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Inspection on 28/06/06 for Hurstead House Nursing Home

Also see our care home review for Hurstead House Nursing Home for more information

This inspection was carried out on 28th June 2006.

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.

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

This is a care home where residents are well looked after. One resident said "This is a good home more like a family a good crowd. If you needed to be in a home this is the one" The staff team work well together and show a good understanding of the needs of the people living`at the home. The home was good at visiting people before they moved in, to make sure the home could provide the care they needed. They were also good at writing down what care people needed and making sure they received it. They were particularly good at providing the care for people who moved in for a short time. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Meals and mealtimes were considered to be an important part of the residents` day. The dining room was a nice place to sit, eat and meet with other residents. The residents said that they really enjoyed their meals. They were satisfied with the choice of meals and the way they were cooked and served.

What has improved since the last inspection?

Most of the previous requirements and recommendations from the last inspection have been complied with. The staff and the owner have worked very hard to improve the environment in the home and the owner says he is committed to continue to improve the standards in the home. The improvements have led to a more homely and comfortable setting. Staff have attended training and more is planned so that staff will be better able to provide care for the residents and develop themselves within their job

What the care home could do better:

All care plans need to show that they have been written with the involvement of residents and their relatives in order that their views and opinions are included. Care plans should be updated at least once a month to reflect the changing needs of the residents. Recommendations have been made to improve the communication in the home through regular staff meetings. More activities need to be provided and they must be activities that residents have said they would like to do.

