Inspection on 18/10/06 for Nuffield House

This inspection was carried out on 18th October 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Nuffield House 20/02/06

Nuffield House 12/07/05

Nuffield House 25/01/05

Nuffield House 13/09/04

Nuffield House 15/04/04

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Nuffield House Barclay Street Leicester Leicestershire LE3 0JE Lead Inspector Rajshree Mistry Unannounced Inspection 09:30 18 October 2006 th 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 Nuffield House DS0000037699.V311283.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. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nuffield House Address Barclay Street Leicester Leicestershire LE3 0JE 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) 0116 2541363 0116 254163 socis209@leicester.gov.uk Leicester City Council Mrs Sandra Mary Hamilton Care Home 34 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (34), Physical disability over 65 years of age (6), Sensory Impairment over 65 years of age (10) Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers DE(E) & MD(E) No one falling within category DE(E) or MD(E) may be admitted into Nuffield House when 20 persons who fall within categories/combined categories DE(E) or MD(E) are already accommodated within the home Service User Numbers PD(E). No one falling within category PD(E) may be admitted into Nuffield House where there are 6 persons of category PD(E) already accommodated within the home Service User Numbers SI(E). No one falling within category SI(E) may be admitted into Nuffield House where there are 10 persons of category SI(E) already accommodated within the home Named Person. To admit a named person with physical disability under the age of 65 years of age, as identified in application number V19444 dated 11 April 2005. 20th February 2006 2. 3. 4. Date of last inspection Brief Description of the Service: Nuffield House is a registered care home to accommodate up to thirty-four older people and is owned by Leicester City Council. The home is situated in a residential area and close to local shops and amenities. Public transport is nearby and a ten minute bus journey to the city centre. Nuffield House is a large purpose built property with level entry access. Accommodation is provided on the ground and first floor, which can be accessed via the passenger lift located near to the centre of the building. All the bedrooms are single rooms with a wash hand basin. Bathrooms and toilet facilities are located close to the bedrooms and the communal areas. There are a choice of lounges and dining area on the ground and first floor and a designated smoking area. All areas of the home are accessible to people using mobility support, aids and equipment. The home is well maintained with comfortable furniture and decor. Information about the service is provided to prospective and current residents within the ‘service user guide’. The ‘service user guide’, the terms and conditions of the stay are available in other languages and formats such as Braille. The monthly fees are £270 to £370. There are additional charges for hairdresser, chiropodist, newspapers, magazines, and toiletries. The CSCI published inspection report is available at the home. The residents are informed of the findings of the CSCI inspection at the ‘Residents Meetings’ or individually. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection is inspecting Nuffield House against the Care Standards Act 2000. This was a key inspection of the Nuffield House that was concluded with an unannounced visit to the home. The Inspector spent time reviewing the previous inspection report of 20th February 2006 and the pre-inspection questionnaire completed by the home before doing the visit. Comment cards were received from 10 of the residents, and 2 from the GP surgeries. The visit took place on 18th October 2006 from 9.30am and lasted 7 hours. During the course of the inspection, the Inspector checked all the ‘key’ standards as identified in the National Minimum Standards. Using a method called ‘case tracking’, this means looking at the care provided to four residents. This involved talking to the residents themselves; talking with care staff providing the care; checking records relating to their health and welfare; viewing their personal accommodation (with their consent) as well as communal living areas. Observations made of how the care staff supported residents participate in the daily activities and decision-making. The Inspector also checked other issues relating to the running of the home including health, safety, and management and staffing. During the inspection visit, the Inspector spoke with and observed other residents in the home, visiting relatives and staff. The Inspector observed care practices when care staff assisted residents. The findings from the inspection concluded with a discussion with the Registered Manager. What the service does well: What has improved since the last inspection? Since the last inspection, Nuffield House has made the following improvements and changes: All the double-glazing has been completed; Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 6 New level entrance to the home with automatic doors have been installed; The main lounge has been decorated and fitted with new carpets and curtains; The two bathrooms and shower room was having new flooring; New light fittings and curtains in bedrooms; Appointment of one night carer and three day care staff Nuffield House has began the process of updating care plans to be ‘person centred’, which reflects the views of the residents and the way in which they would like to receive the care. 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. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome group is good. This judgement has been made using the available evidence including a visit to the site. Residents care needs are well assessed before they move into the home to ensure the needs can be met. EVIDENCE: The admission procedure viewed for four residents tracked, including a new resident. All care files contained a copy of the social worker’s assessment of needs undertaken as part of the referral process. The assessment form contained written information of the residents care needs, history such as medication, mobility, special diets and meals, communication needs, mental wellbeing and social, religious and cultural needs. The assessment also included details of any health care needs to be met by heath care professionals such as the District Nurse. Residents said they were involved in choosing the home and the admission process to ensure their wishes were made known. The new resident said that the family visited the home to ensure that it was suitable and confident that they would be well cared for. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 9 The home does take ‘emergency admissions’ for people needing urgent 24hour residential care or for people being discharged from hospital. The emergency placements are accepted on the basis that the social worker’s assessment has been completed and the home is able to meet the person’s care needs. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents are well cared for having their tailored health and daily care needs met that promotes and maintains their independence and lifestyle. EVIDENCE: The residents spoken with including the new resident said they had been asked about their daily routines, the amount of support they required on a daily basis and preferences to meals. Staff were observed speaking to a new resident during breakfast to get to know the new resident, offering support and encouragement to settle into the home and trying to find out the residents likes, dislikes and interests. The care plans seen were personal to the tracked residents, setting out the level assistance that was required to continue living as independently as possible. There was evidence that care plans are being improved to reflect the residents’ preferred daily routines, their waking up routines and care required, meals, observance of religious and spiritual needs and health needs provided by the District Nurse. This approach is known as ‘person centred’, giving information as to how to support and assist the resident with their daily routines and preferences. The plans gave information Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 11 in relation to the potential risks and how these should be minimised such as ensuring the resident uses their walking aids. Residents described how their care staff supports them with daily tasks such as bathing and choosing their clothes. All residents have a named care staff known, as a ‘key-worker’ to support their care needs, daily routines and keeping their bedroom and clothes tidy. Care records showed the key workers carried out review of the care needs with the resident on a monthly basis, which is recorded. The information received from the residents and care staff spoken with was consistent with the records made in the residents care file. Key worker said they had a good understanding the residents care needs and their responsibilities. All the care files viewed contained good evidence of the involvement of GP’s District Nurses, chiropodist, and optician. The Inspector observed a District Nurse visiting but there was not an opportunity to speak with them. One resident said they had an appointment at the surgery and was going with the key-worker after lunch. Residents said that the care staff have called the GP’s when needed. Relatives spoken with said they their relative was being cared for well, with staff always available and the home has generally been clean and tidy when they have visited. Observations made during the inspection showed care staff are vigilant to the residents needs especially as the toilets near the lounge on the ground floor were being decorated. The Inspector saw residents being assisted to their bedroom or to the toilet when requested. Care staff were seen addressing residents by their preferred names, being near to residents when speaking with them. Comments received from residents about how the care staff treat them included “finds staff are helpful, kind and treated with respect” Residents said they received their medication on time. Procedures are now in place to ensure residents receive their medication when they go out with their relatives or attend appointments. Trained staff, primarily the managers and the senior carers, administers medication. At breakfast and lunchtime, the senior carer was seen giving medication to residents individually and completing each record at the end. Resident’s name and photographs in front of their medication records to avoid the possibility of giving out the wrong medication. The medication checked against the medication records for residents tracked indicated medication was recorded as taken and the correct tablets remained in the blister packs. All medication and respective records are checked monthly. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents continue to make choices about daily living and offered variety of meals, some social and cultural activities of interests. EVIDENCE: The residents have a choice of two lounges, which includes a smoking lounge. Residents were seen receiving visitors throughout the day. Residents care plans viewed showed the involvement from family such as going to Bingo on a Wednesday to attending the Church service or receiving Holy Communion at the home. Residents met with the visitors in the lounge or in the privacy of their own rooms. Visiting relatives spoken with said they visit everyday; enjoyed spending time with their relative and felt there was no restrictions on the visiting times. Residents were observed reading the newspapers, watching television in the lounges, talking with each other or their visitors. A small group of residents preferred to sit by the main entrance to the home, talking and watching visitors coming to the home. Information received from the home before the inspection indicated that residents are offered a range of social activities such as: games, outings, entertainers, bingo and sing-a-long. Care staff are responsible for doing activities