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Inspection on 20/12/06 for Park View Nursing Home

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

This inspection was carried out on 20th December 2006.

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

Park View continues to provide a good service to its residents who were very happy with the staff and the support they provide. Residents` health and care needs are seen as a priority and there appears to be a genuine commitment from the manager and staff to provide a high standard of care and support. As far as possible residents are able to have a choice on how they live life in the home and there are opportunities for social activity if required. Residents were very complimentary about the meals provided. There are enough staff to provide support and they are well trained.

What has improved since the last inspection?

The standard of care planning has improved and staff are taking more care to sign and date documents. There have been some improvements to the environment, including some redecoration. A new shower room on the first floor has been installed, as has a larger bath downstairs. Access within the laundry has been improved.

What the care home could do better:

Although there is a good level of social activity provided, some residents felt that they would like the opportunity to go out more often. The current position of the staff rest area impedes the access to one of the bedrooms and may compromise the occupants` privacy. Further training for the cook in food hygiene, and for the manager in risk assessment, may enhance their knowledge and ensure best practice.

CARE HOMES FOR OLDER PEOPLE Park View Nursing Home Broad Bush Blunsdon Swindon Wiltshire SN26 7DH Lead Inspector Steve Cousins Key Unannounced Inspection 20th December 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park View Nursing Home DS0000015936.V321468.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 View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Nursing Home Address Broad Bush Blunsdon Swindon Wiltshire SN26 7DH 01793 721352 01793 721365 parkviewcarehome@aol.com 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) Bothwells Limited Mrs Angela Jane Rogers Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Terminally ill over 65 years of age (2) of places Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 2 persons to be in receipt of terminal care at any one time The only service users who may be in receipt of nursing care, under the age of 65, are, the service user named in the original application to register the home in June 2004 and the service user named in the application received 24th January 2006. 1st March 2006 Date of last inspection Brief Description of the Service: Park View is registered to provide nursing care for up to 41 service users aged 65 or over. Mrs Rogers, a registered nurse, is the manager and registered nurses are on duty at all times, supported by care assistants. Catering, laundry, housekeeping, activity, maintenance and administration services are also provided. A property manager has responsibility for the environment and health and safety. Park View is situated on the outskirts of Blunsdon in a semi-rural area within easy reach of Swindon. There is easy access from the M4 motorway and the A419, and there is also a rural bus service that runs past the home. Park View is situated in its own grounds and has accommodation on two floors. Bothwells Limited, based in Wembley, Middlesex, owns the home. The current fee is £590 per week. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20th December 2006 in order to inspect all of the key minimum standards relating to care homes for elderly people. Two inspectors visited the home between 9.30 a.m. and 4.30 p.m. making a total of fourteen inspection hours. The inspectors then met with Mrs Rogers, the registered manager, in order to discuss the outcome of their visit. The findings from this inspection are based on a tour of the premises, speaking to residents, relatives, the manager and staff, and visiting frail residents. A number of records were inspected, including care plans, medication records and staff records. Comment cards were received from three residents’ relatives following the inspection and their views are incorporated in this report. The judgements contained in this report have been made from evidence gathered during the inspection and take into account the views and experiences of people using the service. What the service does well: What has improved since the last inspection? What they could do better: Although there is a good level of social activity provided, some residents felt that they would like the opportunity to go out more often. The current position of the staff rest area impedes the access to one of the bedrooms and may compromise the occupants’ privacy. Further training for the cook in food hygiene, and for the manager in risk assessment, may enhance their knowledge and ensure best practice. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 6 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 View Nursing Home DS0000015936.V321468.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 Park View Nursing Home DS0000015936.V321468.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. (Standard 6 does not apply to this home) Potential residents are assessed prior to moving in to ensure that the service is able to meet their needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents records reviewed by the inspector contained pre admission assessment forms that had been completed by the manager. Some contained other supporting documents such as assessments from care managers and hospital discharge summaries. The information is used to aid completion of individual care plans and information had been supplied by relatives where required. Residents who were new to the home confirmed that they had been visited and assessed prior to moving into Park View. One said that they had “been made to feel welcome” and had “settled in well”. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 9 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 and 10. The manager and staff see meeting the residents’ health and personal care needs as a priority and deliver a consistently high standard of care. The procedures for dealing with medicines protect the residents and they are treated respectfully and their right to privacy is upheld. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector reviewed the care of six residents, three males and three females between the ages of 67 and 86. They had varying physical, social and mental health needs. Some were new to the home and others had been at Park View for some time. The residents care plans were reviewed. They were comprehensive and appeared to be an accurate reflection of assessed needs. Care plans were reviewed at least monthly and were updated when the resident’s needs Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 10 changed. Assessments for tissue viability, manual handling and nutrition were undertaken on admission and reviewed monthly thereafter. The inspector visited the residents and found that interventions were in place to meet their assessed needs, such as pressure relief equipment, continence aids, manual handling equipment and fluid intake monitoring charts. The residents’ appeared to be having their personal hygiene needs met and those spoken with indicated satisfaction with the care given. Those who were assessed as being nutritionally at risk were regularly weighed. A General Practitioner (GP) visits the home weekly and records indicated that residents had access to the GP and that staff take prompt action when there is a health care need. For example, one resident had been referred to their GP as they had developed a temperature; another had been seen for a persistent cough. Residents reported being able to see a GP when needed. Records indicated that residents had access to other healthcare professionals, such as the community mental health team and tissue viability nurse. Comments from residents included “The staff look after me well” and ”I get plenty to drink”, one said “My carer is very, very good” and another “I feel so much better since I came in here”. Comment cards received from relatives indicated that they were satisfied with the overall care provided and one added ‘I think Park View are looking after my Mum very well indeed, everyone is really great’. A visiting relative said. “They are able to meet my Mum’s needs here” and one wrote on a comment card ‘Excellent home, staff always very attentive and considerate”. The arrangements regarding administration of medication were reviewed and found to be satisfactory. Registered nurses are responsible for the administration of medicines in the home and their competency is reviewed on appointment, and annually thereafter. Medications were stored safely and records of receipts, administration and disposals maintained. A ‘homely remedies’ policy was in place. Indirect observation confirmed that medication was being safely administered. Due to their needs, no residents currently selfadminister their medication. The manager reported that residents’ medications were regularly reviewed with the GP. There was evidence to suggest that residents’ privacy and dignity was respected. Personal care was given behind closed doors and staff knocked before entering a bedroom. Observation of staff and residents evidenced that staff were respectful and had a good, often humorous rapport with them. For those who needed support with personal care, efforts were made to ensure that they were dressed to maintain their dignity. One resident confirmed that she chose what clothes she wore and another said: “Nothing is too much trouble and they never make a fuss”. A record of a residents meeting held in October, to which 17 people attended, included the statement ‘residents felt that all carers are hardworking and extremely supportive’. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 11 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 A good variety of social activity is provided although some residents would like more opportunity to go out of the home. Residents are able to maintain contact with family and friends and are encouraged to live their own lifestyle as far as possible and with the support of the staff if necessary. Nutritious and varied meals are available, which the residents enjoy. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An inspector met with the homes activity coordinator. A wide range of in-house activity is provided, which are either held in groups or with individual residents. Residents also have access to complementary therapies such as Reiki, reflexology and head massage. Forthcoming social events are displayed on a notice board and these included opportunities to get out of the home, such as a trip to a local garden centre. Residents were generally complimentary about the activities provided, one said, “A library comes regularly so I can choose books to read”, another, when asked about social activity in the home said, “We are very well catered for Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 12 here.” Two residents indicated that they would like more opportunity to go out of the home, one saying, “I used to go down town and have a cup of tea, I don’t seem to go as often now”. Relatives comment cards received all indicated that they were able to visit in private and were welcomed at any time. They also felt that they were kept informed of important matters concerning the resident. Visitors were in evidence throughout the inspection and several residents confirmed that they had visitors and were able to keep in contact with friends and relatives, one stating: “I have lots of visitors who come in” and another “My family come in and visit”. Resident’s were able to receive visitors in their own room or one of the communal areas. Residents’ comments indicated that they were supported in having some choice and control over their lives. One said “I watch TV until about 8, then go to bed” and another “My carer ----knows what I like”. Another resident commented, “I can choose the food I want” and one said: “I don’t like to join in with activities, I prefer to stay on my own”. One resident told the inspector, “I will 100 praise this place, the staff are great”. Another comment was “I have everything I need, I watch TV, I have always been a busy person so I am happy to sit here now”. A new resident had brought in many personal items and it was apparent that staff had made every effort to ensure that these were on display, including erecting extra shelving. Residents meetings are held to enable those who wish to attend to voice their opinion and residents who wish to can attend religious services held in the home. With regard to the meals available at Park View, one resident said “The food is wonderful, you can choose what you eat ---- brilliant fried breakfast here, best I’ve ever had.” and another “Plenty of good food”. Another resident stated, “The food is good, will get things that I like” and another “The food? Can’t fault it”. One resident however, commented that “The food is ‘so – so’ ”. Records of residents meetings indicated that the residents’ views on the meals provided are sought and action is taken following their requests. The inspectors observed part of the lunchtime meal. The food appeared nutritious and well cooked. Residents who required assistance with their meals were provided with support from staff in a discreet and sensitive manner. A relative commented: “Mum cannot eat solid food, but all the staff are aware” and a resident who was assessed as nutritionally at risk confirmed they received assistance by saying ”Staff will help me with eating”. Residents are able to eat in the dining room, in the lounges or in their own rooms if they want to. A review of the menus indicated that the meals provided were varied and nutritious. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 13 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 Residents and relatives are aware of how to complain and any complaints are taken seriously. As far as possible, residents are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is available and on display. Residents spoken to indicated that they knew what to do if they wanted to complain, one saying “ I would go to matron if I was not happy, but I’m very happy”. Other comments from residents were “They treat me gently --- I know who to go to if I am not happy” and ”No complaints, the staff are OK and they treat me nice”. All of the three comment cards received from relatives indicated that they were aware of the homes complaint procedure and that none had ever had to make a complaint. A visiting relative said “No problems here. No complaints at all”. The complaints record was reviewed and showed that two complaints had been received in 2006. Both these had been investigated promptly and any action taken had been recorded. The manager stated that she has open communication with residents and their relatives and this was verified by some of the residents in conversation with the inspectors. Also, records indicated that residents were able to voice any concerns during meetings. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 14 The staff spoken to were able to state what they would do to report suspected abuse and the adult protection policy related to the Swindon and Wiltshire local procedures. Review of training records indicated that staff received training about abuse awareness. A review of staff employment documentation indicated that procedures for the protection of residents had been carried and Criminal Record Checks (CRB) and Protection of Vulnerable Adults (POVA) checks had been obtained. Park View Nursing Home DS0000015936.V321468.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22 and 26 The home is clean and well generally well maintained. Environmental adaptations and availability of equipment supports residents’ independence and communal areas are accessible. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides accommodation on two floors with three communal areas situated on the ground floor. Access to the first floor is via passenger lift or staircase. The inspectors viewed all areas of the home, including residents’ bedrooms and communal living areas. The building appeared well maintained there had been some improvements since the previous inspection, which included a larger bath Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 16 on the ground floor and a refurbished shower room on the first floor. Access within the laundry had also been improved. A maintenance person is employed and information supplied in the pre inspection questionnaire indicated that all essential equipment and services had been appropriately maintained. The home was well decorated, carpets were in good order, however many bedroom doors were heavily marked at their base, due to general wear and tear. Residents are able to access their bedrooms and the communal areas, although there is no lounge on the first floor. One double room is accessed via a staff rest area and a recommendation following a previous inspection was that that this arrangement be reviewed as the current location impinged on the occupants’ access and privacy. There are appropriate facilities available to support residents’ needs, which include grab rails, assisted baths, lifting aids, pressure relief mattresses, wheelchairs and walking aids. A call bell system is installed in each room, which can be used to call for staff assistance. Washbasins are provided in each bedroom and some have en suite toilets. The home was clean and there were no unpleasant odours. Gloves and aprons were provided for staff and hand-cleansing gel is available throughout. The kitchen was clean and tidy and food hygiene measures were in place. The laundry was clean and soiled articles are handled and laundered appropriately to reduce the risk of cross infection. Park View Nursing Home DS0000015936.V321468.