Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 30/11/06 for Nightingale Nursing Home

Also see our care home review for Nightingale Nursing Home for more information

This inspection was carried out on 30th November 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.

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

The residents and staff benefit from the strong leadership style shown by Mrs Searle. The Inspector noted that the atmosphere within the home was relaxed and interactions between residents and staff were friendly but professional. Residents said that the staff team are supportive to them and that routines are flexible within care needs with residents able to get up and go to bed when they wish. Care records are of a good standard and enable staff to deliver a good consistent standard of care.

What has improved since the last inspection?

Automatic closures have been fitted to all of the bedroom doors which would mean that if a fire should occur bedroom doors would close automatically and therefore would protect residents. New carpets have been laid and chairs and commodes purchased. A quality assurance system has been started in the home and action taken as a result of the findings. The staff recruitment files have been compiled to meet legislation and are kept in the home. A fire safety risk assessment has been completed. Monthly themed days have been started to the enjoyment of the residents.

What the care home could do better:

Regulation 26 reports written by the registered providers on the conduct of the care home should be available in the home for inspection. Some areas of the home were not as clean as they could be and some clinical waste equipment was rusty and could pose an infection hazard. A number of bathrooms which presently are not being used were cluttered and in need of cleaning. One had an uncovered radiator. The laundry needs cleaning and the flooring repaired. Staff are storing personal belongings in residents bathrooms and communal areas, this should be discontinued. A person should be designated to carry out fire safety checks when the maintenance man is off work.