that would stimulate the residents, albeit oneNuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 13 to-one activity or small group activities as there is no designated activities organiser. There is an activities programme and on the day, ‘Bingo’ was planned for the afternoon, although no Bingo was being played. The care staff spoken with said they had completed training in ‘Activities Training’ and has done activities with small groups of residents. The Registered Manager said there were no plans to have designated ‘activities organiser’. There was a raffle organised to raise money towards the residents’ fund. Daily records viewed for the residents showed they had an outing to another home, been out shopping with their key worker or had been out with family. Comments received in residents’ comment cards included “entertainment and more social interaction – bored all the time”. Residents told the Inspector that they felt involved and informed of any planned events or changes to the home such as the programme of decoration at the home, individually or through the residents meetings. The residents was aware of their right to view information about her held at the home and care staff said residents are encouraged to express their views individually or through their family. Residents were seen going to the dining room for breakfast. Residents’ spoken with said they are not restricted with the timing of their day such as, the time for breakfast, how they chose to spend the day to what time they go to bed. All residents spoken with told the Inspector how much they enjoy the food. The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals and providing special diets such as soft food or diabetic meals. Meals are served at the dining table in the dining room. The Inspector observed the kitchen staff talking with the resident with poor sight, whilst placing the meal in front of them. The majority of residents enjoyed roast chicken or cheese and potato pie and vegetables although alternative meals were on the menu. Residents confirmed that they were offered choices at all meals, and that snacks were served throughout the day. Staff were seen serving drinks hot and cold drinks to residents and their visitors. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Residents are protected by robust and accessible complaints procedure and by staff trained in the adult protection procedures. EVIDENCE: Residents and their relatives said they were informed how to complain when they first visit the home and when they moved into the home. Details of how to complain and contact details of Advocacy Services are displayed on the notice board near the entrance to the home and by the public telephone. The complaints procedure is available in other languages, symbols and formats. Residents told the Inspector they felt confident to complain directly or through their relatives, to a member of staff or the managers and gave examples of how their concerns were promptly addressed without having to make a complaint. No new complaints were received by the home and the Commission has received no complaints. Care staff and managers spoken with had a good understanding of their responsibility and procedures to follow in relation to protecting vulnerable adults and were confident to whistle blow poor or bad care practice. Staff files examined contained evidence to show that staff had received training in safe guarding adults as part of the home’s induction training and receive regular updates. The care staff knew where to find the policies and procedures including the revised multi-agency procedures, held in the main office by the main entrance. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 15 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, 26. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents’ benefit from having a clean, well maintained, safe accommodation, which individually and collectively meets the residents’ needs. EVIDENCE: Since the last inspection, new front entrance with automatic doors has been installed. The double-glazing is completed; new gazebo in the rear garden and the lounge has been re-decorated with new carpets, curtains and chairs. Resident’s bedrooms have had new light fittings and curtains. On the day of the inspection the two bathrooms and shower room had new flooring place and the toilets were being painted. Care staff were vigilant and assisting residents to use other toilet facilities in the home. The Registered Manager said the residents have been informed of the inconvenience that may occur on the day. The corridors throughout the home are brightly lit with handrails to help residents walking. The wallpaper in the corridor to the dining room and the main lounge was scratched and worn creating an unsightly appearance. The Registered Manager was aware of this and indicated that there were no plans Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 16 to decorate the corridor. Residents were seen using the passenger lift independently and walking using their walking aids. The Inspector observed residents relaxing in all lounges after breakfast, whilst others relaxed in near to the entrance or in their own rooms. The garden and the surrounding areas near the home are maintained and residents can enjoy the new gazebo. The Inspector was invited to see two resident’s bedrooms, which clean. Residents felt they had sufficient space to move around in and were close to the bathrooms and toilet facilities. The care staff were observed being vigilant and supporting the newer resident to become familiar to the home and reminding them of where their bedroom was in relation to the dining room. The bedrooms were decorated and personalised with own belongings to create a comfortable homely atmosphere. Bathrooms and toilets were clean and equipped with hoist. The laundry room is away from the kitchen with a team domestic and laundry staff responsible for the laundry and cleaning. On the day of the inspection, the home was clean and tidy and staff were seen wearing protective clothing such as gloves and aprons. The care staff were seen systematically collecting residents’ laundry and following the procedures for soiled clothes to avoid spreading infection such as MRSA. Care staff spoken with demonstrated a good understanding and knowledge of their responsibilities to prevent the spread of infection and confirmed they have ample supply of protective clothing to use. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 17 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, 30. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The resident’s care needs are met and their safety generally protected by the recruitment process and by having sufficient staff on duty. EVIDENCE: On the day of the inspection, the care and ancillary staff on duty was as per the staff rota. The home is using a large number of agency care staff, whilst permanent care staff were being recruited. For example, four out of six day care staff are from an agency. The Registered Manager said the agency staff are regular and familiar to the residents and the procedures in the home. The home has recruited one night staff and three care staff. The information received from the home before the inspection of the service indicated that 50 of the care staff have achieved NVQ level 2 in care, although this may have changed due to the number of agency care staff working at the home. The local authority’s recruitment procedure is robust, which is managed by the Human Resource Team. The information received from the home before the inspection of the service indicated that staff personnel files containing evidence of recruitment and pre-employment checks are held at the Human Resource Team of the local authority. The Inspector examined two care staff’s file, which contained confirmation of the completed induction training and job specific training. All staff files contained records of the supervision meetings and staff meeting from domestic staff, care staff, managers and a full staff meeting. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 18 The care staff spoken with described the induction training undertaken, which included the home’s policies, procedures, adult protection, health and safety, and principles of care and NVQ in care. The care staff demonstrated an awareness of the residents’ care needs, how to support and assist residents to maintain and continue living independently. The staff training profile contains information about the training completed by the care staff and used to prompt refresher training, which is managed by the training department. Staff training records showed training completed in moving and handling, food hygiene, fire training, dementia awareness, older people and mental health and NVQ in care. Care staff confirmed training is identified through the supervision meetings and referral made through the staff development team. The residents and their visiting relatives spoken with indicated that care staff are always available and residents were familiar with them. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Residents’ and staff’s health, safety and welfare are being promoted and protected through the home’s policies, procedures and management. EVIDENCE: The Registered Manager has clear lines of responsibility and accountability for all the staff at the home. The Registered Manager has completed training in dementia awareness and is waiting for the certificate of training. The care staff who key work the residents to ensure there daily tasks are completed such as assisting residents with their personal care, attending appointments and supporting the District Nurse or GP. The Registered Manager confirmed that a senior manager from the local authority does conduct the monthly visits to home in accordance with the regulation. However, the Registered Manager was unable to find the monthly Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 20 visit reports and was advised to make the visit report available at inspections to demonstrate that monthly visits are being conducted. At present, the home does not conduct any formal quality assurance survey. Residents are consulted individually or through the residents’ meetings. Residents told the Inspector they can choose to attend the ‘residents meeting’ that are held every few months and minutes of the meeting are kept on file. The topics discussed at the last meeting indicated that residents were informed of the programme of decoration and were consulted about the colour schemes for the lounge; menus key working and the conservatory. Residents spoken with confirmed that have keys to their bedroom and a lockable cabinet to store valuables and money. The resident spoken with indicated if they wanted their money to pay for newspapers, hairdresser or go shopping they usually get the money immediately and sign for it. The residents care files contained receipts and records of the residents money. Resident finance records examined clearly showed good financial reconciliation and management of the residents’ money, which is double-signed and auditable against the sums of money kept on behalf of the resident. The home does not at present have a maintenance person and minor repairs are reported to the maintenance team for the local authority. Records relating to health and safety procedures such as regular fire drills and fire alarm tests carried out and were up to date. The accident book viewed was consisted with the notifications sent to the CSCI detailing events that have affected the residents’ safety and wellbeing. Residents care files contained copies of the risk assessments carried out for mobility, transfers using a hoist, dietary needs and measures to avoid risks and the spread of infection. The newer resident said they had been asked questions about the level of assistance they require and the need to use equipment such as walking aids. Residents spoken with indicated that they felt safe both in the home and with the care staff looking after them. Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Nuffield House DS0000037699.V311283.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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