Inspection on 19/12/06 for New Forest Nursing Home

This inspection was carried out on 19th December 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 10/01/06

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 Pat Griffiths Unannounced Inspection 19th December 2006 10:30 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.V325066.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. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New Forest Nursing Home Address Fritham House Fritham Lyndhurst Hampshire SO43 7HH 02380 813556 02380 813920 Bernie.kuropka@sentinel-healthcare.co.uk www.sentinel-healthcare.co.uk Sentinel Health Care Limited 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) Mrs Bernadine Kuropka Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (15), Physical disability of places over 65 years of age (48), Terminally ill (15), Terminally ill over 65 years of age (48) New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: The New Forest Nursing Home is a former large country house, which was converted for use as a care home by the previous owners. It is owned by Sentinel Healthcare Ltd, and is one of four nursing homes owned by the company that are located in Hampshire. The home is set in the attractive New Forest surroundings of Fritham village. The accommodation is arranged on two levels, and has been the subject of continuing refurbishment and improvement, a recent conversion of the stable block has added extra en-suite rooms. The upper floor is accessed by passenger lift. There are thirty-eight single and five shared rooms, twenty-four of which have en suite facilities. It has several communal areas, with three sitting rooms and two dining rooms. There is also a courtyard garden and large attractive grounds, which are accessible by the residents. 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 often in use to provide opportunities for the residents to go on outings and use amenities in the local community. The manager said that the current fees are £513 – £1,127 per week [on average £690] and are based on the level of care needed and the size of the bedroom that is occupied. Items not covered by the fees include chiropody £10, aromatherapy £15, hairdressing from £7.50 and varied amounts for newspapers, toiletries and personal telephone bills. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This fieldwork visit was unannounced and took place on 19th December 2006. All key standards were examined and the visit included looking at areas of the home such as bedrooms, communal and shared areas and the home’s kitchen and laundry as well as the gardens. Documents and records were examined and staff working practices were observed where this was possible without being intrusive. Residents, visitors and staff were spoken to in order to obtain their views of the service that the home provides. Visitors that spoke to the inspector were very positive about the care their relatives received. The manager was present throughout the visit and other staff provided assistance and information when required. Other information included in this report is obtained from information that the commission has received since the last visit made to the home in January 2006, such as notices received about incidents that have occurred in the home. What the service does well: The home has a warm and welcoming atmosphere and there are several areas where residents may sit quietly or socialise. There are also extensive grounds that residents can walk in. The residents looked comfortable and those that spoke to the inspector said that they felt they were well looked after ‘it’s a lovely place, they [the staff] are lovely’ The standard of care in the home is good and is based on comprehensive assessments of the residents needs. This results in plans of care that ensure that the residents receive the support and help that they require and promotes the rights of residents to make choices for themselves. Visitors and relatives said they felt comfortable visiting and were able to stay overnight or join their relative for a meal. They also said that communication with the home was excellent and they were kept fully informed of their relative’s well being. Residents and relatives said the food provided was of a high standard, and choices were always available. Systems and procedures in the home work well, including the management of medication, the monitoring of the quality of the service provided and staff recruitment and training. Staff practice and care of the residents is ensured by comprehensive policies and procedures that are updated and amended as necessary to reflect changes in legislation and to reflect current good practice. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive pre-admission assessment is completed before a placement is offered, to ensure that all needs can be met. EVIDENCE: The home had written policies and procedures in place regarding the admission of new residents to the home, which refer to the importance of assessing the level of care required by potential residents before they moved into the home. The files for three recently admitted residents were examined. Each contained a comprehensive assessment, which had been completed prior to admission. Prospective residents are invited to visit the home, but this is usually done by friends or relatives, who will then advise the potential resident about the home. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 9 The pre admission assessments identified personal and social needs as well as health and nursing care needs. Areas that had been assessed included personal care, social, religious and cultural needs, dietary likes and dislikes, mobility, sight and hearing. The pre-admission assessments were complemented by more thorough and comprehensive assessments of the resident’s needs when they actually moved into the home. The home does not provide intermediate care, but occasionally provides respite care if a bed is available. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have individual plans of care and their health care needs are met. Good practices ensure safe medication administration. Staff training ensures that the residents’ rights to privacy, dignity and respect are upheld. EVIDENCE: The inspector looked at three care plans and found that assessments, such as risk assessments, manual handling, nutrition and skincare had been completed. They had identified areas of physical risk with guidance for staff to follow to minimise the risk. These assessments gave staff guidance on each person’s abilities and needs and formed the basis of the care plan. The likes and dislike of the residents had been identified, such as what time they like to get up or go to bed. 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 New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 11 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. 