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Inspection on 18/09/06 for Rushden Park Nursing Home

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

This inspection was carried out on 18th September 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

Residents` felt that they had received enough information before they moved into the home and the assessment process enables the home to make a decision about whether their needs can be met is thorough.The majority of residents and their relatives are happy with the care and support that they get and they are involved in agreeing the content of the care plans, which are designed to direct the care, provided. Visitors are encouraged and welcomed into the home and visiting arrangements are flexible. The food is good and residents` are provided with choices. The home is comfortable, well decorated and maintained and there were no unpleasant odours. Residents` bedrooms were light and comfortably furnished and contained various personal items such as pictures and ornaments, creating as homely an environment as possible. Staff were describes as being extremely friendly and very kind and attentive. There is an experienced registered manager in the home who was receptive to feedback given during the inspection and expressed a commitment to addressing any inconsistencies in the care for some residents`.

What has improved since the last inspection?

All previous requirements have been met. These included a requirement about care planning and requirements relating to checks on emergency lighting, the fire alarm system and staff training in fire procedures.

What the care home could do better:

While questionnaires received from residents identified that the majority were happy with the care provided, some examples of residents` care needs not being fully met were given. Although the specific residents` could not be identified the registered manager committed to looking at addressing any shortfalls in care. Improvements are needed to some of the care plans to ensure that clear direction is given to staff as to how to support residents` needs at whatever level is appropriate. For example information contained within a care plan for a resident with dementia said that they couldn`t take part in the home`s activities due to their condition. This also indicates the need for a better understanding of the needs of people with dementia. A staff member was also unaware that a resident was registered blind which identified that the care plans are not being effectively used to support residents` care. The recruitment process appeared to be quite thorough with appropriate references and checks on prospective staff being made. However it was identified that one member of staff had started work prior to a criminal recordbureau clearance being received or a check against the protection of vulnerable adults register. This has the potential to put residents` at risk. Particular consideration should be given to the specific needs of people with dementia in relation to activities. A relative of a resident with dementia said that they never take part in the activities and the care plan for another resident with dementia included the statement "due to ---condition, -- can`t attend homes activities". These findings indicate the need to consider individual needs in relation to activities to ensure that all residents receive activities and stimulation appropriate to their needs and preferences.

