Inspection on 04/10/05 for Knowle Park Nursing Home

This inspection was carried out on 4th October 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Knowle Park Nursing Home 22/11/07

Knowle Park Nursing Home 30/01/07

Knowle Park Nursing Home 07/04/05

Knowle Park Nursing Home 01/07/04

Knowle Park Nursing Home 10/05/04

Knowle Park Nursing Home 05/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Knowle Park Nursing Home Knowle Lane Cranleigh Surrey GU6 8JL Lead Inspector Lesley Garrett Announced Inspection 4th October 2005 10:00 X10029.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 Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 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 and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Knowle Park Nursing Home Address Knowle Lane Cranleigh Surrey GU6 8JL 0208-547 2640 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) netra.longhurst@sinh.co.uk South London Nursing Homes Limited Mrs Netra Louise Longhurst Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (4) of places Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Including 4 beds for physically disabled people from the age of 50 years 2. One named person in the category for physically disabled people may be in age range 40 to 50 years 6th April 2005 Date of last inspection Brief Description of the Service: Knowle Park is a large Georgian country house surrounded by extensive grounds on the outskirts of Cranleigh. The home is owned by South London Nursing Homes Limited, which has its offices, in the grounds, in an adjacent building. The home provides accommodation and nursing care for up to forty-five residents, over the age of 50 years. The house has been adapted to provide good sized en-suite bedrooms and many communal areas throughout the home, many with scenic views of the countyside. The home has almost completed the of building of an additional wing of four bedrooms and a communal area, and has changed an upstairs bathroom into a walk-in shower room. The building work is being done to cause as little disturbance to residents as possible. The home is approached via a long driveway and there is a small visitor’s parking area to the front of the home and a larger parking area to the rear. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an announced inspection, which meant the staff and the residents were expecting it to take place. The inspection took place over a seven-hour period and was carried out by Mrs. Fiona Cole, Regulation Inspector and Mrs. Sandra Holland, Regulation Inspector. A tour of the premises including looking at the building work undertaken, a sampling of staff and care records. A number of members of staff were spoken with during the course of their duties, and nine of the forty-four residents were spoken with in depth. Comment cards were given out to residents and their families prior to the inspection, and the comments made formed part of the inspection discussion. The majority of the cards gave positive feedback, a few made reference to issues that will be addressed in the main body of the report. The people living at the home prefer to be known as residents and that is the term that will be used throughout the report. What the service does well: The home has a stable staff team who know the residents well including, their likes and dislikes. This helps the staff provide a more personal service to residents. Many residents spoken with stated the staff team were kind, caring and respectful. Nothing was too much trouble, and the staff went out of their way to ensure the residents were content. The home provides many choices of communal areas for residents to use and The new wing in particular offers tasteful colour themes and comfortable chairs For residents and their visitors to sit and enjoy the views over the countryside. The house offers large picture windows that allow plenty of natural light in as well as spectacular views across Cranleigh and the surrounding countryside. Several residents stated that the meals were of a high standard offering choice, and the chefs went out of their way to accommodate particular requests. The inspector observed the midday meal and it was evident that this was an unhurried process with plenty of staff on hand to serve and assist those residents where necessary. The home has recently extended the dining area, which allows all residents now to dine together in one sitting. Three residents mentioned to the inspector that the homes activities programme was good and provided plenty of opportunity to socialise Particularly on quiz days. The trips out were popular and often attended by family members and staff who assisted wheelchair users. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Pre-admission assessments have not been carried out as required. Residents have been admitted with needs that are outside the home’s categories of registration, these include physical disability, sensory impairment and mental health needs. The home’s policy regarding the care of residents who are dying or who have died needs to be reviewed or revised. Staff records were still lacking the required information in the random samples looked at by the inspector. Some residents mentioned in their comment cards that they had not been kept fully informed about the building works progress to date, despite this being requested on several occasions. “Communication between the management of the home and the residents’ committee members could greatly improve.” Said one resident. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 7 The system of record keeping relating to monies or valuables held for safekeeping need to be reviewed and revised. Allocated and planned time should be arranged for the supervision of the manager. 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. