Inspection on 19/03/07 for Nova House

This inspection was carried out on 19th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Nova House 12/02/09

Nova House 24/01/06

Nova House 26/08/05

Nova House 08/02/05

Nova House 28/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Nova House Belgrave Road Seaford East Sussex BN25 2EG Lead Inspector Jane Jewell Key Unannounced Inspection 12:00 19th March 2007 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 Nova House DS0000021175.V313711.R02.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. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nova House Address Belgrave Road Seaford East Sussex BN25 2EG 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) 01323 896629 Mr David Ham Mrs Dorothy Ham Mrs Roberta Rutherford Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty (20). Service users must be older people aged sixty-five (65) years or over on admission. 24th January 2006 Date of last inspection Brief Description of the Service: Nova House is a care home registered for up to twenty older people. The home is a converted large detached house situated in a residential area of Seaford. It is located within a short journey of the seafront and town centre amenities. The home is furnished and decorated to a high standard. The accommodation comprises of nineteen (19) single rooms with twelve (12) of these providing en-suite facilities. The home is presented across three floors with a passenger lift to the first floor. There is also a chair lift. There is a large lounge with a separate dining room, both with views out to a well-maintained rear garden. The homes literature states that it aims to provide a “Home from Home” and provide an environment where residents can choose their own lifestyles. The fees for residential care are currently £1,720 to £2000 per month, depending on the services and facilities provided. Extra such as: newspapers, hairdressing, chiropody and toiletries are additional costs. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information contained in this report has been comprised from an unannounced inspection undertaken over six hours and information gathered about the home prior to the inspection. This includes: residents survey questionnaires, discussion with relatives and stakeholders involved in resident’s care. Records were also submitted to the Commission for Social Care inspection (CSCI) including a Pre-inspection questionnaire prior to the inspection The inspection was facilitated by Mrs. R Rutherford (Registered Manager) and in part by Mrs. D Ham ( Registered Provider). The inspection involved a tour of the premises, observation, examination of records and discussion with residents and staff. There were eighteen residents at home at the time of the inspection. In order that a balanced and thorough view of the home is obtained, this inspection report should be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their assistance and hospitality during the visit. What the service does well: Residents live in a comfortable, clean and a homely environment with their personal processions around them. There is a high standard of décor and maintenance. The home demonstrates that it meets the needs of residents who have low to medium needs and provides meaningful activities and opportunities for stimulation to promote a good quality of life for residents. Flexible routines are an integral part of daily practice at the home with residents able to exercise some control over their daily lives. Residents consulted with spoke positively about their experiences at the home: a sample of their comments include: “I am quite happy here”; “they can’t do enough for you” and “very pleasant. A sample of feedback from relatives include: “Nova houses reputation preceded it, no decision was necessary just a question of what room was available my mother receives warm and kindly care”; “Home from home atmosphere”; “I do feel that for the amount of money we pay each month there should be better quality food and more staff enabling them to have more time for the clients” and “so impressed I cant speak too highly of Nova House” Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 6 Good medication practices are in place, which safeguards residents and ensure that their medical needs were being addressed. Residents’ benefit from a stable, well-supervised, trained and enthusiastic staff team that know them. A sample of comments made about staff include: “excellent”; “staff very good always nice”; “very good very helpful show much understanding and patience need a medal” and “very caring staff nothing but help and support”. 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 Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 7 contacting your local CSCI office. Nova House DS0000021175.V313711.R02.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 Nova House DS0000021175.V313711.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 4 5 and 6 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home provides both prospective and existing residents, with a good level of information about what services are provided and what to expect when living at the home. Residents are only accommodated if the home is satisfied that it can meet their needs. The home is able to meet the needs of residents. EVIDENCE: There is a range of documented information about the home and the services it provides, this includes a statement of purpose and service user guide. These documents are accessible and given to prospective residents, representatives and other interested parties. Residents are provided with a written contract of terms and conditions of residency with the home. This can be used with residents and their families to make explicit the placement arrangements and clarify mutual expectations around rights and responsibilities. The manager reported that signed copies of the contract are retained in resident’s files. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 10 The home ensures that prospective residents are accommodated only following an assessment of their needs by the Manager or Social Services. Advice is sought by the manager during the assessment process from health care professionals and others who know and understand the needs of the prospective resident. Discussion with a recently admitted resident confirmed that the admission process was straightforward, well organised and completed in a timely manner. Several residents told the inspector how they first came to the home for short term care and have stayed as they have enjoyed the experience. A resident spoke of staying for a week to see if they liked it before moving in permanently. The assessed needs of residents are mainly low to medium. There was a range of evidence that the home is able to meet this level of need. Staff were able to demonstrate a good knowledge and understanding of the needs of residents. Residents consulted with predominately spoke positively about their experiences at the home. A sample of their comments include: “I am quite happy here”; “they can’t do enough for you” and “very pleasant”. A sample of comments made by relatives include: “Nova houses reputation preceded it, no decision was necessary just a question of what room was available my mother receives warm and kindly care”; “Home from home atmosphere”; “I do feel that for the amount of money we pay each month there should be better quality food and more staff enabling them to have more time for the clients” and “so impressed I cant speak too highly of Nova House” Intermediate care is not offered at the home therefore this standard is not assessed. Nova House DS0000021175.V313711.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 and 11 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Care plans did not provide adequate and accurate guidance for staff on the assessed needs of residents in order to provided consistent care. The health needs of residents are being met with evidence of regular input from health care professional. Personal support is offered in ways, which promotes and protect resident’s privacy and dignity. Good medication practices are in place, which safeguards residents and ensure that their medical needs were being addressed. EVIDENCE: Information is gathered about each resident and compiled into a care plan. These were found to provide basic guidance for staff on the assessed needs of residents. Not all of the needs of residents were recorded or guidance given to staff on how needs should be consistently met. Staff were however knowledgeable on most needs and preferences of residents as the vast majority of staff have worked at the home for a number of years. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 12 Feedback was provided to the manager that the care planning process must be reviewed to ensure that all aspects of health, personal and social care needs of residents are identified and appropriate guidance provided for staff in order that consistent support be provided. The manager has subsequently confirmed that work has started to be undertaken in order to address this. Records of medical intervention showed that the home frequently seeks support from health care professionals including GP’s, District and specialist nurses, chiropodists, opticians and dentists to ensure residents receive a range of health care intervention. Residents consulted said that when they have asked to see a Doctor then this has been sought promptly. A relative said that the homes “medical support is excellent their contacts with the health centre and hospital means that assistance is immediate” another relative felt that the home preferred the Dr to visit rather than staff having to leave the home. There is an established system for the administration of medication, which provides clear guidance for staff to ensure resident’s medication needs are met. Medication practices ensures a clear audit trail of medication entering the home, being administered or being disposed of. It was previously recommended that residents wishing to self medicate be risk assessed as safe to do so. This has now been undertaken. During the inspection staff were seen to be respectful and considerate towards residents and visitors. Residents confirmed that they are treated with respect and that their privacy is upheld. Staff were observed to knock on bedrooms doors before entering. A staff member spoke of the support they had received in the past from Health Care professionals during the care of residents who were dying. Staff spoke sensitively about the care and support provided to residents and their families when residents have become terminally ill. Nova House DS0000021175.V313711.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 and 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Flexible routines are an integral part of daily practice at the home. Meaningful activities and opportunities for stimulation are made available to ensure that residents have a good quality of life. Resident’s benefit by being supported to maintain relationships with their families and friends. The consensus was that meals offer choice and variety and catering for special dietary needs. EVIDENCE: During the inspection residents were observed to move around the home freely, choosing which rooms to be in and what level of company they wanted to enjoy. It was apparent, during the inspection, that the routines of daily living are flexible to suite resident’s individual preferences for example taking meals in their bedrooms, entertaining visitors, or attending events outside the home. Flexible routines regarding going to bed, rising and bathing are respected by staff, this enabled residents to exercise some control over their daily lives. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 14 An activities manager is employed several times a week to undertake an organised programme of activities. Residents spoke of participating in reminiscent discussions, bingo, armchair exercises and sing-along sessions. Residents spoke of going for local walks during clement weather. Several residents consulted said that they preferred to occupy their own time and chose not to become involved in organised activities. They said that staff respected their decision. Feedback from a relative was: “The programme of exercises social outings and special occasion parties keeps all the residents stimulated and active to the best of their abilities”. Visitors commented upon how welcomed they are made to feel during their stay, this included being offered beverages or meals and staff being friendly and approachable. Residents said that their visitors could visit at any reasonable time. Some residents have a private telephone line in their bedroom and they spoke of how this enabled them to keep in regular contact with their relatives and friends. A relative said “the staff are excellent warm caring just delightful. A pleasure to visit and to see my mum in such good safe hands” Menus are displayed with residents saying that if they did not like the menu option they could ask for an alternative. A sample of comments made about the food include: My mother enjoys all her meals and we were particularly impressed by the variety and healthy content of the meals provided”; “although the menus are varied the quality of the food is not very good”; “I would like the meals to be hot”; “Mums main grumble is about the food unseasoned frozen vegetables”; “Food good” and “food fine as a vegetarian there is always something different”. The manager and provider said that they were aware of feedback regarding the temperature of meals for a resident and had now addressed this. A member of staff reported that the home has a clean food award. Nova House DS0000021175.V313711.R02.