Inspection on 15/04/05 for St George`s Nursing Home

This inspection was carried out on 15th April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St George`s Nursing Home 24/02/09

St George`s Nursing Home 04/03/08

St George`s Nursing Home 23/01/07

St George`s Nursing Home 04/10/05

St George`s Nursing Home 08/09/04

St George`s Nursing Home 01/04/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE St Georges Nursing Home De La Warr Road Milford on Sea Lymington Hampshire, SO41 0NE Lead Inspector Tim Inkson Unannounced 15th April 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. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service St Georges Nursing Home Address De La Warr Road Milford on Sea Lymington Hampshire SO41 0NE 01590 643011 01590 644210 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) St. Georges Hospital Ltd Mrs Julia Frances Hutton CRH 34 Category(ies) of OP - 34 registration, with number PD(E) - 34 of places TI(E) - 34 TI - 7 PD - 7 St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: A total of seven service users in the PD and TI categories may be accommodated at any one time. Date of last inspection 8th September 2004 Brief Description of the Service: St Georges Nursing Home is located in a quiet residential area of the coastal village of Milford-on-Sea. There are some amenities in the village which is situated in an area popular for holidays, including some shops, churchs, a surgery and dental practice. A wider and more comprehensive range of services and amenities are available in the towns of New Milton and Lymington both approximately 5/6 miles away. The home is very much part of the local community and many of the residents accommodated lived locally before moving in. Established some 60 years ago, St Georges was first used as a maternity hospital and over the years has been used for several different medical/health related purposes. It has been a nursing home for some 25 years. St Georges has well-established links with healthcare professionals and other local businesses. The home provides nursing care for up to 34 older people and this can include up to 7 individuals who may be terminally ill. The bedroom accommodation for residents is on 2 floors and access to the 1st floor is provided by a passenger lift. All bedrooms are single and 18 of these have en-suite WCs. The building has equipment, aids and adaptations that promote the independence of the residents. The communal /shared areas of the home comprise a lounge on the ground floor and a lounge/dining room on the first floor. There is also level access to well planned extensive landscaped gardens. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was one of the two statutory inspections of the home required to undertaken every 12 months. It was unannounced and started at approximately 09:25 and was completed at approximately 16:50 hours. A tour of the premises was made and records and documents were examined. Staff were observed interacting with residents and undertaking their day-to-day working practice/tasks. An organised social activity was taking place during the inspection and 9 residents, 3 visitors and 8 staff were spoken to. The registered manager was available throughout the inspection and the responsible individual was also present for some of the time. At the time of the inspection the home was accommodating 34 residents, of which 24 were female and 10 were male, and their ages ranged from 70 to 104 years. What the service does well: The home provides clear and accurate information about the service it provides to prospective residents. As one of the care homes in a small village community it was well known and had established a reputation in the area that ensured a significant number of local people were among the residents. Comments included the following: “I always heard that it was marvellous, I found that it was as good as I could get” “Everybody knows about St George’s”. Good detailed records are in place that gave care and nursing staff information that enabled them to provide the help that residents needed. Residents felt safe and secure and happy that staff could look after them properly and treated them with respect. Among things that residents and visitors to the home said were the following: “They always knock before coming in, because you want a bit of privacy. The best thing is being looked after, unlike being at home, they know what they are doing, and they are the experts”. “The staff are helpful, they could not do more for you” “You could not wish for better care” One member of staff aptly described the care that the home provided as, “ patient centred around their individual needs”. The home’s real strength was the management approach that ensured that staff recruitment and retention was not a problem and that also promoted positive relationships that the staff team had built with residents, visitors and St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 6 among themselves. That resulted in a homely, warm, relaxed living and working environment. It was apparent that staff retention was not based on remuneration alone, but also on the working atmosphere and training opportunities. The relationships are illustrated by what residents, visitors and staff said: “Its such a friendly atmosphere, everyone is so nice and helpful” (staff member) “They are all very good, they have all got nice smiles and that is what you need” (resident) “I think it is wonderful, the service has been brilliant, its like a hotel” (visitor) What has improved since the last inspection? What they could do better: Residents spoken to during the inspection were unable to identify anything that the home could do better. The home may benefit from some equipment or adaptations that should promote the independence of residents. Consideration should be given to having the premises and facilities assessed by suitably qualified persons. Also if at some time in the future the premises are extended consideration should be given to the installation of a passenger lift that can be operated independently by residents. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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 standard(s) 1, 3 and 5 The home’s Statement of Purpose and Service User Guide were good, providing existing and potential residents with accurate details of the services the home provided. The needs of potential residents were assessed and they were able to visit the home and/or have a trial stay to enable them to make an informed decision about living in the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide were detailed and up to date and copies of the latter were readily available. Service users and their visitors and representatives said that they had received written information about the home that helped them decide to move into the home. A sample of 4 records of service users were examined including some of individuals recently admitted to the home. There were detailed pre-admission assessment documents completed by appropriately experienced and qualified staff that had visited the individuals concerned before they moved into the home. Service users and their relatives/representatives confirmed that preadmission assessments were undertaken. One visitor said, “Julia came to see her, we thought that was very good that she came all the way to Lyndhurst as well”. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 10 A service user said, “Someone from the home came to see me in hospital”. Some service users said that they had stayed in the home for a trial period before deciding to move in on a permanent basis. The home’s terms and conditions of residence included the following paragraph: “Residents may consider the first eight weeks as being a trial period with St George’s and if they wish to terminate their stay with us they may leave during this period upon giving one week’ notice” St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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 standard(s) 7, 8 and 10 Clear and consistent care plans were in place that provided staff with the information they needed to meet service users needs. Staff had a good understanding of these needs. The health care needs of service users were met and there was evidence of good links with local healthcare professionals and of multi-disciplinary working. Personal and nursing care and support was provided to service users in such a way as to promote an individual’s dignity and privacy. EVIDENCE: A sample of care plans of 4 service users was examined. All the plans were comprehensive and based on assessments of the needs of the individuals concerned. The plans set out clearly the action staff had to take to meet the needs of service users and where relevant what equipment was required to promote their independence or ensure their comfort e.g. Zimmer frame, pressure relieving aid. Staff were able to describe the contents of the plans and service users said that their needs were met and that among other things staff were “compassionate, efficient, helpful and could not do more”. Service users confirmed that the care set out in plans was provided and where plans referred to the use of equipment this was observed to be available. and/or in place e.g. pressure relieving aid; slide sheet; hoist; plate guard, etc. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 12 Records indicated that care plans were reviewed at least monthly and that daily notes referred to the actions taken by staff to provide the needs set out in those plans. Records examined indicated that a range of healthcare professionals visited the home and that arrangements were made for treatment for service users when it was necessary. The registered manager said that a doctor from a local surgery called routinely every day to see service users and also to monitor the general health care needs of the home. The home employed the services of a private physiotherapist. Service users said that they saw and received treatment from among others, chiropodists, dentists and opticians and when required arrangements to attend outpatient clinics were made by the home. There was evidence that specialist support was provided to the home when required e.g. Community Psychiatric Nurse. The home used a range of nationally recognised health care assessment ”tools” and there was documentary evidence that individuals’ health was monitored regularly e.g. blood pressure and weight. All service users were accommodated in singe rooms and they said they appreciated the privacy that these afforded, particularly some of those that had the benefit of en-suite WCs. All service users said that staff usually knocked before entering their rooms and this practice was observed during the inspection visit. Service users said that staff were respectful and polite and also that they were called by their preferred term of address. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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) 12, 13, and 15 The home organised a range of social activities and enabled service users to exercise choice about all aspects of their daily life. Service users were able to maintain links with relatives and representatives. The dietary needs of service users were well catered for with a balanced and varied selection of food available that met service users tastes and choices. EVIDENCE: Service users said that they could exercise choice in all aspects of life in the home. One individual said, “I get up early but I don’t wash or dress until 10:00 a.m. All my old friends pop in and see me, I never feel alone. The girls shop for my toiletries”. Another said, “You can even have a cup of tea in the middle of the night”. A visitor said that they could bring in the pet dog of the relative that they had called in to see. The social and leisure interests of service users were recorded in their plans of care and a range of organised and regular activities took place in which service users could participate. These included a weekly film afternoon and social, music and movement, craft sessions, and outings. Many service users chose not to join and pursued their own individual interests and some were too frail to participate. One service user said, “I do a bit of reading, they have a St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 14 library” and another said, “I don’t join in things I prefer my television and reading”. The home also employed an activities organiser and service users said that she asked them what they liked doing and that she spent individual time with some people. The home’s Service User’s Guide included the following statement about visitors to the home: “An “open visiting” policy operates at St George’s and friends and