Inspection on 30/04/07 for Harbour View Nursing Home

This inspection was carried out on 30th April 2007.

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

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

Other inspections for this house

Harbour View Nursing Home 01/09/09

Harbour View Nursing Home 15/02/06

Harbour View Nursing Home 10/08/05

Harbour View Nursing Home 08/11/04

Harbour View Nursing Home 26/07/04

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

CARE HOME ADULTS 18-65 Harbour View Nursing Home Bransty Road Whitehaven Cumbria CA28 6HA Lead Inspector Liz Kelley Unannounced Inspection 30th April 2007 9:15 Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 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 Harbour View Nursing Home DS0000010109.V334287.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 Adults 18-65. 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. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harbour View Nursing Home Address Bransty Road Whitehaven Cumbria CA28 6HA 01946 599963 01946 599964 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) www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Gillian Margaret McAllister Care Home 50 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (6), Old age, not falling within any other of places category (50), Physical disability (50) Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 50 service users to include: up to 50 service users in the category of OP (older people not falling within any other category) up to 50 service users in the category of PD (younger adults with a physical disability) up to 6 service users within the category of DE(E) (Dementia over 65 years of age) 1 named service user in the category of DE (Dementia under 65 years of age) may be accommodated within the overall number of registered places. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. Date of last inspection Brief Description of the Service: Harbour View is a purpose built care home registered to provide nursing care for up to 50 residents from the age of 18 years. The home is built on Bransty hill overlooking Whitehaven harbour. There is a good-sized car park in front of the home. Accommodation is provided in single en suite bedrooms on two floors. The facilities are accessible and meet the needs of residents and aids and equipment are in place to assist where necessary. The current scale of charging, via social service referral, is £462.15 under 65 years and £396 per week over 65 years of age. Private fee payers are charged £535. Both groups may be entitled to a nursing care contribution on top of this amount for additional nursing care that may be required. Hairdressing and chiropody is not included in these fees. Information is made available on facilities and terms and conditions in the homes Statement of Purpose and Residents Guide. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over a full day. In the month previous to the visit feedback cards had been sent out to service users, relatives and professionals to gain their views on their experience of the Home. The manager and staff were interviewed as part of the inspection. Time was spent with residents in each of the units. And a tour of the building was undertaken. What the service does well: What has improved since the last inspection? Staff training continues to improve in all areas, with nursing staff, carers and ancillary staff all being offered courses in relevant areas that improve their knowledge and skills in their care of residents. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 6 The manager strives to seek new ways to seek the views and opinions of both relatives and residents. A new face-to-face session with the manager and relatives has been introduced to further open up dialogue and make people feel comfortable in speaking up. 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. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager has developed robust procedures to ensure successful placements of new residents to the home, including pre-admission planning to ensure that cultural and religious needs of people using the service are met. EVIDENCE: Comprehensive sets of procedures are in place to introduce new residents and each person has a full assessment prior to living at the home. This ensures that they only take people whose needs they can meet, and the individual has the opportunity to vet the home and make an informed choice of where to live. A resident’s feedback card stated “I requested to move to Harbour View after a recommendation from the Stroke Unit at West Cumberland Hospital, and by visits by my family”. Files contain all relevant pre-admission paperwork, including social work assessments and reports from health care professionals prior to a person choosing to stay at the home. The manager carries out her own assessment which includes visits to see the person in their own home or while in hospital. This assessments covers not only a persons physical needs but also takes into consideration their social, spiritual and cultural needs. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 9 Documentation confirms that residents are accepted only on the basis of a full assessment involving appropriate professional input and consultation with residents and their families. One resident described their introduction to the home which included a series of tea-time and over-night stays, and another had used the respite facility prior to making a decision. This procedure was in line with the Homes Statement of Purpose, and these measures resulted in a high level of successful placements. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual needs and choices are met and promoted through careful care planning which instructs staff on how to deliver each persons care. EVIDENCE: The care plans are a working document and are regularly reviewed and altered and are pertinent to each persons care needs. Wherever possible residents are involved in drawing up these plans. If this is not possible family members will be asked for their contribution. The manager has developed new ways to seek opinions on care plans and to check that the family feel the home is meeting the needs set out in the plans. This has resulted in some positive dialogue and issues being addressed before they become a problem. The manager also carries out regular quality audit checks on care plans and writes reports with recommendations, on for example the language used, if they are clear enough and not open to misinterpretation, and also if follow ups have been actioned. This is driving up good practice as each person Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 11 responsible for drawing up and reviewing the plans is given the opportunity to reflect and improve on their practice. The organisation, Four Seasons, has begun to introduce a new care planning approach which has a much greater emphasis on the holistic needs of people and is moving away from institutional models of care by attempting to give individuals more choice and control over their lives. Some of these plans had been started within the home but will take time as they involve a lot of consultation with the residents and their families. People were observed in the home making choices on how to spend their time, and had different individual routines. For example some people ate in their rooms, or spent time in their rooms listening to music or watching TV and others where able to freely move around the home in electric wheelchairs and sit outside in the sun, enjoying the gardens. