasant and are enjoyed by the residents. The home is clean and fresh and domestic staff clearly work hard to maintain this. Cleaning schedules are in place and carpets are regularly cleaned. COSHH (Control of Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 18 Substances Hazardous to Health) is given a high priority and cleaning chemicals are now safely stored at all times. Individual bedrooms are personalised to the individual tastes and service users spoke highly of their rooms. One lady said ‘it is like living in a posh hotel all the time’. Several commented on how homely the home felt. Storage of equipment at the home had been discussed at the last inspection and the home has worked hard to improve this. One large cupboard is now being used for storage and any excess equipment has been disposed of. This has helped to ease the problem. Currently one bathroom is out of use and the owners are planning to install a walk in shower. Several service users confirm they would like this and it will be seen as being proactive to the service users needs and is to be encouraged. No toiletries items were seen in the bathrooms as mentioned in the last report. The laundry housed good quality commercial machines; the environment was clean and well organised. The home employs a laundry person from 7.30 am until 1.30 pm to care for residents clothes. All containers were correctly labelled and any chemicals had been decanted into appropriate containers. Only one comment card complained of laundry going missing. Service users spoken with liked the home and were pleased to be living in such pleasant and clean surroundings. There were no negative comments from residents or their relatives regarding the home’s environment. Fort Horsted Nursing Home DS0000026168.V345858.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from staff that are trained and competent to do their jobs and who enjoy good morale. Systems are in place to ensure residents’ needs are met by a mix of qualified and care staff with a strong commitment to specific and NVQ training. EVIDENCE: The rotas viewed on the day indicated that the home’s was sufficiently staffed and was in accordance with the guidelines from the DOH staffing formula. However when spoken with, and comments made in the returned staff comment cards, some staff still feel that some periods such as the morning shift, remain very busy. The service users spoken with raised no concerns over the staffing levels and were all very complimentary about the staff practises. The majority of the relatives spoken with did not raise any issues over staffing levels. The home uses agency staff, although this is kept to a minimum and has decreased since the last inspection. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 20 Staff training has been a high priority recently and continues to feature in future plans for the home. The majority of staff have now completed the mandatory training. The home has a very robust and inclusive induction programme. New staff sign key policies and keep a copy for themselves. Managers and senior staff must ensure however that all staff consistently evidences their adherence to the home’s written policies and procedures. A good practise recommendation will be made for the home to complete an up to date training matrix, so that training can be more easily monitored and refresher training dates highlighted. Trained nurses receive their update training and this is seen as a priority in the home. All senior staff have lead roles within the home. Several staff files were viewed and confirmed the home has a robust recruitment procedures in place. All staff hold a current CRB. Two references are sought and identification is confirmed. The home must remain vigilant regarding these checks. During the inspection it was noted that the staff interacted very well with the service users and were seen to be respectful and kind. Some good examples of care practise were observed. Fort Horsted Nursing Home DS0000026168.V345858.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from having a manager who is well supported by senior staff in providing clear leadership throughout the home and by staff who demonstrate an awareness of their roles and responsibilities. Current arrangements are sufficient to protect the health, safety and welfare of service users and staff. Sound financial procedures protect residents. EVIDENCE: Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 22 On the day of the inspection the manager was on leave, so the inspection was led by the deputy manager who displayed a sound knowledge of the home, its procedures and its service users. The home now has a new manager who has worked previously at the sister home as deputy manager. She is currently registering with the Commission and is hopeful the process will be completed soon. The employment of the new manager has improved the stability within the home and provided good leadership. Feedback from service users, relatives and staff was positive. The home has clear lines of accountability with the owner very much involved with the day-to-day management of the home. The owner of the home is known to be very experienced and eminently competent to run the home. She has over 20 years nursing experience. The home has a quality assurance and monitoring system in place and completes regular surveys for residents. The home collates and produces the results and outcomes for all interested parties to see and reacts where possible to any issues raised. The home has previously had family members and health and social care professionals praising the service and the care offered. Evidence of a high numbers of thank you cards from relatives was seen. The home has the required policies and procedures in place and seeks to update them regularly. The records required by regulation for the protection of service users and for the effective and efficient running of the home are largely maintained and up to date. The home complies with the Data Protection Act. Clinical supervision for staff is now ongoing with full records kept. Care staff supervision is also ongoing but some staff seemed a little unsure as to whether they had received supervision or not. Records are in place to evidence they have and the manager needs to ensure the staff are aware of the purpose of supervision. Currently senior staff are not trained in delivering supervision and this needs to be addressed to ensure the maximum benefit is obtained from these sessions. Health and safety records ware mainly up to date however the last fire drill was in May 07 and is now overdue. This was an issue highlighted in the last report. Discussion also took place over the recording of fire drills and advice was given to record names. The fire safety equipment has the required checks in place. The home has developed regular checklists for other health and safety areas, which are comprehensive and provide the evidence that the home manages the risks well. The deputy manager was advised to record the spot checks she completes over the COSHH management in the home. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 23 The home has fitted valves to regulate the water temperatures, and risk assessments for the property have been carried out. All radiators are covered and heating is individually controllable from within resident’s bedrooms. Residents financial interests are protected by sound financial procedures with regard to their personal monies kept within the home. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 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 3 3 3 3 3 3 3 Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 23 (4) Requirement The Registered Person shall ensure that by means of regular fire drills and practices at suitable intervals staff, and in so far as practicable, residents, are aware of the procedure to be followed in the case of Fire. This requirement has been carried over from the last report. Timescale for action 01/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP36 OP36 OP26 Good Practice Recommendations A good practice recommendation is made that all senior staff who manage staff supervision receive recognise training. A good practice recommendation is made for the home to maintain a current staff-training matrix. A good practice recommendation is made that the home purchases a spillage kit fro the safe cleaning of spilt body DS0000026168.V345858.R01.S.doc Version 5.2 Page 26 Fort Horsted Nursing Home 4. OP38 fluids A good practice recommendation is made to ensure care staff who work in the kitchen wear the appropriate clothing. It is recognised that this is not a regular occurrence. Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 27 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 Fort Horsted Nursing Home DS0000026168.V345858.R01.S.doc Version 5.2 Page 28 - 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!