relatives are encouraged to visit regularly. Arrangements can readily be made for an overnight guest wishing to stay nearby. All rooms are fitted with telephones to enable direct incoming and outgoing calls, or an operator can assist if required”. Service users said there were no restrictions for visitors and that they appreciated the flexible arrangements. All service users were complimentary about the food provided and what they said about the quality and choice ranged from, “It varies, but you can have something else if you want it” and “its good wholesome but not quite like home” to “it is excellent, there is a good selection and plenty of it”. The menus and records of food provided indicated that there was a wide range of meals provided and that the food was nutritious. In addition special diets and individual preferences and needs were catered for e.g. soft diets; salt free; diabetic; and “no onions”. Fresh ingredients were used and the preparation of homemade cake and soup was observed The main meal on the day of the inspection was attractively presented, flavoursome and was: Fish pie made from Salmon. Whiting and Haddock with a potato and leek topping, accompanied by broccoli, carrots and peas. The sweet was home made fruit tart and cream. Service users were provided with the proposed menu for the next day and were able to select what they wanted or an alternative of their own choice if they did not like what was on offer. Service users confirmed that they had three meals a day and snacks and drinks were available at other times. Service users said there was some flexibility about meal times and that the home’s chefs introduced themselves and consulted them about their dietary preferences. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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) 16 and 18 The home had a clear and satisfactory complaints procedure and service users were confident about raising concerns with the home’s management. Robust procedures were in place to protect service users from the risk of abuse. EVIDENCE: All service users spoken to were clear and confident about whom to complain to if they were dissatisfied with anything concerning the home and also that the matter would be addressed. The home kept a record of complaints and it was apparent from these that they were proactive and responded quickly and sensitively to any complaints brought to their notice. They also had a policy of notifying the CSCI of any complaints they received, indicating an open approach to dealing with such matters. There were written procedures concerned with adult protection and ensuring that the risk of service users suffering harm was as far as reasonably possible identified and or prevented. Staff said that training in the subject of adult abuse was provided and those spoken to were able to demonstrate an awareness of the different types of abuse and the action they would take if they suspected or knew that it had occurred. Where subsequent to an assessment it was considered necessary for a service user’s safety to use bed rails written permission/consent was obtained. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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 standard(s) 20, 22 and 26 The home had a choice of communal areas available for use by service users that were comfortable and in good repair. There was a range of equipment and adaptations in the home designed to promote service users independence. The home was clean, hygienic and free from offensive odours. EVIDENCE: As a pre-existing home (i.e. registered before 31st March 2002), the communal/shared space available in St George’s was deemed sufficient to meet the needs of the number of service users accommodated in the home. At the time of the inspection a number of service users (approximately 8) were being nursed in bed because of their support needs and level of dependency. The responsible individual said that the number of very dependent service users in the home was always quite high. The responsible individual representing the registered provider also indicated that planning permission for additional communal space was being submitted to the local council and it that it would comprise a substantial heated conservatory that will be linked to the existing ground floor lounge. The plans were seen of the proposed extension. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 17 There was a lounge on the ground floor that also provided level access into the home’s well laid out garden that was laid mainly to lawn with some level paths and small raised patio area. There was a range of garden furniture available. On the first floor was a lounge diner that was also the focus for most of the organised social activities in the home and during the afternoon of the day of the inspection was being used for the weekly film and social session. The décor and furnishings of both rooms were in good repair. Service users said that the communal areas were comfortable. The home was provided with a range of equipment that promoted service users independence and also ensured the health and safety of service users and staff. This included the following: Grab rails in WCs and corridors; nurse call system; signage; assisted bathing facilities; level access shower; extra wide door ways into all bedrooms; swing free door closures. The home’s passenger lift was spacious but its doors were of such design and weight that service users could not operate it independently. The premises and facilities had not been assessed by suitably qualified persons including an occupational therapist with specialist knowledge of the client groups catered for. These two matters were discussed and it was suggested that the latter matter be considered. Subsequent to the inspection and on reflection it is suggested that if in the future an opportunity arises e.g. further extensions to the premises that consideration be given to the installation of a passenger lift of the type that would enable service users to operate it independently. There were comprehensive procedures in place and one of home’s staff had specific delegated responsibility for the management of infection control. There were alchohol-gel dispensers located throughout the home to promote regular and efficient hand cleaning and protective clothing for staff was readily available. There were sluice disinfectors available on both floors of the home and plans to install and commission a third. The home’s laundry was appropriately sited and equipped and effective procedures were in place for the management of soiled laundry items. There were no offensive odours apparent at the time of the inspection and both service users and visitors to the home said that the building was clean. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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 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) 27, 29 and 30 There was an appropriate and satisfactory level and mix of staff that ensured consistency of care in the home. Staff had a good understanding of service users needs. The home had clear staff recruitment, training and development procedures tha ensured that service users were protected and supported. EVIDENCE: The total number of staff employed to work in the home at the time of the inspection was 70, this included 15 trained nurses and 28 health care assistants. The responsible individual spoke of the home’s successful recruitment policy that had resulted in the virtual elimination of the use of agency staff that was partly based on the home’s competitive rate of remuneration. Staff and services users said that the staffing levels in the home were sufficient and service users also expressed confidence in the abilities and competence of the staff to meet their assessed needs. The care staff rota setting out the minimum number and skill mix deployed in the home was as follows: 07:45 to 16:00 2/3 7 16:00 to 20:45 2 4 20:45 to 07:45 1 3 RGN/EN HCA The home ensured that there was an overlap between all shifts to enable information to be conveyed between the respective staff. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 19 The registered manager worked in the office on weekdays but worked on “the floor” some evenings and weekends in order to supervise and monitor the standard of care and support provided by the staff team. There was a core of staff that had worked in the home for some years and a part time registered nurse referred to the consistency arising from this. She said that she would rather travel some distance to work at the home because the staff did not keep changing. Records were examined of two staff employed to work in the home since the last inspection of the establishment on 8th September 2004. All statutorily required information and checks had been obtained and conducted before they had started work in the home. All staff spoken to were enthusiastic about the opportunities to undertake training and enhance their skills and knowledge. They said that the home had a training manager and that there were regular training afternoon sessions held in the home. New staff had completed induction training to the required national standards known as “skills for care”. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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 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) 32, 36 and 38 The home’s manager provided good leadership and generated positive relationships between staff, service users and visitors. Staff morale was good and they received regular supervision. Health and safety was managed effectively by the home. EVIDENCE: Service users and staff said that they were consulted regularly about the running of the home and all said that the home was a friendly and relaxed environment. Although there were regular staff meetings staff said that they could go to the manager at any time with concerns or problems. The home’ management was described by another as unobtrusive but that it also ensured that things were done properly. One registered nurse said that she was so happy in her work that she would never leave the home. Records indicated that staff received regular supervision at least every two months and this was confirmed by staff who said that they also received annual appraisals. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 21 Records examined indicated that the homes equipment, plant and systems were checked and serviced or implemented at appropriate intervals i.e. passenger lift and hoists; boilers; fire safety equipment alarms, emergency lighting; portable electrical equipment; temperatures of fridges, freezers and cooked food etc. There were contracts in place for the disposal of clinical and household waste. Staff said that they attended regular and compulsory fire safety training and visitors also said that the home’s fire alarm system was checked every week. Guards covered all radiators in the home and all windows above the ground floor were fitted with restrictors. The temperature at all hot water outlets was checked regularly to ensure that it was delivered at around 43 degrees centigrade. Staff said that they attended training in health and safety related subjects and 2 said that they were due to attend a first aid course in the very near future. The home had 4 staff trained as accredited manual handling trainers and there were hoists, slide sheets and a Standaid in the home to promote safe working practices. There was a fire risk assessment for the premises and regular risk assessments of the premises were undertaken. Recommendations and requirements set out in recent reports following inspections by both the local fire and rescue service and environmental health department had been actioned by the home. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x 3 x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x 3 x x x 3 x 3 St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 23 No 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 Regulation Requirement Timescale for action 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 22 Good Practice Recommendations 1.It is recommended that the registered persons arrange to have the premises and facilities assessed by suitably qualified persons including an occupational therapist with experience of the client groups catered for the home. St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 24 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire, SO15 1GW 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 St Georges Nursing Home H54 S11444 St Georges NH V221203 150405 Draft 120505 PH.doc Version 1.20 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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