Please wait

Please note that the information on this website is now out of date.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

Inspection on 14/07/08 for Stamford Nursing Centre

Also see our care home review for Stamford Nursing Centre for more information

This inspection was carried out on 14th July 2008.

CSCI found this care home to be providing an Good service.

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

Stamford Nursing Centre has a friendly and supportive atmosphere and staff work hard to meet the needs of the people living there. People are treated with respect and their right to privacy and their right to exercise choice and control over their lives is upheld. Residents we spoke with said they were happy with care and support they received. One resident told us, "I like it here very much". Another resident commented, "Everything is OK". Good assessments and comprehensive care plans ensure that staff know how best to support each person. People who live at the home are kept suitably occupied and engaged and can choose from a range of activities. The registered manager is also working hard to ensure the residents of the home are treated well and receive the care they need to lead as fulfilling lives as possible.

What has improved since the last inspection?

Six requirements were issued at the last inspection. Three of these requirements related directly to an individual resident who is no longer at the home. These requirements have been withdrawn although the manager was able to explain how these requirements had been complied with. The three remaining requirements issued have now also been met. Faulty lifting equipment has been replaced so that residents are not being put at risk. Staff are now undertaking training in managing challenging behaviour so they now support people more effectively. The fire alarm is now being tested weekly so that staff know it is working properly to ensure the safety of residents and staff.