CARE HOMES FOR OLDER PEOPLE Rushden Park Nursing Home Melloway Road Rushden Northants NN10 6XZ Lead Inspector Mrs Kathy Jones Unannounced Inspection 18th September 2006 12:40 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 Rushden Park Nursing Home DS0000012639.V311219.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. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rushden Park Nursing Home Address Melloway Road Rushden Northants NN10 6XZ 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) 01933 418777 01933 418666 paul.draper@mha.org.uk home.fxg@mha.org.uk Methodist Homes for the Aged Mr Paul Edward Charles Draper Care Home 64 Category(ies) of Old age, not falling within any other category registration, with number (64) of places Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is permitted to utilize all of its available beds for either nursing care or personal care only. That the home is permitted to admit up to 8 service users in the category of DE(E) on the first floor only That the home is permitted to admit up to 6 service users in the category of TI 9th February 2006 Date of last inspection Brief Description of the Service: Rushden Park is a 64 bedded, purpose built home on the outskirts of Rushden. The Home is owned by Methodist Homes for the Aged. The Manager is Mr. Paul Draper. The Home provides for elderly People requiring nursing or personal care. There are up to eight places for People with Dementia and up to six places for People who are terminally ill. The Home is situated in a quiet suburb of Rushden and is easily accessible by Public Transport. The premises are over three floors with the top floor devoted to a service area including the Kitchen, Laundry and Staff training room. Service Users are accommodated on the ground and first floors. There is a lift. The majority of accommodation is provided in single rooms with en suite toilet and wash facilities. There are 3 double bedrooms. The Home offers spacious communal facilities including lounge and dining areas on each floor. Service Users have access to a safe and pleasant garden area. The following fees were provided by the registered manager as being current at the time of submission of the pre-inspection questionnaire 7 July 2006: • Fees range between £350 and £655. The fees include personal care and nursing care where admitted for nursing care, accommodation, meals, laundry and activities. Chiropody (£10-£15) and hairdressing services (£3-50 - £25) can be arranged and are charged Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 5 separately. Other costs would include newspapers, clothing, toiletries, and purchases from the trolley shop. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. All standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for residents. Inspection of the standards was achieved through review of existing evidence, pre-inspection planning, an unannounced inspection visit to the home and drawing together all of the evidence gathered. The pre-inspection planning was carried out over the period of half a day and involved reviewing the service history, which details all contact with the home including notifications of events reported by the home, telephone calls and any complaints received. A pre-inspection questionnaire submitted by the registered manager, seven comment cards from residents and twenty five from relatives and two comment cards from General Practitioners. The report of the last inspection carried out on 9 February 2006 was also reviewed. The information gathered assisted with planning the particular areas to be inspected during the visit. The unannounced inspection visit commenced at lunch time and covered the afternoon of a weekday. The inspection was carried out by ‘case tracking’, which involves selecting samples of residents’ records and tracking their care and experiences. The selection of records and discussions were guided by comments received from relatives and residents and the previous inspection report. Observations of the homes routines and care provided were made and discussions with residents’, staff, visitors and the registered manager held. The management of residents’ medication was checked. A sample of staff files were reviewed to check the adequacy of the recruitment procedures Communal areas and a sample of residents’ bedrooms were viewed and observations were made of residents’ general well being, daily routines and interactions between staff and residents. Feedback on the inspection findings was given to the registered manager during the inspection. What the service does well: Residents’ felt that they had received enough information before they moved into the home and the assessment process enables the home to make a decision about whether their needs can be met is thorough. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 7 The majority of residents and their relatives are happy with the care and support that they get and they are involved in agreeing the content of the care plans, which are designed to direct the care, provided. Visitors are encouraged and welcomed into the home and visiting arrangements are flexible. The food is good and residents’ are provided with choices. The home is comfortable, well decorated and maintained and there were no unpleasant odours. Residents’ bedrooms were light and comfortably furnished and contained various personal items such as pictures and ornaments, creating as homely an environment as possible. Staff were describes as being extremely friendly and very kind and attentive. There is an experienced registered manager in the home who was receptive to feedback given during the inspection and expressed a commitment to addressing any inconsistencies in the care for some residents’. What has improved since the last inspection? What they could do better: While questionnaires received from residents identified that the majority were happy with the care provided, some examples of residents’ care needs not being fully met were given. Although the specific residents’ could not be identified the registered manager committed to looking at addressing any shortfalls in care. Improvements are needed to some of the care plans to ensure that clear direction is given to staff as to how to support residents’ needs at whatever level is appropriate. For example information contained within a care plan for a resident with dementia said that they couldn’t take part in the home’s activities due to their condition. This also indicates the need for a better understanding of the needs of people with dementia. A staff member was also unaware that a resident was registered blind which identified that the care plans are not being effectively used to support residents’ care. The recruitment process appeared to be quite thorough with appropriate references and checks on prospective staff being made. However it was identified that one member of staff had started work prior to a criminal record Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 8 bureau clearance being received or a check against the protection of vulnerable adults register. This has the potential to put residents’ at risk. Particular consideration should be given to the specific needs of people with dementia in relation to activities. A relative of a resident with dementia said that they never take part in the activities and the care plan for another resident with dementia included the statement “due to ---condition, -- can’t attend homes activities”. These findings indicate the need to consider individual needs in relation to activities to ensure that all residents receive activities and stimulation appropriate to their needs and preferences. 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. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 9 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 Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 10 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): 2, 3, std 6 was not assessed as the home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The admission process provides assurances that the needs of residents entering the home can be met. EVIDENCE: Review of the records for a recently admitted resident, confirmed that a thorough assessment of prospective residents needs is carried out prior to admission to the home. The information gathered is sufficient to enable a decision to be made about whether their needs can be met in the home. Comments received in questionnaires from residents, confirm that they felt they received enough information about the home before moving in to help them decide if it was the right place for them. Residents also confirmed that they have received a contract. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The overall care provided to the majority of residents appears to be good and medication well managed, however some inconsistencies in the care provided has the potential to put some residents at risk of their needs not being fully met. EVIDENCE: Comments received from residents in questionnaires confirm that they feel they get the care and support they need most of the time. Night staff were identified by one resident as being particularly supportive. Sixteen out of twenty relatives who answered the question about their satisfaction with the overall care confirmed that they were, the remainder were either not satisfied or only partially satisfied. Some information received from relatives, residents and staff indicates that there are instances of inconsistency in the standard of care provided. Some examples were given to the registered manager during the inspection in order that care practices and standards can be monitored. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 12 A sample check of residents care plans identified that care needs are recorded in the plans and that some of these were quite detailed. For example one residents pressure area care plan was particularly detailed and contained clear information about the required actions and showed that the plan was reviewed regularly. There is evidence that residents and or relatives have agreed the content of the care plans. Previous requirements have been made in relation to care planning and while this inspection indicated that the specific requirement has been met further development of care plans is needed. The plans tend to state a problem, with in some cases insufficient consideration given to how a resident’s quality of life can be improved and how they can be supported to maintain as much independence as possible. For example a care plan for a resident who is registered blind contained no information about the type or extent of sight impairment and the only information provided was that she wears glasses. Entries in the care plan indicated little insight into the needs of residents with a sensory impairment and there was no guidance for staff in helping to maintain independence. Observations during the inspection confirmed that new nursing staff are encouraged to familiarise themselves with the content of residents care plans. The inspector was informed that care staff can access care plans however this is not an expectation and most information is passed to staff verbally. Following discussion with a member of staff who was not fully aware of a resident’s needs, for example that they were registered blind, the inspector would advise that further consideration is given to ways of ensuring the care plans reflect the care provided. A sample check of residents’ care records indicated that relevant health professionals and medical support are accessed on their behalf. Conflicting information was received in questionnaires from two General Practitioners’, one of which stated that they had reservations about the care at times and the other that they were totally happy with the care provided. Three residents felt they get the medical support they need, while four said they usually did. Two relatives have said that it has been necessary to request referral to medical services as staff haven’t always recognised when medical help is required. While the majority of the comments were positive the findings indicate the need for the registered manager to monitor how residents changing health care needs are identified and monitored. Some specific issues raised by relatives about difficulties with accessing dental and physiotherapy services were discussed with the registered manager. The inspector was informed that there are continuing problems obtaining these services through the National Health Service however in consultation with relatives, arrangements had been made for the particular residents to receive the necessary treatment. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 13 A sample check of residents’ medication confirmed that their medication is well managed. A system is in place to record all medication received into the home, administered and any disposed of. Residents prescribed medication was found to be appropriately and securely stored and the nurse on duty appeared sufficiently knowledgeable about residents’ medication. Advice was given to record the date of opening on items such as ear drops which have a limited shelf life once opened. A comment in a questionnaire from a resident said that they have told staff that they need their medication at a particular time as the timing has an affect on their disability but that this did not always happen. The inspector was unable to identify this particular resident to explore this further however has asked the registered manager to review practice in relation to ensuring that residents who need medication at particular times actually receive it. Staff were observed throughout the inspection to talk to and treat residents with dignity and respect. Rushden Park Nursing Home DS0000012639.V311219.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 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Visitors are encouraged and welcomed into the home and residents’ are happy with the quality of food provided. Activities meet the needs of some of the residents. EVIDENCE: Comments received from residents confirm that there is an activity programme in place. Mixed comments were received from residents and relatives about the suitability of activities. One was happy that there are activities provided which they can take part in, four said there usually were and two sometimes. Two commented that they would like more organised activities in the afternoons apart from Bingo. One highlighted the need for stimulation to prevent their memory declining. One resident said that staff had responded to a request to do gardening. The registered manager advised that a section of the garden had been identified for this resident to tend. This response to individual needs is very positive however a relative of a resident with dementia said that they never take part in the activities and the care plan for another resident with dementia included Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 15 the statement “due to ---condition, -- can’t attend homes activities”. These findings indicate the need to consider individual needs in relation to activities to ensure that all residents receive activities and stimulation appropriate to their needs and preferences. Particular consideration should be give to the specific needs of people with dementia. Relatives/visitors confirm that they are welcomed into the home at any time and can visit in private. Visitors were observed to be welcomed into the home and all designations of staff greeted them in a friendly manner. Comments received prior to and during the inspection about the meals provided were good. One resident told the inspector that they had a catering background and that they were happy with the quality of the meals. A member of staff was observed to ask residents what they would like to eat, taking time to ensure that the options had been understood and a choice could be made. The member of staff confirmed that alternatives were always available. Residents are able to choose if they wish to have their meals in their room or in the communal dining room. Rushden Park Nursing Home DS0000012639.V311219.