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. There is an effective complaints procedure in place with residents and their relatives feeling able to air any concerns that they have. The homes practices are designed to protect residents from abuse, practices must however be underpinned by a clear and accurate adult protection policy to ensure that all parties are clear on their roles and responsibilities under adult protection guidelines. EVIDENCE: There is an accessible complaints procedure for residents, their representatives and staff to follow should they be unhappy with any aspect of the service. Residents and relatives said that they felt confident to approach staff with any concerns. A sample of comments made include: “I do not need to make any complaints”; “Never had to complain but if did would feel happy to approach the manager” and “I know how to raise concerns and when I have these have been acted upon promptly and efficiently”. The manager reported that there has been one reported complaint in the last 12 months. The homes complaints procedure was followed in this instance and the matter dealt with in a timely manner. Where issues around service practice had been identified through discussion with residents or resident’s surveys there was evidence that this is acted upon in order to address. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 16 There are written policies covering adult protection and whistle blowing. These need to be updated to accurately reflect the managers and staff’s roles and responsibilities under adult protection guidelines and the reporting procedures when abuse is suspected. The manager agreed to address this as a matter of priority. It was suggested that the manager attend training for registered managers in adult protection in order to update their knowledge on their specific role and responsibilities. Two staff members consulted confirmed that they had attended training in the protection of vulnerable adults and demonstrated an understanding of the Adult Protection issues which prevent residents being placed at possible risk of harm or abuse. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 24 25 and 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Resident’s benefit from living in a homely, clean, well maintained and decorated environment. Resident’s bedrooms are decorated and furnished to a high standard and in accordance with their individual preferences and needs. Residents have access to a range of specialist equipment to aid mobility and independence. EVIDENCE: The home is a converted and extended domestic dwelling located in a residential area on the outskirts of Seaford. There is an active ongoing programme of refurbishment with the standard of maintenance and décor being high with much effort made to ensure a domestic style environment. Communal space consists of a large lounge dining room, which overlooks well maintained front gardens. Two residents spoke of the pleasure derived from sitting in the lounge looking out into the garden and watching the birds. There Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 18 is a small rear courtyard, which a resident said is nice to sit out in during clement weather. Resident’s bedrooms were observed to have been individualised with resident’s personal effects. All residents consulted said how much they liked their rooms. A newly admitted resident said how nice it was to be able to have their own things around them. The manager reported that bedroom doors are fitted with appropriate locks but that no residents have requested a key. They also reported that a lockable facility is provided in each bedroom to facilitate the safe storage of personal processions and medication. There is sufficient number of toilets and bathrooms located around the home with the majority of bedrooms providing ensuite facilities. There is a range of individual aids and adaptations to assist resident’s mobility and independence, including raised toilet seats, assisted baths, walking aids and grab rails. A passenger lift and chair lifts are available to aid the ease of access to the floors above ground level. A relatives fedback was: “As my mothers condition has been through ups and downs due to falls she has been supported throughout by the provision for the correct equipment to help her to mobilise again and to keep her free from bedsores or other injury”. Bedrooms have a call point fitted that enables residents to call for assistance. A resident who was unwell at the time said that they could call for staff if they needed anything and when they have done so in the past staff have responded quickly. All areas of the home were observed to be clean with a high standard of hygiene maintained. Much feedback was received regarding the high standard of cleanliness and hygiene at the home and how important this was to residents and relatives. A sample of their comments include: “very good indeed”; “Not only fresh and clean but visually pleasing comfortable and homely” and “smells sweat and fresh with home baking with a good level of cleanliness” Nova House DS0000021175.V313711.