Inspection on 24/04/06 for Parkside Nursing Home Ltd

This inspection was carried out on 24th April 2006.

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

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

Other inspections for this house

Parkside Nursing Home Ltd 21/01/08

Parkside Nursing Home Ltd 30/07/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Parkside Nursing Home Limited Park Road Banstead Surrey SM7 3DL Lead Inspector Lisa Johnson Unannounced Inspection 24th April 2006 09:15 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 Parkside Nursing Home Limited DS0000067171.V292001.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. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkside Nursing Home Limited Address Park Road Banstead Surrey SM7 3DL 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) 01737 361518 01737 361833 Parkside Nursing Home Limited Kalsum Mohd Noh Care Home 26 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (26) of places Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 Brief Description of the Service: Parkside is a large detached property that provides nursing care to twenty six service users The home is situated near to Banstead village. Accommodation is provided on the ground and first floor. There are twenty-five bedrooms some have en-suite facilities. Passenger lifts access the first floor. The home has a main lounge/ dining area, which is used for activities, as well as serving meals. The home has a large garden and all areas have wheelchair access. There is ample parking available to the front of the home. The current annual fees for the home range from £525.23- £700 per week Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first field inspection carried out in 2006/2007. Mrs. L Johnson Regulation Inspector carried out the unannounced inspection, which took place over eight hours. Ms. K Mohd Noh the registered manager represented the establishment. Two additional inspections have been completed since the last key inspection to monitor requirements that had been made. Copies of these reports are available by contacting the Surrey Commission for Social Care Inspection office. The focus of this inspection was to review requirements made at the last inspection and to look at all the required key standards. Care plans, policies and procedures and other required documents were sampled. The inspector spoke to five service users who live in the home. The inspector also spoke to registered manager and five members of staff. Since the previous inspection there is a new owner in place and a new registered manager has been appointed. The inspector would like to thank the service users and staff for their hospitality and cooperation in carrying out this inspection. What the service does well: There was a relaxed, welcoming and friendly atmosphere in the home. Staff were seen to be interacting with residents and respectful in their approach. It was pleasing to see one member of staff sitting and reading with a service user who was in her bedroom. A choice of meals was available and the lunchtime meal was of a good standard and nutritious“. Service users spoken to were asked their view about the meals. All service users spoken to confirmed that the standards of meals were good. One service user stated, “If we don’t like what is on the main menu then you can something else, the food is very good here”. The home has completed individual care plans which detail the health, personal and social needs of individuals. Plans were signed by individuals or their representatives. One individual spoken to said “Staff are supporting me to do some tasks for myself, to maintain my independence”. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 6 Individuals spoken to state that the majority of staff are kind and caring. Another service user said, “The staff are lovely. One service user said, “Matron is approachable”. One relative spoken during the inspection confirmed that she was happy with the care her relative was receiving What has improved since the last inspection? The home has a new owner and a new registered manager. The new manager has made progress in ensuring that a number of outstanding requirements are being met. A requirement was made that the statement of purpose and service user guide must be provided to service users and contain all the required information. This has now been completed. All service users were issued with a written contract detailing the terms and conditions of residency. However due to the new provider taking over, these are in the process of being updated. A further requirement was made that these are issued and are agreed and signed by service users. All staff must receive relevant training to ensure that they have the skills and experience to deliver the care the service offers to provide. Progress has been made in achieving this requirement. The new registered manager maintains training schedules for each member of staff. Schedules sampled indicate that staff have received up-to-date mandatory training which includes moving and handling, infection control, health and safety, fire awareness and food hygiene. A further requirement was made that all staff receive training in the protection of vulnerable adults. This has now been completed. At the previous inspection a requirement was made that all service users must have a completed care plan which sets out in detail the action which needs to be taken by care staff to ensure that all aspects health, personal and social care needs of the individual needs are met. This requirement has been met. The inspector sampled four care plans, which had also been signed by the individual or their representative. A requirement was made that adequate equipment is provided for individuals in the prevention and treatment of pressure sores. This requirement was met. The home has now acquired adjustable beds for all individuals. A previous requirement for complete and accurate records for all medications administered to service users has been completed. Policies and procedures have been reviewed and updated. The medication cupboard is now secured on the wall. A requirement was made that the policy and procedure in relation to service users finances has been reviewed and updated. A requirement was made that service users rooms are fitted with locks and all service users given a key, unless their risk assessment states otherwise. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 7 A further requirement was made that storage areas for wheelchairs is provided. Although separate storage areas have not been provided equipment such as wheelchairs were stored in service users rooms and appeared satisfactory. The infection control procedure for the home has been updated and reviewed. The maintenance of electrical systems and equipment has been completed and the home has acquired an electrical wiring certificate. A requirement was made for the previous registered manager in respect that a management qualification is undertaken. The new manager has recently been interviewed and appointed as the registered manager and has completed the Registered Managers Award. The registered manager has implemented quality assurance questionnaires and the outcomes have been collated. What they could do better: All service users have individual contracts detailing the terms and conditions of the residency. However all individuals require a copy of the new contract. An activities programme has been implemented which identifies what the home offers. However some service users due to their health needs are unable or do not wish to attend group activities. A requirement was made that where activities are provided on a one to one arrangement and suits their preferences this should recorded on the individual plan. This is to ensure that activities provided are flexible and varied to suit service users expectations and preferences. A written record is maintained in the home of all meals consumed by individuals that are not recorded on the menu. However when this record was sampled there were found to be some gaps in recording. A requirement was made that an accurate record is maintained of all meals eaten. The home requires improvements in its maintenance and its décor. The new responsible individual has submitted an application to the local council to gain permission to carry out building works to the house to extend the size of the sitting and dining room, which is presently insufficient. The inspector was informed that new armchairs and dining room furniture has been ordered and is expected to be delivered shortly. The window frames downstairs require Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 8 replacement. The home requires redecoration throughout and a number of carpets require replacement. A further requirement was made that the home must provide the Commission for Social Care Inspection with a programme of maintenance and decoration. This is to ensure that service users have a comfortable, well-maintained home to live in. Some of the bedrooms have en-suite bathrooms which are inaccessible to service users. There are three assisted bathrooms, which is not sufficient for the number of service users in the home. Since this inspection the responsible individual has informed the inspector that the baths are to be converted to showers. A requirement was made that sufficient bathing facilities are provided to meet the needs of the service users. One bedroom was found to have a pervading odour and a requirement was made that the carpet in this room was cleaned. This is to ensure that service users have hygienic, pleasant and comfortable room to live in. Although progress has been made in ensuring that staff have been receiving training in the protection of vulnerable adults, a requirement was made that the manager attends the local authority protection of vulnerable adult training. This is to ensure that she has gained full knowledge of the local authority policies and procedures to protect service users from abuse. It is also recommended that all staff that act in shift leader roles attend this training. Four staff personal records were sampled and it was evident that two members of staff who have been working in the home for a long period of time did not have two required references on their files. A requirement was made that that these references must be obtained. This is to ensure that service users are protected by the homes recruitment policy and practices. The home has not met its requirement in ensuring that fifty percent of care staff achieving a national vocational qualification. At present only two care staff hold these qualifications. However the inspector was informed that six staff have been registered on to the programme to commence the course. A further requirement was made that staff complete this training. This to ensure that service users are supported by appropriately qualified staff. A requirement was made that the responsible individual attends the home to carry out a monthly quality visit (Regulation 26) to ensure that the standards of care provided in the care are monitored. The registered manager must maintain a written copy of the outcome of this report in the home. A fire exit in a downstairs bathroom was found bolted and was difficult to open. This was serious concern and an immediate requirement was made that the exit was made accessible. This is to ensure that service users live in a safe, well-maintained environment. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 9 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. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 10 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 Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 11 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 The home is able to demonstrate that pre-admission assessments are completed with prospective service users prior to admission. The home does not admit service users for intermediate care. Each individual has been issued with a contract detailing the terms and conditions of the home. The home is able to demonstrate that it has produced a Statement of Purpose and service user guide is made available to all service users in the home. EVIDENCE: A pre admission assessment is completed prior to any service user moving into the home. Documentation was sampled for a service user who had recently moved into the home an up-to-date assessment was available covering health, personal and social needs. Each individual has been issued with a contract detailing the terms and conditions of the residency. However this document has been reviewed in light of new owners taking over the home. A further requirement was made that service users should agree and sign the new contract. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 12 The home has produced a statement of purpose and a service user guide is made available to all individuals. During the inspection service user guides were seen in some individuals rooms. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 13 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 Each service user is provided with a care plan, which details the individual’s health, personal and social needs. The registered manager ensures that individual’s health is maintained and that health care services are accessed. Service users are protected by the homes medication policies and procedures. The home is able to demonstrate thatindividuals privacy and dignity is respected. EVIDENCE: Parkside Nursing Home Limited DS0000067171.V292001.