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Inspection on 29/06/05 for New Park House Nursing & Residential Home

Also see our care home review for New Park House Nursing & Residential Home for more information

This inspection was carried out on 29th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This was a very pleasing inspection. The home offers a very comfortable caring environment for the residents who live there. The standards of services provided by this home are very high. There were many complimentary comments received from residents and relatives. These comments were in relation to all the services offered by the home. The environment was attractive and well presented. There were lovely secluded seating areas where residents can go and sit undisturbed should they not wish to stay in the lounges. Bedrooms were homely and had been personalised. Externally the grounds were spacious and accessible with seating areas. Staff morale was good and staff felt well supported. Staff training was good with supervision sessions identifying training needs. Individual health care needs were assessed and regularly monitored with specialist help and advice obtained when needed. Staff were observed to be caring and attentive and care was carried out with dignity and respect. Residents felt that their privacy and dignity were maintained in the home. The programme of activities was comprehensive with use of a minibus for outings. The activities co-ordinator was well organised and enthusiastic. There was evidence of the maintenance of personal choice and autonomy for residents. The ratio of trained and care staff was good with adequate staffing numbers provided and a good skill mix of staff. The residents and staff felt supported by the manager and stated that her door was always open to them. The home was very well managed.

What has improved since the last inspection?

There were no requirements made during the last inspection. However improvements have included the commencement of formal staff supervision. Sluice rooms have been made secure and the practice of storing items on top of toilet pedestal lids has ceased. Remedial work has started on the metal window frames around the home. The availability and flexibility of therapeutic activities had improved. There was a good deal of evidence of personal autonomy and choice for residents. Staff training was very well organised and documented.

What the care home could do better:

Attention to detail in relation to some fire safety aspects is required. Substances falling under COSHH regulations need to be kept locked away at all times.Trained nurses will need to ensure that all medication is administered and stored in line with NMC requirements. The clinical room should be kept clean and tidy. Attention to laundry procedures is required in relation to the control of infection. The complaints procedure will need to be amended accordingly. The comments received regarding the quality of some of the meals served should be addressed.