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) 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 and 6. Pre-admission assessments have not been carried out as required. Residents with needs outside the home’s categories of registration have been admitted. EVIDENCE: The manager stated that pre-admission assessments of the needs of prospective residents are carried out. Care managers carry out assessments for a very small number of prospective residents, and in these circumstances a copy is supplied to the home. It was noted that of the individual plans seen, two residents had been admitted without an assessment being carried out. The manager advised that one resident had not been assessed because she had moved into the home from a Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 10 long distance away and the other resident had not been assessed because of the urgent need for admission, although that resident lived very locally. All prospective residents must be assessed before admission to ensure that the home can meet all their needs. The assessment can be carried out in the prospective resident’s home, at the care home or wherever the prospective is person is livingThe assessment also ensures that the prospective resident has met with a staff member from the home, to explain any queries and to reassure them prospective resident about life at the care home. From the pre-inspection documents, it was noted that some residents had needs that were outside the categories of the home’s registration. The manager stated that these needs had developed after the resident’s admission and that the resident’s primary need had led to their admission to the home. A resident who had been admitted to the home recently, was noted to have needs that were outside the home’s registration category . This resident had been receiving support for these needs from an appropriate healthcare professional, at her previous place of residence. Another resident had been admitted from a unit, which provided specialist care and support, which the home is not registered for. It is required that the home applies to the CSCI for a variation of registration, to include phsical disability sensory impairment and mental health needs to accommodate these residents and others with similar needs. The manager stated that intermediate care is not currently offered at the home, although the organisation running the home and others in the group, are considering making this available. The manager was advised to refer to the National Minimum Standards (NMS) for guidance on the specific facilities that would need to be offered. Two immediate requirements have been made. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 11. The administration of medication is appropriately managed. Residents are cared for sensitively, until the end of life. EVIDENCE: The home’s system of medication administration was inspected, was seen to be well managed and appropriately stored and recorded. The manager stated that wherever possible, each resident is asked their preferences for care at the end of their life and this is recorded in their care Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 12 plan. Care plans were seen to have specific provision for this record and for some residents, this had been completed but not for others. The manager advised that this can be a very difficult subject to approach, both for residents and staff, but the need for obtaining this information is clearly understood. It is recommended that where a resident does not wish to discuss this, it be recorded as such in the care plan. The home’s policy for the care of those dying or who have died was seen. It was noted that this policy needed to be reviewed and revised as in the event of a sudden death, the policy did not refer to contacting the police as the first action. The policy was marked to show that it had been reviewed last year but the manager advised that she was in the process of reviewing and revising all the home’s policies and procedures. It is recommended that the home develop a resuscitation policy, given the range of ages of the residents and the range of abilities and disabilities. Recommendations have been made. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the 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. Social activities were well managed and provided a choice, daily variation and social contact for residents. Residents had a right to make choices and exercised some control over all aspects of daily living. Mealtimes were well managed, flexible and provided a choice and variety of meals. EVIDENCE: Residents spoken with commented on the range of activities that were available and emphasis was put on choice to attend these or not. One resident stated that staff made the outings attractive as they always joined in and gave their time freely. This included taking residents into the village for shopping. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 14 The home employs an activities co-coordinator and two assistants who provide weekday afternoon activities and organise entertainers from outside and outings. Five residents when asked what they enjoyed doing said they look forward to the social activities, which are always well organised, managed and appropriate. An activities programme was displayed in several places in the home, and residents were also encouraged to make suggestions about other possible activities they might like to try. This included church services for different denominations provided for on a monthly basis. During the course of the inspection visitors were seen and two were enjoying lunch in the dining room with a small group of residents. Visitors are encouraged to stay for lunch and a small fee is charged for this. The new dining room