Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/01/07 for Goffs Park Nursing Home

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

This inspection was carried out on 3rd January 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Residents said staff were kind and caring when giving personal care and support. Resident`s privacy and dignity was respected. Generally the residents were complimentary about the food and said they are given a choice at each mealtime. Menus are planned taking into account the likes and dislikes of residents. Residents can have visitors whenever they wish and visitors said they are welcomed into the home.

What has improved since the last inspection?

At the time of the last inspection investigations were being carried by Social Services and the Primary Care Trust as a result of an Adult Protection alert regarding the care of a resident. A further concern was raised in August 2006 regarding another resident`s care. At this inspection the investigations had concluded and the suspension of contracts was lifted so the home was able to admit new residents. During these early stages following the recent investigations, evidence seen on this inspection shows that progress has been made to improve care practices within the home. Resident`s care plans have been re-written and developed from the reviewed health assessments. These provided details as to the health, personal and social care needs of residents and how these were to be met by the staff team. Food and fluid charts are maintained for residents as required. The oral health needs of residents are recorded on care plans for those residents unable to carry out this task themselves. New documentation has been developed to ensure specific aspects of care provided is monitored and recorded appropriately. Following the resignation of the manager of the home a new manager Mr Raj Lollchard was appointed in September 2006. An application to register with the Commission of Social Care Inspection (CSCI) is in the process. All prospective residents have a pre-admission assessment carried out before admission to the home is agreed. An activity programme has been developed in line with resident`s interests. Plans are in place to assist residents to pursue the activities on their choice. In these early stages An activity programme has been developed in line with resident`s interests to assist residents to pursue the activities of their choice. A new boiler has been installed in the home to improve the efficiency of the hot water and central heating system throughout the home.

What the care home could do better:

The requirement is still outstanding for dining space to be made available for residents who wish to eat their meals with other residents in an appropriate setting. Formal staff supervision has taken place for some staff but is not maintained at the appropriate intervals of at least six times a year.

