Inspection on 17/10/06 for Home Park Nursing Home

This inspection was carried out on 17th October 2006.

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

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

Other inspections for this house

Home Park Nursing Home 21/11/07

Home Park Nursing Home 28/10/05

Home Park Nursing Home 07/04/05

Home Park Nursing Home 21/10/04

Home Park Nursing Home 17/06/04

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

CARE HOMES FOR OLDER PEOPLE Home Park Nursing Home Knowle Lane Horton Heath Southampton Hampshire SO50 7DZ Lead Inspector Mr Rodney Martin Unannounced Inspection 17th October 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Home Park Nursing Home DS0000011428.V313547.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. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home Park Nursing Home Address Knowle Lane Horton Heath Southampton Hampshire SO50 7DZ 02380 692058 02380 613901 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) Kendalcourt Limited Anthony Jozef Pekarik Care Home 35 Category(ies) of Dementia (35), Dementia - over 65 years of age registration, with number (35) of places Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons for whom accommodation and nursing care is provided at any one time shall not exceed 35 All service users must be at least 50 years of age. Date of last inspection Brief Description of the Service: Home Park is a care home providing nursing care for thirty five residents who have dementia. The home is privately owned and is situated in a quiet rural location in the village of Horton Heath. Residents are accommodated in twenty three single rooms and six shared rooms. Five of the single bedrooms have ensuite facilities and there are three bathrooms with assisted baths and three separate toilets. There are also three communal lounges and a dining room. Accommodation is provided over two floors with a passenger lift allowing access to each level. A variety of aids and adaptations provided around the home enable residents to move more independently. The current fees are £565 to £595 per week. This information was contained in the pre-inspection questionnaire received in the Commission’s office on 21 September 2006 and was confirmed on the day of the inspection. There are additional charges for hairdressing and chiropody. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.20am and 3pm. An opportunity was taken to look around the home, view records and talk to several service users, two visitors and various staff members, including the cook and the registered manager. On the day of the visit thirty-three service users were accommodated, with the home having two vacancies. In line with the Commission’s policy, all the key standards were inspected on this occasion, as well as follow up on the five previous issues identified at the last inspection. These related to ensuring that containers or creams and emollients are labelled and only used for the named person, ensuring that hot water is controlled to maintain the required temperature of 43degrees C, the temperature of the hot water is to be monitored and recorded, that foot rests are provided for wheelchairs and used by residents when being moved around the home, all staff receive training in fire safety and reports of visits made by the provider were followed up. The home was found to be meeting these. What the service does well: What has improved since the last inspection? Since the last inspection the lounges, dining room, bedrooms and corridors have been decorated. There is an ongoing maintenance programme of upgrading the decoration and facilities within the home. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 6 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. Home Park Nursing Home DS0000011428.V313547.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 Home Park Nursing Home DS0000011428.V313547.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have their needs assessed and are able to visit prior to admission to make an informed choice about whether or not the home is able to meet their particular needs. Home Park Nursing Home does not provide intermediate care. EVIDENCE: Home Park Nursing Home was accommodating thirty-three residents, with nine male and twenty-four female service users, whose ages range from 71 to 94 years. All residents have been in the home since 2002. The manager reported that the home is generally full, however, although they currently have two vacancies, two prospective service users are expected to come in the next week or so. All the residents have a diagnosis of dementia and there was evidence that the home is able to meet their needs. Ten of the current residents were admitted, since the last inspection and during this same period fifteen deaths were recorded. Referrals come from Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 9 various sources, but the majority are from Adult Services [previously known as Social Services]. The manager suggests the family visit first. An assessment is faxed through from the care manager and the manager would then visit the prospective service user where they are. If the person is appropriate and the family are happy with the placement an admission date is then arranged. The majority of residents have family members living locally to Home Park Nursing Home. Various files were viewed, including the last two residents admitted and they contained a comprehensive pre-admission assessment, detailing relevant information for the home to make an informed judgment regarding whether they could meet the perceived needs of the resident or not. One resident was admitted from hospital and came with no transfer letter or medication. The manager arranged for their medication to be delivered the same day. Home Park Nursing Home does not provide intermediate care. Home Park Nursing Home DS0000011428.V313547.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning are good, ensuring that the residents’ physical and emotional health needs are met. Medication practices and procedures ensure that residents are protected. Working practices in the home ensure the promotion of privacy and independence for service users. There are clear arrangements in place for supporting terminally ill residents in the way they prefer. EVIDENCE: Each resident has a comprehensive file, containing the personal details of the resident and their photograph, the pre-admission assessment; various risk assessments, including a falls risk assessment, an activities record, a dependency score, a nutritional risk assessment, the care plan detailing various aspects of activities of daily living, as well as a psychological and physical assessment and review of the care plan. Care plans are regularly reviewed and are signed by a relative. Home Park Nursing Home operates a keyworker system, enabling staff to get to know certain residents much better, Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 11 which in turn helps in the delivery of care to the individual resident. Records gave a clear indication of the care required. The personal and oral hygiene of each service user is maintained and recorded. A record is kept of