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Inspection on 12/03/09 for Hinckley Park Nursing Home

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

This inspection was carried out on 12th March 2009.

CSCI found this care home to be providing an Adequate service.

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

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

What the care home does well

The residents receive care from a safe and trained staff in a clean and pleasant environment. The residents have their own bedrooms that they can bring their own belongings into.

What has improved since the last inspection?

What the care home could do better:

The home should employ sufficient staff to make sure that the residents can have their meals at appropriate intervals, can have the care that they need with dignity and privacy and are assured of being kept safe. The risk assessments that are in place could reflect the action to be taken more accurately.The resident`s activities could be arranged to make sure that more of the residents can take part in them. If better arrangements for the disposal of soiled waste were made the home would not be at risk of unpleasant odours. The home should make sure that they update the application form to include the whole of an applicants` employment history to make sure that the residents are safe in their care. Staff should be given the opportunity of formal supervision at the recommended intervals, to give them the time to discuss their work and training needs.

CARE HOMES FOR OLDER PEOPLE Hinckley Park Nursing Home 67 London Road Hinckley Leicestershire LE10 1HH Lead Inspector Thea Richards Unannounced Inspection 12th March 2009 09:00 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 Hinckley Park Nursing Home DS0000001911.V374544.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. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hinckley Park Nursing Home Address 67 London Road Hinckley Leicestershire LE10 1HH 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) 01455 615252 01455 612956 hinckleypark@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Centres Limited Manager post vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (40) of places Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following categories of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP Physical Disability - Code PD The maximum number of service users who can be accommodated is: 40 19th August 2008 2. Date of last inspection Brief Description of the Service: Hinckley Park Nursing Home is a care home with nursing facilities providing personal care and accommodation for up to forty older persons. Southern Cross Healthcare Ltd owns the home. Hinckley Park is a purpose built, three-storey property with level entry access. It has two floors for residents use. Access to both floors is by use of a passenger lift or stairs. There is a third floor, which accommodates the kitchen, laundry and staff room. There are thirty single bedrooms, seven with en suite facilities and five double bedrooms, all with en suite facilities and additional bathrooms with assisted bathing facilities There are two communal areas with a television, two dining rooms and a conservatory and a garden to the rear of the building. The home is located close to the town centre of Hinckley where residents have access to shops, the library, the post office and other local amenities. It is easily accessible by private or public transport and there is parking in the grounds. Information about the services provided is available in a statement of purpose and service user guide. Fees from the Local Authorities who are funding residents are arranged and assessed individually. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 5 Residents funded by the local authority will also be asked for a ‘top up’ fee, which varies between £10 and £50 according to their ability to pay. Privately funded residents are assessed according to their needs and the type of room that they occupy. The assessed nursing allowance is paid in addition to the fees. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 1 Star. This means that the people who use this service experience adequate quality outcomes. This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection), spent five hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the 19th August 2008. The visit took place on the 12th March 2009 and lasted ten hours, with two Inspectors. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to five of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents and their families. With their permission the residents’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We checked the Annual Quality Assurance Audit (AQQA) that the home had sent to us. This describes the services provided at the home for the residents, how the home is hoping to improve services and statistics about the residents and the staff. We looked at the comment cards that we had returned to us from the residents, relatives and the staff. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 7 During the visit we spoke with the deputy manager, the operations manager, the residents, the staff and families and visitors to the home. What the service does well: What has improved since the last inspection? What they could do better: The home should employ sufficient staff to make sure that the residents can have their meals at appropriate intervals, can have the care that they need with dignity and privacy and are assured of being kept safe. The risk assessments that are in place could reflect the action to be taken more accurately. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 8 The resident’s activities could be arranged to make sure that more of the residents can take part in them. If better arrangements for the disposal of soiled waste were made the home would not be at risk of unpleasant odours. The home should make sure that they update the application form to include the whole of an applicants’ employment history to make sure that the residents are safe in their care. Staff should be given the opportunity of formal supervision at the recommended intervals, to give them the time to discuss their work and training needs. 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. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 9 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 Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 10 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): 1, 2, 3. 6 was not applicable in this home at this time. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are always assessed before moving into the home and they have good information to help them make the right choice about the home. EVIDENCE: The residents or their families who were ‘case tracked’ told us that they had seen the Statement of Purpose and had been given the terms and conditions. These documents are available in other formats including audio tape, large print and other languages to give as many people as possible the opportunity to read them. The manager or a senior member of staff always visits prospective residents to complete a pre assessment of the residents’ needs. This makes sure that the home has full details of the resident before they are admitted. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 11 The prospective residents and their families are given the opportunity to visit the home and spend some time there and have a meal if they wish to. These assessments were seen in the residents’ care plans and the residents and the families spoken with told us that they had a visit before they came in. The staff spoken with told us that they always knew about the resident before they were admitted. The current registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the entrance of the home with the latest report from the CSCI and an up to date public liability insurance certificate. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 12 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): 7, 8, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents, with privacy, dignity and respect where time and the accuracy of care plans allows this. EVIDENCE: The ‘case tracked records were found to contain good individual evidence of the care being given to the residents and reflected the care that the residents needed. There was evidence that the residents and/or their relatives have been involved in planning the care. The residents and the families spoken with told us about the care that they needed and most were were happy that they received it. There were some concerns raised at the length of time that it sometimes took staff to attend to them. There was evidence that the care plans are regularly reviewed and the residents and the families spoken with confirmed that they had been involved Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 13 and were aware of the care to be given and that they were happy with it. Whilst there were risk assessments and reviews of those, and the care plans, some of the entries did not appear to reflect the residents condition. There was a risk assessment for a very confused person identifying their risk of falling and saying that there was a risk of falling even with bed rails in place, one of the measures to avoid this was to ‘remind them not to come out of bed themself’. Another identified someone as having difficulty maintaining their body temperature, but not how they would check the room temperature. There were nutritional assessments in place and there were records of peoples’ food and drink intake where they had been identified as being at risk. One person had been identified as needing to be weighed weekly but records showed that this was only happening monthly. There are records of the involvement of G.P.s and other health professionals where needed in the care plans, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. A doctor spoken with told us that he was very happy with the home, that it had improved considerably and that they always referred people to him appropriately and in time. He also told us that the residents were well looked after, that the staff care and that they always undertake the care and treatment that he has prescribed. The daily record of care was up to date and contained details about the residents’ day and night. When we arrived three of the residents who were in bed had entries stating that they had been washed, dreesed and were up. We were told that after they were washed and dressed that they liked to stay on their beds. We saw residents mainly being treated with dignity and respect when staff spoke with them and undertook their care, particularly when moving them. They were seen to be knocking on the residents bedroom doors before they went into them. One of the residents’ dignity was seen to be compromised when a member of staff was trying to help her to the toilet whilst trying to watch somebody who needed one-to-one obseration because of a risk of falling. The staff sat down with the residents and spoke with them individually. The chiropodist was seen to be treating the residents in the conservatory, giving them no privacy. When asked about this we were told that they should be treated in a room upstairs but that the staff didn’t have time to move them because they were busy with breakfast. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 14 The residents were then moved. A visitor to the home, who visits other homes as a bereavement counsellor, told us that this was one of the best homes that she visited. She told us that the staff were caring, that the residents were well looked after, that the food was good the residents were happy and that she’d never had to make a complaint about the home. Medication records for the case tracked residents were in order. Medicines are given by the nursing staff who have regular updating in medicines. We saw that the medicines were administered individually and the residents were seen to be taking them. Medicines are supplied in a ‘monitored dosage system’ where each tablet is in a separate ‘pop out’ card, which is a safe method of administration, helping to make sure that the resident is always given the right tablets. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. One of the nurses told us that she would dispose of refused liquid medication down the sink. Medicines should not be disposed of this way as it could pollute the water system. The nurse completing the medicine round was seen to leave the trolley unattended whilst she gave medicines to a resident. This could result in someone else taking medicines out of the trolley. The manager carries out a monthly written audit of the medicines and the medicine sheets to make sure that they are correct. The controlled (dangerous) drugs and records were checked and found to be correct with two signatures for each administration. There were drugs in the cupboard that had been stopped a month earlier and not disposed of. We were told that the pharmacist had not yet provided them with a new disposal box. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 15 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): 12, 13, 14, 15. Quality in this outcome group is adequate. This judgement is made using available evidence including a visit to the service. The residents enjoy those activities that are provided and have their spiritual needs met. The food is nutritious, but their nutritional needs could be compromised by the timing of meals. EVIDENCE: The staff were seen to be spending a little individual time with the residents reading the newspaper and talking with them. The T.V was on in the lounge, which none of the residents were watching and told us that they were not interested in. Activities the residents and the staff told us were enjoyed included bingo, board games, hand manicures, singing, music and memory games. We spent the day from 8 o’clock in the morning until 6 o’clock in the evening and saw very little in the way of activity taking place. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 16 There is a regular church service held and clergy can visit whenever the residents would like. A hairdresser visits weekly, which the residents enjoy. The staff, the residents and the families spoken with told us that they were happy with the amount of activities, although there were some comments in the surveys returned that said they would like more. There was evidence in the daily records about the activities that the residents take part in. All the families spoken with said that they were made very welcome in the home, which we saw whilst we were there. The residents spoken with said that the food was good and that they had a choice of what they had. The menus were varied and were discussed with the residents at residents meetings. There is a menu board in the home but was showing the wrong day and is not clear enough or in a position for the residents to be able to see it. We spoke with the residents during their lunch, which was served attractively and they told us that they were enjoying. Fruit served in manageable pieces was offered to the residents when drinks were being served, the residents told us that they appreciated this and enjoyed it. We were in the home during all of the meals being served on the day of the visit and saw that the meals were nutritious; some of the residents were seated for an hour before their meal was served. As we noted previously the space between tea and breakfast was very long and one resident who we looked at had a seventeen and a half gap between meals. This appeared to be the same gap for having a hot drink, although there were cold drinks available in the bedrooms. A resident told us that there was not a hot drink served until breakfast time, which for some would not be until 10:30 am. The cook is happy with the quality and amount of food supplied and is aware of different diets such as vegetarian and diabetic and provides pureed diets in an attractive way. The staff were seen to be sitting with individual residents helping them with their meals. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 17 Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 18 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): 16, 18. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to in the home if they needed to. This was found to be thorough in the details of any complaint and the dates. This could be made available in a large print and other languages if it was needed, which would make sure that as many people as possible could read it. The home and Social Services have received several concerns since the last inspection on 14th August 2008, which The Commission for Social Care Inspection has been involved with. These are currently being investigated by these groups. The residents and the families spoken with were aware of the policy, of how to complain and who to complain to. They were happy that their concerns would be listened to and acted on. The staff spoken with were aware of how to handle any complaints. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 19 The staff spoken with were able to describe how they would deal with an allegation of abuse, knew the areas where abuse could happen and could describe the process that they would go through if they suspected any abuse. They confirmed that they had had training in safeguarding adults and whistle blowing and the manager and the records seen supported this. Most of the staff have either got an NVQ at least at level 2 or have started the award, during which they receive training in safeguarding as well as the training given in the home. They were confident that the management would handle any issues correctly. We looked at the accident book, which had been completed correctly. These practices make sure that the residents are safe from any abuse and that any concerns are handled correctly. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 20 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): 19, 24, 26. Quality in this outcome group is good This judgement has been made using available evidence including a visit to the service. The residents are protected by the policies and procedures in the home to provide a safe and pleasant environment to live in. EVIDENCE: Hinckley Park is a two storey, purpose built home in a residential area close to the centre of Hinckley. The home was warm, clean, homely and welcoming on our arrival. There is a lounge, a dining room and bedrooms on both floors; the first floor can be reached by the stairs or by the passenger lift in the home. The lounges and dining rooms were clean, bright and well decorated, with suitable seating for the residents. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 21 All of the bedrooms seen had been personalised and were found to be clean and well decorated. The residents spoken with were happy with their rooms and said that they were able to bring their own belongings in with them. There was evidence of equipment in the home to help the residents, such as wheelchairs, special mattresses and hoists. All the bedrooms have been provided with ‘profiling’ beds, which give the residents’ comfort and support, whilst making it easier for the staff to care for them. There was a good provision of bathrooms in the home and these were mostly found to be clean and clear of any items that could cause a hazard for the residents. One bathroom appeared to be being used to store equipment and pads that would make it difficult for the staff and the residents to use. One bathroom had bags with used incontinence pads in them left on the floor. This gave an extremely unpleasant odour in that area and they remained there for most of the day. There was a patio area and grounds that were easily reached by the residents and made a pleasant place to sit and walk for them. The residents and the families spoken with were happy with the cleanliness of the home and their rooms. There are staff employed to complete the cleaning in the home and they have had training in health and safety. The cleaning products are stored in a locked cupboard, which we saw. This was confirmed by the staff spoken with and by the deputy manager. The records for hot water testing were up to date and all the temperatures were within the recommended levels. The fire records for testing alarms and fire drills and training were looked at and found to be up to date. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 22 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): 27, 28, 29, 30. Quality in this outcome group is poor. This judgement is made using the available evidence including a visit to the service. The recruitment policy and staff numbers could compromise the residents’ care. EVIDENCE: We looked at two staff files and most of the required information was complete in all of them. This included evidence of identification, two written references, a Criminal Records Bureau (CRB) check and a Protection of Vulnerable Adults check. The application form does not contain enough space to include a full employment history. This would make sure that applicants do not have unexplained gaps in their employment history. The manager makes sure that all the required documentation is in place before an employee starts work. This was confirmed by the staff spoken with, who told us that they could not start until they had all the paperwork in place. The staff spoken with confirmed that they had received recent training in moving and handling, prevention of abuse to vulnerable adults, health and safety and safe food handling. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 23 We saw the induction programme that all the staff complete and it contained all the rquired mandatory training needs. The residents and the families spoken with felt that the staff were well trained to do their job but there were sometimes not enough staff to look after them. This was seen by us when a resident had to wait for attention from a member of staff for more than ten minutes and where staff were trying to give one to one care to another resident, whilst still caring for others. The staff told us that there were often not enough staff to give care such as turning the residents as frequently as they should. This was also described earlier in the report where there were not sufficient staff to help with eating resulting in people being in the dining room for up to two hours. Most of the care staff either hold a National Vocational Qualification (NVQ) at least at level 2 or are in the process of completing it. The National Vocational Qualification is a qualification for care staff to make sure that they receive training in the needs of the resident group whom they are caring for. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 24 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): 31, 33, 35, 36, 37, 38. Quality in this outcome group is adequate. This judgement has been made using available evidence including a visit to the service. The residents’ safety could be at risk with some of the practices in the home. EVIDENCE: The manager, a trained nurse has recently been appointed to this post. She was unavailable on the day of the visit. The deputy manager, who has worked in the home for many years, was available as was the operations manager. There are regular meetings held for the residents and for their families, to discuss activities and menus in addition as to how the home is meeting their needs. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 25 The manager holds an out of hours ‘surgery’ so that families who are working have the opportunity of speaking with her. She does speak with the residents on a daily basis and with the visitors. The residents and the families spoken with confirmed this. There is an annual quality questionnaire sent to the residents and their families and the questionnaires that we saw on the visit confirmed this. The families and the residents told us that they had completed the questionnaires. We received positive comments from the residents and the families at the visit and from the surveys sent to them by the Commission for Social Care Inspection, amongst which were that the staff were very supportive of them and they’re relative. The residents’ accounts were seen and all in order, and always had two signatures on each entry. This makes sure that the resident and the member of staff handling the money are protected. We saw that receipts were obtained for purchases. All the areas of health and safety such as hot water temperatures and fire drills and alarm testing were found to be in order. Staffing levels are only adjusted in the home when more or less beds are occupied and not on the levels of dependency. This has resulted in the staff being unable to give the residents the care that they need as has been described throughout this report. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 26 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 1 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 1 Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP10 Regulation 12(4)(a) Requirement That the staff are able to give the residents time to make sure that dignity and privacy are able to be maintained when giving them care. That meals are served in a timely manner to make sure that the residents have a regular nutritional intake and that there are sufficient staff to help the residents with their meal. That there are at all times sufficient and suitably qualified staff to meet the needs of the residents and to keep them safe. That the staff application form contains space to include a full employment history as described in Schedule 2 of the Care Home regulations, to make sure that the home can pursue gaps in employment to keep the residents safe. That sufficient staff are employed to make sure that the health, safety and welfare of the residents is maintained. Timescale for action 30/04/09 2. OP15 16(2)(i) 30/04/09 3. OP27 18(1)(a) 30/04/09 4. OP29 19(1)(b) 30/04/09 5. OP38 13(4)(c) 30/04/09 Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 28 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. 4. 5. 6. Refer to Standard OP7 OP9 OP9 OP12 OP26 OP36 Good Practice Recommendations That the risk assessments accurately reflect how the risk should be managed. That all the nurses employed in the home are made aware about the disposal of medicines. That the nurses in the home receive training to make sure that they are aware of how to manage the safety of medicines when administering medication. That the activities programme is reviewed to make sure that all of the residents can take part in the activities that they would like to. That bags of soiled waste are stored in an appropriate and timely manner to reduce the unpleasant odour in the home. That the registered manager arranges supervision of the staff at intervals recommended by the National minimum Standards. Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Hinckley Park Nursing Home DS0000001911.V374544.R01.S.doc Version 5.2 Page 30 - 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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