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Service users were offered a range of recreational and social activities, but needs to ensure that the needs of service users who do not wish to attend group activities are met. Service users maintain links with their families and friends. The home is able to demonstrate that service users are offered a well balanced diet and choice of meals. EVIDENCE: The home has made progress in producing an activities timetable and provides leisure and social activities if residents wish to join in such as bingo, music and movement, reminiscence and weekly entertainment such as concerts. One individual said “There is a church service every week but I choose not to go” and weekly entertainment. One individual spoken to said “ The Christmas and Easter shows were good”. The inspector was informed that the home was going to hold a summer garden party. Some service users spoken to said they had chosen not to attend activities as this was their preference not to. During the inspection one staff member was observed to spending time interacting with a service user in their room. However a requirement was made that the individual needs of service users who are unable to attend activities are supported and this must be recorded in the activities programme and individual plan. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 15 Service users maintain contact with relatives who visit the home and during the inspection were seen to be visiting their relatives in private in their rooms. One individual displayed pleasure in showing the inspector her favourite possessions that she had bought into the home. Many individuals had photographs of their family and friends on display. The lunchtime meal was seen and was of a good standard and nutritious. The meal consisted of a main course, desert, cheese and biscuits with fruit and refreshments. The mealtime was unhurried and relaxed. Staff were observed to be sitting and interacting with service users who required assistance with eating. Service users spoken to all expressed that they were happy with the meals provided. One individual stated, “ If you don’t like what’s on the menu you can have what you like”. A record is maintained by the home of other meals provided that are stated on the menu. However there were some gaps in recording. A requirement was made that an accurate record must be maintained for all meals that are consumed. Parkside Nursing Home Limited DS0000067171.V292001.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home is able to demonstrate that there is an accessible complaints procedure in place. Policies and procedures were in place that ensures that residents are protected from abuse. EVIDENCE: An adequate complaint procedure was in place and is accessible. There have been two complaints logged since the last inspection, which the registered manager had responded to. One resident spoken to said, “Matron is nice and she is approachable”. Two other individuals spoke said the majority of staff are very kind and pleasant”. A relative spoken to stated she was happy with the care provided and felt that staff were approachable. A protection of adult’s procedure was in place. The local authority procedure for the protection of vulnerable adults was available. All staff have now received up-to-date training in the protection of vulnerable adults training. Three staff spoken to were clear in their responses as to what action that they would take if they ever witnessed any abuse. However a requirement has been made that the registered manager attends the local authority protection of vulnerable adults training as well so that she has obtained all of the required information. This is to ensure that service users are protected from abuse. It was also recommended that all staff that takes charge of shifts attend this training as well Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 17 Parkside Nursing Home Limited DS0000067171.V292001.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 & 26 Improvement in the decoration, maintenance and fabric of the home is required. This is to ensure that service users will have an improved pleasant and comfortable place to live. The number of accessible bathrooms for the use of service users is insufficient. Facilities must be increased to meet the needs of individuals. One bedroom carpet requires cleaning. This is to ensure that individuals have clean and pleasant bedrooms to live in. EVIDENCE: The home requires extensive work to improve its facilities. The inspector was informed that the responsible individual has submitted a plan to the local council to gain permission to undertake building work to extend the size of the sitting and dining room, which is presently insufficient in size. The outcome of this application is to be announced shortly. The home requires decorating throughout and carpets require replacement. The inspector was informed that the home is awaiting delivery of new armchairs and dining room furniture. A requirement was made that the registered individual supplies a programme of Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 19 maintenance for refurbishment, decoration and renewal of fabric in the home. This to ensure that service users have a comfortable and pleasant home to live in. Some of the bedrooms have en-suite bathrooms and the inspector was informed that these bathrooms are inaccessible for service users due to space requirements. The inspector was informed that these may be changed to showers. Presently there are three assisted bathrooms, which is insufficient. A requirement was made that sufficient bathrooms are provided to support the needs of service users. The kitchen was clean and hygienic, cleaning schedules were in place. Infection control procedures were in place. Separate laundry facilities were provided. However one upstairs bedroom had a pervading odour. A requirement was made that the carpet in the room is cleaned. This is to ensure that service users have comfortable rooms to live in. Parkside Nursing Home Limited DS0000067171.V292001.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Staffing levels in the home were sufficient to meet the needs of service users. The registered manager needs to ensure that fifty percent of the care staff have achieved national vocational qualifications (level 2). This is to ensure that service users are supported by appropriately qualified staff. The registered manager needs to ensure that references for all staff are available on personal files. This is to ensure that service users are protected by the homes recruitment policies and procedures. The home is able to demonstrate that staff are receiving training and development. New staff receive induction training. This is ensures that service users are supported by staff who are competent to do their jobs. EVIDENCE: The staff duty rota was examined and levels were found to be adequate. The home employs qualified nursing and care staff. During the day one registered nurse and three carers are on duty and at nighttime there is one registered nurse and two carers. The home also employs a housekeeper, laundry, catering, maintenance and administration staff. Training and development schedules were sampled and it was evident that mandatory training for all staff has been updated including health and safety, food hygiene, fire awareness, first aid, infection control and manual handling. The company employs a training coordinator and arrangements are in process for staff to receive training in dementia awareness. All new staff receive induction training. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 21 The home has not met a requirement in relation to ensuring that fifty percent of staff having gained a National Vocational Qualification (level 2). The inspector was informed that six staff have now been registered on to the programme. A further requirement has been made that this training is completed. This is to ensure that service users are supported by appropriately trained staff. Four staff files were sampled and were generally of a good standard and obtained all the required documentation. However two members of staff who have worked in the home for some time didn’t have two references on their file. A requirement was made that this information must be supplied. This is to ensure that service users are protected by the homes recruitment policies and procedures. Parkside Nursing Home Limited DS0000067171.V292001.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 The registered manager is qualified and is experienced to run the home. Effective quality assurance systems are in place. However the Responsible Individual must carry out a monthly quality visit (Regulation 26). This is to ensure that the home is meeting the aims, objectives and statement of purpose of the home. Policies are in place to ensure that service users finances are safeguarded. The home is able to demonstrate that staff receive formal supervision. Health and safety policies and procedures are in place. The manager must ensure that fire exits are accessible. This is to ensure the health, welfare and safety of service users. EVIDENCE: The registered manager is a qualified nurse and has undertaken training and development and has experience of managing a registered home. Staff spoken Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 23 to say that were happy with the new managers leadership and one staff member stated, “She is making a difference and getting things sorted out”. The registered manager has implemented quality assurance questionnaires and is completing a self-audit tool to monitor the progress of standards in the home. The home holds residents meetings. However a requirement was made that the responsible individual visits the home monthly to conduct a quality monitoring visit and that a written record of this visit is maintained in the home. The home does not handle any finances or hold any cash on behalf of service users. A policy is in place in respect of safeguarding service users finance. Staff Supervision records were sampled for four individuals, which confirmed that staff are receiving regular supervision. Three staff spoken to confirmed that they receive individual supervision meetings. All policies and procedures in the home have been updated and a number of records were sampled. The company undertakes health and safety visits, regular water testing is completed, up-to-date certificates are in place for gas and electricity and water including legionella. Up-to-date records were in place for lift servicing and hoist servicing. Accident procedures were in place, which were sampled and were observed to be completed appropriately Fire records were examined which were up to date with regular checks and drills recorded. However a fire exit in a downstairs bathroom was found bolted and was very difficult to open. A requirement was made that this door must be made accessible to ensure the health, welfare and safety of service users in the event of a fire. On examination of the kitchen fridge some opened food in stored containers had not been labelled. A requirement was made that labels must be supplied to ensure that food hygiene legislation is met. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X N/A X 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 1 X 1 X X X X 1 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 2 Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP2 Regulation 2 Requirement The registered manager must ensure that all service users and/or representative receive and sign the new contract detailing the terms and conditions of residency. (Previous requirement 23/3/06 not met). The registered manager must ensure that activities undertaken with residents who spend time in their rooms and do not wish to join in-group activities must be recorded how this is achieved as part of the activities programme and on individual plans. The registered manager must ensure that accurate record must be maintained of all meals consumed that are not recorded on the homes menu. This is to provide a clear record of anything eaten by service users in the home. The registered manager must attend the local authority protection of vulnerable adults training. a) The Windows require DS0000067171.V292001.R01.S.doc Timescale for action 08/05/06 2 OP12 14(1)(a) 24/05/06 3 OP15 (17)(2) (Schedule 4) 24/05/06 4 OP18 13(6) 24/05/06 5 OP19 23 (1)(a) 24/05/06 Page 26 Parkside Nursing Home Limited Version 5.2 Replacing in the down Stairs windows. b) A programme of routine Maintenance must be Implemented for Decoration and renewal Of the fabric in the home (Previous requirement 23/3/06 not met). The registered manager must ensure that sufficient bathing facilities are available to meet the needs of the service users. The registered manager must ensure that a carpet in an upstairs bedroom is cleaned. The registered manager must ensure that fifty percent of the homes care staff hold national vocational qualifications The registered manager must ensure that all staff have copies of two references on their personal files. The responsible must undertake a monthly quality visit to the home and maintain a copy of a written report. The registered manager must ensure that the fire exit in the downstairs bathroom is made accessible. The registered manager must ensure that opened food in the fridge must be labelled with the date when it was opened 6 OP21 23(2)(j) 24/07/06 7 8 OP26 OP28 23(2)(d) 19(1) 08/05/06 24/08/06 9 OP29 19(1)(b) (Schedule 2) 26 24/05/06 10 OP33 24/05/06 11 OP38 23(4) (b) 24/04/06 12 OP38 16(2)(j) 24/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000067171.V292001.R01.S.doc Version 5.2 Page 27 Parkside Nursing Home Limited 1 Standard OP18 It is strongly recommended that all staff working in the home that act as shift leaders attend the local authority protection of vulnerable adult training. Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkside Nursing Home Limited DS0000067171.V292001.R01.S.doc Version 5.2 Page 29 - 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. 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