Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/11/06 for Redmount Nursing Home

Also see our care home review for Redmount Nursing Home for more information

This inspection was carried out on 14th November 2006.

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

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

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

The home is well managed by the Registered Manager and the Administration Manager who work together to achieve the establishment`s aims and objectives. The care teamwork well together to provide a high standard of care that is well received and documented. The information gathered prior to admission is very comprehensive reducing the risk of the home not being suitably prepared when the new service users arrive. The service users records are well structured and hold good levels of information that is useful during the regular care planning reviews that take place. The organisation provides good levels of training, by its own trainers, on subjects appropriate to the service that the home is delivering and provides evidence of that which has taken place. There are sets of comprehensive forms, policies and procedures covering many subjects that guide planning and documenting care very well.

What has improved since the last inspection?

There have been environmental changes that have been made for the comfort of the service users such as new lounge chairs, new carpeting in the lounges and dining room and new dining tables and chairs.

What the care home could do better:

The inspector reported on the unsuitable provision for bathing at the home in December 2005. This has not been addressed and should now be done as apriority given the numbers and needs of the service users accommodated at the home.

CARE HOMES FOR OLDER PEOPLE Redmount Nursing Home Your Health Ltd 21 Old Totnes Road Buckfastleigh Devon TQ11 0BY Lead Inspector Doug Endean Unannounced Inspection 14th November 2006 10:00 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 Redmount Nursing Home DS0000028789.V310758.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. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redmount Nursing Home Address Your Health Ltd 21 Old Totnes Road Buckfastleigh Devon TQ11 0BY 01364 642403 01364 643187 redmount@btinternet.com www.yourhealth.ltd.uk Your Health Ltd 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) Mrs Patricia Jane Knowling Care Home 42 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (10), Physical disability over 65 years of age (35) Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Registered for maximum 10 OP Registered for maximum 10 DE (E) service users 65 years and over Registered for maximum 10 MD (E) service users 65 years and over Registered for maximum 35 PD (E) service users 65 years and over Date of last inspection 14th December 2005 Brief Description of the Service: Redmount Nursing Home is situated within 150 yards of the main street of the rural town of Buckfastleigh, which is on the edge of the Dartmoor National Park. It is also just a short distance from the A38 / A384 junction at Buckfastleigh, the A38 leads to the cities of Plymouth and Exeter. The home is a large detached property that has been extended and adapted to provide care to physically disabled people who need both personal and nursing care. It is part of a group of homes that operate under the company name of Your Health Ltd. The accommodation is arranged on three floors that are served by two shaft lifts and two staircases. Service Users rooms, communal space and the kitchen area are contained on the ground and first and second floors. The office, a meeting room/staffroom and laundry are situated on the lower ground floor. There are several car parking spaces available at the front of the home. The small garden and patio areas are accessible to all Service Users including those in wheel chairs. There are 26 single rooms and 8 shared rooms, the majority of which have en-suite facilities. The home is registered to cater for 42 Service Users (aged 65 and over), 35 of which are registered for Service Users who require nursing care. The home has disabled toilets and bathrooms, and a variety of equipment including hoists and pressure relief aids that are available for Service Users who have been assessed as needing them. The home has a registered nurse on duty at all times. An experienced registered nurse and an experienced administrative manager, manage the home. The homes fees commence at £300 for residential care and £450 for nursing care. In addition to this the service users pay for their choice of newspapers via invoice from the paper shop, hairdressing that commences £6 and for the services from the visiting beautician. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 14th November commencing at 10:00 hours and lasted a total of 5 hours and 45 minutes. In that time the inspector discussed the homes practices with the Clinical and Administration managers, looked at four service users files and three staff files. He also spoke to the four service users whose files he had read among others, and one visitor, and interviewed one care staff member as well as the two managers. There was a full tour of the home and many of the service records were looked at. The inspector received a completed pre-inspection form from the home, one relatives comment card, five service users comment cards and five care staff comment cards. What the service does well: What has improved since the last inspection? What they could do better: The inspector reported on the unsuitable provision for bathing at the home in December 2005. This has not been addressed and should now be done as a Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 6 priority given the numbers and needs of the service users accommodated at the home. 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. Redmount Nursing Home DS0000028789.V310758.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 Redmount Nursing Home DS0000028789.V310758.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): The homes performance was assessed against Standards 1 and 3. Standard 6 is not applicable. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose is very informative. The pre-admission assessment format is very well constructed. The completed document provides valuable information to the Registered Manager to make her decision about the appropriateness of an admission. EVIDENCE: The home has a well-constructed Statement of Purpose and the inspector saw that there was a copy in every service users bedroom. One visitor told the inspector that they had read the Statement of Purpose and had also read it to the person they were visiting on a couple of occasions and had found its content to be useful in informing them of what they could expect of the home and the homes complaints procedure. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 9 All five of the service users questionnaires stated that they received enough information about the home before they moved in and one wrote, “The manager gave all the information requested and a tour of the home. It felt right, and had a very homely atmosphere.” The Registered Manager showed the inspector the format that is used to assess all prospective service users for their suitability to be admitted to the home. The inspector then looked at four service users files and verified that this document had been completed in each of the randomly chosen service users files. The assessment does cover such areas as medical presentation, communication and nutrition among a total of 14 areas. The inspector was told that if some information were not available at the time of assessment it would be added to the form as it was made available. The inspector also saw referral notes from the National Health Services and Social Services that played a part in the initial assessment of service users. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of care guided by well-constructed care plans that are agreed with the service users. The standard of record keeping is high. EVIDENCE: The inspector read a total of four service users files that then formed the basis of case tracking within the home. Each file was well-structured and held clear risk assessments and care plans that had been regularly reviewed with notes made on each occasion. Risk assessments covered areas such as tissue viability, pressure mattress assessment and wound care plans where this had been necessary. There were manual handling assessments, risk of falls assessment, and bed guard use assessment as part of the “maintaining a safe environment, safety in bed” form. Service users are also chose the gender of staff they wish to have deliver their care. The service users and their advocate Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 11 are invited to be a part of the care planning process and sign the plans when they agree to them. The home also collects regular information on the service users such as monthly weights and Waterlow scores. Nutrition is assessed and monitored regularly. Where assessment indicates an ongoing problem the staff carry out regular reviews of the service users temperature, pulse, respiration and blood pressure. A separate sheet is used to record the visits made by the General Practitioner and any changes in treatment. The service users are only examined in the privacy of their own bedrooms. There were also care staff daily review notes and regular registered nurse review summaries. The home has arrangements for service users to receive services from other health care professionals such as the dentist and chiropodist who were in the home during this inspection. The medication related activities in the home are managed only by the registered nurses. A monitored dose system is favoured. Storage is secure and the administration records were good and included a sample signature of the staff that administer medication, and photographic identification of service users. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against Standard 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the interests of the clients and their views are listened too by the management and staff. Activities are at an appropriate level and meet social and religious needs. There was a comfortable relationship between visitors to the home and the staff and management. The assessed nutritional needs of the service users are met by a well prepared and presented meals. EVIDENCE: The pre-admission assessment form was seen to have gathered information about the hobbies and interests of the service users and what their social needs are. From his information the home has organised a range of activities for the service users that occur at different intervals. These are recorded in the pre-inspection form that was received by the Commission for Social Care Inspection. It identifies that the religious needs are met in the home through multi-denominational communion on a monthly basis and service users can attend their church of choice if they chose to do so. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 13 A variety of entertaining events occur such as singing for pleasure and tranquil moments. The service users also enjoy cream teas and ice cream afternoons when old films are shown in the lounge. Some of the entertainment also has a therapeutic outcome such as indoor games and gentle exercise. The service users can organise their own entertainment and the home does assist when individuals go shopping or out for a drive with friends. The home does not have its own transport at the moment for groups to go out fop a drive. During this inspection the inspector noted that a large number of the service users were quiet frail and would need a lot of support and specialist transport to go out from the home for a leisure drive. The service users can receive visitors at any reasonable time and may chose to see them in a communal area or in the privacy of their own room, which in many cases have been personalised with their own property to suit themselves. One visitor did speak to the inspector and did comment on the Statement of Purpose that had been read and her clear understanding of the role of the management team at the home. One relative also responded by using the Commission for Social Care Inspection comment card that recorded their satisfaction with the service. Visitors were seen to come and go and to talk freely with the staff and management about day-to-day issues in a comfortable way. The service users are able to make choices and these are recorded in their file and also incorporated in their care plans. They are able to state what gender of staff provides them with intimate care, what they chose to eat and whither they will take part in the organised activities. Only one service users manages their own affairs whilst several