CARE HOMES FOR OLDER PEOPLE Goffs Park Nursing Home 39 Goffs Park Road Crawley West Sussex RH11 8AX Lead Inspector Mrs J Hough Unannounced Inspection 3rd January 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Goffs Park Nursing Home DS0000024146.V320172.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. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Goffs Park Nursing Home Address 39 Goffs Park Road Crawley West Sussex RH11 8AX 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) 01293 524942 01293 539506 www.goffsparknursinghome.co.uk Goffs Park Care Homes Limited ****Post Vacant**** Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 37 persons in the category OP (Old age not falling within any other category) to be accommodated at any one time Date of last inspection Brief Description of the Service: Goffs Park is a care home, which is registered for up to 39 people aged 65 years and over. It provides nursing care. The care home is a converted large detached house, situated in a residential area of Crawley, close to the town centre. Accommodation is provided on 3 floors, which can be accessed using a passenger lift. There are 27 single and 4 double rooms. 1 of the double bedrooms on the third floor was being used as a communal lounge, in order to provide additional lounge space for the residents. There is one other medium sized lounge on the ground floor. This is also used as the dining room at meal times. There are large, well kept grounds which are accessible to residents in suitable weather. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs June Hough Regulatory Inspector undertook a key unannounced inspection on 03/01/07 starting at 10am and finishing at 6.10pm. As part of the planning process for this inspection report evidence was gained from the previous inspection carried out on 25/05/06 plus information received regarding the service, along with the evidence gained during the inspection visit. During the inspection a tour of the premises was made and residents, visitors and staff were spoken with. Records were examined in relation to resident’s care plans and assessments, daily records, complaints and accident reports, recruitment procedures, staff training and maintenance checks. New documentation implemented since the last inspection for monitoring specific aspects of care for residents was also seen. Information was also gained from discussions and during feedback with the Responsible Individual, Organisational Manager and the Acting Manager of the home. At the time of the last inspection three requirements were made. Two requirements had been met and one remained outstanding. One further requirement was made following this inspection. Fees range from £520.00 to £700.00 per week. What the service does well: Residents said staff were kind and caring when giving personal care and support. Resident’s privacy and dignity was respected. Generally the residents were complimentary about the food and said they are given a choice at each mealtime. Menus are planned taking into account the likes and dislikes of residents. Residents can have visitors whenever they wish and visitors said they are welcomed into the home. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? At the time of the last inspection investigations were being carried by Social Services and the Primary Care Trust as a result of an Adult Protection alert regarding the care of a resident. A further concern was raised in August 2006 regarding another resident’s care. At this inspection the investigations had concluded and the suspension of contracts was lifted so the home was able to admit new residents. During these early stages following the recent investigations, evidence seen on this inspection shows that progress has been made to improve care practices within the home. Resident’s care plans have been re-written and developed from the reviewed health assessments. These provided details as to the health, personal and social care needs of residents and how these were to be met by the staff team. Food and fluid charts are maintained for residents as required. The oral health needs of residents are recorded on care plans for those residents unable to carry out this task themselves. New documentation has been developed to ensure specific aspects of care provided is monitored and recorded appropriately. Following the resignation of the manager of the home a new manager Mr Raj Lollchard was appointed in September 2006. An application to register with the Commission of Social Care Inspection (CSCI) is in the process. All prospective residents have a pre-admission assessment carried out before admission to the home is agreed. An activity programme has been developed in line with resident’s interests. Plans are in place to assist residents to pursue the activities on their choice. In these early stages An activity programme has been developed in line with resident’s interests to assist residents to pursue the activities of their choice. A new boiler has been installed in the home to improve the efficiency of the hot water and central heating system throughout the home. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A pre-admission assessment is carried out for prospective residents, before any agreement is made for admission to the home. The home does not provide intermediate care. EVIDENCE: Due to the suspension of contracts by social services, the home had not admitted any new residents until 30/12/06 when the suspension was lifted. Evidence was seen that a pre-admission assessment was carried out prior to any agreement being made for admission to the home. The acting manager confirmed that he is responsible for carrying out assessments for all prospective residents. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 10 The home does not provide intermediate care. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans have been re-written to provide more detail and information on individual needs of residents to ensure all aspects of their health, personal and social care needs are met. The medication procedures in the home for the administration, storage and disposal of medicines ensure safe practice to safeguards residents. Staff ensure resident’s privacy and dignity is respected at all times. EVIDENCE: All resident’s care plans had now been re-written and those seen gave a detailed account of the needs of residents and the level of assistance required. Care plans seen included the oral hygiene needs of residents unable to do this for themselves. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 12 Fluid and food charts were completed where needed and well maintained. Where possible evidence was available on care plans that residents or relatives had been consulted or participated in the writing and completion of plans. New documentation has been developed to ensure specific aspects of care provided is monitored and recorded appropriately. For example there is a new diabetic chart for recording blood glucose levels and the doses of insulin given. A daily management report has been developed to monitor the frequency of checks carried out by staff on residents, especially those who stay in their rooms. Risk assessments for pressure sores, manual handling and the use of bedrails are also in place. Pressure sore assessments are completed that identified residents at high risk of developing pressure sores, and appropriate action was taken to supply pressure relieving equipment such as mattresses and cushions. The acting manager confirmed that the home has a good supply of pressure relieving equipment but if a more complex mattress is required the relevant health professionals are contacted to carry out a further assessment. Nutritional assessments were not completed in all cases as a new format is in the process of being introduced. However residents are weighed monthly and nutritional supplements are given as necessary and recorded on care plans. Records of health professionals visits are completed and records showed evidence that the specialist diabetic nurse and tissue viability nurse are consulted as necessary about residents care. Residents who have bedrails have protectors fitted and all bedrails are checked as part of the weekly maintenance checks. Evidence of written consent for the use of bedrails was not available in all cases. The acting manager confirmed that an agreement was in the process of completion. However it was confirmed that verbal consent from residents/relatives was obtained. While touring the premises and speaking with residents it was noted that residents who were not mobile had a call bell accessible to them for calling for assistance when required. The chiropodist who works at the local hospital visits the home every 6-8 weeks The medication administration records were examined and no gaps were noted in recording. A list of specimen signatures of staff administering medicines was available on file for reference. Medicines are disposed of appropriately with a clinical waste company and all disposed medicines are recorded. Pain charts are now completed for those residents taking regular painkillers to monitor if the medicine is effective. The home was not administering or storing any Controlled Drugs at the time of the inspection. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 13 Residents spoken with said staff respected their privacy and dignity and personal care was provided in the privacy of their bedrooms or in bathrooms with the door closed. Staff knocked on doors before entering bedrooms. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An activity programme has been developed since the last inspection and residents were happy with the social aspect of life in the home. Residents can have visitors at any reasonable times and visitors are made welcome. Residents are able to make choices about how they spend their day and their preferences are recorded and respected by staff. Residents are offered a varied choice of nutritious food. Additional dining space was still required for residents. EVIDENCE: Resident’s records seen showed that interests and hobbies are now recorded. Since the last inspection a weekly programme of activities has been developed that included quizzes, games, bingo, poetry reading, talk of interest, arts and Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 15 crafts and nail therapy etc. Prior to Christmas residents had been engaged in making Christmas crackers and decorations. The acting manager confirmed that there are two activity co-ordinators who between them provide activities every afternoon during the week. The activities programme is developed taking into account resident’s interests. It was confirmed that the activity co-ordinator takes time to visit the residents who stay in their rooms to help them pursue any activities of their choice. One resident spoken enjoyed a game of dominoes and other residents said they are happy to pursue their own pastimes with reading, watching television and listening to the radio. One resident goes to the local bingo club twice a week and the home arranges for a member of staff to go as an escort. Plans are on-going to expand the activities provided to include outings etc. Following an environmental health inspection in the home in November 2006 the inspector made a follow-up visit and found all requirements set have now been met. Following discussions with residents and visitors it was clear that visitors are able to visit the home at any reasonable times. Visitors spoken with said they are made welcome by staff. Residents said that their choices and preferences with regard to rising and retiring times and whether to sit in their own room or the lounge, are respected. Samples of the five -week menus were seen and showed that a well-balanced and nourishing diet was offered. Residents are offered an alternative choice of food at each mealtime. The cook and the manager are responsible for planning menus and the resident’s likes and dislikes in food are taken into consideration. Additional dining space had still not been made available to residents and the Responsible Individual explained that this is still in the planning process to find the best option available. The low occupancy levels have also caused the delay but now the home is admitting new residents the matter of further dining space will be given high priority. This requirement remains outstanding from 01/06/05. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents felt able to discuss complaints with staff at the home and felt they were dealt with appropriately. Staff have received updated training on the Protection of Vulnerable Adults. Staff are aware of their responsibility to report any incidents or allegations of abuse in order to protect residents. EVIDENCE: The complaints log was seen and the complaints recorded were related to care practices that prompted an Adult Protection alert with Social Services and the Primary Care Trust carrying out investigations that were now resolved. No further complaints were recorded since the last inspection. Residents spoken with said they would speak with the manager should they have any concerns or complaints. Two visitors spoken with said that in the past any issues raised had generally been dealt with promptly and satisfactorily. Staff training records showed that seventeen members of staff had attended training for the Protection of Vulnerable Adults (POVA) in May 2006. Staff spoken with were aware of their responsibility to report any suspicions or Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 17 allegations of abuse in the home. The recent allegations and subsequent investigations in the home had raised staff awareness of abuse. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and well-maintained home. EVIDENCE: A tour of the premises took place and all areas of the home were clean and fresh. Most areas of the home are well maintained and furnishings satisfactory. Following issues at the last inspection about hot water not being available in all areas of the home and heating in some areas being warmer than others a new boiler has been installed. The last fire safety assessment carried out by the local fire service was carried out in November 2006 and it was confirmed that the home met all requirements. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 19 At the last inspection an issue was raised with regard to the difficulties in ensuring the highly dependent residents accommodated on the third floor were adequately supervised. To meet this need a management report has been devised, to record the frequency of checks and care provided for residents, especially for those confined to their rooms. The nurse in charge has the responsibility to record the relevant information on the form. A blank sample copy of the form was seen although evidence of the form being used in practice was not assessed on this occasion. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff was sufficient to meet the needs of the present residents accommodated. Recruitment procedures in the home protected residents with all the relevant checks being completed. Staff had received training appropriate to the work they are doing. EVIDENCE: At the last inspection staffing levels had been increased to include two registered nurses working from 9am to 5pm seven days a week. However on this inspection due to the low occupancy levels of twenty residents there was one registered nurse working with two care assistants. It was confirmed by the acting manager that when occupancy levels increase the staffing levels will be increased accordingly. The home employs two cooks, two domestics and a laundry assistant. Residents spoken with felt the staffing levels are satisfactory and said that generally staff are prompt in responding to their calls for assistance. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 21 Three staff files were seen to check recruitment procedures. All files contained evidence of a completed application form, two satisfactory references and a Protection of Vulnerable Adults (POVA) check. All three members of staff had commenced work in the home prior to a Criminal Records Bureau (CRB) being confirmed as satisfactory. It was confirmed that due to these checks taking several weeks to be confirmed, staff start working in the home under constant supervision until checks are completed. Where relevant details and evidence of registration with a professional body was contained in staff files. Staff training records showed that an induction programme for staff is in place and staff receive updated training for first aid, fire safety, protection of vulnerable adults, first aid, basic food hygiene, health and safety, manual handling, and infection control. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A new manager has recently been appointed who is a registered nurse with several years experience of working with the elderly. The manager is in the process of his application to register with the Commission of Social Care Inspection. Surveys are in place for seeking the views of residents and relatives but need to be expanded to include the views of health professionals. Formal staff supervision has taken place for some members of staff but has not been maintained within the appropriate timescales. The health and safety of residents was protected. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 23 EVIDENCE: Since the last inspection a new manager has been appointed in September 2006 and an application to register with the Commission of Social Care Inspection (CSCI) was in the process. The manager is a registered nurse and has worked as a deputy manager in another care home for over two years. He is working towards gaining the Registered Managers Award. Since the manager’s appointment he has introduced new documentation to ensure accurate records are maintained for aspects of resident’s care. Staff said he was approachable and communicative. A quality assurance system was in place in the home and all residents were sent a questionnaire to complete in August 2006 with 15 responses. The results of questionnaires was recorded and the Responsible Individual confirmed that feedback gained was acted upon as required. Plans are in place to send out further questionnaires to residents and relatives in the near future. However health professionals were not included in surveys and a recommendation was made to include all parties in future surveys. Staff spoken with said that formal staff supervision has commenced but not for some months. Due to the resignation of the former manager of the home and the appointment of the new manager staff supervision has not been maintained within the required timescales of at least six times a year. A requirement was made with regard to staff being appropriately supervised. Accidents, incidents and injuries are recorded and reported to the appropriate authorities. Staff training records showed staff have updated mandatory training in May, June, July and November 2006. A maintenance person works in the home for 2-3 hours daily as required. Inhouse maintenance checklists include weekly and monthly health and safety checks that cover equipment and systems throughout the home. In-house checks are the responsibility of the maintenance person and the acting manager. The Fire Log book records quarterly tests on fire fighting equipment and systems. Water temperatures are recorded in all resident’s rooms and the last test was recorded in November 2006. Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 24 Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 25 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 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 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 2 X 3 Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes 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. .1 Standard OP15 Regulation 23(2)(g) Requirement The registered person shall ensure there is adequate sitting, recreational and dining space provided from the resident’s private accommodation. This requirement remains unmet since the inspection of 1/6/05. The timescale given of 31/12/05 and 30/9/06 has expired. The registered person shall ensure that the persons working in the care home are appropriately supervised. Timescale for action 30/06/07 2. OP36 18(2) 31/03/07 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 Refer to Standard OP33 Good Practice Recommendations Surveys as part of the quality assurance system should include the views of health professionals. DS0000024146.V320172.R01.S.doc Version 5.2 Page 27 Goffs Park Nursing Home Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Goffs Park Nursing Home DS0000024146.V320172.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!