Inspection on 17/07/07 for Hollins Park Nursing Home

This inspection was carried out on 17th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Hollins Park Nursing Home 03/10/06

Hollins Park Nursing Home 09/11/05

Hollins Park Nursing Home 02/06/05

Hollins Park Nursing Home 15/12/04

Hollins Park Nursing Home 11/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hollins Park Nursing Home Victoria Road Macclesfield Cheshire SK10 3JA Lead Inspector Anthony Cliffe Unannounced Inspection 08:40 17 and 18th July 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hollins Park Nursing Home DS0000018801.V339643.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. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollins Park Nursing Home Address Victoria Road Macclesfield Cheshire SK10 3JA 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) 01625 503028 01625 503031 Community Health Services Limited Mrs Tamara Simmons Care Home 49 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (49) of places Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 49 service users to include: * up to 49 service users in the category of DE(E) (Dementia over the age of 65 years) * up to 6 service users in the category of DE Dementia * 1 named service user in the category of DE (Dementia under the age of 65 years) Date of last inspection 3rd October 2006 Brief Description of the Service: Hollins Park provides nursing care for 49 residents with dementia. The building is a detached two-storey property situated in its own grounds near Macclesfield District General Hospital. It is approximately one mile from Macclesfield town centre. A car park is provided for visitors, and a local bus service runs close to the home for people reliant on public transport. The accommodation is laid out in four wings on two floors with 33 single and 8 double bedrooms. Each wing has a lounge, dining room and smaller lounge. There is passenger lift access to the first floor. The weekly fee payable at the home ranges from £417 to £620. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 17th and 18th July 2007 and lasted Thirteen hours. A Regulatory Inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services provided. Questionnaires were provided for residents, families, and health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents and staff were also spoken with and they gave their views about the service. What the service does well: Hollins Park gathers information on residents before they move in to find out their health and social care needs, so new residents can be sure their needs can be me. Staff had good relationships with residents and their families, and residents were encouraged to make choices and retain their independence wherever possible. Examples of this where how residents chose to spend their day and what clothing they wished to wear. A range of activities was provided for residents to engage in to provide stimulation and maintain their interests but his could be improved upon. Staff had been given training in the protection of vulnerable adults, and those staff spoken with demonstrated a good awareness of their role in preventing abuse occurring. Other training provided during the year was relevant to the roles of the staff employed at the home. The home’s recruitment procedures were thorough to ensure that residents are protected from harm. Detailed records were maintained of the personal finances of the residents, and were safely managed. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents are assessed before they move into the home so their needs can be met. EVIDENCE: Hollins Park accommodates mainly people from the Macclesfield area and is welcoming to anyone from outside the area or with a disability, different ethnic or cultural needs or sexual orientation. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 9 Three personal plans were examined of residents who moved into Hollins Park. The residents had met with the manager to discuss their care prior to moving in. Information was gathered and this was recorded. This included information on their physical and mental health. Copies of these documents were on residents’ plans. Copies of social workers assessments and care plans were on file with information from the Primary Care Trust and local councils that placed the residents at Hollins Park. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Completed records of care, liaison with health and social care professionals and good medicine management ensures residents’ health and welfare needs are met. EVIDENCE: The personal support plans of five residents were examined. They all contained information with regard to continence, safe moving and handling, nutrition, and skin integrity. Personal support plans had been devised for the needs of the residents that identified the problem, the help and support needed and the desired outcome. Personal plans were kept on a computer and a printed copy kept in residents’ personal files. Each time the plans were revised an updated copy was placed in residents’ files. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 11 There were good examples of personal plans reflecting positive outcomes for residents. The dietician had reviewed one resident and progress had been made with weight being gained. The June 2007 review of a resident’s personal plan to maintain her mental health recorded, ‘listened to vocalist that visited and it was difficult to ascertain if she enjoyed it but continue to involve as much as possible in to reduce her experience of social isolation and loneliness’. Personal plans described where residents were independent and could help with their care or informed staff of the level of support and care residents needed but did not always reflect residents’ choices about their. Residents could choose to have a male or female carer. All of the residents were registered with a general practitioner and had access to NHS facilities. Records were maintained in the residents’ personal files showing that other healthcare professionals were involved in the care of the residents. Information from General Practitioners and social and healthcare professionals was included in the monthly reviews of person al plans. Three residents’ surveys completed during the site visit said that there were staff available to help and support them. They had access to healthcare and staff listened to them. Relatives’ surveys said they were given information of their relative and were always given the care that had been agreed with them. Relatives said that residents were supported to make choices. A relative wrote, ‘They look after my wife’s medical needs very well and I wouldn’t change anything about the home and am satisfied with everything as it is’. Another relative said, ‘from what I have seen the staff are very supportive and caring with all the residents, often showing great patience in difficult situations’. Medicines management and administration was examined. Minor errors were noted on medicine administration records. A monitored dosage system was used throughout the care home. Stocks of medicines were replaced monthly. Receipts of supplied medicines were recorded. Where medicines were supplied in original packages and not supplied each month the stocks of these were transferred from one month to the next so staff knew when to reorder medicines. Records were maintained for the destruction of medicines. Controlled drugs records were checked and no errors found. The manager and deputy manager audited medicines as part of the quality assurance system. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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 are supported in making choices in their lifestyle, but the provision and coordination of social activities and choice of meals needs to improve so they have a varied lifestyle. EVIDENCE: The annual quality assurance assessment completed by the manager and received in June 2007 recorded that Hollins Park offered residents choice in the areas of food, activities and environment. The manager wrote, ‘We consult residents on their views verbally and through questionnaires. We have open visiting and invite local schools and church groups to the Home to encourage residents to maintain links with their family, friends and the community. We encourage residents and relatives to personalise bedrooms and involve them in decision making regarding decoration of their rooms. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 13 Staff will take residents to the shops to buy personal items such as clothing and toiletries or take residents for a coffee. All our staff is encouraged to be involved in activities. Our handyman has a regular gardening club and one resident likes to help him on a daily basis with minor maintenance around the Home. We provide a varied menu, which we receive in a cook-chill form, which allows for a good consistent standard and specifies the exact ingredients and nutritional value and we can cater for cultural and dietary needs and choices. We provide relaxed meal times and sensitive support with eating and drinking. There were details of entertainments and entertainers visiting Hollins Park. Residents said they were satisfied with their lifestyle but improvements could be made. A resident said, “Staff always talk to me nicely and I like that. I help out in the garden and with the handyman let’s me help him. We do things in the garden most days and if staff are available. I have to have help outside as I leave things lying around and forget things. Staff always make time for me to go into the garden. They make time for me to go into town. They help when needed but I’m independent and care for myself. The only thing I would like is to go out and have a pint if it’s a nice day. Not to excess or get blotto. I appreciate the staff as they allow me to spend time by myself and I have my own routine. There’s no you go to bed or get up at a certain time and you’re not cajoled into doing things”. Another resident said, “I have a good life here the staff help me with whatever I need. They help me choose clothes, get dressed, do my nails and hair when I don’t feel like doing it. They encourage me when I don’t feel like doing things for myself and say it’s important I help myself as I’m still a young woman. I do my own thing, and they have asked me to join in the exercise group this afternoon. I enjoy the entertainers and the party’s we have. I like the other patients but don’t always want to spend time with them and I don’t have to as I can walk around as much as I like”. There was a programme of activities displayed and they took place as planned. An exercise group took place and a high tea was planned for the next afternoon. Activities only took place in the afternoons. The activities organiser’s post was vacant and a staff member was having a try at doing the job. The hours spent on activities were unspecified. In the morning residents either spent time in communal lounges, smoking room or their bedroom. There was a lot of positive interaction seen but limited organised leisure pursuits. The regional manager said staff was to have training on ‘activity based care’. Staff did not routinely record if residents had joined in activities, or if they were based on residents’ preference or knowledge of their lifestyle. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 14 Staff raised concern that at times staff deployment left them without the time to sit and spend time with residents and they were short staffed sometimes in the morning and late afternoon. This was discussed with the manager, deputy and regional manager who advised they would seek staff’s views on the deployment of staff. The manager confirmed that there were times of the day when staffing could be a minor problem, which was the evening. They had recruited staff to cover a twilight shift but needed to recruit more. This shift was to support the day staff into the late evening and night staff coming on duty. Staff were busy throughout the site visit and were seen interacting positively with residents. Staff was seen assisting residents to eat and making arrangements for personal care and social activities. Staff said if they had staff sickness and were short staffed that arranged activities still took place. Visitors were seen throughout the site visit and relatives surveys returned after the site visit said visiting was flexible. A visitor said of the care of their relative, “I think mum is better cared for here than the other place. She’s only had one fall in the three months she’s been here. I got her transferred here. I visit everyday and spend a lot of time with her. I can make her and myself a drink when I want. She’s unsteady and walks about a lot. We discussed this and we agreed she could have bed rails and I gave them my permission for this. The meals they give her are very nice, they are pureed and served so all the portions are separate”. There is no chef employed on site as meals are ‘cook chilled’ and brought to the care home. They are then re heated on site and served to residents. Hot snacks can be prepared on site as alternatives as well as sandwiches. This allows for a choice from the menu but the meals are ordered in advance and it was unclear if the menu included residents’ choices as the manager and area manager said the menu was prepared in advance and could incorporate personal choices but didn’t incorporate residents that had recently moved in. Residents said they enjoyed the food. A resident said, “I enjoy the food it’s passable, not much variety and I’m not a fussy eater or have fussy ideas. If I don’t want the food or don’t like it they give me a choice like a sandwich or omelette. A relative said, “I see other residents served meals like sweet and sour rice. Staff don’t always ask them what they want and the residents just play with it. Eventually staff just taken it away. If they give them something they are used to they eat it”. A staff member said, “The food we serve looks good and we offer choice as much as possible. Some residents don’t remember what they ordered or chose and want something else. The menu allows limited choice and the catering assistant will always cook them something else. I find some of the menu choices odd like bolognaise with mashed potatoes, why don’t they offer pasta. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 15 The lady I was just helping with breakfast has a soft pureed diet. She has no teeth and it’s easier for her to eat. I know she needs a pureed diet but that’s through working with her, I can’t say it’s recorded”. Hollins Park Nursing Home DS0000018801.V339643.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. Complaints and concerns are acted on to demonstrate they are taken seriously. An informed staff group and manager protect residents from abuse. EVIDENCE: There were no recorded complaints since the last site visit. The complaints procedure was prominently displayed throughout the building. Residents and relatives surveys said they knew who to speak to if they were unhappy and how to make a complaint. Relatives surveys said that if the had raised concerns they had been listened to and acted upon. The manager had made two referrals to the local council under the protection of vulnerable adults. The local council had looked into these and no further action taken on the referrals. In discussing the procedure for the protection of vulnerable adults staff demonstrated an understanding the procedure to follow if they suspected or witnessed abuse. They said if any allegations were made or if they saw or heard anything they would report it to the manager or could independently contact social services and had telephone numbers to do this. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable environment, which is equipped to meet their needs but the maintenance of the décor needs to progress so the environment meets residents’ expectations. EVIDENCE: Some bedrooms were personalised. A resident said, “They are good to me and they helped me get my bedroom decorated and I bought my own furniture”. Generally bedrooms were decorated to a good standard and the décor maintained. The handyman had redecorated some bedrooms as they became vacant. Several bedrooms had areas were the plasterwork was damaged and in need of repair. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 18 The manager agreed to purchase new pillows, bedding and mattress covers. The deputy manager said that pillows had been purchased a few months ago but ‘disintegrated’ in the wash. The ones in use were misshapen and lumpy. Several mattresses did not have protectors on to protect them and reduce discomfort to residents sleeping on top of a plastic surface with only a cotton sheet to protect them. The manager had recorded in the Annual Quality Assurance Assessment that the furniture and dining furniture in use was ‘tired’. New furniture had been ordered to be delivered. It was unclear if all the furniture was to be replaced. The deputy manager said the majority of furniture in use was the original furniture from when Hollins Park had opened. An attempt had been made to make the environment friendlier for residents with a cognitive impairment by painting the toilet and bathroom doors a red colour. Other environmental improvements to support residents recognise their bedrooms or communal areas had not been made. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff are adequate to meet residents’ needs. Staff recruitment ensures that residents are protected. The training programme provides a skilled workforce that protects residents’ welfare. EVIDENCE: Staffing levels were appropriate and the manager confirmed that staffing numbers were determined by the dependency of residents and could change. There was a low staff turnover with the core of staff having been established at Hollins Park for a number of years. No agency staff was used. Twenty staff hold an NVQ level 2 or 3 qualification and there are three staff are NVQ assessors. Three records of recently employed staff were examined. Staff had commenced employment and one was being supervised through an induction programme, which included training on the protection of vulnerable adults. Staff records contained appropriate identification documentation and completed POVA First and Criminal Record Bureau disclosures. The files had two written references. Files contained copies of the induction programme. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 20 Staff had been provided with and had completed a variety of training. The local Primary care Trust (PCT) provided some of this. An updated training matrix was in operation. This was updated every month where possible. Staff training figures was sent to the training department. A sample of training records was seen. Two registered nurses had completed moving and handling facilitator’s training. Training records for moving and handling training were seen and verified that some staff needed to have updated training. The registered nurses had attended training on medicine administration, nutrition in the elderly, diabetes and continence management. Staff had attended training in Fire prevention, protection of vulnerable adults and food hygiene. Staff said training was very good a staff member said, “Training and support is really good we have a lot of responsibility and at times are really busy”. Another staff member said, “Training is very good I have just completed learning on the computer and workbooks. We recently had fire training for the second time this year. We have regular fire drills. Yes support to do your job and training is good I have my NVQ 2”. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good quality assurance systems, financial procedures and maintenance of the building and equipment safeguards residents and ensure they are safe. EVIDENCE: The home manager has been in post for approximately thirteen years. She was a registered mental nurse and had the registered manager award. A deputy manager that had also worked at Hollins Park for many years supported her. A full time and part time administrators supported them. They formed a strong management team. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 22 The manager and deputy were responsible for audits that compliment the quality assurance system. Each month a random sample of personal support plans and medicine administration records of individual residents across the site were completed. The computer system allows it to tell staff when reviews of records were overdue. Audits identified errors in the writing and recording of both care plans and medicine administration records. The manager had monthly, bi monthly and quarterly audits to complete. These are completed on a cycle determined by the company and cover areas such as health and safety, accidents, pressure ulcers, staffing, the building and training as some examples. The regional manager undertakes monthly Regulation 26 visits and looks at the findings of the audits and where necessary sets the manager targets for completion and improvement. A copy of the final audit report for Hollins Park 2006 was supplied. Monies held on behalf of residents were kept safely and securely and records of administration confirmed residents’ monies were administered correctly. Information provided by the provider in a data set and records held on site were examined. All the required maintenance and health and safety checks of the building and equipment had been completed. Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 23 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Personal care plans support plans should reflect person centred care and incorporate how, when and where residents wish to be supported and cared for so care and support reflects their personal choices and lifestyle. Residents, their relatives or representatives should be consulted about their life history, lifestyle and meal preferences so activities are coordinated around their recreational and lifestyle choices and meals of their choice provided. The staffing numbers and deployment of staff should be discussed at staff meetings so staff has an opportunity to raise any concerns they have about them. 2. OP12 3. OP27 Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Hollins Park Nursing Home DS0000018801.V339643.R01.S.doc Version 5.2 Page 26 - 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!