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents’ benefit from a stable, well-supervised, trained and enthusiastic staff team that know them and who are employed in sufficient numbers as is necessary to meet their needs. EVIDENCE: Staff consulted with spoke respectfully and professionally regarding residents and demonstrated much commitment towards the home and enthusiasm towards supporting residents. The staff group includes a stable core group who have worked at the home for many years and who have considerable experience in caring for older people. There experience combined with the training indicates that they have a good level of competence and knowledge of residents needs. Staff consulted with felt that staffing levels were currently sufficient to undertake their role effectively and to spend some individual time with residents. Resident consensus was that there was enough staff around for them to get the support they needed. A sample of comments made about staff include: “excellent”; “staff very good always nice”; “very good very helpful show much understanding and patience need a medal”; “very caring staff nothing but help and support” “it is true that the staff act on what we say but Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 20 after we are made to feel that they are unapproachable”; “Staff very nice, do anything for you” and “lovely kindness itself could not be nicer” The manager reported that currently below half of the staff team have not completed National Vocational Qualifications to at least NVQ Level 2. The reason for this was that many staff work only a few hours a week. Full time carers were reported to have completed NVQ qualification. A recruitment process is followed which includes the use of an application form, interviews, Criminal Record Bureau checks prior to employment commencing. However two written references had not been obtained prior to a member of staff commencing. This must be undertaken in order to provide the required level of protection towards residents. Staff consulted with said that they had undertaken the compulsory training such as moving and handling, first aid, food hygiene and fire safety, necessary in order to work safely with residents. Nova House DS0000021175.V313711.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 and 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Resident’s benefit from an experienced and established manager who ensures a clear ethos and values of the home that enables staff to provide good quality care to residents. A range of regular health and safety checks helps to ensure the health and safety of residents and staff. Fire safety practices needs to be further supported by clear night time fire safety policy. EVIDENCE: There was clear evidence available that the home is managed effectively with a strong sense of leadership and direction being provided. The manager has been in post for a number of years is a registered nurse and who reported that they undertake regular training to keep themselves updated in the care of Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 22 older people. A sample of comments made regarding the manager include: “The manager Bobby has been a constant support and we have never had any problems in being able to speak to her about any concerns” ;“The manager is quite abrupt at times”; “The manager Bobby has been a constant support and we have never had any problems in being able to speak to her about any concerns”; “sweet very helpful” and “ Manager always available”. Supervision is in the main informal and takes the form of the manager generally overseeing staff within the work place. Staff consulted with felt well supported to undertake their roles. The manager was aware of the need for care staff to receive regular formal supervision, which covers aspects of practice, philosophy of care, and career development needs. There are several mechanisms in place for the home to obtain feedback on the quality of the services provided and whether it is achieving its aims and objectives. This includes resident’s surveys, which are sent out twice yearly, monthly reviews and informal discussion with residents. The manager and provider gave examples where feedback has been received and action taken to address any areas for service improvement. The provider spoke knowledgeable about quality assurance systems and the processes undertaken for the home to monitor its own services and facilities. Residents are encouraged to retain control of their own finances for as long as they are able to do so and if unable then this responsibility is taken on by a relative or another responsible persons external to the home. Written guidance is available on issues related to health and safety. Records submitted by the manager prior to the inspection stated that all of the necessary servicing and testing of health and safety equipment has been undertaken. Most systems were in place to support fire safety, which included: regular fire alarms and emergency lighting checks, staff training and maintenance of fire equipment and fire drills were reported to have been undertaken. The provider reported that a fire risk assessment had been undertaken by a fire safety expert, which recorded significant findings and the actions taken to ensure adequate fire safety precautions in the home. There is a need to ensure that following consultation with the fire authority that suitable night time fire safety arrangements are in place, which takes into account the staffing levels at night. Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 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 2 3 3 3 3 x x 3 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 2 Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15(1) Requirement Timescale for action 30/06/07 2 OP29 3 OP38 That care plans provide clear guidance for staff on all aspects of the health, personal and social care needs of service users and which make explicit the actions needed to meet these needs. That employment and 30/05/07 19(1)(b) recruitment documentation is (i) obtained prior to employment commencing and that copies are Sch 2 (1retained in accordance with the 4) National Minimum Standard. 23(4)(a-c) That following consultation with 30/05/07 the fire authority that suitable night time fire safety arrangements are in place, which takes into account the staffing levels at night. 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 Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 25 Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Nova House DS0000021175.V313711.R02.S.doc Version 5.2 Page 27 - 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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