Inspection on 10/01/06 for New Forest Nursing Home

This inspection was carried out on 10th January 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

New Forest Nursing Home 22/12/08

New Forest Nursing Home 19/12/06

New Forest Nursing Home 02/11/04

New Forest Nursing Home 22/06/04

New Forest Nursing Home 28/05/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE New Forest Nursing Home Fritham House Fritham Lyndhurst Hampshire SO43 7HH Lead Inspector Tim Inkson Unannounced Inspection 10th January 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 New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 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. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service New Forest Nursing Home Address Fritham House Fritham Lyndhurst Hampshire SO43 7HH 02380 813556 02380 813920 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) Sentinel Health Care Limited Mrs Bernadine Kuropka Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (8), Physical disability of places over 65 years of age (40), Terminally ill (8), Terminally ill over 65 years of age (40) New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 8 beds may be used at any one time for service users in the category of PD between the ages of 18 - 64 No more than 8 beds may be used at any one time for service users in the category TI between the ages of 18 - 64 Date of last inspection Brief Description of the Service: The New Forest Nursing Home is set in the attractive New Forest surroundings of Fritham. A former large country house, the establishment is owned by Sentinel Healthcare Ltd, and is one of four nursing homes owned by the company that are located in Hampshire. The home was not purpose built and it was converted to use as a care home before it was purchased by its current owners. The accommodation is arranged on two levels, and has been the subject of continued refurbishment, extension and improvement. There are thirty single and six shared rooms; fourteen of which have en suite facilities. The home has attractive communal areas and pleasant and extensive grounds. Facilities and service provided by the home include assisted baths, a laundry service and full board. Public transport is accessible as the home is located on a bus route, although the service is infrequent because of the home’s rural situation. The home has a minibus, which is well used to provide opportunities for service users to go on outings and use amenities in the local community. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two that must be made of the home during the 12-month period beginning on 1st April 2005. It started at 09:30 hours and finished at 15:55 hours. The inspection procedure included viewing a sample of some bedrooms (9), an examination of documents and records, observation of staff practices where this was possible without being intrusive and discussion with residents (8), staff (4), relatives (1) and a visiting healthcare professional (1). At the time of the inspection the home was accommodating 39 residents, and of these 10 were male and 39 were female and their ages ranged from 37 to 98 years. No resident was from a minority ethnic group and there were 8 residents accommodated under the age of 65 years. The home’s registered manager was present during the day and available to provide assistance and information when required. What the service does well: The standard of care in the home was good and was based on comprehensive assessments of the needs of both potential existing residents. These resulted in plans of care that ensured that residents received the individualised support and help that they required. The homes approach to care was also reflected in the links it had developed with a local hospice to ensure that residents who were terminally ill received appropriate attention. The home promoted the right of residents to make choices for themselves and exercise personal autonomy including their participation in the civic process. Residents were complimentary about their bedroom accommodation and particularly the views of the home’s garden and the local countryside that they had from their rooms. All bedrooms seen were well and furnished and equipped and the owner/registered provider was committed to ensuring that the premises were well maintained and safe. Systems and procedures in the home worked well including, the management of medication, the monitoring of the quality of the service provided, staff recruitment and training. They also ensured that residents’ financial interests were promoted and the health and safety of people both working and living in the home was addressed appropriately. Staff practice was also informed by good, comprehensive written policies and procedures that were updated as necessary and staff viewed working in the home positively. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 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 New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 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 The home’s admission procedures included good assessments of the needs of potential residents before they moved into the home to ensure that the home could provide the care and support that individuals required. EVIDENCE: The home had written policies and procedures concerned with the admission of new residents to the home and these referred to the importance of ascertaining the help required by potential residents before they moved into the home. The records of 4 residents that had moved into the home since the last inspection on 3rd May 2005 were examined and these included copies of detailed assessments that the home had arranged of the needs of the individuals concerned. On this occasion as at the last two inspections of the home on 2nd November 2004 and 3rd May 2005 it was apparent from discussion with residents and the documents examined that the needs of potential residents were identified before the persons concerned moved into the home. “Matron came and assessed me and I was in here within days”. “Someone came to see me before I moved in”. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 9 It was also evident from the records examined that the home wrote to potential residents before they moved into the home informing them that the home could meet their assessed needs. The pre-admission assessments were complemented by more thorough and comprehensive assessments of a resident’s needs when they actually moved into the home. There was documentary evidence that assessments of residents needs were reviewed regularly and revised as necessary when an individual’s circumstances had changed. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 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): 7,9 and 11 There were good plans of care in place that ensured that residents received the help and support that they needed. Good procedures and systems for ensuring that medicines were managed and administered safely were in place and death and dying was managed sensitively by the home. EVIDENCE: On this occasion as at the last two inspection of the home on 2nd November 2004 and 3rd May 2005, a sample of the care plans of residents were examined (4). The documents were detailed and the plans were based on the assessments the home carried out in order to identify what help individuals needed (see pages 9 and 10). The plans set out clearly the actions staff had to take and what specialist equipment was needed to provide the support and assistance each person required. Observation and discussion with the residents concerned, confirmed that individuals received the help they needed and that the equipment was in place as set out in their plans of care. There was evidence from both the care plans and related documentation and discussion with the residents concerned that individuals and/or their representatives had been involved in developing the plans and agreed with their contents. • “We discussed the whole thing” (resident). • “I have been involved with the care plan” (relative). New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 11 Residents and relatives spoken to also commented generally about the standard of nursing care and the help and support that the home’s staff provided. • “She is always lovely and clean and there is no problem with her skin and pressure sores, unlike when she was in hospital” (relative). • “They look after me and it is excellent” (resident). • “They get me up and help me with dressing and washing and bathing, I am happy that they know what they are doing” (resident). • “There is nothing wrong with the care” (resident). All nursing and care staff spoken to were fully aware of the contents of the care plans that were sampled and the assistance that the individuals concerned required. The care plans documents included assessments of the potential risks to residents of among other things, pressure sores, malnutrition, and falls. Strategies for eliminating or reducing the risk of harm had been identified and implemented e.g. pressure-relieving aids were in place. There was documentary evidence that care plans were evaluated and reviewed regularly. The home had written policies and procedures concerned with the management and administration of medication. A range of reference material about medication was readily available. Medication was kept in two locked and secured medicine trolleys and cupboards and also where required in a medical refrigerator. If required controlled drugs were stored securely and in an appropriate metal locked cabinet. Medicines were dispensed from their original containers and the only staff responsible for the management and administration of medication were registered nurses. Records were kept of the ordering, receipt, administration and the disposal of medicines and these were accurate and up to date. The home had implemented new methods for the disposal of unwanted and unused medicines. This had arisen as a result of recent changes in the National Health Service contract for community pharmacists and to ensure compliance with legislation about the disposal of industrial waste. The home’s written medication procedures referred to above did not reflect this changed practice because before producing a new written procedure the home was waiting for clarification about the use of the bins for the disposal of medicines and also for used needles (“sharps”) that a contractor had provided as they had been given conflicting advice about their use. The home had developed “links” with a local hospice and had written guidance and policies available concerned with managing the death of residents. All nursing and care staff spoken to had attended training about palliative care and it was a subject on the home’s staff training programme during 2006. One New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 12 registered nurse spoken to said that staff went to the local hospice for relevant training in clinical and other subjects concerned with palliative care. • “We go for syringe driver training for pain control and it is provided at least twice a year” There was a poster on display in the manager’s office advertising one of the regular meetings organised by the palliative care team at the local hospice for “link nurses” that were based in care homes providing specialist care for residents who are terminally ill. The role of the link nurse was to attend these meetings at the hospice and to liaise with relatives, general practitioners and residents about palliative care matters, as well as disseminate information and share good practice and experiences. The registered manager said that she intended to go to the meeting. There was a lot of written information about palliative care readily available in the home that staff could refer to if required. A visiting general practitioner spoken to during the inspection said that he thought that the home was “well managed” and “the staff are particularly sensitive when dealing with terminally ill patients and relatives are always very appreciative”. The records of a resident who had recently died were examined and it was apparent from notes that had been kept that the comfort of the individual and the support of their relatives had been paramount. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 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): 14 The home had good procedures in place for ensuring residents could exercise self-determination. EVIDENCE: The home had a range of policies and procedures concerned with the promotion of residents’ rights including guidance about the values that underpin good social care e.g. independence, choice. Also among them were the following: • • • Access to personal files Confidentiality Residents’ personal money and valuables At the time of the inspection and according to the home’s manager no residents accommodated in the home managed their own financial affairs. All the residents willing to discuss the subject said that they were pleased to have given that responsibility to a relative or friend. • • “I have a grandson who deals with that, I could not do it any more so he pays all the bills”. “My son looks after my money so I don’t have to worry”. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 14 There was information available in the entrance hall of the home about organisations that could provide independent advice or advocacy for residents and or their relatives/representatives. Although residents were able to bring items of furniture into the home with them in all the bedrooms viewed during the inspection all the furniture was had been provided by the home and was of good quality, and in good repair. One resident said, “I was thinking of bringing one of my own chairs in because this one is not high enough at the back”. The home had written policies and procedures about “Confidentiality” and “Access to Records”. The former stated among other things that residents had the right to access their own records. Sensitive information about residents was kept secure in locked filing cabinets. Comments from residents and relatives about individuals’ abilities to make choices for themselves included the following: • • • • • “There are opportunities here to do things like go to football matches and there are no restrictions on what you do provided you don’t do anything “silly”” (resident). “They say they never force them to do anything, they always allow them to do what they want to do and a s a visitor I have been assured I can come at any time day or night” (relative). “I can go to bed when I like. I like to go at about 9:00 p.m. which was the time I went when I was at home” (resident). “It is very free and easy here” (resident). “If I want to lie down in the afternoon I do”. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 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): 17 There were good procedures in place to ensure that residents could exercise their civic rights. EVIDENCE: The home’s registered manager said that that the election of local politicians was “quite an event” for the home. She also said that the details of the home’s residents on the electoral roll was updated annually and that she ascertained whether individuals wanted to make a postal vote or go to the local polling station. • “We take them to the polling station in the village in the bus and they love it, the community spirit of the whole thing”. Among an album of pictures of recent significant social events that had occurred at the home during the last 2 years were a number that included groups of the home’s residents outside the local polling station. Several residents spoken to confirmed that they were able to vote in local and general elections. • “I was taken to vote in the village hall in a minibus”. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 16 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, 24 and 25 The premises were, safe and well maintained and the home’s bedrooms accommodation was comfortable, well furnished and equipped for service users safety and specific needs. EVIDENCE: Major building work had been taking place at the home for some 14 months mainly concerned with the construction of a large extension that will ultimately result in the home being able to accommodate 8 more residents. The facilities will also be improved with more baths and additional communal space. The construction of the new bedrooms allowed some residents to transfer to them during the year and enable some existing bedrooms to be refurbished and improved with a number having en-suite WCs installed. Another improvement that had been made to the premises since the last inspection of the home on 3rd may 2005 was the total replacement of the old roofing. Sentinel Healthcare Ltd, employed permanent maintenance staff comprising decorators and individuals that undertook repair work. Some of these staff were observed working in the home during the inspection painting walls and areas of corridor. A continuous rolling programme of refurbishment and New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 17 redecoration was in place and some recently redecorated areas of the home included the ground floor corridor outside the kitchen. The most recent report from the local Environmental Health Officer (28th April 2005) indicated that the home had satisfactory risk hazard analysis procedures and cleaning schedules in place and that standards were “generally good”. A report from the local Fire and Rescue Service of 16th November 2005 had identified several matters that needed to be addressed and the registered manager and responsible individual who represented Sentinel Healthcare Limited conformed that all the items identified in the report had been actioned. All residents spoken to expressed positive views about the home’s location and the views of the home’s extensive grounds and the surrounding New Forest that they had from their bedrooms, as well as contentment with the condition of their bedroom accommodation including the furniture and equipment in them. Comments from residents about these matters included: • • • • “My room is quite satisfactory. It is warm enough, the lighting is good”. “I like the room. The view out of the window is particularly good. It always feels nice and warm. I am very happy with it”. “I love this room. I can see the birds and trees and ponies. It is like being in the Forest. The heating and lighting is fine and they answer the bell within a couple of minutes”. “It is nice and comfortable. I think that I am very lucky”. Bedrooms viewed varied in size and configuration and all were furnished and equipped as expected by Standard 24 of the National Minimum Standards for care Homes for Older People. The furnishings of the rooms and décor were of good quality and in good repair. All bedrooms were; fitted with carpets; doors were fitted with suitable locks; naturally ventilated and heated by radiators that were covered with guards to prevent residents from the risk of burns. All shared bedrooms viewed were provided with screening to provide privacy. The temperature of the hot water stored and being “delivered” in the home was tested regularly by persons working in the home with responsibility for health and safety matters and records indicated that hot water was being stored at around 80°C to eliminate the danger of Legionella bacteria and delivered at around 43°C to eliminate the risk of scalding (see also Standard 38 at page 22). Hot water outlets were randomly tested during this inspection visit and the temperature of the water was “comfortable”. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 18 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): 28 and 29 Staff working in the home were well trained and competent to meet the needs of residents. The home’s recruitment procedures for new staff were satisfactory, ensuring the protection of residents. EVIDENCE: At the last inspection of the home on 3rd May 2005 out of a total of 13 healthcare assistants 8 (i.e. 65 ) were qualified to at least National Vocational Qualification (NVQ) in care at level 2 or it’s equivalent and another 2 staff were working towards the qualification. At this inspection out of 14 healthcare assistants 12 (i.e. 79 ) were qualified to at least NVQ level 2 in care or it’s equivalent. The records of 5 staff recruited to work in the home since the last inspection on 3rd May 2005 were examined. It was apparent that the home carried out all the necessary pre-employment checks to ensure that the individuals were suitable to be employed to work with vulnerable adults before they actually started work in the home. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 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): 33,35, and 38 The home had good systems in place for; monitoring the quality of the service provided by the home; ensuring residents interests were safeguarded and the health and safety of both staff and residents was promoted. EVIDENCE: The home had a written policy about monitoring the quality of the service it provided. The way this was done included: 1. Audits of some of the documentation and staff practice in the home e.g. medication records and care plans. Records of audits indicated that omissions had been identified and action to remedy these or improve working practices had been identified and implemented. 2. Surveys of residents, relatives and staff had been conducted by the company to obtain their views. The results were collated at the company’s head office and the results were published. 3. The company’s operations manager visited the home at least monthly under Regulation 26 of the Care Homes Regulations 2001 in order to complete a report about “the conduct of the home”. While doing these visits she had New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 20 spoken with residents and their representatives and staff to get their opinions about the care provided in the home. Copies of these reports were kept in the home and also sent to the CSCI. The home had a range of written policies and procedures copies of which were kept in the home’s nurses’ station/office and were readily available. Staff spoken to said that they were helpful and could be referred to for guidance and that they informed their practice. The policies and procedures were reviewed regularly and updated as necessary. Regular residents meetings were organised in the home enabling them to comment on aspects of life in the home such as activities and social events, catering and food, and staffing levels and practice. Minutes of these meetings were prominently displayed in the home and one resident spoken to said, “I go to residents meetings where I can voice my opinions”. Comments about the quality of the service provided and life in the home included the following: • “Inspection is not necessary as we have a man upstairs (the responsible individual representing Sentinel Healthcare Limited as the registered provider) who is really on the ball and the staff like him” (resident). • “It is well managed and the manager has really learned how to delegate”(visiting healthcare professional. • “Its excellent” (resident). Staff views about working in the home included the following: • “It is nice because the residents and staff are nice”. • It is brilliant, this is the third company to have owned the place since I started work her in 1987 and what they are doing for the home is brilliant. They like the place to look nice and so visitors or people thinking about coming here can be shown everywhere because the standard is the same throughout”. • “So far so good”. • “It is hard work but enjoyable”. Sentinel Healthcare Ltd, acted as agent or appointee for some residents who because of their frailty or disability could not manage their own financial affairs. A central account was managed at the head office of Sentinel healthcare Ltd and it complied with the guidance issued by the Commission for Social care Inspection (CSCI), (i.e. the account earned interest that was apportioned between individuals based on the amount each had in the account). A visitor to the home spoken to said that she had deposited £100 with the home as personal spending for her relative. The record for this resident was checked and receipts and records had been kept of money spent on her behalf and the amount remaining. Accurate records were being kept of each persons transactions and the balance they held. New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 21 There was evidence from both discussions and relevant records being kept by the home that all staff working in the home had received regular training in health and safety subjects that were relevant to their roles in the home. These included, first aid, fire safety, food hygiene, moving and handling, infection control and control of substances hazardous to health. Comprehensive and clear records being kept indicated that risk assessments for safe working practices had been completed and that all systems and equipment in the home were tested and serviced at intervals and with the frequencies either required according to relevant regulations or good practice. These included: • Fire safety equipment • Electrical wiring • Gas appliances and central heating • Portable electrical appliances • Hoists and slings • Lifts • Clinical equipment • Hot water systems –(tested for temperature and the presence of Legionella). New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 X X X X 3 3 X STAFFING Standard No Score 27 X 28 4 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations New Forest Nursing Home DS0000011436.V276462.R01.S.doc Version 5.1 Page 24 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. 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