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. Residents and relatives spoken to also commented generally about the standard of nursing care and the help and support provided by the home’s staff. The manager said that the residents are registered with a local doctors surgery who visit residents every Monday and Thursday or when required. Residents confirmed that they were able to see their doctor when they wished. Other visiting healthcare professionals include the local dentist, optician and the chiropodist. The home had written policies and procedures concerned with the management and administration of medication. A range of reference material about medication, such as the British National Formulary, was available. Medication is kept in two locked and secured medicine trolleys and metal wall cupboards and where required in a medical refrigerator. Controlled drugs, if required, are stored securely and in an appropriate metal locked cabinet. Medicines were dispensed from their original containers and the registered nurses are responsible for the management and administration of medication. The records for the ordering, receipt, administration and the disposal of medicines were seen to be accurate and up to date. The home has a list of ‘homely remedies’, which is a list of medications that can be administered to residents, which have not been prescribed by the doctor, such as paracetamol or cough linctus. The list is signed by the doctor, giving the staff permission to give these medications and under what circumstances. The staff were observed throughout the inspection knocking on doors and waiting for permission to enter. The bedroom doors have locks fitted, so residents can have privacy if they want it. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that there are a variety of activities available for the residents and the home has an open visiting policy. Residents are encouraged to exercise control over their lives. Arrangements ensure contact is maintained with family and friends and a wholesome and balanced diet is available. EVIDENCE: The manager said that the home has an activities organiser who is in the home for five days every week and have a mini bus to take residents out and about. Activities information is displayed on a notice board in the home’s entrance hall about indoor activities, visiting entertainers and any trips out. Activities in the home include daily music and movement sessions, manicures, board games, poetry readings, and singsongs. Excursions include trips to the shops, the cinema and visits to garden centres. In January a visiting professional troupe of actors will be performing ‘Jack and the beanstalk’ in the home for the residents. Over the Christmas period the home has had a Christmas fair, visit from carol singers and had a Christmas party. The manager said that the staff had performed a show for the residents and the residents were helped to put New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 13 on their own show for the staff and their visitors, and both were thoroughly enjoyed by everyone. The manager said that some daily activities are not planned but are decided on the day and depend on the residents present and what they want to do. Ministers from the local churches visit approximately every three weeks and will come more often if asked. Some of the residents in the home were too frail to participate in group activities and the manager said that the home tries to provide individual attention for these residents, such as hand massage, aromatherapy and music. Residents are able to maintain contact and relationships whilst in the home, as visitors are welcome at any time and may be entertained any of the sitting rooms or in the privacy of the residents bedroom. During the good weather visitors can also be entertained in the large gardens. Visitors that spoke to the inspector were very positive about the home ‘lovely place’, my mother loves it here’ Although residents were able to bring items of furniture into the home with them to personalise their bedrooms, most only brings small items such as pictures and ornaments. The furniture provided by the home and was seen to be of good quality and in good repair. The home had a range of policies and procedures concerned with the promotion of residents’ rights, including guidance about promoting independence and choice and maintaining confidentiality. Residents said they felt that they were able to make choices, such as what to wear each day or how to spend their time, and that staff were available to help if necessary. The home has a menu in place, which is a corporate menu but individual to the home and choices are always available. The food is also purchased centrally for all of the homes and then delivered. Residents are asked daily about their menu choices and are advised of the choices available. The residents are able to take their meals in their own rooms or in the dining room. When asked the residents said the food provided by the home was good and they were advised of the daily choices available. They said that they could have snack and drinks at any time as well as their three meals a day. Information about the needs of residents with specific dietary requirements was readily available in the kitchen, such as diabetic, soft, pureed and chopped up. Some service users ate in their rooms and some in the home’s two dining room. Staff were observed providing help sensitively and appropriately to those residents that needed assistance at meal times. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place, enabling residents, relatives and staff to make complaints should they wish. Staff training in adult protection promotes the safety of the residents. EVIDENCE: The home has a complaints policy in place, details of which are currently contained in the service users guide and are available for staff, residents and their visitors. The manager said the policy is being reviewed and will be amended to provide a simpler document that contains the timescales in which complaints will be dealt with as well as the contact details of the people and agencies that would deal with any complaints. The manager said that some concerns had been raised during the last year and all had been resolved. Residents said that they were aware of the complaints procedure, but also knew that they would see the manager daily and could speak to her about any concerns and that they would be quickly dealt with. The home had a number of written policies and procedures available concerning the protection of vulnerable adults, such as local authority adult protection guidelines, residents money and valuables including bequests and wills, whistle-blowing, dealing with aggression and using control and restraint New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 15 as well as prevention of abuse. The manager said that there was a rolling programme of training and all staff had attended a session on adult protection. Care staff that spoke to the inspector confirmed that they had undertaken relevant training and it was apparent they knew what action to take if they suspected or witnessed abuse occurring in the home. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for maintaining the home ensure that residents stay in a safe environment that is pleasant, clean and hygienic. EVIDENCE: The inspector was able to tour the home and see the kitchen, laundry, communal areas and some of the bedrooms. On the day of the visit the home was seen to be clean and tidy, with no unpleasant odours. The nursing and care staff in the home are supported by ancillary staff, such as cleaners, laundry staff and kitchen staff. Sentinel Healthcare Ltd, employed permanent maintenance staff, which includes decorators and maintenance staff. A continuous rolling programme of refurbishment and redecoration is in place and some recently redecorated New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 17 areas of the home include some of the bedrooms in the ‘stables’. The new extension has been completed and is in use. Bathrooms have been refurbished and there is now a level access shower and a new specialist bath for assisted bathing. The bathrooms have been decorated with tiles on the walls that contain colourful and amusing pictures of animals. The laundry has sufficient washing machines and dryers and is accessed from the corridor so that dirty linen is not taken through the kitchen or food preparation areas. The manager said that the home only undertakes personal laundry for the residents, the sheets and towels are sent out to an industrial laundry. The home has several communal areas, with two dining rooms, a sitting room, conservatory and a library which is often used as a quiet room or for entertaining visitors. Part of the recently completed extension to the home has included a small courtyard garden that has been planted up as a sensory garden. The beds are accessible and there is a gazebo to sit in. On the day of the visit it was decorated for Christmas with lots of lights and small snowmen and Santa’s that lit up after dark. The manager said that at the staff Christmas party the previous week the gazebo had been very successfully used as Santa’s grotto for the staff’s children. Residents had been able to sit in the conservatory and watch the scene, several commented to the inspector on how much they had enjoyed watching the children. 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. The home has policies and procedures in place regarding infection control, which have been regularly reviewed. Suitable equipment such as disposable gloves and aprons were supplied throughout the home and staff were seen using them when required. Communal toilets had liquid soap, paper towels and disinfecting hand wash provided. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff ensure that needs of the residents are met. Arrangements ensure that the recruitment practice protects the residents and staff. Arrangements for induction and training ensure that the staff are able to meet the needs of the residents. EVIDENCE: The home employs eleven registered nurses and seventeen care assistants [and three bank staff] as well as ancillary staff such as the cleaners, laundry and kitchen staff. The manager said that currently six staff have National Vocational Qualifications in care, one has actually completed the course and five are qualified nurses in their own country who have been award NVQ status based on their qualifications. Three carers are doing the course, when they have completed it the home will have almost reached the required national standard of 50 of care staff in the home with an NVQ 2 or above. The home has a robust recruit policy and the manager said that part of the recruitment procedure was to obtain a Criminal Records Bureau (CRB) disclosure and the Protection of Vulnerable adults (POVA) check prior to employment, or to obtain a POVA first check and contact the commission for New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 19 permission to start the member of staff’s induction, with the proviso that continued employed depended on a satisfactory CRB disclosure. The inspector looked at the files of three new members of staff and found that all the relevant checks had been completed, such as obtaining references and Criminal Records Bureau disclosures. Other staff files were checked and found to contain the correct information, such as proof of identity, and there was evidence that the nurses have had Nurses and Midwives Council checks on their professional qualifications before starting work in the home. There was evidence from discussion with staff and also from staff records that all new employees completed a comprehensive induction programme and that the home regarded training as a priority. The manager said there was rolling programme of training, which in the last year has included workplace health and safety, food hygiene, moving and handling, palliative care, health emergencies, stress management and adult protection. Some training is inhouse, some is done at the Countess Mountbatten hospice and some is done at the other homes in the group. Staff that spoke to the inspector were very positive about working in the home, saying that training was always available and the senior staff were always helpful and supportive. Several commented that the company was a good one to work for, with benefits such as meals when on duty and the staff Christmas party which was being held on the evening of the inspectors visit. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the home is well managed, but resident’s views are not formally sought. The residents’ financial interests are safeguarded. Arrangements are in place to ensure that the health, safety and welfare of the residents and staff is protected. EVIDENCE: The manager had been in post for more than four years and is a registered nurse with considerable experience of working in nursing homes. She completed a National Vocational Qualification in management at level 4 in June 2006. Staff and service users spoke highly about the support and leadership that she provided. The homes management approach ensures the promotion of New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 21 an inclusive and relaxed living and working environment. The head office of Sentinel Healthcare Ltd is located on the premises and consequently the home’s manager was able to get administrative support when required without any difficulty. The manager said that an annual ‘service users survey’ is conducted by the directors of the company, when questionnaires are sent to residents or their relatives to obtain their views of the service provided by the home. The responsible individual for the home visits monthly and writes a regulation 26 report. This report is written following an unannounced inspection of the premises, its records of events and records of any complaints as well as talks with residents and staff. The information is made available to the owners and the manager. The manager also said that an internal audit is carried out in the home, called ‘Essence of Care’ which examines areas of care provision and sets benchmarks and scores are awarded for compliance. Several residents confirmed that regular meetings were held in the home at which they could raise concerns and discuss matters that influenced their daily life in the home. Staff also said that they had regular meetings with the homes management and different topics were discussed, such as care plans or nutrition. The home has a range of written policies and procedure, which are kept in the nurses’ station and office and are 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 to include changes in legislation and to reflect current good practices. 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. Records seen by the inspector and information contained in the pre-inspection questionnaire indicate that risk assessments for safe working practices have been completed and that all systems and equipment in the home are tested and serviced at intervals and with the frequencies either required according to relevant regulations or good practice. This includes fire safety equipment, gas appliances and central heating, portable electrical appliances, lifts, hoists and slings. New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 X 3 X X 3 New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 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.V325066.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI New Forest Nursing Home DS0000011436.V325066.R01.S.doc Version 5.2 Page 25 - 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. 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