Inspection on 11/08/05 for Sandown Nursing Home

This inspection was carried out on 11th August 2005.

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.

Other inspections for this house

Sandown Nursing Home 26/07/07

Sandown Nursing Home 21/11/06

Sandown Nursing Home 15/02/06

Sandown Nursing Home 25/02/05

Sandown Nursing Home 16/08/04

Sandown Nursing Home 16/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Sandown Nursing Home 28 Grove Road Sandown Isle of Wight PO36 9BE Lead Inspector Mark Sims Unannounced 11 August 2005 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 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. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sandown Nursing Home Address 28 Grove Road, Sandown, Isle of Wight, PO36 9BE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 402946 01983 402975 sandown@stjohnsnh.co.uk Miss Belinda Jane Davies Miss Belinda Jane Davies Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (OP), Terminally ill over 65 years of age (TI(E)) of places Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home can accommodate three service users between 18 - 65 years of age. The registered managers are to within twelve months attain NVQ level 4 in care and management as applicable. Date of last inspection 25/2/2005 Brief Description of the Service: The home is located at the cross section of Grove Road and the Broadway Sandown and is within walking distance of the main town, its facilities and amenities. The local railway station is situated some 500 metres from the home, which is also well serviced by the local bus company. The premises is a large Victorian residence that has been adapted across the years to meet the needs of the individuals accommodated, with rooms provided on two floors accessible via a passenger lift. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and formed the first visit of this year’s inspection programme. This was the inspector’s first visit to the home and the inspection lasted 5 hours providing time for the inspector to familiarise himself with the environment, meet with key staff and generally spend time socialising with service users. What the service does well: What has improved since the last inspection? What they could do better: During the tour of the premises the inspector noted a staff member preparing to dress a patient’s leg in the lounge. When approached about this issue the Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 6 staff member explained that the client could at times be a little difficult and that staff often had to perform dressings when and where they could. Whilst the intentions of the staff were well motivated the inspector had to request that the patient be moved to a more private location, as consideration needed to be given to the promotion of privacy, dignity and the prevention of cross infection/contamination. The inspector also noted on inspecting the medications, and in particular the medication records and health and social care contact record, that staff are taking verbal instructions from medical practitioners to alter medicine regimes. However, it is advisable when doing this to either have the instruction repeated to a second person or request faxed confirmation, as this reduces the likelihood of errors occurring. Unfortunately for the staff at Sandown this practice was not being entered into and only single person confirmation of the regime change was being obtained. The employment practices of the home are fundamentally strong and robust, with all recommended checks undertaken. However, in 2004 the Care Homes Regulations were changed and employers required to obtain detailed employment histories for all care staff, the purpose being for people previously employed in care, all previous employers are contacted and the person’s reasons for leaving ascertained. However, the application forms currently used at Sandown Nursing Home do not allow for this information to be gathered in sufficient detail. 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. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) St 1, St 3. The statement of purpose documentation is clearly and readily accessible within the front entrance hall and contains all relevant information and a copy of the most recent Commission inspection report. The management team ensure all prospective service users are assessed prior to offering or declining to offer accommodation. EVIDENCE: Whilst undertaking a brief tour of the premises the opportunity arose to review the home’s statement of purpose documentation, which was accessible within the front entrance hall. On reading through the statement of purpose the inspector could easily identify all those areas of the document created in accordance with the national minimum standards and relevant regulations. In addition to the information contained directly within the statement of purpose the management also provided access to copies of previous Commission inspection reports, newsletters, Commission comment cards and information leaflets. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 9 As part of the inspection the inspector spend time reviewing the pre-admission information gathered, this data being central to both the process of determining whether or not a prospective resident’s needs can be met by the service and informing the initial care planning process, as the information collected containing details of the person’s immediate care needs and expectation. In discussion with the administrative manager, (the home having a joint management structure) it was understood that the head of care undertakes all pre-admission assessments, although the deputy manager and/or the administrative manager may at times accompany her on assessment visits. A specific assessment tool is used to collate early information, which on review was noted to gather historical as well as current health and social care data and this tool is designed to filter into the home’s care planning package. Six care planning files were scrutinised during the visit, each containing information relating to the pre-admission assessment and each containing evidence, in the form of care plans and risk assessments, that the preadmission data had been used in the development of the service users’ plans. In conversation with both service users and their relatives/visitors it was ascertained that the ‘matron’ (head of care) had visited the service user prior to admission and that where possible they had visited the home to ensure its suitability, although most people confirmed they lived locally and had prior knowledge of the home anyway. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) St 7, St 8, St 9, St 10. The care planning process identifies all health, social and personal care needs of the service users, setting out for staff how these needs are to be consistently met. The care planning files contain evidence of good practice when it comes to maintaining appropriate contact with health and social care professionals. The home’s approach to the management of service users’ medications is good, although when changes are made to medication regimes this should be clearly documented. Service users and their relatives felt the staff were respectful and conscious of people’s right to have their dignity and privacy promoted, although staff actions seem to question this belief to an extent. EVIDENCE: At the last inspection the home’s efforts in addressing problems with the care planning process were praised, as the management team had taken positive steps towards improving the home’s approach to care planning. On reviewing Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 11 six of the care plans it was evident that further time and commitment had been put into the management of the system, with several areas of the older care plans revamped or renewed. In general the service user plans were found to be detailed and comprehensive documents that were well laid out and structured and achieving the desired aim of being more readily accessible, accurate and informative. The indication from the staff was that efforts of the management was having an impact and that they appreciated the need to ensure running records and details of professional contacts were appropriately and clearly recorded and that review dates were adhered to and care plans properly maintained. The care plans, as with most records maintained by the home, appear to be somewhat of a mystery to people, whilst some service users and/or their representatives appreciate that these records exist, they show little interest or awareness of what is recorded within the documents and seem happy to accept verbal confirmation from staff on a person’s health or care needs in preference to written evidence. Information is also available within the service users’ plans of any health and social care contacts or appointments undertaken, with most entries confirming that local general practitioners (GPs) are heavily involved in the care and treatment of patients on site. In conversation with one service user and their relative it was acknowledged that staff are quick to seek medical advice if a person’s health care needs change and that GPs are equally as rapid in responding, the service user in question having recently completed a course of antibiotics for an infection. Also detailed within the health and social care contacts is information of visits from allied professionals, chiropodists, dentists, opticians, etc., as well as details of appointment times and outcomes of appointments attended. Whilst reading through this information the inspector came across a situation whereby staff had recorded that a medical practitioner had requested, over the phone, that a person’s medication regime be altered. A request, it was established, which had been carried out, as evidenced by the ‘Medication Administration Record’ (MAR), which had been changed. The problem with this particular practice is it is not recommended as good practice, as there are far-reaching safety implications for the service user. What would normally be considered good practice and therefore recommended is that the verbal instruction either be faxed to the home, as confirmation of the request or that a second person be asked to verify the request, the medical practitioner repeating the information to the second person. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 12 At a previous inspection it was noted that the home’s medication policy was not readily accessible to staff, a situation that has been remedied by the management, who should consider ensuring all staff now read this policy and any appropriate professional guidance. Another area of concern flagged up for the inspector occurred during the tour of the premises when a staff member was observed preparing to dress a patient’s leg in the lounge. When approached about this issue the staff member explained that the client could at times be a little difficult and that staff often had to perform dressings when and where they could. Whilst the intentions of the staff member may be well motivated the inspector had to request that the patient be moved to a more private location, as consideration needed to be given to the promotion of privacy, dignity and the prevention of cross infection/contamination of the wound, etc. As it was the patient in question appeared not to mind being moved to a more private location, although this is not dismissing the general observations of the staff member, however, people should consider the implications of their actions prior to planning to undertake any procedure with service users, including the promotion of dignity and respect. To be fair to the home this appeared to be an isolated incident, which as detailed was well intentioned. It was also clear from service users and their representatives, both in conversation and via comment cards returned to the Commission, that staff are felt to be polite, welcoming and friendly and that the delivery of care is consistently high. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 standard(s) St 12, St 13, St 15. Work is ongoing to improve the activities and entertainment opportunities of service users. Service users are supported in the maintenance of community contacts and are welcome to receive visitors to the home at any time. The food / meals provided at the home are of good quality and offer choice and variety to service users. EVIDENCE: The care plans reviewed each acknowledged people’s need for social outlets and stimulation, although the parameters within which the plans were set out appeared a little one dimensional and limited, in as much as they focus on spiritual issues and being given opportunities to socialise, instead of individually identifying how people would like to fill their day, etc. In conversation with service users, it was established that outside entertainers visit regularly and that access to televisions, music and magazines, etc. are made possible. Some people spoken with were lucky, as they had families or friends who could take them out and about, especially when the weather was good, although for Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 14 other people options for getting out of the home have until recently been limited. However, with the creation of the sun lounge and setting out of a large patio area people were looking forward to getting outside more. In conversation with the administrative manager it was evident that the lack of social stimulation for service users was a concern and that previous efforts to address the situation had failed, namely appointing a member of staff to coordinate and arrange activities. In response to this issue the management arranged a team meeting, the minutes of which were available for inspection, and has decided to appoint a team of three staff to the position of activities co-ordinator / deliverers. The plan is for all three staff to attend specialist training around activities within care settings and for one person to co-ordinate and develop the activities programme, whilst the remaining two staff deliver or oversee the activities with the service users. Throughout the inspection process families and visitors were observed coming and going, some later discussing how they accompanied their relative out, preferred to socialise with the service user either within the lounge or their bedrooms. Whilst in the lounge the inspector took the opportunity to talk to service users’ representatives, establishing that people generally felt the home was very good and delivered exceptionally good care to their relative. People also informed the inspector that they always found the staff to be friendly, polite and ready to offer assistance or advice when required, statements backed up by remarks received via the Commission’s comment cards, which describe staff as being friendly and welcoming. A widely praised aspect of the home’s service was the food, which is always popular and normally receives positive comments from service users and relatives alike, this visit proving no exception. All service users spoken with praised the catering team for providing consistently good meals, which were wholesome, nutritious and appetising. The varied menu was felt to contain a wide selection of meals and provided ample choice for service users, some of whom found that even the soft and pureed meals were sensitively and attractively served. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 standard(s) St. 18 The management demonstrated a commitment to ensuring adult protection issues and awareness were properly raised with staff. EVIDENCE: There were several areas of good practice noticed when reviewing the home’s approach to ensuring service users are protected from harm or abuse. The home’s policy was found to have been reviewed and updated in May 2005, with references made to both in house expectations and procedures for managing allegations, etc. and external agency policies in the form of the ‘All Island Adult Protection Procedure’. The training records for staff also identified that adult protection training or awareness sessions were occurring annually, the last updates taking place a few weeks before the inspection. What was perhaps more encouraging was the fact that several staff came to the management team following the update sessions, concerned that the training had not been sufficiently detailed and requested further more comprehensive training. In response to these requests the management is arranging for staff to attended external training courses around adult protection and the identification of abuse. In addition to the in-house training so far delivered and the external course being sourced, all staff undertaking National Vocational Qualification training Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 16 will look at issues of abuse and consider both their responsibilities in challenging or addressing the abuse, as well as aspects of reporting and investigating allegations made. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 standard(s) St 19, St 20, St 26. The home is well maintained throughout and provides a pleasant and safe environment for service users. The newly created sun lounge and patio area have significantly enhanced the communal facilities for service users. The home was clean, tidy and free from offensive odours. Staff have access to appropriate protective clothing and equipment and arrangements for the management of cross infection appear appropriate. EVIDENCE: The general fabric of the building is sound, with both internal and external areas of the property well maintained and decorated. Since the last inspection the work to create a new sun lounge and patio area has been completed, providing service users with access to a vast open and bright communal facility that is well finished and furbished. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 18 The level access out onto the patio is perhaps one of the biggest gains for the service users, as for many people it will provide contact with the outside world and enable them to enjoy getting out of the home, which prior to this innovation was not possible. Several service users and relatives commented on the new lounge and patio and their belief that it was a huge improvement and significant step forward in available amenities. In creating the new communal sun lounge the management has also been able to use some of the space from the existing lounge to develop an equipment store, which in itself has improved the overall appearance within the lounges, as the clutter of wheelchairs and hoists is no longer prevalent. Throughout the tour of the premises the inspector identified no issues of concern with regards to cleanliness or hygiene, the domestic staff team keeping the property clean, tidy and free from any odours. It was also pleasing to notice that staff had access to gloves and aprons and that hand washing facilities were equipped with liquid soaps and paper towels. Staff also had access to policies on infection control and information posters on hand washing techniques, etc. were noticed in the treatment room, although the practice of undertaking dressings in the lounge, as mentioned earlier, does undermine much of the hard work initiated, as it enables cross contamination of infection, etc. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) St 27, St 29, St 30. Sufficient staff are available to meet the needs of the service users. The home’s recruitment and selection procedures are generally robust and thorough, although attention to the gathering of full employment histories must be taken. Staff training programmes are available and address the educational needs of both qualified and care staff. EVIDENCE: The duty rosters indicate that sufficient staff are employed across the twenty four hour period to meet the needs of service users, with between seven and eight staff working each morning, six staff working each afternoon and three staff working at night, although these are all wakeful staff. The home’s shifts are: 07.30hrs to 14.40hrs 14.15hrs to 21.15hrs 21.00hrs to 07.30hrs. The evidence from both the people spoken with during the visit and the remarks provided via the comment cards is that people are well cared for and that staff are deployed in sufficient numbers to meet people’s needs. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 20 During the visit the inspector reviewed a number of staffing files and considered the policies and procedures available to the management team when recruiting new staff. It was evident, given the files inspected, that the home’s general approach to the recruitment and selection of new staff is both robust and consistent, with tracking or monitoring forms used by the administrator to ensure for each new staff member recruitment follows a very similar pattern and that all relevant information is applied for and received. All prospective staff are required to complete an application form as part of the process, the application form designed to obtain details of the person’s employment history, educational history, medical history and references, etc. Unfortunately the, management was unaware of changes made to the regulations in July 2004 and the section designed to gather information about employees’ past working histories was not being fully or accurately completed, an issue brought to the management’s attention. Once the application has been submitted the managers arrange to meet with the applicant, for the purposes of interview and retain information relating to the outcome of the interview on file. Once an applicant has successfully completed the preliminary stages of the recruitment process, they are issued with written confirmation and subject to the successful return of their references and Criminal Records Bureau check and POVA check, are invited to attend for induction. Also evident on each staff member’s file and again co-ordinated by the administrative staff are details of training events completed, training updates to be attended and additional courses undertaken, i.e. NVQs, which are generally designed to increase knowledge, skills and competence. The administrative staff also retain comprehensive and detailed databases with up to date information about individual staff training accomplishments and relevant update targets, this information is used regularly to revise the ‘Statement of Purpose’ document, which requires details of staff educational attainments and qualifications to be listed. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) St 36. Staff are receiving appropriate supervision. EVIDENCE: At the last inspection it was reported that the administrator/manager was taking the lead role on organising and introducing staff supervision and appraisals, with appropriate recording systems available to document the outcome of all meetings to be introduced. At this visit it was ascertained that the new recording programme was in place and that staff had commenced regular supervision, although this was still not operating affectively with some sessions still occurring on a more informal basis and no records available to substantiate or evidence the outcome of the supervision. However, where records were available it was clear that supervision sessions were appropriately being conducted and that the information recorded Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 22 contained details of topics discussed and outcomes agreed, all records were confidential and securely stored. The administrative manager has also introduced full annual appraisals, which involve far more preparation work for the staff, who are required to complete a self assessment form before meeting with the manager. As with the supervision records all topics discussed and plans / outcomes agreed by both parties, a copy is held securely on file. In conversation with staff around the home it was established that the appraisal system was indeed operational and that some people were shortly due to meet with the management having completed the self-assessment phase of the process. People also discussed the team meetings which occur regularly within the home and which are considered useful tools for sharing information. In conversation with the administrative manager it was ascertained that the team meetings are now operated on a team approach, with very few full team meetings arranged. The team approach, as evidenced via minutes from the meetings, is undertaken with specific groups of staff, trained staff, domestic/catering staff and care staff meetings, where topics of specialist interest or wider interest are discussed. Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 4 x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x 3 x x Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 24 yes Are there any outstanding requirements from the last inspection? 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 Standard 9 Regulation Requirement Timescale for action 01.10.05 2. 3. Standard 10 Standard 29 Regulation Verbal instructions to change 13 medication must be confirmed either by a second party or via fax and later confirmed in writing. Regulation Staff must not undertake 12 personal tasks with service users in public or communal areas. Regulation Full employment histories must 17 be obtain for new staff, gaps in those histories explored and confirmation of why people left previous employment if working with vulnerable client groups 01.10.05 01.10.05 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 Good Practice Recommendations Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Mill Court Furrlongs Newport PO30 2AA 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 Sandown Nursing Home H55H04_S12565_Sandown NH_V218200_110805 Stage 4.doc Version 1.40 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!