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Inspection on 30/04/07 for Park Hills Nursing Home

Also see our care home review for Park Hills Nursing Home for more information

This inspection was carried out on 30th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

What has improved since the last inspection?

All the recommendations made at the last inspection visit had been addressed. The manager tried as far as possible to obtain nursing assessments before the admission of a new person into the home. Care plan records had been recorded in a different way and the information about each person`s needs was more detailed. Information about each person`s social background was being recorded so that staff could talk about things important to the people living in the home. Checks and monitoring records specific to each person care needs were kept in the person`s bedroom. An induction programme had been set up and this complied with the training organisation`s (Skills for Care) requirements. This means that new staff starting in the home have a clear training programme to follow. The manager had introduced quality assurance questionnaires to get the views and opinions of the service provided from people living in the home and their relatives. These contained positives responses and indicated that the service the home gave was of a good standard.

CARE HOMES FOR OLDER PEOPLE Park Hills Nursing Home 199 Chamber Road Oldham Lancashire OL8 4DJ Lead Inspector Tracey Rasmussen Unannounced Inspection 30th April 2007 09:45 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 Park Hills Nursing Home DS0000025447.V337884.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. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Hills Nursing Home Address 199 Chamber Road Oldham Lancashire OL8 4DJ 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) 0161 624 6671 F/P 0161 624 6671 Ms Barbara Rogers Mrs Barbara Rogers Care Home 17 Category(ies) of Physical disability (3), Physical disability over 65 registration, with number years of age (17) of places Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 3 service users between the ages of 18 to 55 to be admitted to the establishment. One registered nurse to be on duty throughout 24 hours. Date of last inspection 31st January 2006 Brief Description of the Service: Park Hills Nursing Home provides 24 hour nursing care and accommodation for up to 17 service users over the age of 65 years. Three services users under the age of 65 years may also be accommodated. Mrs Barbara Rogers is the registered owner and manager of the home. The home is situated approximately one mile from Oldham town centre and is reasonably close to local amenities such as shops, pubs and local schools. Bus services are also available close by. The home is a Victorian property that has been extended at the rear. Entrance to the home is by a purpose built ramp at the side of the building. Well-maintained gardens are available outside the property. The home provides 17 single bedrooms, on both the ground and first floor and the majority of these are south facing. A passenger lift and other aids, such as hoists are available. There are three bathrooms. On the ground floor there is a choice of a large lounge/dining room or a smaller quiet lounge. A copy of the home’s last inspection report was available from the main entrance area of the home. The current weekly fees range from £445.65 to £490.00 dependent on the package of care required. Further details regarding fees are available from the manager. No additional charges are currently made. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced key inspection site visit on the 30th April 2007. This means that the manager and staff in the home did not know that an inspection was to be undertaken. The inspection included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. The owner / manager supplied detailed information about the home and the services offered before the inspection and this was used to assist the inspection process All key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices, talking with people in the home; talking with visitors; interviewing the manager and other members of the staff team. A tour of the home was also undertaken and a sample of care, employment and health and safety records seen. Comment cards were sent out to relatives and GPs to seek their views and opinions about the home and comments from returned forms have been included in this report. Similar comments made at the previous inspection have been repeated in this report as the quality and focus of the service continued to be maintained at a high consistent standard. No requirements were made at the last inspection and no requirements have been made following this inspection. This inspection did identify one area that needed addressing and the manager took rapid action to address this. A brief explanation of the inspection process was provided to the manager of the home at the beginning of the visit and time was spent at the end of the visit to provide verbal feedback of the findings from the inspection visit. What the service does well: The home provides a specialist service in that it focuses on providing care and comfort to people who are nearing the end of their life. This is provided in a peaceful, relaxed and friendly home where each person’s dignity and comfort is a priority. It is emphasised by the manager and in the home’s information guides that traditional social activities and entertainment are not provided as this is not appropriate to meet the peoples care needs living in the home. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 6 The home was peaceful and offered a relaxed atmosphere. Staff were friendly and went about their duties in a professional manner. Most of the people in the home could not comment about the quality of the care they received but they all appeared settled and comfortable. Bedroom décor and soft furnishings coordinated and these were maintained clean, neat and tidy. Comments from relatives were very complimentary and included, “Palliative care at Park Hills second to none!”; “I am not an authority on these issues but from my perspective Park Hills is a model to which other similar institutions might aspire”; “There is nothing that I can find fault in this home- I am just so happy that mum is where she is, loved and cared for as I would expect.” And, “I cannot praise this place enough!”