CARE HOMES FOR OLDER PEOPLE Nightingale Nursing Home 43 Beach Road Littlehampton West Sussex BN17 5JG Lead Inspector Mrs A Peace Unannounced Inspection 30th November 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 Nightingale Nursing Home DS0000024181.V322130.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. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nightingale Nursing Home Address 43 Beach Road Littlehampton West Sussex BN17 5JG 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) 01903 717376 01903 732933 Cadogan Care Limited Mrs Tracey Elizabeth Searle Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (1) of places Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 35 services users in the category old age not falling within any other category (OP) may be accommodated. Of whom one service user named in the establishment’s records may be in the category physical disability (PD) age 58 years on admission. Date of last inspection Brief Description of the Service: Nightingale Nursing Home is registered to accommodate up to thirty-five residents in the category of Older People. The property is a detached three storey Edwardian house located in the town of Littlehampton. The house overlooks a park and is a few minutes walk from the shops, public transport, local amenities and the sea front. The accommodation is provided on two floors with a lift providing access between the ground and first floor. There are 31 single rooms with three rooms offering en-suite facilities and two rooms offering shared facilities. One single room is accessible via a short flight of stairs. A lounge with dining space is available on each floor. There is a small outdoor space available with seating for the residents. Fees range between £575 and £675. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this unannounced fieldwork inspection on 30th November 2006. This is the first inspection for the year 2006-2007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, records held on file and information received from the home since the last inspection were reviewed and comments from residents and relatives taken into account. During the inspection the Inspector toured the building, visited the majority of rooms, and joined the residents in the lounge and dining areas. The Inspector talked to the Manager, members of staff and residents. There were no visitors that could be spoken to during the visit. The Inspector examined records about the care being provided to residents; as well as records of any accidents, or concerns or complaints, to make sure that the residents at Nightingale Nursing home are being taken care of. Residents were able to tell the inspector that they are well looked after by a caring and committed staff team. Three comments were “Staff look after us very well”. “Staff are very good, friendly and caring. “I like it here, the food is good and staff help me”. The inspector noted comments in the thank you cards in the home and they were very complimentary. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service users guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. Unfortunately because of the frailty and great age of the residents in the home only one resident spoken to could tell the inspector that they had received information to help them make a decision about the home, records confirmed that all residents had a contract with terms and conditions. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 6 Two relatives who act on behalf of residents were spoken to and confirmed that information was given to them and they were clear about the contracts and costs. The complaint procedure is attached to the statement of purpose and they knew who to complain to. Since the last inspection the Commission has not received any complaints about Nightingale Nursing Home. No requirements are outstanding, however two requirements and a number of recommendations have been made as a result of this inspection. During this visit, the Registered Manager Mrs Searle and the staff assisted the inspector. The inspector would like to thank them all. The conclusion of the inspector from the inspection and taking conversations and comments into account is that the home provides a good standard of care from a caring and committed team. What the service does well: What has improved since the last inspection? Automatic closures have been fitted to all of the bedroom doors which would mean that if a fire should occur bedroom doors would close automatically and therefore would protect residents. New carpets have been laid and chairs and commodes purchased. A quality assurance system has been started in the home and action taken as a result of the findings. The staff recruitment files have been compiled to meet legislation and are kept in the home. A fire safety risk assessment has been completed. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 7 Monthly themed days have been started to the enjoyment of the residents. 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. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their families have the information they need to make an informed choice about where they live and residents are suitably assessed before a placement is offered. Intermediate care is not offered at Nightingale Nursing Home. EVIDENCE: The records of five residents were tracked from pre admission, assessments, risk assessments care plans and equipment provided. They all had full assessments, risk assessments and care plans. Contracts did indicate whose responsibility it was to pay the fees. Due their frailty and great age only one resident was able to confirm that they had had information about the home. Another thought that their son had received information. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 10 Two relatives were telephoned by the inspector and did say they had adequate information about the home to make a decision. They had been given a statement of purpose and service user guide and knew the costs of the home. Residents all had contracts. Mrs Searle said she was in the process of updating the statement of purpose. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are reflected in the assessments and care plans. The medication procedure is safe and staff are trained to administer medication. Residents are able with assistance to make choices about their lives and the staff protect their privacy and dignity. EVIDENCE: A named nurse and key worker system is operated on the home to ensure staff are aware of residents needs and for continuity of care. Assessments, risk assessments and care plans are well written and contained all the information necessary to look after the residents. They are reviewed and updated regularly. The inspector tracked care records to care given and spoke to the residents and could confirm that the staff care for the residents to a good standard. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 12 Since the last inspection a new nutritional screening tool has been introduced, this has led to the menus being changed to ensure the nutritional value of the meals is suitable for older people. Weights are carried out and recorded monthly. General practitioners, opticians, dentists and other professionals also visit the home when requested and records are kept of all such visits. Medication was stored safely and records are well kept in regard to the administering and disposing of them. Designated staff are trained to administer medication. A random check of drugs for a number of residents was undertaken and were in order. Through speaking with residents the inspector could confirm that both day and night staff do respect the privacy and dignity of residents at all times. All care records were in very good order and when staff were asked did know about the residents and how they were to be looked after. This knowledge does mean that residents can be confident that they will get support from staff who understand their care needs. The staff were observed caring for residents and were cheerful, friendly and respectful. Specialist equipment is available for those residents at risk of developing pressure sores. Residents said “Staff look after us very well”. “Staff are very good, friendly and caring. “I like it here the food is good and staff help me”. From comments about residents who had recently passed away the inspector concluded that staff treat residents and their families with care sensitivity and respect. “Thank you for the wonderful care you gave, everyone was so kind and made the end of her life dignified and comfortable”. “ You extended the care you gave to the people who visited”. “Thank you for your care, compassion, laughter and friendship”. “You surrounded her with love, laughter and patience”. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents who could speak to the inspector stated that they are generally happy with their lifestyle, are able to keep in contact with their family and friends and able to have choice and control over their daily tasks. Good home cooked food is provided. EVIDENCE: The home does not employ an activity co-ordinator at present but has been trying to recruit one. However the home does provide some activities for the residents if they wish to join in. These included musical entertainment, massage and facials, outings and seasonal activities. The staff are presently organising theme days on a monthly basis and have had a successful French day and an Hawaiian day, the staff decorate the home and the meals cooked are in keeping with the country chosen. Photographs were displayed on the wall in the hallway of the French day, residents, staff and visitors looked as if they were enjoying themselves. Outside entertainers do visit the home. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 14 Staff encourage residents to go out to community clubs and two residents do go out independently. There were community information notices in the hall way and there was a notice in the hall asking visitors if they would like to have Christmas lunch at the home. Many of the residents are of a great age and frail, those that could offer an opinion said they were happy with the activities presently provided. Residents said that the majority of time they could get up and go to bed when they wished to. The majority of residents spoken to were complimentary about the food. The main meal served on the day was Rissoles with a pasta bake followed by a dessert. The inspector sampled the meal which was tasty and residents looked as if they were enjoying it. Since the last inspection a new nutritional screening tool has been introduced in the home, this has led to the menus being changed to ensure the nutritional value of the meals is suitable for older people. Staff were observed to offer assistance to residents who could not feed themselves appropriately. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled in accordance with the home’s procedure. Training is provided to ensure staff know how to protect residents from abuse. EVIDENCE: No complaints have been received by CSCI and no complaints are outstanding at the home. The complaint procedure was on display in the hallway of the home, this did have the new address of the Commission. A copy of the complaint procedure is attached to the statement of purpose. There was a training matrix on the wall in the office which indicated that staff have been trained in how to protect vulnerable adults from abuse. Mrs Searle said that they were due to have an update when new guidelines are out. In the meantime workbooks (Guide for Care Workers) about protecting vulnerable adults have been purchased for all staff to complete. Nightingale Nursing Home DS0000024181.V322130.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): 19,20,21,22,23,24,25,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable and homely environment and there are sufficient facilities and equipment to meet their needs. Some areas of the home could be cleaner. EVIDENCE: A tour of home was carried out and the majority of resident’s rooms visited. Bedrooms were clean and homely and had been personalised with resident’s belongings. Residents who were not in their rooms were in the downstairs lounge/dining room where the television was on. There is a new coal effect fire in the lounge which adds to the homely atmosphere. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 17 Since the last inspection automatic closures have been fitted to all of the bedroom doors, which would mean that if a fire should occur bedroom doors would close automatically and therefore would protect residents. The bedroom doors do not have locks on, Mrs Searle is advised to ask residents if they would wish to have a lock and those that do, have a lock fitted that would be able to be opened by staff in an emergency. Since the last inspection an occupational therapist has carried out an assessment of the premises and made recommendations some of which the providers have acted on or are considering. Maintenance records were clear and comprehensive; Mrs Searle was advised to identify a designated person to check the fire safety equipment when the maintenance man was off The occupational assessment stated that thermostatic valves control the water temperature; the inspector tested water at 3 outlets and the temperature was within safe limits. Since the last inspection a number of new chairs and commodes have been purchased. There is a small garden area to the rear of the premises that residents can use. The flooring in one area of the home is in need of repair. Mrs Searle said that this was being dealt with, the flooring had to be taken up due to a flood and new flooring was due to be laid within a few weeks. Bathrooms not presently in use were cluttered, needed cleaning and one old radiator which was hot was not covered. Mrs Searle was reminded that work should be carried out to bring them up to standard because if more residents are admitted these bathrooms will be needed. Mrs Searle’s attention was bought a number of areas in the home including a chair in one bedroom where thorough cleaning was required. There was a risk of spread of infection due to some rusty clinical equipment which needs replacing and the laundry area was in need of a good clean and the lino floor needs attention. The inspector noted that some staff belongings were being stored in the lounge and in upstairs bathroom, Mrs Searle was told this practice should cease. The radiator in one resident’s room was not working although she had been provided with a portable heater. Mrs Searle said problem has been identified with the old plumbing and that pumps were going to have to be fitted around the home to ensure a good supply of hot water. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 18 The kitchen was visited and although superficially clean the inspector did suggest regular steam cleaning. One of the fridge doors needed attention and the sanitizer for the dishes has been broken for a few weeks, Mrs Searle said that the Providers were aware and were dealing with the issue. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient staff employed to ensure that resident’s needs are met. The home has a sound recruitment policy and appropriate checks are made. Staff training is provided and staff are competent to do their jobs. EVIDENCE: A random selection of staff records were examined and found to be in good order and comply with legislation. Four staff were spoken to and all confirmed training for their roles, support from senior staff and they all said they enjoyed working at the home. Staff receive induction and records were seen. There was a training matrix on the wall for mandatory training including fire, manual handling, infection control, adult protection, food handling COSHH. The fire training records for all night staff were checked and all but one were up to date. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 20 Due to a member of staff leaving the number of staff in the home trained to National Vocational Qualification (NVQ) has gone down to below 50 , however another 4 staff are due to start in January 07. A supervision system is in operation, records are kept and evidence of this was seen by the inspector. The duty rota showed sufficient staff are on duty and residents who could say did say the call bells were answered promptly and they thought there was enough staff on duty to care for them. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a well-qualified, caring and competent manager and is run in the best interests of residents. The views of residents, their families and friends have started to be sought formally so the company can measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Resident’s financial interests are safeguarded and health and safety systems are maintained according to standard. EVIDENCE: Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 22 Mrs Searle was on duty on the day of the inspection. Mrs Searle is a registered nurse who has achieved the Registered Managers Award. There was a pleasant atmosphere in the home and obvious teamwork by staff under Mrs Searle’s leadership. Individual records and the homes records were clear comprehensive and well organised, this made the inspection easier. There was a display of staff photographs and their roles on the wall in the hallway. The insurance cover for the home was also on display. Staff and residents said that Mrs Searle was approachable and supportive. A staff supervision system is in operation, records are kept and evidence of this was seen by the inspector. Mrs Searle has started a Quality Assurance system and showed the inspector the results of a recent survey. It was apparent that action had been taken from the results. Mrs Searle was advised that this QA system should be expanded to meet the standard. The home does not look after any resident’s finances and there was a notice regarding accessing external advocates in the hall. Staff are instructed in health and safety requirements during induction and with updates. Window restrictors are fitted to windows above the ground floor to protect residents and individual and general risk assessments are carried out. Since the last inspection a fire risk assessment has been carried out, this was seen during the inspection and there is a detailed emergency plan for the home. Mrs Searle told the inspector that wedges to hold doors open were no longer in use in the home. Thermostatic valves are fitted to ensure water temperatures do not exceed safe limits and the Inspector saw evidence that water temperatures are checked generally and before residents are bathed. Maintenance records were clear and comprehensive; Mrs Searle was advised to identify a designated person to check the fire safety equipment when the maintenance man was off. Mrs Searle was reminded that shampoos and other substances that could be a risk to residents be kept out of reach. There was no recorded evidence that the registered providers have visited the home in line with Regulation 26 and have written reports on the conduct of the care home. Mrs Searle said they did come but did not leave a report. A requirement has been made. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 23 Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 13 14 15 2 3 2 3 3 2 2 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 3 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 2 X 3 3 3 3 Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP25 Regulation 13 Requirement The radiators in bathrooms should be covered. CSCI to be informed of action taken by The registered providers shall visit the home and prepare a written report on the conduct of the care home. CSCI to be informed of action taken by Timescale for action 31/12/06 1. OP32 26 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 4 Refer to Standard OP20 Good Practice Recommendations The registered providers should ensure staff have an area to store personal belongings without cluttering up residents communal and bathroom space. All armchairs should be cleaned on a regular basis and kept free from food debris. There should be a more thorough programme of cleaning in the home Equipment used for clinical waste should be repaired or renewed when rusty. DS0000024181.V322130.R01.S.doc Version 5.2 Page 26 OP26 OP26 OP26 Nightingale Nursing Home 5 OP38 A designated person should carry out checks on fire safety equipment in the absence of the maintenance man. Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 27 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 Nightingale Nursing Home DS0000024181.V322130.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!