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The numbers and skill mix of staff appears to meet the residents’ needs. Staff are well trained and competent and the residents are protected by the homes recruitment practice. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels on the day of this unannounced inspection appeared to be enough to meet residents’ needs and call bells were answered without any undue delays. Duty rotas indicated compliance with the homes minimum staffing notice with regard to numbers and skill mix. All of the three comment cards received from relatives indicated that they felt there was always sufficient numbers of staff on duty. One resident described the staff as “Marvellous” and another said “I pull the cord if I want the staff and they come quickly”. The efficiency of the laundry, domestic and catering services would indicate that the number of support staff is appropriate. The recruitment records of four recently recruited staff members were reviewed. Criminal Records Bureau checks had been obtained and references and POVA checks had been obtained prior to the person starting employment in all cases. Other documentation required was in place. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 18 Training is available for nursing, care and support staff and individual training records were kept. Records indicated that staff undertook regular training in mandatory health and safety topics, including infection control and food hygiene. Other appropriate training was available such as diabetes care, abuse and challenging behaviour and care of the dying. The cook has obtained a basic food hygiene course. Undertaking a more advanced level food hygiene course may further enhance her current knowledge. Staff members spoken to confirmed that they had undertaken training, one saying: “We get plenty of training --- you only have to ask”. Training records indicate the staff received induction training before commencing work in the home. Mrs Rogers stated that the induction course has been changed to ensure that it meets the new standards recommended by Skills for Care. NVQ training is available for care assistants and Mrs Rogers reported that out of fourteen care assistants, four had completed NVQ level 2 and three were currently undertaking an NVQ. Park View Nursing Home DS0000015936.V321468.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. The home is well managed and run in the residents’ best interests. The health, safety and welfare of residents and staff are promoted and residents’ financial interests are safeguarded. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 20 The homes registered manager, Angela Rogers, is a registered nurse who has worked in the home for seventeen years and who has been the matron for the last eight. Mrs Rogers had completed the Registered Managers Award and has undertaken a course in palliative care. Mrs Rogers continues to demonstrate strong leadership and a commitment to maintaining high standards. Residents were very positive about the manager and her management of the home. A visiting relative commented that “Matron is very good” and a resident described her as “very approachable”. Another resident said of the manager “I see a lot of her, she always asks if I’m ok”. Quality assurance systems include monthly residents and relatives meetings and annual questionnaires for residents and for their relatives, which had been sent out in October 2006. The manager had analysed the responses and, where appropriate, had given feedback either individually or during residents meetings. Staff are also made aware of the questionnaire responses. Audits relating to health and safety, infection control, care documentation and medication have been undertaken this year. A representative of Bothwells Ltd, the registered provider, carries out monthly visits and reports are produced and shared with the manager. The arrangements for handling service users money were checked and found to be satisfactory and secure. Audits are recorded and signed. No staff member is an appointee or advocate for residents’ finances. The health and safety arrangements were reviewed. Accidents are correctly recorded and the manager reviews accident reports and records any action taken. Hazardous substances were stored safely and staff are trained in there handling. Fire safety checks are undertaken and recorded and a current risk assessment is in place. Staff regularly attended fire training. All nurses currently held a first aid certificate, ensuring 24-hour cover in the home. Hot water temperatures are controlled and checked and all essential equipment is regularly serviced. Manual handling equipment is available and staff are trained in its use. Radiators are covered throughout the home. General risk assessments are in place. As the manager has overall responsibility for health and safety management, undertaking a risk assessor’s course may further enhance her ability to undertake this role. Park View Nursing Home DS0000015936.V321468.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 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 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 4 X 3 X 3 X X 3 Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 22 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. 1 2 3 4 5 Refer to Standard OP12 OP19 OP22 OP30 OP38 Good Practice Recommendations It is recommended that the opportunity for residents to access social activity in the community be reviewed. It is recommended that bedroom doors in poor condition are refurbished or replaced. It is recommended that the position of the staff rest area be reviewed. It is recommended that the cook undertake an advanced food hygiene course. It is recommended that the manager undertake health and safety risk assessment training. Park View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 View Nursing Home DS0000015936.V321468.R01.S.doc Version 5.2 Page 24 - 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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