. Two local GPs returned comments cards and both had positive things to say about the home. One GP wrote, “Excellent nursing home with very competent staff”. The home has a committed stable staff group who are enthusiastic and motivated to do a good job. Staff confirmed training had been provided in the home and they felt they had received good training and support by working alongside nursing staff. Almost all the care staff had obtained a NVQ 2 qualification or above. The home encourages families and visitors to call in at any time and to discuss concerns. Many relatives felt the manager of the home supported them through their time of grief. The owner / manager continues with a programme of on-going refurbishment. Bedrooms furniture was being upgraded at this visit and work on the outside of the building had been undertaken. What has improved since the last inspection? All the recommendations made at the last inspection visit had been addressed. The manager tried as far as possible to obtain nursing assessments before the admission of a new person into the home. Care plan records had been recorded in a different way and the information about each person’s needs was more detailed. Information about each person’s social background was being recorded so that staff could talk about things important to the people living in the home. Checks and monitoring records specific to each person care needs were kept in the person’s bedroom. An induction programme had been set up and this complied with the training organisation’s (Skills for Care) requirements. This means that new staff starting in the home have a clear training programme to follow. The manager had introduced quality assurance questionnaires to get the views and opinions of the service provided from people living in the home and their Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 7 relatives. These contained positives responses and indicated that the service the home gave was of a good standard. 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. Park Hills Nursing Home DS0000025447.V337884.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 Park Hills Nursing Home DS0000025447.V337884.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs were assessed before they moved into the home and the home could assure new people that it could meet their needs on admission. EVIDENCE: The quality of the information (standard 1) was not assessed at this visit However it was noted that the reception area of the home was welcoming and information about the home was readily available. This included an information guide, previous inspection reports and leaflets offering advice and support. Not many of the people living in the home could comment about the quality of care they received, however relatives and visitors were spoken with. One relative said, ‘Absolutely the best care anywhere here’ and ‘I cannot believe Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 10 the standard of care they give.’ Other relatives said they waited three months so their loved one could come into the home. Comment cards sent out to relatives of people living in the home all contained positive responses and comments such as ‘Mum has always had the utmost support from all the staff” and “They were magnificent”. Two local GPs also returned comment cards about the services provided at the home and these also provided positive responses. Three care files for people living in the home were seen. These contained detailed information about each persons care needs. The care records included information that indicated that the home had made pre-admission assessments or checks on the new person’s care needs before they came into the home. This enabled the manager of the home to assess and confirm whether the new person’s care needs could be met properly by the services provided in the home. The manager said she always requested a community care assessment and nursing assessment before a new person moved into the home but these were not always provided. Intermediate care (standard 6) is not provided at the home. Park Hills Nursing Home DS0000025447.V337884.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 and 11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People in the home received care and comfort, which respected their personal wishes and promoted their dignity. The care planning documentation was sufficient to enable staff to meet personal and health care needs of the people living in the home. EVIDENCE: The home provides nursing care and support across a range of needs, however the main focus of the care service is providing comfortable and dignified end of life care. At this visit, almost all the people in the home were either cared for in bed or in their bedroom. The hands-on nursing and care service provided in the home is of a high standard. This has been identified at previous inspections. The manager of the home also works providing hands-on care to the people in the home and has daily contact with families. The home was welcoming, peaceful and staff Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 12 undertook their duties quietly and efficiently. Care practices observed promoted the comfort, privacy and dignity of the people living in the home. People living in the home appeared comfortable in bed. Nightwear clothing and bedding looked fresh and clean. Bedrooms were pleasant, clean and tidy. Friends and relatives were welcomed at any time into the home. Comments from visitors and the local GPs who visited the home regularly were all positive. One GP wrote, “Excellent nursing home with very competent staff”. One relative of a loved one who had recently died wrote, “Palliative care at Park Hills second to none!” Relatives spoken with at the visit, praised the level of care provided, “It is the best in the area and I know I go in a lot of homes” and “The staff are wonderful nothing is too much trouble and mum is kept lovely and clean”. Staff spoken with were positive about working in the home. Staff said they were trained and supported to do their job and all but one care staff member had obtained a NVQ 2. Three care planning records were seen. The manager had changed the care planning format and some care plans did still need updating to the new format, however the information in the care plans was very detailed and included information about people’s social backgrounds. Assessment information was very detailed and person specific which means the care records provided clear