are subject to a Power of Attorney. The home does not manage the affairs of any of the service users. The home has a well-designed kitchen with specific areas for washing, preparing and cooking food. The Chef has worked in the care home industry for many years and does produce well balanced diets that meet the nutritional needs of each of the service users as has been assessed by the Registered Manager. The menus are displayed on the orientation board in the lounge and the service users are able to make any choices known to the chef if they do not want the planned main meal. The inspector saw the main meal being presented in a variety of ways to the service users such as pureed, diced and whole. The service users were asked about their level of enjoyment of the food and each said that they enjoyed their meals. There is a choice of where meals are served, the dining room, lounge or in the privacy of the service users own rooms. At present more than half of the service users need some level of assistance with their meal and this was seen to be given in a dignified way. Regular hot and cold drinks and snacks were given throughout the course of the inspection to the service users. At breakfast time the service users also have a wide choice of what they will eat from cereals to toast and a full cooked breakfast. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): The homes performance was assessed against Standards 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes complaints procedure is clear and displayed in a very satisfactory way. The homes attention to adult protection via recruitment and training is good. EVIDENCE: The homes complaints procedure is displayed in the main reception area and in the statement of purpose that is in every bedroom. The inspector saw the complaints book that will be used to record any complaint, details of their investigation and outcomes. The inspector saw the homes complaints book that held detail of two concerns that had been raised and addressed in the last 12 months. The home asks in their quality assurance questionnaire for the client’s “Do you know whom to complain too?” During the tour of the home that inspector spoke to several of the service users who were aware that if they had a complaint they should raise it with the management in the first instance. The manager told the inspector that all staff have a POVA First check and Criminal Records Bureau check and staff recruited from overseas also have a police check from their country of origin. The inspector looked at four staff files to verify this information. Further information was provided on Criminal Records Bureau checks in the returned pre-inspection form. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 15 Adult Protection training has been provided to the staff from the company trainer and the inspector saw evidence of this in the sampled staff files. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 16 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): The homes performance was assessed against Standard 19, 20, 21, 24 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The location and design of the home make it suitable as a care home that can provide nursing care. However the useable bathing facilities are not in sufficient numbers for the number of service users the home can cater for, and also not in reasonable proximity to service users bedrooms. EVIDENCE: The home is conveniently located on the edge of the rural town of Buckfastleigh whose main street and facilities are on the level and just a short walk away. There are links to the cities of Plymouth and Exeter via the A38, which runs past the home and whose entry and exit is with half a mile of the home. There is a bus stop a short distance from the home. There are several Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 17 parking spaces at the entrance to the home for visitors and level access to the front entrance that has a call bell to achieve entrance to the home. The home employs its own maintenance man who keeps very good records of all the work he is involved in such as general maintenance to testing of water temperatures weekly, weekly pressure relief mattress checks, checks of bed guards (cot sides), wheel chair and commode checks for safety and cleanliness. The maintenance man also caries out general decorating whilst larger work is carried out by contractors. The registered company has contracts for maintenance of larger items such as the two shaft lifts that were seen and maintenance records verified the work has been carried out. Other records of maintenance were seen such as water sterilisation, hoists services and examination of the house wiring within the last five years. There have been some improvements in the areas that are used by the service users such as new lounge chairs, and new carpets having been fitted in the communal areas. The dining room has new carpet and new dining room tables and chairs. The home has good levels of communal space on the ground floor that includes a lounge, dining room and a conservatory. The communal areas are well lit by natural light during the daytime. There are en-suites toilets in most bedrooms and five of these also have ensuite shower facilities. The manager is now able to provide adjustable beds where they have been assessed as needed for individual service users. The last inspection in December 2005 identified that the bathing facilities at the home had been reduced with one bathroom on the first floor being changed into a storeroom and the bathtub had been removed. On the ground floor a shower room had the floor removed making it unsuitable as a shower room. A regulation was made to rectify this by the end of March 2006. The inspector noted that no obvious work has been undertaken to rectify the problem at the time of this inspection. The ground floor has one bathroom potentially for 13 service users. The first floor has one old style wheel in shower cubical for potentially 16 service users. The second floor has one shower for potentially six service users. This does not now meet the number of facilities required by the National Minimum Standards the formula being at least one assisted bath (or assisted shower providing this meets residents needs) to 8 service users for pre-existing care homes at 16th August 2002. The present occupancy is greater than the recommended capacity that three bathrooms would provide for. The home has its own large laundry that is well equip with commercial dryers and a washing machine that have sluicing cycle. Staff have been instructed in the area of infection control and they use gloves and aprons when managing care. The home has good policies and procedures in place for managing clinical waste and dealing with spillages. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 18 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): The homes performance was assessed against Standard 27,28,29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are adequate numbers of staff working in the home that have achieved a satisfactory level of training to meet the needs of the client’s. The recruitment procedures are robust and staff files are well constructed. EVIDENCE: The home provided information in the pre-inspection form to show that it provides adequate numbers of care staff and registered nurses over the 24hour day. Four weeks of duty rotas were provided. The relative commented card received stated that they felt staff levels were adequate. Four of the five service users who responded also stated that they felt that staffing levels were adequate. One service user said, ”In spite of a very heavy load and some staff shortages due to holiday leave, I am always helped when I need it” and also “I am not always able to ask for assistance, but the staff attend to my needs without being asked”. In addition to care staff and registered nurses the home employs a maintenance man, Head cook, cleaners and kitchen assistants. The company has invested in its own trainers and there was evidence, in the sample of staff files seen during the inspection, to show that the staff have received a good induction into the home and also that the ongoing training has been appropriate to the task. More than three days paid training has been Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 19 provided included Manual Handling, food hygiene and infection control as well as fire training and drills. The home has not invested in the National Vocational Qualification in care although four staff hold this qualification. A large percentage of the staff do not speak English as their first language and are learning to improve their command of English. Until they are proficient this training would not be suitable to them. Some of these staff holds a professional qualification, including that of registered nurse, in their country of origin. Four staff files were read by the inspector and found to be complete including photographic identification and work permits for overseas staff. The preinspection form also provided information on why staff had left including that one did not meet the standard required by the home. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 20 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): The homes performance was assessed against Standard 31, 33, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is very well managed by experienced people who also communicate well with visitors to the home and the Commission for Social Care Inspection. EVIDENCE: The home now has an experienced Registered Nurse with Nursing Home management experience as their Registered Manager. She has current knowledge and experience working with people who fall within the category of registration that the home takes. The home also has its own Administration Manager who is equally experienced in her role and works along side the Registered Manager. Together they have provided a safe environment for the Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 21 patients to live in and the staff to work in using the resources available to them. This includes equipment such as hoists, gloves and aprons, training such as Health & Safety and infection control and good building maintenance. They have many risk assessment tools to assist them in planning to meet the service users needs and these were seen in use in the four files that were read by the inspector during the inspection and in the procedures folder that was also seen. Both of these managers are undertaking the National Vocational Qualification at level 4 in Management. The Managing Director, who is also a Registered Nurse, monitors their performance on her monthly visits when she also produces a Regulation 26 report for the Commission for Social Care Inspection. This also provides the home with part of its quality assurance information. Further quality assurance takes place using such things as service users questionnaires, relative’s questionnaires, staff supervision and appraisal. The inspector saw completed questionnaires. Methods of quality assurance were discussed during the inspection. The Commission for Social Care Inspection received completed questionnaire from five service users, one relative and five staff that each held complimentary information about the care and management of the home. The home does not manage the affairs of any of the service users. Where pocket money is managed the Administration Manager has provided evidence to show how money is handled. This was demonstrated as the chiropodist was at the home during the inspection and provided his invoice of service users he had attended to. There are short-term safe keeping facilities in the home. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 22 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 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X 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 3 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 2 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 Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 23 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 OP21 Regulation 23(2)(j) Timescale for action The registered person should 28/02/07 make arrangements to reinstate the bathing facilities to provide sufficient numbers of bathing and shower facilities with hot and cold water supplies to meet the needs of the service users in line with Department of Health guidance. Outstanding from previous inspection. Date Revised. Requirement 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 Refer to Standard OP28 Good Practice Recommendations When staff are able, National Vocational Qualification training in care should be planned for. Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Redmount Nursing Home DS0000028789.V310758.R01.S.doc Version 5.2 Page 25 - 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!