offers bright and spacious accommodation, which is nicely decorated and with tables laid with linen cloths and flowers. Residents are asked to choose their meal for the following day and the menu cards are placed at each setting to help them remember what they had chosen to eat for that day. This provides residents with the opportunity to review the other choices if they changed their minds. Most residents said the meals were of high quality and the choices were good. One resident felt the evening meal lacked in quantity but did mention he was able to supplement that if necessary. Mealtimes were flexible ranging from between 1-2 hours when food was being served. Teatime meals provided residents with snacks and cakes as well as other refreshments. Residents are encouraged to write their comments in a book in the dining room and this contained many positive comments as well as some negative ones. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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 26 The home is decorated tastefully throughout and in keeping with the property’s era. The building works are coming to an end and once these are complete the redecoration and refurbishing of the first floor will begin to take place. The inspectors were impressed at the standards kept during the building process, with the home well presented throughout and with no issues or concerns around safety. EVIDENCE: Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 17 The manager stated that the extensive building programme is in the final stages and the final part the redecoration of the upstairs floor can begin to take place. The garden wing is already in use and two of the residents spoken with said how delighted they were with their new accommodation. Some areas in the home such as the stair carpets are worn in areas but the manager informed the inspectors the new carpet has been ordered and will be laid once all the redecoration and painting is complete. The remainder of the house offers a welcoming homely feel and is well maintained. Residents have access to a number of different communal areas around the home including a drawing room, conservatory lounge dining room and seating areas in various parts of the building. Each resident has a bedroom with en-suite facilities consisting of a toilet and a hand basin. Bathrooms and toilets are available throughout the building and recently, an additional walk in shower room, has been completed. Resident’s rooms that were viewed were large and bright and contained personal items that included furniture as well as pictures and photographs. Most rooms have spectacular views across the fields and this was commented on by five of the residents spoken with. In 2003, an Occupational Therapist undertook a thorough assessment of the home to establish their equipment needs and recommended a number of items that were subsequently purchased. A number of unused items in the home were returned to the local hospital. The equipment seen by the inspector included Zimmer frames, specialist baths, hoists, wheelchairs and pressure relieving products. Safety rails and grab handles were noted particularly in the bathrooms and were plentiful in number. Certificates on display in the laundry room for the domestic team showed staff had attended a number of training courses, which included fire awareness, food hygiene, infection control and National Vocational Qualification (NVQ) training. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30. Recruitment procedures must be more robust to fully protect residents. Staff training is effectively managed. EVIDENCE: Staff recruitment files were sampled and of those seen, some did not contain all the documents and records required. This had been a requirement from the previous inspection and has not been met. One member of staff had been employed whilst aged fourteen years old and the required references were not available for another member of staff. References that had been obtained in respect of a member of staff had not been signed and had not been stamped by the organisation from which it originated. Training for staff in the home is well organised and managed. An appropriately qualified nurse has been appointed as a trainer in the home and she carries out or co-ordinates most of the training required. The trainer maintains a Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 19 rolling programme of statutory and mandatory training, including moving and handling, first aid, health and safety, fire safety and protection of vulnerable adults. Other training courses that are offered include Control Of Substances Hazardous to Health (COSHH) and infection control. The trainer stated that individual training records are held for each member of staff. Certificates of attendance at training courses are issued and staff are asked to sign to confirm their attendance. A number of staff are undertaking National Vocational Qualifications (NVQ) in care, some at level two and some at level three, the trainer advised. An outside training organisation oversees NVQ training, although the manager, the trainer and the deputy manager are all qualified assessors, the manager advised. An immediate requirement was made. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34, 35 and 36. The Home has good leadership, guidance and direction and the staff are aware of their responsibilities to ensure residents receive consistent quality of care. Resident’s benefit from the ethos and management approach in the home and their safety and welfare is promoted. The systems in place to safeguard residents’ valuables needs to be more robust. A delegated system of supervision is in place. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 21 EVIDENCE: Records of staff meetings, and resident meetings were seen. Staff was observed to interact openly with the manager and be at ease in her presence. Residents responded well towards the manager and many were pleased to see her. A visitor spoken with stated that the home promotes good communication and they are kept up to date with information about their loved ones. The manager stated that the home gave residents CSCI’S comment cards to complete in preparation for the inspection and these were received favourably by both residents and their families as they welcomed the opportunity to give positive feedback about the home. The manager stated that an annual budget for the home is drawn up with her involvement and a copy retained in the home. Monthly reports of the home’s income and expenditure are supplied to the manager to enable her to monitor and manage the home’s budget. These were seen to provide a detailed account of the budgeted amounts, the actual amounts spent per month and for the year to date and the difference between these. The home is able to hold resident’s monies or valuables for safekeeping and these are currently recorded in a loose-leaf record book the manager stated. Receipts have not been provided to residents lodging items for safekeeping as is required. To safeguard resident’s, the system of recording monies or items held needs to be improved. It is recommended that the frequency of checking or auditing valuables held is increased and that the number of people having access is decreased. The amounts held for safekeeping were seen to accurately match the record held, but it was noted that an item belonging to a deceased resident was still held. Another item, which had been found in the home, was held, but no record of this had been made. The supervision of staff is delegated to heads of departments and the deputy manager supervises health care assistants, the manager stated. The manager supervises the heads of departments and monitors that they have supervised their staff. The manager also supervises the qualified nurses of the staff team and night nurses supervise the night staff working under them. The manager advised that she and other supervisors aim to supervise their staff on a 6-8 weekly basis and that all staff supervising others have received supervision training. The supervision of the manager of the home currently appears to take place during the unannounced visits by the Responsible Person, under the requirements of Regulation 26. This does not provide the manager with the Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 22 time to plan the issues to be discussed at the supervision meeting. It is recommended that supervision of the manger is arranged in advance and specific time be allocated for meaningful discussions to take place. A requirement and a recommendation have been made. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 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 X 2 X 3 2 4 2 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 X 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 X 34 3 35 2 36 3 37 X 38 X Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 24 YES 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. 1 Standard OP3 Regulation 14 (1) (ac) Requirement Timescale for action 04/10/05 2 OP4 4(1)(c)& 12(1)(a) The registered person must not provide accommodation to a resident at the care home unless, so far as it is practicable to do so, the needs of the resident have been assessed by a suitably qualified or suitably trained person, the registered person has obtained a copy of the assessment and there has been appropriate consultation regarding the assessment with the resident or a representative of the resident. The registered person must 04/10/05 compile in relation to the care home a written statement (in the Regulations referred to as “the statement of purpose”) which shall consist of a statement as to the matters listed in Schedule 1, 6 – The range of needs that the care home is intended to meet. The registered person must ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 25 3 OP29 19(1)(a & b)Sched2 4 OP35 17 (2) (a & b) The registered person must not 04/10/05 employ a person to work at the care home unless (a) he is fit to work at the care home and (b) he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2. The registered person must 01/11/05 maintain in the care home the records specified in Schedule 4 of The Care Homes Regulations 2001 (As Amended). Specifically a record of all money or other valuables deposited by a resident foe safekeeping or received on the resident’s behalf, which (a) must state the date on which the money or valuables were deposited or received, the date on which any money or valuables were returned to a resident or used, at the request of the resident, on his behalf, and where applicable, the purpose for which the money or valuables were used and (b) must include a written acknowledgement of the return of the money or valuables. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP11 OP11 Good Practice Recommendations It is recommended that the home’s policy regarding the care of residents at the end of their life is reviewed and revised as necessary. It is good practice to establish a policy regarding the resuscitation of residents. DS0000017621.V256154.R01.S.doc Version 5.0 Page 26 Knowle Park Nursing Home 3 4 OP35 OP36 It is recommended that the systems of recording money or valuables held for safekeeping, be reviewed and revised as necessary. It is recommended that specific, planned time be arranged, in which the supervision of the manager can take place. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. Knowle Park Nursing Home DS0000017621.V256154.R01.S.doc Version 5.0 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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