information about how to care for the resident in accordance with the person’s preferences, wishes or known routines. Bedrail assessments and checks did need more development but the manager responded immediately to action this and therefore a requirement or recommendation was not given. The manager had implemented a system of recording, which enabled all the staff team to work as a team. Each person living in the home had a number of monitoring charts in their bedroom. These included daily checks on the condition of the person’s skin, diet and fluid intake and specific monitoring of individual care needs such as diabetes. This allowed the care staff and relatives to be involved in monitoring each person overall condition. The chef was also included in providing a person centred care service. She was provided specific information about the dietary needs of each person in the home and was kept informed of any weight loss or gain so that individual food menus could be supplemented or changed to meet the changing care needs of the people living in the home. Relatives spoken with said that they were supported and assisted to come to terms with the deteriorating health of their loved one. The manager confirmed that the home was about to pilot a care system for palliative care (end of life care). Care plans seen contained information regarding preferences and arrangements after death. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 13 Care plans also included references to promoting privacy, dignity and choice Records of contact with community health services such as GP, chiropody and optical support were available. The manager confirmed that she had provided a care service to people with different ethnic and cultural backgrounds and used the person’s family or representatives as an information resource to make sure individual needs were met. Medication practices were briefly reviewed. The home has a separate treatment room to store medication. The medication room was clean and tidy Storage of medications both in the controlled drug cupboard and refrigerator were appropriate and records maintained accurately. The home uses the traditional method of medication administration, which is direct dosage of medication from the original prescribed medication boxes. The manager has a step-by-step system of ordering and receiving medication into the home and the medication administration record sheet used by the home was devised by one of the nursing staff in the home. All records seen were up to date. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The social needs of people living in the home are respected and relatives and representatives are welcomed and supported in the home. The quality of food provided is good offering choice and variety and catering for special dietary needs. EVIDENCE: Park Hills does not provide a service, which offers daily social activities to the people living in the home. The emphasis of the service is on care and comfort to people who are nearing the end of life. Staff did spend time with each person living in the home providing care and comfort in an unhurried manner and at a pace appropriate for the person. Almost all the people living in the home at this visit spent time in bed or in their room. Care plan records explained the reasons for this, which were either to meet care needs or to respect personal wishes. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 15 The manager did emphasise to potential new residents and their families that traditional activities were not provided in the home and this information was also included in the home’s information guides. Music according to the resident’s preference was played in the bedrooms. Two local Christian clergy visit the home regularly to offer spiritual support to the people in the home. The manager emphasised that people with different religious needs would also be supported because she would seek out the appropriate support for them. A rolling menu for meals was available and alternatives were provided to suit needs and preferences. At this visit a high number of people living in the home needed assistance with a pureed diet. Staff said they did not feel rushed at meal times and assistance was provided at pace appropriate to each person’s need. The chef was not available at this visit but the kitchen was clean and tidy, all health and safety monitoring to promote food safety was up to date and an environmental inspection late last year praised the cleanliness of the kitchen. Visitors were observed coming and going all day and relationships with the manager and staff were very relaxed and friendly. Relatives frequently sought the manager out to discuss the care of their loved one and the manager spent a lot of time with them offering support The manager had designated a small area in the kitchen that had been set aside for visitors to make themselves a hot drink. A modern tea service was provided for the visitors. Comments from visitors included, “The home is always welcoming, there is never a smell, staff always have a smile for you.” And, “The manager genuinely cares for the patients and relatives – all the staff do”. Returned comment cards also stated “ Mum has always had the utmost support from all the staff”. And, “They bend over backwards to make the family welcome that includes all the staff from the top to bottom.” Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that staff are trained to respond appropriately to suspected abuse and complaints will be treated seriously. EVIDENCE: The home does have a complaints procedure and this is readily available in the home. The home had not had any complaints. Comments from visitors and feedback comment cards indicated that the manager would sort out any issues and concerns quickly. One visitor said, “I cannot be happier here. They have looked after Mum how I want her to be looked after. I would tell you if I wasn’t happy and I be on at the staff all the time.” And one comment card stated, “Mum has been in Park Hills for 5 years and in this time I have never found cause to complain about anything”. Staff spoken with said they had training in understanding what abuse was and what to do if they suspected abuse. Records were available of staff training. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 17 Staff also confirmed they had undertaken NVQ training and this also included information and training in abuse. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, well maintained home that was clean and odour free. Specialist equipment is available which means the different needs of each resident could be met promptly EVIDENCE: Since taking over ownership of the home the owner manager has continued to invest in the home environment. The whole home has been redecorated in last 18 months. Recent work had been undertaken outside the home, brickwork had been re-pointed and the manager said that a programme to replace the windows in the home was to commence soon. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 19 The home was clean and tidy and furnished as if it was a normal traditional family home- thick carpets, leather suites, bedrooms with matching bedding drapes and décor. Beds also had coordinating throws. Comments from visitors repeatedly said the home was clean and tidy. At this visit a window cleaner cleaned both outside and inside windows in the home. Bedrooms although small, did contain the necessary equipment to meet individual needs but this was stored as far as possible in a neat and tidy and manner. A rolling programme of providing new bedroom furniture was underway and a number of rooms had benefited from new wardrobes and chest of drawers. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Recruitment vetting practices, staffing levels, training and skill mix were appropriate to meet the different needs of people living in the home and promoted their health and safety. EVIDENCE: The home had a peaceful atmosphere and all staff spoken with were relaxed pleasant and polite. Comments from relatives during the visit and in comment cards were all complimentary. Relatives said, “The staff are wonderful nothing is too much trouble”; “You feel they all genuinely care” and staff are “caring and well trained”. Two GPs also commented positively about the staff in the home. Staff were positive about working in the home. Staff said that they enjoyed working in the home; that they delivered a good quality service and they said they received a good standard of training. The staffing rotas were available and indicated that staffing levels were maintained at appropriate levels to meet people’s care needs. The manager had increased the number of staff working in the home on the morning shift. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 21 The staff team were well established and the turnover of staff was low. Three employment files were seen and all contained the necessary information to ensure people working in the home did not pose a risk to people living in the home. Records were available to indicate that the home did train staff from the start of employment with induction training to on-going training and NVQ. The home’s induction training was in line with Skills for Care requirements. Staff files also contained various certificates of training that staff had attended. Staff confirmed that they received regularly training in wide ranging topics so that the specific care needs of the people in the home could be met properly. Specialist training had been provided and this training included, diabetes; Tracheostomy care; basic life support; pressure relieving aids; basic first aid; Parkinson’s disease; venepucture and care of the dying –dealing with death and bereavement. Further training for nutrition and palliative care was planned for the week after this inspection. It was reported that all but one staff member had achieved a NVQ2 qualification. Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management of the home promotes the health, safety and wellbeing of the people living there. People living in the home and their representatives are listened to and influence the daily routines in the home. EVIDENCE: The owner/manager continues to be the driving force in the home, making sure high standards of care and service are provided whilst continuing to improve and develop the service. Requirements and recommendations made following previous inspection visits have always been addressed and areas of Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 23 possible improvement commented on at this visit were responded to immediately. The manager is a registered nurse and has completed the Registered Manager’s Award. Discussion with people in the home, staff and visitors and information from comment cards all indicated that the manager’s style of management was one of openness. Relatives of the people living in the home praised the manager for the individual support she gave them. Comments included, “They were magnificent especially Barbara Rogers the person in charge”. And, “The manager genuinely cares for the patients and relatives – all the staff do”. The manager had developed and sent out questionnaires to people in the home and to relatives. The questionnaire covered different aspects of the service provided. The returned questionnaires, 10 from people in the home and 9 from relatives, all contained positive responses and compliments about the care and service provided. Relative spoken with said their wishes and preferences regarding the care and service provided to their loved one was respected and provided accordingly. Health and safety records were available, policies and procedures had been reviewed and up dated and accident records indicated that very few accidents occurred in the home. The manager had employed a maintenance person who undertook routine repairs and day-to-day maintenance in the home. The fire safety procedures had been further developed following the advice of a fire safety officer and all staff had participated in a fire drill. Regular fire safety checks had been undertaken. The home does not hold any personal money for people in the home (Standard 35). The manager confirmed that she would recommence sending notifications of deaths and other incidents to the CSCI. Park Hills Nursing Home DS0000025447.V337884.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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 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 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x N/A x x 3 Park Hills Nursing Home DS0000025447.V337884.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. 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 Park Hills Nursing Home DS0000025447.V337884.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Park Hills Nursing Home DS0000025447.V337884.R01.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. 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!