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Inspection on 09/01/06 for Rosemary Park Nursing Home

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

This inspection was carried out on 9th January 2006.

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

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

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

Mrs Jeffery and the Managers of the units who support her positively support residents and staff. Staff work hard to meet the needs of the residents in a respectful and friendly manner. Communication and support between staff is good. Care records are clear and comprehensive; numerous comprehensive risk assessments are carried out to try to minimize risks to residents. Care records are updated regularly and residents have access to a Consultant Psychiatrist, a Consultant Psychologist and other outside health professionals routinely. Staff are knowledgeable about the residents their identified risks and their differing nursing, mental health and social needs they were seen to support residents with severe mental health difficulties in a caring manner. The home employs many overseas nurses; language is said not to be a problem because the company if necessary provides training. The Registered Providers are committed to improving services and staff support systems are in operation. The company has its own teaching unit in Portsmouth where staff are instructed in all levels of care from basic nursing care, clinical and mental health care through to management of residents with diverse needs and management of staff. Outside lecturers are also bought into the unit when necessary. The home has been accredited as a suitable training placement for adaptation students and during the inspection staff were seen to be positively mentored and supported by the Deputy Manager. The catering service is of a very high standard. There is a choice of good wellbalanced nutritious meals prepared by experienced and dedicated staff. The home is clean and homely and in the main well maintained, the maintenance staff do daily rounds of the home. Some staff accommodation and staff transport is provided.

What has improved since the last inspection?

Work continues to refurbish both the exterior and the interior of the premises. The staff training programme has been expanded and ancillary staff have also been offered training related to residents with mental health needs. A new security system is being installed which will evidence that checks on residents are being carried out at the required intervals. New kitchen equipment has been provided and air conditioning being installed. Some new flooring is being laid and a number of carpets re-laid. The requirements of the Fire Service have been complied with. Mrs Jeffery, and the 3 managers of the units have all recently completed their Registered Managers Award.

What the care home could do better:

One of the lounges in the main house is being extended and refurbished but progress is slow and residents have only one room in the main house to sit in at present. The medication procedures in one of the units are not satisfactory and the recording is below standard. The call bell system is not in good working order in some areas and some residents who were in their rooms did not have access to a bell although, it was noted that staff was checking them regularly. A small number of minor housekeeping issues which need attention were discussed with Mrs Jeffery.