CARE HOMES FOR OLDER PEOPLE Hurstead House Nursing Home Hurstead House 631 Halifax Road Rochdale Lancashire OL12 9QU Lead Inspector Bernard Tracey Unannounced Inspection 28th June 2006 09:30 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 Hurstead House Nursing Home DS0000017330.V292023.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. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hurstead House Nursing Home Address Hurstead House 631 Halifax Road Rochdale Lancashire OL12 9QU 01706 379511 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) Mr Nicholas John Frost Linda Eastwood Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 30 service users, to include: Up to 30 service users in the category of OP (Older People) The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 17th February 2006 Date of last inspection Brief Description of the Service: Hurstead House is a large stone property, which has been adapted and extended to accommodate 30 older people, providing personal care for all and nursing care for up to 30 service users. Hurstead House is situated in a residential area off Halifax Road, Rochdale, approximately two miles from Rochdale town centre. Local amenities include a Post Office, newsagents and pub all of which are within short walking distance. A regular bus service passes the home to/from Rochdale and Littleborough. Parking is provided to the front of the home. Ramped access is available to the front door and a passenger lift and stair lift enables service users access to the first floor accommodation. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £ 8.00 Hairdressing As charged Newspapers As charged Aromatherapy £ 8.00 Fees charged by the home provided in April 2006 are as follows: General Nursing £ 350.00 per week The following Nursing Care Enhancements need to be added to the above figure: High Dependency £133.00 per week Medium Dependency £83.00 per week Low Dependency £40.00 per week Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 5 The above Dependency Level is decided by a nurse not employed by the home but who works for the Health Authority Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The home was not made aware that this site visit was going to take place. Several weeks before the inspection questionnaires were sent out to doctors, social workers and district nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The home was also asked to fill in a questionnaire. The Inspector spent 6 hours at the home. During this time he looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. He also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. The Inspector spent time speaking to 5 residents as well as speaking to 5 relatives, 5 staff, the manager and the owner. Time was also spent with a visiting nurse. The entire key National Minimum Standards was looked at on this visit to the home. What the service does well: This is a care home where residents are well looked after. One resident said “This is a good home more like a family a good crowd. If you needed to be in a home this is the one” The staff team work well together and show a good understanding of the needs of the people living`at the home. The home was good at visiting people before they moved in, to make sure the home could provide the care they needed. They were also good at writing down what care people needed and making sure they received it. They were particularly good at providing the care for people who moved in for a short time. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Meals and mealtimes were considered to be an important part of the residents’ day. The dining room was a nice place to sit, eat and meet with other residents. The residents said that they really enjoyed their meals. They were satisfied with the choice of meals and the way they were cooked and served. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 7 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. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 3 4 (Standard 6 does not apply) Quality in this area is good. This judgement has been made using the evidence available including a visit to the service. Admissions are not made to the home until a full needs assessment has been undertaken. The home are then able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the Statement of Purpose. EVIDENCE: Before any resident was admitted to the home an assessment of their needs was undertaken, either by a senior member of the nursing staff from the home or from the professional i.e. Rapid Response Nurse requesting their admission. The assessment documents of three residents were looked at. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents as well as the involvement if any, of their relatives. The Inspector spoke with the relatives of a resident who had recently been admitted, who stated that the manager had been out to the Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 10 residents’ home to undertake an assessment of her needs and also provided information that helped them to come to the decision that the home would be able to meet her needs. All of the questionnaires returned to the Commission confirmed that each individual felt that they had received enough detailed information prior to making a decision to come into the home. All residents spoken with stated that they had received a contract from the owner that describes the terms and conditions of their stay. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 11 The quality outcome in this area was considered good. This judgement has been made using available evidence including a visit to this service. The care plans reflected the support needs of the residents. Care practices ensured that the residents health care needs were met, that they were treated with respect and their dignity was upheld. The medication system in place ensured that the residents received their medicines safely. EVIDENCE: Individual care plans were in place for each resident. The care plans of 3 residents were looked at. All of the care plans gave clear instructions and guidance on how the care needs of the residents were to be met. One resident admitted in May had not had her care plan reviewed but others seen were reviewed monthly and any changes were noted and acted upon. Risk assessments were in place and covered such areas as moving and handling, nutrition, pressure sores, the use of bed rails and falls. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 12 A discussion with one relative identified that whilst she was kept continually informed about her relatives’ condition she had not been involved in the drawing up of the care plan. Residents and relative must be involved to ensure that important and relevant information is obtained, thereby ensuring an accurate and agreed care plan is in place. A discussion with the residents and relatives identified that the residents had access to other health care services including hearing, sight tests and a visiting chiropodist. Evidence of these visits was kept in the residents’ individual files. Equipment necessary for the prevention and treatment of pressure sores was available on all the units. Continence aids were in use and the staff were aware of how to contact the continence nurse advisor for advice if deemed necessary. The medication system was safe. Medications were securely stored and were administered by the qualified nursing staff only. Relatives and friends are encouraged to visit as often as possible and the home operates an open visiting policy, which is referred to in the Statement of Purpose and confirmed in discussion with residents’ relatives at the inspection. A discussion with the residents identified that they feel their privacy is respected and that they are treated with kindness. Residents returning comment cards further endorsed this and those interviewed who considered their privacy and dignity was respected at the home. Staff interviewed were able to describe good practice in this area. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 13 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 15 Quality in this area was considered adequate. This judgement has been made using the evidence available including a visit to the service. Provision of social activities and integration into community life is limited and does not provide a stimulating environment within the home. Family and friends of residents were encouraged to visit and made to feel welcome. Residents were enabled to exercise choice and control over their lives. The dietary needs of the residents were well catered for with a balanced and varied selection of food. EVIDENCE: No formal activities programme is in place with activities arranged more on an ad hoc type basis. A number of regular activities take place once a month such as: a “film show”, and the owner plays the piano in the main lounge, which many of the residents said they particularly enjoyed. A singer had recently been to the home and was greeted with a mixed review from residents and relatives. The Sunday following the Inspection a strawberry and cream tea had been arranged and a harpist was due to entertain the residents. Local clergy also holds a church service once a month. An Aromatherapist also visits and does hand massages for individual residents. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 14 Residents spoken with said they had a choice “whether to join in activities or not”. Another said that she enjoyed going out for a walk with the staff. The owner said that should a resident express a particular interest in an activity, the home would provide the means to ensure the activity was available. A nurse has recently been given direct responsibility for developing the activities within the home after with consultation with the residents. The choices residents made each day varied, dependent upon their mental frailty but residents generally chose what time to get up, go to bed, what clothes to wear, where to spend their day, what food to eat, whether to participate in activities. Overall, residents considered they were encouraged to do what they could for themselves and make appropriate choices through the day. Residents told the Inspector that they are able to have visitors at any reasonable time and they can see their visitors in private. One relative told the Inspector that the staff at the home always made her very welcome. Records of food provided to residents confirmed that all receive a varied and nutritious diet. The meals were usually taken in the main dining room; staff then served individual residents at their table. A large number of residents (14) were fed through artificial means due to their medical needs. One resident who was fed in this way said that the staff helped her in a sensitive way and the feed system (PEG) was operated during the night which allowed her more freedom of choice during her waking periods. The inspector-spent time talking with the chef who clearly demonstrated that he was aware of the appetites and preferences of each person and spoke of the need to present the meals in an appetizing manner. There was a choice of main courses and the chef confirmed that further choices were available from the kitchen. Residents said that they “really liked the food”. Snacks, such as pizza, toast or cheese and biscuits are available for staff to access during the period when the main kitchen is closed Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 15 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 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were confident that complaints would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse. EVIDENCE: The home had a complaints procedure, which was displayed on the notice board in the entrance area and included in the Service User Guide. Staff interviewed were familiar with the procedure. Residents and relatives knew who to speak to if they had a complaint, “the Boss or Matron” but said that matters were usually dealt with straight away so there was no need to complain. These smaller issues were not recorded, the manager may wish to do so for monitoring purposes. The CSCI had received no complaints about the home since the last inspection. One complaint had been made to the manager during this time and was recorded in the complaints book. The matter was appropriately dealt with, within the timescale stated in the complaints procedure. The policy and procedure used by the home for the Protection of Vulnerable Adults (POVA) was the Rochdale Inter-agency procedure. A whistle-blowing procedure was also in place and staff interviewed showed their understanding Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 16 of it. The manager knew and understood the reporting procedure which she had appropriately used in the past. All staff had received POVA training and residents spoken with felt safe living at the home. Hurstead House Nursing Home DS0000017330.V292023.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 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 well-maintained environment, which provides aids and equipment to meet the care needs of the residents. It is a very pleasant, safe place to live. EVIDENCE: A tour of the home confirmed that the home was well maintained, clean and free from any offensive odours. Ramped access was provided to the front door and level access throughout each of the two floors. A passenger lift was provided and handrails fitted to corridors throughout. Everyone spoken with thought the home was a safe place to live and work in. The home had a planned maintenance and renewal programme for the re-decoration and refurbishment of the home. A maintenance worker and decorator were employed and staff and residents said they addressed matters as they were raised with them. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 18 Grounds were seen to be safe, tidy and accessible. Residents said they looked forward to sitting outside in the good weather. Four residents spoken to were very pleased with their individual rooms and said that they had “brought in a number of personal possessions, pictures of grandchildren and family and bits and bobs that help remind me of places I have been”. Residents said staff kept the building clean and odour free, inspection of the premises supported this view. Discussion with two domestic staff verified that sufficient staff and equipment were provided to ensure the home was maintained in a clean and hygienic condition. An infection control policy was in place and training was provided in this area. Staff spoken with described safe infection control practice. Satisfactory practice was in place with regard to disposal of clinical waste. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. Five residents said that they were satisfied with the laundry system at the home and that there was a quick turn around on the clothes sent for cleaning. The owner is planning to refurbish the clinical room so that a more orderly system of storage could be achieved. Hurstead House Nursing Home DS0000017330.V292023.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have confidence in the staff that care for them. Rotas show well thought out and creative ways of making sure that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the residents. EVIDENCE: Information in the staffing rotas shows that there is one nurse and six care staff on duty during the day shift and one nurse and two care staff at night. The owner of the home, a Registered Nurse, is also on site on a regular basis. Extra staff are called in to cover for taking residents to appointments and additional ancillary staff are on duty throughout the day. The manager said that she has assessed the number of staff on duty at night against the care needed and is satisfied that sufficient numbers are in place. Residents and relatives spoken to were very happy with the amount of staff on duty and said “they are always helpful and available to see to anything you need doing and nothing is too much bother”. The home has a comprehensive recruitment policy and procedure and when three staff files were checked it was evident that the manager follows the procedure, and ensures the interview process, police/CRB checks, written references, health checks and past work history are all obtained and Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 20 satisfactory before the person starts work. Nurses at the home undergo regular registration audits with the Nursing and Midwifery Council to ensure they are able to practice. The home has a rolling staff-training programme offering staff access to mandatory training and some specialist subjects linked to the needs of the residents. A co-coordinator who is employed by the home oversees the training and discussion with her during the inspection identified that there is a training plan for the home and staff are notified of the available training dates and when they are expected to attend. Up take of the training is very good. One staff member said that ‘the training here is excellent. Another member of staff was pleased that “the home helps us to retain our nursing registration by offering courses to keep up our Registration with the Nursing body”. Hurstead House Nursing Home DS0000017330.V292023.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 34 35 36 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the required qualifications and experience and is competent to run the home. She works to continuously improve services and provide an increased quality of life for residents. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is resident focused and leads and supports a strong staff team who have been recruited and trained to a high standard. The manager is aware of current developments both nationally and by CSCI and plans the service accordingly. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager is a Registered General Nurse with several years experience working with the elderly in a care home setting. She is aware of her responsibilities both as a nurse and as a manager. There are clear lines of accountability within the home. The manager has completed the Registered Managers Award management training. Staff interviewed on this Inspection confirmed that the Registered Manager is able to communicate a clear sense of direction and leadership and that her approach to running the home is open and transparent. Staff felt that they could approach the Registered Manager and felt supported both in their daily resident described the manager as “Very approachable, understanding and listens to your queries” Feedback is sought from the residents and relatives through a system of satisfaction questionnaires. A selection of these questionnaires was examined during the inspection and in the main was found to be complimentary. The manager collates the comments on a quarterly basis and the results are presented to the owner of the home. Policies and procedures are up dated and reviewed as an ongoing practice and action is taken to ensure the requirements of the inspection reports are met. Staff do not have formal meetings with the manager. Despite this the staff agreed that they are able to express ideas, criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. There is evidence of ongoing training for all members of staff with a comprehensive induction programme covering all aspects of resident care. The registered person ensures that the employment policies and procedures and its induction and training process are put into practice. Staff supervision files show that individuals receive formal supervision with their manager on a regular basis. Records required for the protection of residents and the running of the business are in place, reviewed and up dated as required. Hurstead House Nursing Home DS0000017330.V292023.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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 3 X 3 Hurstead House Nursing Home DS0000017330.V292023.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. 1. 1. Standard OP7 OP7 Regulation 15 15 Requirement All care plans must be reviewed by the care staff at least once a month All care plans must be drawn up with the involvement of the resident and their representative An activities programme must be drawn up after consultation with the residents. Timescale for action 30/08/06 30/08/06 2.. OP12 16 30/08/06 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 OP32 Good Practice Recommendations A system of formal staff meetings should be developed. Hurstead House Nursing Home DS0000017330.V292023.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Hurstead House Nursing Home DS0000017330.V292023.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. 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