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 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The home has procedures for dealing with concerns and complaints and staff are aware of their responsibilities for protecting the people in their care. EVIDENCE: A record of complaints received into the home is kept which identifies that one complaint was received since the last inspection. The record confirms that the complaint was taken seriously and appropriate action taken. Responses to residents and relatives’ questionnaires identify that the majority of people are aware of who to talk to if they have any concerns or wish to make a complaint. Residents’ and staff spoken to during the inspection had no concerns about how residents’ were being treated and staff were aware of their responsibilities to act to protect residents’. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 17 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, 26 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The home was clean, comfortable and in good decorative order providing a pleasant environment for Residents. EVIDENCE: Communal areas of the home and a sample of residents’ bedrooms were seen during the inspection. Communal areas and bedrooms are located on both floors of the home. All areas seen were well decorated and maintained and provided a pleasant environment for residents. Residents’ bedrooms were light and comfortably furnished and contained various personal items such as pictures and ornaments, creating as homely an environment as possible. Where family photographs and flowers were present these had been positioned so that the resident could see them clearly from their chair or bed. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 18 The home has large well maintained gardens which provide either a pleasant outlook, or a place to sit. Staff advised that one resident enjoys sitting out in the garden most days and as previously mentioned another resident has a plot that he tends. All areas of the home seen were clean and tidy. Two residents spoken to during the inspection and comments received in questionnaires confirm that the standard of cleanliness is good. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Residents, are supported by a staff team who are trained and are in the main committed to meeting their needs. Recruitment procedures need to be consistently thorough to protect residents’. EVIDENCE: Comments received from relatives indicate that the majority feel that there are sufficient staff on duty to meet residents’ needs. However four out of twenty one felt that there aren’t. Comments from residents indicate that staff are usually available when needed however one commented that “staff seem overloaded”. There were some indications from comments received that in some cases “short cuts” are being taken by some staff and some aspects of care not fully completed. Although the negative comments were in a minority the registered manager was appropriately concerned about the comments and confirmed that he would monitor the care provided. Residents’ confirm that staff listen to them and act on what they say. Some additional positive comments were received regarding the staff at the home such as “staff are extremely friendly--- they have been very kind and attentive—“. Registered nurses are employed at the home and the pre-inspection questionnaire identifies that 49 of care staff have achieved a National Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 20 Vocational Qualification (NVQ) at level 2, which provides them with a basic understanding of the care needs of Older People. The pre-inspection questionnaire submitted by the registered manager confirms that plans for training take account of the need to ensure staff have the skills to meet the specific needs of residents. Discussion with staff indicated that there is an induction programme for new staff, which is tailored to meet the needs of the individual and an ongoing programme of training to update knowledge. Two recently recruited staff members’ files were reviewed to check the adequacy of the recruitment process in protecting residents’. Records confirmed that interviews are held and that references are obtained prior to staff working in the home. Criminal record bureau clearances had been obtained however in one case this was not until after the staff member had started work in the home. There was also no evidence that a check of the protection of vulnerable adults register (POVA first) had been made. The inspector was informed that this member of staff would not have worked unsupervised during this period. However it is important that the registered people are aware of their legal responsibilities to ensure POVA first and criminal record bureau clearances have been obtained prior to commencement of employment to protect residents. A further check identified that criminal record bureau clearances had been obtained for the two staff who had commenced work on the day of the inspection. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 21 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, 38 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The management and organisation of the home is good with commitment to providing good care and safeguarding residents’. EVIDENCE: There is an experienced registered manager in post who appears committed to providing a good standard of care to residents’. The registered manager was receptive to feedback given during the inspection and expressed a commitment to addressing some inconsistencies in care highlighted for a small number of residents. The organisation has a comprehensive quality assurance system to assess the quality of care provided to residents’. The registered manager advised that a Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 22 quality audit had recently been completed on Rushden Park Nursing Home; this was not viewed in detail however appeared to be quite comprehensive. Small amounts of money are held on behalf of residents’ to assist with payment of things such as hairdressing and purchase of toiletry items from a ‘trolley shop’ run by the home. A sample check confirmed that two people sign records of all transactions and appropriate receipts are kept. The inspector was informed that regular audits are also carried out by the organisation to safeguard residents. Appropriate attention is being paid to maintenance of equipment in order to protect residents. The pre-inspection questionnaire confirms that regular servicing and maintenance checks on the premises and equipment are carried out. For example servicing of the central heating system, lift and fire equipment. Two previous requirements have been made in relation to the need to carry out and keep records of regular tests on the fire alarms and emergency lighting. A sample check confirmed that this requirement has been met and records are being maintained. Discussion with staff indicated that they receive appropriate training in safe working practices including movement and handling and fire training. The inspector was informed that on occasions some staff are not following the residents’ movement and handling plan and one member of staff is involved in the transfer of a resident instead of two. The registered manager confirmed that he would monitor staff practice to ensure that residents’ and staff are properly safeguarded. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 24 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. 2. Standard OP7 OP29 Regulation 12 (1) (a, b) Requirement Timescale for action 30/11/06 15/10/06 3. OP38 4. OP12 Care plans must contain more detail of the identified need and the support required. 19 (1) (b) Full and satisfactory checks must (i) be carried out on all staff as part of a thorough recruitment process prior to them starting work in the home. 13 (4) (c), Safe systems and practices for 13 (5) movement and handling must be carried out by all staff to reduce risk. 12 (1) (a, A programme of activities must b), 16 (2) be implemented based on the (n) needs and preferences of all residents including those with dementia. 15/10/06 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Care received by residents’ must be monitored to ensure DS0000012639.V311219.R01.S.doc Version 5.2 Page 25 Rushden Park Nursing Home 2. OP12 that it is based on a detailed care plan. All residents’ should receive opportunities to take part in appropriate activities and/or receive stimulation, which meets their needs and preferences. Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Rushden Park Nursing Home DS0000012639.V311219.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!