CARE HOMES FOR OLDER PEOPLE New Park House Nursing & Residential Home New Park Chivelstone Grove Trentham, Stoke on Trent Staffordshire ST4 8HN Lead Inspector Yvonne Allen Announced 29 June 2005 09:30am 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 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 Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service New Park Address Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) New Park Chivelstone Grove Trentham Stoke-on-Trent Staffordshire ST4 8HN 01782 657664 N U Groom Ltd Nora Patricia Sandra Wilson CRH 63 Category(ies) of OP - 63 registration, with number PD(E) - 63 of places New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Physical Disability (PD) aged 55 years on admission for three persons Date of last inspection 26 February 2005 Brief Description of the Service: New Park House is a registered care home currently providing nursing and personal care for up to 63 older people with varying levels of dependency. The home is situated in its own spacious grounds in a residential area of Trentham, Stoke on Trent. The home is a large detached property that has been extended over the years. The grounds are extensive and easily accessible and there is ample car parking facilities. Accommodation is provided between two floors and a passenger lift provides access between the two. The home has 58 bedrooms and 26 of these have en-suite facilities. Five of the bedrooms can be used as companion rooms if required. The home offers a choice of five lounges and three dining rooms, there are assisted bathing and toilet facilities to both floors, meals are prepared in a central kitchen and there is a central laundry. Within the grounds of the home are 21 housing association supported bungalows for older people. An emergency care call system links each bungalow with the home and emergency support is provided by staff of the home. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out by two inspectors. It commenced at 9.30am and was completed by 3.30pm. Inspectors used various methods to obtain and collect evidence to support the judgements made. A tour of the home took place where a selection of bedrooms and all communal areas were inspected. Relevant records and documentation were examined. Inspectors chatted to a number of staff residents and visitors. Some staff were interviewed separately. Inspectors held discussions with the registered manager and gave verbal feedback at the end of the inspection There had been no previous requirements to address. Many of the standards were assessed at this inspection and most were fully met. There were a number of standards where the home exceeded minimum standards and these have been marked with a scoring of 4. Verbal feedback was given to the manager at the end of the inspection. What the service does well: This was a very pleasing inspection. The home offers a very comfortable caring environment for the residents who live there. The standards of services provided by this home are very high. There were many complimentary comments received from residents and relatives. These comments were in relation to all the services offered by the home. The environment was attractive and well presented. There were lovely secluded seating areas where residents can go and sit undisturbed should they not wish to stay in the lounges. Bedrooms were homely and had been personalised. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 6 Externally the grounds were spacious and accessible with seating areas. Staff morale was good and staff felt well supported. Staff training was good with supervision sessions identifying training needs. Individual health care needs were assessed and regularly monitored with specialist help and advice obtained when needed. Staff were observed to be caring and attentive and care was carried out with dignity and respect. Residents felt that their privacy and dignity were maintained in the home. The programme of activities was comprehensive with use of a minibus for outings. The activities co-ordinator was well organised and enthusiastic. There was evidence of the maintenance of personal choice and autonomy for residents. The ratio of trained and care staff was good with adequate staffing numbers provided and a good skill mix of staff. The residents and staff felt supported by the manager and stated that her door was always open to them. The home was very well managed. What has improved since the last inspection? What they could do better: Attention to detail in relation to some fire safety aspects is required. Substances falling under COSHH regulations need to be kept locked away at all times. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 7 Trained nurses will need to ensure that all medication is administered and stored in line with NMC requirements. The clinical room should be kept clean and tidy. Attention to laundry procedures is required in relation to the control of infection. The complaints procedure will need to be amended accordingly. The comments received regarding the quality of some of the meals served should be addressed. 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 Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 5 The home was able to demonstrate its capacity to meet individuals identified needs. Prospective residents and their relatives/friends have an opportunity to visit and assess the quality, facilities and suitability of the home. EVIDENCE: The community care plans provided by the social worker, as part of the individuals needs assessment process, were seen within the residents care plans. Suitably qualified staff, prior to residents being admitted to the home, carried out Pre admission assessments. Those care records examined during the inspection and staff and residents spoken to, evidenced that nursing and care staff had the necessary experience to meet the assessed needs of the residents in their care. Two relatives engaged in conversation explained that they were welcomed to visit at any time and were offered a drink along with their relative. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9,10 and 11 The assessed health and personal care needs of residents had been well documented and were being met, with good standards of care being delivered. The health and welfare of all residents were not all protected by the medication procedures followed in the home. Staff delivered very high standards of care in an unhurried and respectful manner. EVIDENCE: Several residents were engaged in conversation and all spoke positively about the care and attention afforded to them. Two care plans were looked at in detail and each had a full comprehensive action plan of care, which was regularly reviewed and focused on long and short-term problems. Risk assessments were in place and wound care planning was very good. All entries made were legible, signed dated and in black ink. Care staff had a maximum of three residents each, to which they were known as their key worker. This involved the named carer being responsible for labelling of clothes, toiletries etc or where there were relatives involved, to liaise directly with them to ensure all residents had sufficient stocks and supplies. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 11 A visiting optician was engaged in conversation and she stated that she visits regularly, to review the residents optical needs and that she maintained a good working relationship with the staff in the home. Care staff spoken to stated that dental and chiropody services were regularly available. The Doctor responsible for the whole home attends a scheduled weekly surgery within the home. Written comments were received from a representative of social services, this read – “I have recently placed someone in New Park and found the care to be most satisfactory”. Comments received from a relative included “mum’s specific medical needs are carefully monitored, and any problems dealt with in a reassuring way”. The medication procedure was identified and the administration, and storage of drugs were not all found to be in order. MAR charts were examined and had not all been completed in line with NMC requirements. Several gaps were found and it was difficult to determine whether those residents had had their medication or not. Not all residents had a current photograph in place and there was no evidence of a list of staff specimen signatures and initials kept in the front of the charts. Medication required to keep at very cool temperatures was kept in an unlocked fridge in an unlocked treatment room. All medication must be stored safely, in locked cupboards in a locked room. Oxygen was not all stored appropriately as one cylinder was free standing by the door and not secured to the wall. The chemist had recently undertaken a medication audit but these errors had not been identified. The clinical room itself was not particularly clean or tidy; the tap on the washbasin was dripping constantly and needs to be repaired. Stocks of beer, pop and other extraneous items should not be kept in a clean utility room and must be moved as discussed during the inspection. Trained nurses administer medication to all residents. There were two residents self-medicating at the time of the inspection and the care manager confirmed that there were risk assessments in place, and that trained staff regularly checked that all medication was being taken in accordance with the doctor’s prescription. Staff were observed to be treating residents with dignity and respect during the inspection. Staff were observed engaging in eye contact when addressing the residents or being addressed by them. Nothing seemed too much trouble for the staff to deal with. Comments from a relative included “we note the respect given to residents whenever we visit however busy the staff might be and the cheerful welcome when we arrive”. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 12 Following a discussion with several care staff they confirmed that when residents are poorly and dying friends and family are made welcome in the home, offered refreshments where required. The relatives could stay overnight and members of staff always attended any funerals, to offer their last respects. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 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 standard(s) 12, 14 and 15 Routines of daily life were made flexible to suit resident’s personal preferences and individual abilities and included a comprehensive and varied programme of activities. Comments were varied in relation to the meals served and, although these were mainly positive, some amendments may be required. EVIDENCE: There was evidence, when talking with residents they were offered personal autonomy and choice. Preferences in relation to the daily routine – bathing, meals, retiring and rising times. Discussions with residents also revealed that they were encouraged to bring in their personal belongings, so they ‘felt more at home’. Some residents preferred to stay in their rooms and enjoyed their own private space, whilst others preferred to socialise in the communal areas. There was a programme of activities and entertainment on display in the home. There was also a collection of photographs displayed where residents had enjoyed outings to various destinations. One relative commented that he enjoyed looking at these because it reassured him that his mother was able to maintain her social skills. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 14 Discussions with the activities co-ordinator identified that she worked from Monday to Friday from 8am-4pm. She kept a diary, which was examined. This documented what activities she had planned and then comments are included in individual plans. Activities included beauty mornings, bingo, and movement to music, quiz mornings, board games, cards, knitting and sewing, film shows and arts and crafts. The movement to music session was observed where everyone is encouraged to join in or can just sit and observe if they prefer. The co-ordinator explained that instead of having a summer fete this year the residents had decided to hold a tea party afternoon with cream teas and entertainment. Residents who are unable or do not wish to participate in activities are offered one to one therapy. Comments from a relative included “mum has very much enjoyed the craft and activities programme” and “the opportunity to go out in the minibus has been greatly appreciated. The choice of venues seems varied and interesting”. Meals were taken in a congenial setting and staff were paying close attention to all residents needs. Food was served by catering staff who were dressed smartly in line with infection control guidelines and addressed all the residents by their full name. Written comments received about the food included “pastry can be very hard” and “fruit crumble is often lumpy and lacking in fruit” and “grapefruit segments have a lot of skin on” and “fruit cocktail contains a high proportion of very hard pieces of pear and is in watery syrup”. Another comment was “more variety of fresh vegetables would be nice”. This resident also preferred smaller portions. It is suggested that the manager looks into these comments with the head cook and acts on them accordingly. Another comment included “mum goes on to say how good the meals are every day – like a hotel”. The inspectors took lunch with the residents and there was a choice of lamb chops and vegetables or sweet and sour chicken with rice. The menu was clearly on display in the dining room. The residents spoken to stated that there were other alternatives available if they did not like either choice offered. The residents who sat at one table with the inspector stated that the food was ‘delicious’ and one lady explained that she was ‘watching her weight, as the food was so good’ and since residing in the home for the last five years, has gained three stones in weight. A gentleman who dined with the other inspector commented that the food was “very good” and that he particularly enjoyed the homemade rice pudding. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 The procedures in place at the home helped to protect residents from harm and abuse. Minor additions are required to the complaints procedure. Residents were confident that any concerns they had would be addressed. EVIDENCE: The CSCI had recently received a complaint which had now been investigated and not upheld. There was a complaints procedure in place in the home displayed in the reception area. Although this contained the CSCI address the previous title of NCSC will need to be replaced with CSCI and the telephone number of the local CSCI area office will need to be included. Residents spoken to stated that they knew who to go to should they have any concerns or complaints. Staff members interviewed stated that they were aware of the local policies and procedures relating to the protection of vulnerable adults. Staff had received training in this area. Staff members were carefully selected to work at the home. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 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 standard(s) 19,20, 22, 24, 25 and 26 The home was accessible, safe and reasonably well maintained and was very clean and hygienic throughout. Some attention is needed with the laundry procedures in order to ensure that infection control is maintained. EVIDENCE: The home had been adapted to meet the needs of individual service users. There was evidence that bedrooms had been personalised by the residents. Some bedroom carpets are now in need of replacement and that was identified and incorporated into the homes redecoration/upgrade programme. Residents were seen enjoying the many communal areas around the home. There were some lovely quiet areas where residents could enjoy privacy. Staff were observed using the moving and handling equipment to help move residents who had trouble with mobility. Otherwise there were various aids and adaptations around to help residents retain their mobility and independence. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 17 The domestic staff explained how the laundry and domestic rota works and their duties in relation to this. The laundry was inspected and found to be well organised. It was observed that laundry staff were separating soiled/contaminated linen but were still handling this into the washing machines. This linen must be placed into a red dissolvable sac, which is placed into the machine directly. This eliminates having to handle the contaminated linen. A discussion was held with the care staff regarding the general cleaning schedule of the home, all staff thought the home was very well kept. The cleanliness of the environment was a credit to the domestic staff. Clinical waste category A and E was disposed of in line with infection control regulations. The kitchen was inspected and found to be clean, tidy and well organised. Comments from a resident included “I appreciate the general fresh smell of the home and the clean attractive appearance it has”. Staff reported a full supply of incontinent equipment, crockery, flat linen and all the necessary stocks needed in their working environment. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Staffing numbers and skill mix was appropriate to the needs of the residents at the time of the inspection. Recruitment procedures had been correctly addressed and staff training was ongoing. EVIDENCE: At the time of the inspection there were 57 residents accommodated in the home 22 on residential personal care basis only and 35 with nursing needs. Two nursing residents were in hospital at the time of the inspection. Through discussions with staff members, it was identified that the home was staffed as follows. From 8am-2pm there was at least two RGN ‘s and up to 12 care staff and from 2pm-8pm there was 1 RGN and up to 10 care staff. At nighttimes, from 8pm-8am there was 1 RGN and 5 care staff. There were sufficient domestic, laundry and catering staff working in the home. There were two full time handymen/gardeners. There were three full time administrators, who also deal with the company’s sister home. Recruitment procedures were robust and adhered to. Three personnel files were examined and two of those were members of staff who had recently being employed in the home. CRB and POVA first checks had been undertaken, two written references taken up and interview forms completed. All staff spoken to had received a job description and terms and conditions of New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 19 their employment. The staff also had the benefit of joining the company pension scheme. Induction programmes were in place with all new starters receiving up to two weeks supernumerary time to familiarise themselves with their duties and surroundings. Discussions with various staff members identified that mandatory staff training had taken place on a regular basis including moving and handling, fire safety and fire drills. Some ancillary staff were yet to receive manual handling training but this was scheduled for the very near future. A senior care assistant had just completed her manual handling trainers award - bringing up the trainers in manual handling in the home to two persons. POVA training was discussed and the care manager intends to undertake this training for all disciplines of staff in the near future. NVQ training was on going throughout the home and the majority of care staff were either undertaking this or waiting funding. COSHH training had been delivered and all staff spoken to were aware of the relevance of the data sheets. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 35, 36, 37 and 38 The management of the home appeared open and inclusive. Staff supervision was ongoing. Financial aspects were correctly addressed and recorded with safeguards to residents. Some attention is needed in relation to fire and COSHH safety, otherwise the registered manager ensures, so far as is reasonably practicable, the health, safety and welfare of residents and staff. EVIDENCE: The whole home was running well at the time of the inspection. Staff stated that they felt well supported by the management at the home. They stated that the manager was approachable and ran an open door policy. Staff meetings were held and documented New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 21 Resident’s pocket money accounts were examined and all were found to be well kept with every transaction recorded appropriately. Spot balance checks had been undertaken and these were highlighted in red for easy reference. All records were kept in accordance with Data Protection Act requirements. Two domestics and three care staff confirmed that they had recently received appraisals by the senior staff and that two monthly supervision would be continued to all care staff. Maintenance records were examined. It was identified that fire alarms were tested weekly and fire safety aspects were addressed throughout the home and all staff had received instruction on fire drills. The only exception to this was that some bedroom doors were being propped open with wedges. This practice must cease and, should residents need their door propped open, this should be done using a device accepted by the fire safety officer. This was discussed with the manager at the time. One of the residents did not have a name label on her bedroom door. It is required that all residents can be identified and located in the event of a fire. It was observed that one of the COSHH cupboards next to room 94 had been left unlocked when there were specific instructions to keep this locked when not in use. Individual risk assessments are in place for residents using bedrails. A complete update of all maintenance requirements/servicing was contained in the pre inspection questionnaire and fully up to date. All 5 hoists in the home and the nurse call systems were fully operational. Hot water temperatures were within safe limits. Window restrictors are on all windows in the building. Accident records were not inspected on this occasion. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 4 15 3 COMPLAINTS AND PROTECTION 3 4 x 3 x 3 x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 4 4 x x 3 3 3 2 New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 23 no 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. 2. Standard 9 26 Regulation 13(2) 16(2)(j) Requirement To ensure that all medication is administered and stored in line with NMC requirements In relation to laundry procedures red alginate bags must be used when dealing with contaminated linen The practice of using wedges to prop open doors must cease COSHH cupboards must be kept locked when not in use Residents doors must all be labelled with the name of the resident for fire safety regulations In relation to the complaints procedure, NCSC will need to be replaced with CSCI and the telephone number of the local CSCI area office will need to be included. Timescale for action Immediate and on going Immediate and on going Immediate and on going Immediate and on going Immediate and on going Immediate and on going 3. 4. 5. 38 38 38 23(4) 13(4) 23(4) 6. 16 22(7) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 24 No. 1. 2. Refer to Standard 15 26 Good Practice Recommendations The comments received regarding the quality of some of the meals served should be addressed. The clinical room should be made tidy and kept clean New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 New Park House Nursing & Residential Home E51-E09 S26956 New Park House V228147 29.06.05 Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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