CARE HOMES FOR OLDER PEOPLE Rosemary Park Nursing Home Marley Lane Haslemere Surrey GU27 3PX Lead Inspector Mrs A Peace Unannounced Inspection 9th January 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 Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 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. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosemary Park Nursing Home Address Marley Lane Haslemere Surrey GU27 3PX 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) 01428 643125 01428 652137 rosemaryparknh@yahoo.com Oldercare (Haslemere) Limited Mrs Patricia Ann Jeffery Care Home 78 Category(ies) of Dementia (56), Dementia - over 65 years of age registration, with number (56), Mental disorder, excluding learning of places disability or dementia (78), Mental Disorder, excluding learning disability or dementia - over 65 years of age (56), Physical disability (22) Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A total of 78 service users may be accommodated at any one time. Of whom 22 service users who are in the category MD over the age of 30 years may be admitted who have a physical disability (PD) due to a chronic progressive neurological organic disease. No service users may be admitted with an addiction problem or problematic acute psychosis. Service users in the category DE will be aged 50 years or over. 3. 4. Date of last inspection 19th June 2005 Brief Description of the Service: The service is privately owned by Oldercare (Haslemere) Limited. Rosemary Park is located in its own grounds on Marley Heights near Haslemere. Rosemary Park offers facilities to cater for residents of varying ages and levels of mental health illness and impairment. The home is separated into three different areas providing accommodation to meet the varying mental health needs. In the main house service users accommodation is on two floors, there are 27 single rooms and 6 double rooms available and a number of them offer en-suite facilities. This caters for service users suffering from a moderate or severe dementing (organic) illness. Communal facilities available consist of 2 lounges, a conservatory and a dining room. The Courtyard Wing is on one level and service users accommodation consists of 11 single rooms and 4 apartments, all offer en-suite accommodation. Communal facilities consist of a lounge, a conservatory and a dining room. The unit caters for service users suffering from enduring mental health problems or acquired brain injury. The East wing is on three levels, service user accommodation is on the first and second floor and consists of 18 single rooms and 2 double rooms all offer en suite accommodation. The unit caters for service users suffering from early or middle stages of dementing (organic) illness or long standing (functional) illness. A passenger lift accesses all areas with a security keypad system in operation throughout the home. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace and Mrs Annie Taggart Regulatory Inspectors carried out this unannounced inspection on Monday 9th January 2006. Prior to the inspection all records held on file since the last inspection were reviewed. During the inspection a tour of the home was carried out and the majority of the rooms visited. Records relating to the care of residents and the administration of the home, including a number of staff records were examined. A case tracking exercise for a number of residents in each area was carried out. Information was taken from their records since pre-admission and tracked to care being given, the continuity of that care and any equipment used. Staff were spoken to about residents and were aware of personalities and care needs. On arrival the home was warm, welcoming and clean, staff friendly and open with inspectors. Staff said they felt well supported by the company and senior staff. A number of residents were able to give an opinion about the home and the staff and were complimentary. Some of the comments from residents were: “This is a nice place to live”. “Very good home, food is good”. “I can talk about my problems to the staff and they listen”. “ We had a nice Christmas and I can now go to church”. “Sometimes I can go out to feed the ducks”. “I can choose when to get up out of bed”. There were no negative comments from residents. During the inspection inspectors were able to ask the opinion of a visiting Consultant Psychiatrist and a visiting Clinical Assessor, both were complimentary about the management within the home and the way the home operates. The conclusion of the Inspectors was that Rosemary Park continues to give a good standard of care from a caring and committed team who have the training and knowledge to care for residents with a wide range of mental health problems. No immediate requirements were made so a feedback form was not left at the home following the inspection. Any matters arising from the inspection were discussed with Mrs Jeffery at the conclusion of the inspection. Two Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 6 requirements were made following compilation of the evidence. These related to medication administration procedures in one unit and the call bell system. What the service does well: Mrs Jeffery and the Managers of the units who support her positively support residents and staff. Staff work hard to meet the needs of the residents in a respectful and friendly manner. Communication and support between staff is good. Care records are clear and comprehensive; numerous comprehensive risk assessments are carried out to try to minimize risks to residents. Care records are updated regularly and residents have access to a Consultant Psychiatrist, a Consultant Psychologist and other outside health professionals routinely. Staff are knowledgeable about the residents their identified risks and their differing nursing, mental health and social needs they were seen to support residents with severe mental health difficulties in a caring manner. The home employs many overseas nurses; language is said not to be a problem because the company if necessary provides training. The Registered Providers are committed to improving services and staff support systems are in operation. The company has its own teaching unit in Portsmouth where staff are instructed in all levels of care from basic nursing care, clinical and mental health care through to management of residents with diverse needs and management of staff. Outside lecturers are also bought into the unit when necessary. The home has been accredited as a suitable training placement for adaptation students and during the inspection staff were seen to be positively mentored and supported by the Deputy Manager. The catering service is of a very high standard. There is a choice of good wellbalanced nutritious meals prepared by experienced and dedicated staff. The home is clean and homely and in the main well maintained, the maintenance staff do daily rounds of the home. Some staff accommodation and staff transport is provided. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. The home has a pre assessment and assessment process and residents, relatives and their representatives are able to visit to ensure the home will be able to meet their needs. All of the residents had a contract. EVIDENCE: The Statement of Purpose and Service Users Guide was available. These documents give residents and their representatives a clear picture of what the home offers. Evidence from the case tracking exercise in all three units indicated that potential residents are visited and a pre assessment undertaken to establish if the home can meet their needs. Once admitted for a trial period a fuller assessment is undertaken and any risk assessments carried out. Care records were maintained to a good standard and Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 10 comprehensive risk assessments covering many potential risks were in evidence. All residents have contracts and current placement policy is to accommodate residents with a higher level of functional ability in The Courtyard Wing and residents who require a higher level of care in the Main House. The East Wing caters for residents suffering from early or middle stages of dementing (organic) illness or long standing (functional) illness. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Residents are cared for at Rosemary Park to a good standard and are respected and treated kindly by the staff. Staff meet the varying and diverse mental health and nursing needs of the residents in a friendly and professional manner. Specialist psychiatric support is provided. EVIDENCE: Mrs Jeffery is the Registered Manager and so has the overall responsibility for the care of residents. Mrs Jeffery is well supported by a deputy manager and two unit managers. It was clear to both Inspectors that the team at the home work well together, communicate well to staff and provide support to each other and the other staff. One member of nursing staff in the main house who was taking an exam in administration of medication and was seen to be supported and encouraged by the deputy manager and her colleagues which indicated that good working relationships are fostered at the home. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 12 The visiting Clinical Assessor was asked their opinion of the home and was complimentary about the home, the standards of care and the support, training and encouragement the adaptation students have from mentors. The inspectors were able to ask a visiting Consultant Psychiatrist his opinion of the home, he was complimentary about the management of the home, he said the care is good, staff are caring and he was confident that any treatment he prescribes is carried out to his instructions. A case tracking exercise was undertaken for a number of residents in all three units in which Inspectors looked at records and tracked care being given, to equipment used, and staff knowledge about those residents. Day and night care plans and risk assessments for medical, nursing, personal and environmental risks are clear and contained information staff need to care for the residents. Daily records of care are kept to ensure all needs are met on a daily basis and plans were regularly updated and showed the changing needs of residents. Records showed that specialist psychiatric services are available on a monthly basis from a Consultant Psychiatrist who visits the home and when necessary a Consultant Neuro Psychologist visits. Other visits from health professionals are recorded. Staff spoken to on each unit are aware of the individual needs of the residents in their care and in all 3 units were noted to speak to residents in a caring and sensitive manner. The Statement of Purpose records that behaviour modification programmes may need to be considered, but that this would be in discussion with the resident and their representatives. Out of courtesy overseas staff speak English while on duty and Englishspeaking courses are offered when necessary. Residents are able to make choices about their daily lives and activities and were seen to be able to maintain an independent lifestyle as safely as possible; some were still in bed through choice. Staff were noted to check on these residents but call bells suitable for their mental state should be wider available. The medication administration procedures in two units are satisfactory but one unit’s procedures are below standard. Tablets given to people on leave had not been recorded and there were gaps in the medicine administration charts. Mrs Jeffery was reminded that if tablets are not given or taken for a reason, the reason why should be indicated and the charts signed as evidence. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 13 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. A comprehensive range of activities is available for residents and the home promotes a lifestyle that respects the privacy and dignity of residents. The home operates an open door policy for family and friends if residents choose. Meals served are to a very high standard, varied, nutritious and well balanced. EVIDENCE: Following risk assessments residents can choose to stay in their rooms if they wish. Others use the lounges or conservatories. Activity co-ordinators undertake a range of activities with residents who wish on a regular basis. The occupational therapy department is busy and staff encourage residents to make full use of the facilities. The residents in the east wing and the courtyard tend to take part in different activities to the residents in the main house due the differing levels of dependency. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 14 A bonfire party and Christmas party have been held at the home recently. A visiting pantomime group entertained the residents and staff. Residents who could talk about the latest party were very pleased and said they had enjoyed themselves. Photographs were taken and residents who usually do not communicate well or cannot express themselves looked from the photographs as if they were having a good time and enjoying the celebrations. Comments made by residents are included in the summary. The kitchens were visited and the inspector was impressed by the quality and care given to delivering high quality meals for residents. The menus are on a four-week rotation, and there was a good selection of fresh food. Alternative menus are available and specialised diets catered for. Fresh fruit and snacks are available during the day. It was pleasing to note that although this is a large home the likes and dislikes of residents are recorded and kitchen staff show awareness of individual nutritional needs. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 15 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): 16,17,18. The clear complaint procedure enables those using the service or their representatives to have confidence that their complaint will be responded to within 28 days. The home operates the West Sussex Adult Protection Guidelines and staff have been trained to recognise abuse. EVIDENCE: There is a clear complaint procedure available. The Commission has received no complaints since the last inspection. One adult protection alert has been instigated since that last inspection. The home followed the correct procedure, found the allegation to be substantiated and took the appropriate action. The home kept all of the relevant people and agencies informed. One adult protection alert identified before the last inspection was investigated and although some problems relating to records was identified the entire allegation was not substantiated. Following this the home immediately put into place systems to ensure all records are appropriately maintained. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Residents live in a safe, clean and comfortable environment with aids and equipment to meet identified needs. EVIDENCE: The home is clean and fresh with no unpleasant odours detected during the inspection. The kitchens were inspected and all areas and equipment very clean. All areas are decorated and furnished in a homely fashion although a number of doors in the main house are still in need of attention. The resident’s rooms are comfortable and meet the needs of the residents. Residents and their relatives have been encouraged to personalise their rooms to make them more homely and to keep them as they wish. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 17 Locks are not routinely provided for all doors but at previous inspections it has been discussed that they could be, based on a risk assessment. Comprehensive environmental and personal risk assessments are carried out and are updated. Charts are kept in the bathrooms and were seen to be filled in by staff who test the water to ensure the bath water temperature is safe for residents. The maintenance staff carry out daily rounds and will carry out work as necessary. The home is in a rural area surrounded by wooded areas with lots of wildlife for residents to watch. Gardens in the immediate vicinity of the main house are pleasant and well maintained. Some seating is provided on the lawns and more supplied in the better weather. There is a patio to the rear of the main house which due to building work is not considered safe for residents at present. The Courtyard has furnished enclosed gardens which are well maintained and safe for residents to wander in or sit in. Call bells in a number of rooms were not working and some residents in the main house who stay in their rooms did not have one although staff were seen to check on them. However the inspectors were able to see that a new security system was being installed and Mrs Jeffery said that this could incorporate a call bell system. The windows in the main house are gradually being replaced and this has led to the improvement of the temperature in some of the rooms. The lounge in the main house is being improved so until this is completed residents are only using the one lounge although this did not seem to be a problem during the inspection. The driveway from the road, which belongs to The National Trust, has been relayed with funding provided by the Company. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. There is sufficient staff with the correct skill mix to meet the needs of the residents and staff have received training related to residents needs and health and safety requirements. The recruitment policy and procedure for the home is robust and protects residents. EVIDENCE: Duty rotas were available and these indicated that staff are employed with the appropriate skill mix to meet the needs of residents over the 24-hour period. Trained nurses and care staff work in three teams to cover each wing to ensure all areas of the home are covered by staff at all times. Residents who could offer an opinion were complimentary about all of the staff and the way they care for them. Rosemary Park along with other homes in the company is taking part in a research project with Surrey University for adaptation training for overseas nurses. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 19 The home meets the practical aspect of the course and oversee the theoretical learning. Supervisors and assessors already visit and will continue to visit the home to monitor standards. The records of staff employed since the last inspection were examined and found to be in order. Mrs Jeffery said that POVA (Protection of Vulnerable Adults) first checks are made by head office while awaiting CRB’s. The Inspector advised that the email to POVA from head office be copied to the home as evidence. Some staff accommodation and staff transport is provided. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38. The home is well managed and run in the best interests of the residents. Residents are protected by the environmental, health and safety practices of the home. EVIDENCE: Mrs Jeffery is The Registered Manager for the home and in the home is well supported by a Deputy Manager and two Unit Managers. Mrs Jeffery has a general and mental health nursing qualification. The majority of the senior nurses also have mental health qualifications. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 21 The home continues to be well run under Mrs Jeffery’s leadership to the benefit of residents. Mrs Jo Randall The Responsible Individual visits the home on a regular basis and sends informative monthly reports to the Commission on the conduct of the Care Home. Since the last inspection Mrs Jeffery the Manager, the deputy manager and the two unit managers have all successfully completed the Registered Managers Award. The Commission is kept well informed by the Managers of any incidents that occur at the home and they do make unannounced visits to the home during unsociable hours as part of the quality assurance programme for the home. The need to inform the Commission about specific incidents at the home was discussed. Mrs Jeffery informed the inspectors that the requirements from the last inspection by the Fire Service have been complied with. Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 2 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 23 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. 1 Standard 9 Regulation 13.2 Timescale for action The registered person shall make 28/02/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. CSCI to be informed of action taken by The registered person shall ensure that equipment provided at the care home for use by service users or persons who work at the care home is maintained in good working order. CSCI to be informed of action taken by 28/02/06 Requirement 2 22 23.2 (c) Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Rosemary Park Nursing Home DS0000024204.V276943.R01.S.doc Version 5.1 Page 26 - 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!