all health professional visits. All residents are registered with the Fair Oak surgery, where the GP visits the home on a weekly basis. The manager reported that one resident was taken to the surgery the previous week to the inspection. However, although residents have a choice of attending a surgery or other medical services the majority, due to frailty, have domiciliary visits to the home. The manager reported that there is very good support from the surgery, including district nurses and psychiatric nurses, from the community mental health team. The home has a relevant medication policy, which satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. None of the residents are self-medicating. The home operates a monitored dosage system, from a local pharmacist, for administering medication. The blister packs are kept in a locked drugs trolley, within a locked cupboard. The cupboard was clean, tidy and safe. The home does not currently have any resident on a controlled drug, apart from Temazepam. The drug administration sheets and controlled drugs book were satisfactorily recorded, with no omissions. Relevant staff have received medication training. Observation during the inspection showed that the manager and staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on doors and await a response before entering and spoke to residents in a respectful way. Residents were addressed by their name of choice and all residents seen were dressed appropriately. A visitor said, “The staff are lovely, they go beyond the call of duty”. The home has a policy on death and dying and a procedure, for staff to follow, of what to do in the event of the death of a resident. Although all residents’ relatives have signed a declaration regarding resuscitation or not in the event of terminal illness, residents’ wishes concerning terminal care and arrangements after death are not routinely recorded. It was agreed that the manager would send a letter to residents’ relatives or advocate, to update the home’s records to include funeral arrangements. Home Park Nursing Home DS0000011428.V313547.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: Although the home does not employ an activities co-ordinator, two staff members have attended training courses on providing activities in a residential setting and have additional allocated hours of work to provide the activities programme. Activities are not scheduled but are decided on a day-to-day basis and are dependent on the wishes of the residents at that time. Residents are able to do cold cooking [e.g. making chocolate covered cornflakes], painting, making things, and gardening and in the warmer weather going for walks. The home has a selection of reminiscence material as well as the Alzheimer activities book, as previously noted, all the residents have a diagnosis of dementia and maintaining interest and concentration span is important in providing a fulfilling life, as the use of activities can significantly improve the quality of people’s lives. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 13 All residents have friends or family visiting. Visitors to the home are welcomed at all times and the inspector spoke briefly with two visitors in private and confirmed that relatives could visit whenever they wished. A local vicar visits the home once a month and holds an informal service. Residents are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. The inspector noted that service users had chosen to bring into the home treasured personal items with which to decorate their bedrooms. Due to the level of dementia of some residents it can sometimes be difficult to know whether they can exercise choice and control over their lives through verbal communication. However, through the resident’ profile and background obtained from the family, their likes and dislikes are recorded by observing their behaviour pattern and adjusting the daily activities and method of providing care accordingly. An activities record is contained within the care plan. One resident doesn’t like to come out of her room and staff spend time on a one-to-one basis with her. Residents come down for breakfast, which is served from 8am onwards, as half need help with feeding. Breakfast cards were seen indicating the residents’ choice; these had also been updated. Residents have a set meal at lunchtime, although an alternative is offered if the resident doesn’t like what is on the menu. Residents had lasagne and vegetables with apricots and custard for dessert. Seventeen residents required their meal to be pureed. It was confirmed that the various vegetables and meat were liquidised separately. Five residents are diabetic and had custard with sweetener instead of sugar. The cook, on duty, has worked in the home three years. She is suitably qualified and interested in her role. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: The home has a detailed and relevant complaints procedure. The home is aware that residents may not necessarily know who to complain to should they have a need to and the manager has an ‘open door’ policy for relatives to discuss any concerns with him. A visitor told the inspector that they had raised an issue with the manager and it had been promptly dealt with. The Commission has not received any complaints, since the last inspection, and there were none recorded in the home. Home Park Nursing Home has a complaints log. Home Park Nursing Home has procedures in place to be followed should abuse be suspected. Hampshire County Council’s Protecting People from Abuse procedures and leaflets are also available to staff, residents and visitors. Staff receive adult protection training and staff, spoken to, were aware of the issues involved. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Home Park Nursing Home provides a clean, safe home with pleasant communal rooms, personalised bedrooms, sufficient bathroom and toilet facilities and specialised equipment as required. EVIDENCE: Home Park Nursing Home is situated in a quiet country lane in the village of Horton Heath. The home has large gardens to the rear of the property and many of the windows give pleasant views of the surrounding countryside. Home Park Nursing Home has twenty-three single bedrooms and six double bedrooms, with five single bedrooms provided with a toilet and an additional bath fitted in four of these bedrooms. The other bedrooms are provided with commodes. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 16 Residents are accommodated in two floors with a passenger lift and stairs allowing access to each floor. Ramps and grab rails are provided where required to give residents maximum independence. Visitors to the home are admitted by a staff member and are required to sign the visitor record book on entry and when leaving the property. On the day of the visit the hall was being redecorated. The ceiling is to be painted and the walls re-plastered before new wallpaper is hung. Since the last inspection the lounges, dining room, bedrooms and corridors have been decorated. It was noted that wallpaper was peeling in several areas and it was agreed that that the maintenance man would rectify this before it became torn. Specialist equipment including hoists, stand aids and pressure relieving mattresses are available for residents assessed as requiring it. The home has four profile beds and the manager reported that more profile beds are to be purchased. It was noted that several tiles were missing in the kitchen. The cook told the inspector that despite her efforts to keep the walls clean it still looked shabby, as the tiles have been up a long time. It is recommended that a new hygienic wall surface be fitted. There was evidence of residents’ personal belongings in the rooms. Although the majority of residents are incontinent, there were no adverse smells noted. The home has a separate laundry room, which is situated away from food preparation. The laundry room is accessed using a key-pad and is not accessible to residents. The home has two commercial washing machines and two commercial dryers, which have a measured liquid chemical feed to regulate the correct amount of washing ‘powder’ and fabric softener. Each resident has an individual laundry basket for ease of clothing recognition. The laundry room was clean and tidy. There was evidence of COSHH [control of substances hazardous to health] policies and procedures in place, with, for example, soiled laundry placed in a red laundry bag. The inspector spoke to the laundry assistant who enjoyed ensuring residents had clean and nice smelling clothes, where their clothes were marked, sympathetically. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by sufficiently trained and supervised staff, to ensure that their needs are met. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: Home Park Nursing Home employs a registered manager, a part-time deputy manager, five registered nurses, two enrolled nurses and twenty-three carers, as well as ancillary staff. The home operates with two nurses and seven carers on duty, in the morning, with a nurse and six carers up to 8pm and a nurse and three care assistants from 8pm onwards. On the day of the inspection one carer was off and so there were only six carers on duty, although the staff said they could manage. The home is split into two halves, with a nurse and carers in each section. Over 50 of the carers have obtained NVQ [national vocational qualification] in care at level 2 or level 3. Those carers with NVQ are designated as keyworkers, enabling staff to get to know certain residents much better, which in turn helps in the delivery of care to the individual resident. Two care assistants are classified as nursing assistants and perform a role similar to that of senior carer. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 18 Since the last inspection the home has recruited two carers, although a care assistant and an adaptation nurse left, for legitimate reasons. Currently two carers are on maternity leave and one care assistant is off for a month. Records were seen for the last two staff members appointed. The records contained all the information required including two written references and proof of identity. Criminal Records Bureau checks had been completed prior to them taking up their posts at the home. The majority of staff have worked in Home Park Nursing Home a long time and so consequently there is balance and continuity within the staff team. The inspector met a staff member who had worked in the home over twenty years. They enjoyed working in Home Park Nursing Home and felt supported by the management team. A visitor told the inspector, “The staff are lovely and go beyond the call of duty”, in doing extra things for the residents. Training is provided in-house as well as staff going on external courses. Staff receive training in the core training subjects such as fire safety, manual handling, first aid, food hygiene, as well as adult protection, communication, epilepsy and dementia. As Home Park Nursing Home is registered to cater for older people with dementia nursing needs, the home uses various sources to provide dementia training, through PaCT [partnership in care training], the Alzheimer Society and Jackie Pool Associates training pack. A supervision system is in place where the manager supervises the deputy manager, who in turn supervises the trained nursing staff who then supervise the care assistants. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides good leadership, which ensures staff are supported and residents’ health, safety and welfare promoted through the home’s practices. EVIDENCE: Tony Pekarik, registered manager has worked in Home Park Nursing Home ten years and is a trained nurse with many years experience in providing nursing care for people with dementia. He is currently on the registered managers award for NVQ level 4 in both management and care. The manager has been able to cascade relevant training to the staff. There is an open, friendly and transparent atmosphere within the home. The two visitors spoke warmly of staff and the way the home is run. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 20 The registered manager said that meetings were not held for residents but that staff spent time on a one to one basis with them to obtain where possible their views on the quality of care provided at the home. He also said that relatives were always welcome to talk to the registered manager at any time. This was confirmed on the day of the inspection by a visiting relative. The home is not appointee for any service user. The majority of residents are subject to power of attorney orders with relatives or solicitors as appointed representatives. Again, the majority of relatives have already resolved the issue of looking after the resident’s money before they come into the home. When a new resident is admitted the home gives the family the option to leave a float of no more than £20, which is kept for incidentals such as chiropody, hairdressing and toiletries. When the float is getting low the family are asked when next visiting or by telephone to top it up. Relatives are also encouraged to supply plenty of marked clothing for the resident. Home Park Nursing Home is not responsible for the resident’s financial affairs. The home has a secure safe. A record is kept of all money that is spent, with receipts, which covers for the hairdresser, chiropody, and activities in the community, toiletries and newspapers. The fire log was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. Staff have received fire safety training and the home had a fire drill on 27 June 2006. A current fire risk assessment is in place. The manager ensures the safe working practices by planning courses on health and safety within Home Park Nursing Home, including first aid, adult protection, manual handling, food hygiene, fire and medication. There was evidence that the accident book was satisfactorily maintained; the last entry was 19 September 2006. Risk assessments are in place. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 21 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 22 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 Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 Home Park Nursing Home DS0000011428.V313547.R01.S.doc Version 5.2 Page 24 - 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!