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to have a good quality of life through the choices offered to them. EVIDENCE: The service has a commitment to enabling people to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. Some residents attend Disability Day Services, the Multiple Sclerosis Centre and are linked into support groups. Other residents have visits to the home from the Rehabilitation team or the physiotherapist from the stroke unit, to help with their progress towards a more independent lifestyle. People who live at the home have the opportunity to develop and maintain important personal and family relationships. Feedback cards from relatives reported that they were always made welcome in the home and had been Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 13 pleased at the recent initiative from the manager to have the opportunity to discuss their relatives care at more length. They felt the manager was open and approachable. The practice of staff promotes individual rights and choice, but also considers protection of individuals, supporting people to make informed choices. All choices made are documented within the care plans for all staff to respect and follow. Staff deliver care in a sensitive and respectful manner by: addressing serviceusers by their preferred name; knocking on doors and enabling service-users to maintain as much independence and dignity as possible, while undertaking care tasks. Keyworkers are designated to individuals and part of their remit is to consider the life style and social needs of the person. They spend time with a person to consider their interests and spiritual needs and how they can best be met. Two carers are designated as activity co-ordinators every afternoon and they frequently review what they offer to ensure variety and increased choice for people. The food in the home is of satisfactory quality, well presented and meets the dietary needs of people who use the service. The menu is varied with a number of choices including healthy options. It includes a variety of dishes that encourage individuals to try new and sometimes unfamiliar food. The meals are balanced and nutritional and cater for the varying dietary needs of the individuals using the service. Residents were positive about the meals and looked forward to them. The dining rooms are attractive with tablecloths, napkins, flowers and condiments. Meals times are arranged in two sittings to allow for more time to be spent with those who needed extra assistance. Care staff are sensitive to the needs of those residents who find it difficult to eat and give appropriate assistance. They are aware of the importance of assisting at the pace of the resident, making them feel comfortable and unhurried. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare and personal needs of residents are being managed with dignity and respect. EVIDENCE: The health care needs of residents are well managed by a combination of nurse input from the home and visits from local health care services. There are good links with local healthcare professionals to ensure residents have specialist support such as the palliative care team, skin viability nurse, specialist stroke occupational therapist, speech and language therapist and physio-therapists. Staff has access to training in health care matters and are encouraged and given time to attend seminars on specialist areas of work. Recent courses have included the care of people with dementia, MS care and dysphasia and management of swallowing. The aims and objectives of the home reinforce the importance of treating individuals with respect and dignity, and this was observed in practice, for example in the sensitive use of a hoist. This extended through to the end of life Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 15 care for residents where their wishes had been sensitively sought and document to allow people to die in the place of their choosing. People have the aids and equipment they need to keep them both safe and independent, and these are well maintained to support both people living at the home, and for staff to support daily living. Approriate good practice tools are put in place according to need, for example moving and handling assessments, nutritional assessments, waterlow assessments, mouthcare and fluid charts. This allows for each persons health to be carefully monitored and ensures that staff have detailed instructions of how to deliver care to promote good health to people with complex healthcare conditions. An efficient medication policy is supported by procedures and practice guidance, which staff understand and follow. Medication records are fully completed, contain required entries, and are signed by appropriately qualified staff. Regular management checks are recorded to monitor compliance, and the manager highlights any errors or areas for improvement. These are communicated in a variety of ways through qualified staff meetings, in bulletins in the staff room and in one-to-one supervision with staff. This has proved effective in bringing down the number of discrepancies and improving the safe handling of medications. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Measures are in place to safeguard the well-being of residents. EVIDENCE: The home has an open culture that allows residents to express their views, and concerns in a safe and understanding environment. Residents and others involved with the service say that they are happy with the service provision, feel safe and well supported by an organisation that has their protection and safety as a priority. As mentioned early the manager is pro-actively seeking out the views of families to pre-empt any concerns or queries before they become an issue. These interview sessions were recorded and gave families the opportunity to ask questions, and for them to be made aware of the open door policy of the manager for any future queries. The service has a complaints procedure that is clearly written and easy to understand. It is available on request in a number of formats, including large print, audio etc, to help anyone living at, or involved with, the service to complain or make suggestions for improvement. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. Unless there are exceptional circumstances the service always responds within the agreed timescale. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 17 The policies and procedures for Safeguarding Adults are available and give clear specific guidance to those using them. Staff working at the service know when incidents need external input and who to refer the incident to. The home understands the procedures for Safeguarding Adults and will always attend meetings or provide information to external agencies when requested. There are a low number of referrals made as a result of lack of incidents, rather than a lack of understanding about when incidents should be reported. Training of staff in the area of protection is regularly arranged by the Home. Other training around dealing with physical and verbal aggression is also made available to staff as needed. Staff understand what restraint is and alternatives to its use in any form are always looked for. The use of any equipment that may be used to restrain individuals such as bed rails, recliner chairs and wheelchair belts is examined. Individual assessments are always completed which involve the individual where possible, their representatives and any other professionals such as the care manager or GP. The manager is pro-actively reviewing each person who uses bed rails and through careful monitoring and consultation has managed to safely reduce this method of restraint in the home. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a safe, clean, comfortable, and well-maintained home that is decorated to high standards throughout. EVIDENCE: The Home is decorated and furnished to high standards and service users and relatives appreciate the attention to detail. One feedback card stated “Harbour View Lodge must be one of the best care homes. You only have to walk through the door to realise that it is much better than average. Fresh flowers, very good quality furniture and furnishings, no smells”. A continuous programme of improvements and maintenance ensures that the accommodation is of a high standard and is comfortable and homely. Recent improvements have included a rolling programme of redecoration of bedrooms. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 19 Both residents and relatives were very complimentary on furnishings and decoration of the home. The housekeeping staff worked hard throughout the day ensuring that the Home was clean, hygienic and safe. The environment is fully able to meet the changing needs of people who live in the home, along with their cultural and specialist care needs. It is fully accessible throughout to people with physical disabilities, adaptations and specialist equipment are designed to fit within the homely environment. The management has a proactive infection control policy and they work closely with external specialists, e.g. infection control, and their own staff to ensure that infections are minimised. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good quality care from staff who are trained and competent. EVIDENCE: Harbour View has a competent and increasingly better-trained workforce with a good mix of skill, experience and age. This leads to good levels of confidence and satisfaction from residents, relatives and professionals with the care that is delivered. A training and development plan has been developed for the home and this helps to identify gaps and where updates are needed. The registered manager provides a comprehensive induction programme for new staff, and following this staff are offered training in Health and Safety, Food Hygiene, Care Practices, Manual Handling. These all complied with national training targets. The content of the induction and probationary periods are seen to be very robust, detailed and service specific. The service only confirms permanent employment when satisfied that competence and progress has been shown to be satisfactory against their high standards. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 21 The Home has 16 care staff with a National Vocational Qualification(NVQ) in care; a further 3 with NVQ3, with another 2 near to completion. This takes the Home above the 50 minimum level required by this standard. The service has a highly developed recruitment procedure that has the needs of people who use the service at its core. The recruitment of good quality carers is seen as integral to the delivery of an excellent service. The service is highly selective, with the recruitment of the right person for the job being more important to the filling of a vacancy. The interview and selection process is based upon identified criteria that are closely related to the job being advertised and supports the procedure. All elements of recruitment are accurately recorded and the required documentation is always received prior to the employee starting work. The manager and deputy nearly always conduct the interviews together with a scoring system to ensure they get the best candidate. Staff meetings are used for consultation, training and the involvement of staff in the development of the service this includes night staff. Agendas are developed, minutes are taken and relevant information is made available to staff and service users. All staff have the opportunity to attend meetings and to be kept fully informed and able to contribute to meetings. Individual supervision sessions take place regularly and staff say that they find them useful for their development and can demonstrate practical outcomes. Notes are taken which include action plans. The manager has recently improved the supervision of staff by delegating this role to nursing staff on each unit to improve teamwork and improve communication. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is clear leadership, guidance and direction to staff ensuring that residents receive consistent good quality care and are treated as individuals. EVIDENCE: The registered manager has the required qualification and experience, is highly competent to run the home to meet its stated aims and objectives. The manager has sound knowledge of both strategic and financial planning. A business plan has been developed by the manager and this is regularly reviewed to ensure targets are met. The manager is up-to-date on developments and trends in this field and is knowledgeable on current developments in regulation and Inspection. Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 23 Effective quality monitoring systems are in place to ensure a high standard of service is delivered to service users. The manager conducts regular audits of systems and documentation including care plans, and medication resulting in staff being clearer as to what is expected. Staff promptly attend to the documentation where shortfalls are identified. Procedures are in place to gather the views of service users about the services provided and service users are confident that their views are listened to. A series of service users and relative questionnaires gained across the year were examined, with the resulting actions taken. The home has effective systems in place to ensure the safety and up keep of the physical environment, such as cleaning rotas and maintenance records. Fire Records, annual gas and electrical checks, and servicing of hoists were checked and these were all up-to-date. The financial interests of service users living at the home are safeguarded by the systems in place. The manager ensures that service users control their own money wherever possible, and if not then relatives assist with these tasks. The home does not act as appointee for anyone living in the home. Secure facilities are provided for the safe-keeping of money and valuables both in service users own rooms and on behalf of service users. Harbour View Nursing Home DS0000010109.V334287.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 Adults 18-65 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 x 2 4 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 x 4 x x 3 x Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? 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 Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Harbour View Nursing Home DS0000010109.V334287.R01.S.doc Version 5.2 Page 27 - 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. 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