CARE HOMES FOR OLDER PEOPLE Stamford Nursing Centre 21 Watermill Lane Edmonton London N18 1SU Lead Inspector Mr David Hastings Key Unannounced Inspection 10:00 14th & 15th July 2008 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 Stamford Nursing Centre DS0000027823.V364737.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. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stamford Nursing Centre Address 21 Watermill Lane Edmonton London N18 1SU 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) 020 8807 4111 020 8807 9479 moriarth@bupa.com www.bupa.co.uk BUPA Care Homes (ANS) Ltd Helen Jean Moriarty Care Home 90 Category(ies) of Dementia (33), Old age, not falling within any registration, with number other category (43), Physical disability (14) of places Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide nursing care and accommodation to service users of both sexes whose primary care needs on admission to the home are within the following categories:Old age not falling within any other category (Category OP) (no more than 43 persons) Service users with dementia who are over 50 years of age (Category DE) (no more than 33 persons) Service users with a physical disability who are between 21 and 65 years of age (Category PD) (no more than 14 persons) The maximum number of service users who can be accommodated is 90 9th July 2007 2. Date of last inspection Brief Description of the Service: Stamford Nursing Centre is a care home registered to provide nursing care for older adults and a specified number of younger adults with physical disabilities. The Commission is currently reviewing the conditions of registration with the provider. The home was previously owned by ANS Homes Limited. BUPA purchased the home in October 2005. BUPA is a national organisation and owns other care homes across the country. The home aims to provide a high quality of nursing care to adults convalescing after surgery or illness, older people who require nursing care, adults aged over fifty with physical disabilities and those requiring palliative care. The home is a large modern purpose built three storey building. The kitchen, laundry, reception and administrative offices are all located on the ground floor. The bedrooms are located on all three floors. All bedrooms have en-suite facilities. Floors are connected by stairways and a passenger lift. Each floor has a lounge and separate dining room. There are two additional smaller lounges. Fourteen younger adults are accommodated in a separate wing on the first Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 5 floor. The home is located close to the North Middlesex Hospital and along the North Circular Road. It is within walking distance of shops; restaurants and transport facilities located the High Street in Edmonton. The fees charged by the home range from £640 - £990 each week. The provider must make information about the service available (including reports) to service users and other stakeholders. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This Key Unannounced inspection took place on Monday 1st July 2008 and was completed Tuesday 2nd July 08. The inspection lasted ten hours. We spoke with eight staff on duty during the inspection. We spoke with ten residents of the home and two visitors. We also observed the interactions between staff and residents. We inspected the building and examined various care records as well as a number of policies and procedures. What the service does well: What has improved since the last inspection? What they could do better: Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 7 Two requirements have been issued as a result of this inspection. The carpets in the corridors need to be replaced, as they are becoming worn and frayed in some places and could present a risk to both staff and residents. The lighting in the corridors needs to be improved so that residents can see their way around the home better. Four good practice recommendations have also been issued. The home should ensure that information about the home includes how the home supports and welcomes people from different backgrounds and cultures. In order to protect residents from unsuitable staff working at the home, all references received should include a company stamp or letter headed paper to further confirm the authenticity of references. All nursing and care staff at the home should attend training in dementia care so that all staff working at the home understand the needs of people with dementia. The organisation should look at ways of finding out if people with dementia are happy with the care provided by the home. This may mean that an established observational tool is used such as “Dementia Mapping”. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 (6 not applicable) People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents have accurate information about the home in order to make an informed choice about where to live. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. EVIDENCE: We looked at the “Service User Guide”. This gives people information about the home and services and facilities available. Although the information was satisfactory it would be helpful to include a statement about how the home encourages people from different backgrounds to use this service. A good practice recommendation has been issued that the home reviews the service user guide to include an equal opportunities statement. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 10 We examined two pre assessments of people who have recently moved into the home. The manager told us that either herself or another nurse would visit a prospective resident and carry out an assessment of their needs before they moved in. These assessments were detailed and covered all the elements required by this Standard including the assessment of physical, emotional, social and cultural needs. We also found that the information from these assessments was being recorded on peoples’ care plans as well. There was evidence that people moving into the home have a review of their placement after four to six weeks to see if they are happy at the home and whether they decide to move in on a permanent basis. Stamford Nursing Centre DS0000027823.V364737.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans clearly set out residents’ health, personal and social care needs so that staff know how best to support everyone at the home. Residents have good access to health care professionals and they are treated with respect. Residents get the medication they require, at the right times and by appropriately trained staff. EVIDENCE: Ten peoples’ care plans were examined. These plans gave staff detailed information about how best to care for each person. People’s health, personal and social care needs were recorded on each plan. Care plans seen were “Person centred” in approach and contained information about how to maintain an individual’s privacy and dignity. These plans were being updated regularly. Risk assessments were also seen relating to moving and handling, falls, pressure care, nutrition and other risks associated with dementia. There are a number of people who use the service that are from different backgrounds and cultures. The manager told us that appropriate menus could be provided but at present residents at the home usually have the same meals. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 12 The manager told us that all residents were consulted about their plan of care each month. Residents we spoke with said they felt the staff were able to meet their needs at the home. Pressure relieving equipment was being used for people who have been assessed as being at risk from developing pressure sores. Currently eight people at the home are being treated for pressure sores and notes seen regarding the treatment of these residents indicated that their condition was improving. Treatment notes in relation to pressure care were detailed and included a record of the size and condition of these pressure sores so that staff could better monitor the effectiveness of any treatment regimes. There were records on the residents’ files inspected of a range of health care checks by external health professionals. These included opticians, chiropodists and dentists. There was evidence of regular input from doctors including evidence of their attendance at the home. A relative we spoke with told us that the home would always contact him if they had any medical concerns about his relative. Satisfactory records were examined in relation to the receipt, storage, administration and disposal of medication. Records indicated that staff have undertaken medication training and only qualified staff administer medication at the home. Each person’s medication chart has a picture of them attached to it so that staff can double check who is receiving the right medication. We saw a number of examples of excellent staff interactions with people and staff were able to describe to us how they ensure the privacy of people they support in relation to personal care and information sharing. We saw staff knocking on resident’s bedroom doors before entering. People we spoke with told us that the staff were respectful and kind towards them. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides varied activities for people who use the service in order to keep them suitably occupied and engaged. The home encourages visitors, which ensures an interesting and lively atmosphere. Residents are able to exercise choice and control over their lives. The home provides people with a wholesome appealing balanced diet. EVIDENCE: There are three activity workers at the home and people we spoke with were very positive about their input. One resident told us, “They try so hard and try to include everybody”. This is very important as some people are very poorly and cannot join in with group activities. The manager told us that one to one activities take place with residents in their rooms. The manager showed us a calendar from the organisation that includes suggestions for activities. At the time of the inspection the home was on a “virtual cruise”. Staff were dressed as sailors and the kitchen was supplying various dishes from different countries. Both staff and residents were clearly enjoying this activity. People with dementia were showing positive signs of well-being and were taking part in activities and interacting with staff and residents. We also saw staff visiting those residents who stay in their bed most of the time and chatting with them. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 14 Social and recreational interests were being recorded on individual care plans. We saw a large number of visitors to the home during the inspection and the record of visitors indicated that they could visit at any reasonable time. This was confirmed by the home’s visiting policy and by residents and visitors we spoke with. The home has regular relative and residents’ meetings and minutes examined indicated that residents have a say in how the home is run. The minutes also provided evidence that residents are consulted about the menus in the home. Staff we interviewed were able to give us practical examples of how they offer choice to people living at the home. People’s likes and dislikes were recorded on their individual plans as well as preferred times for getting up in the morning and going to bed. The kitchen was inspected. Fridge and freezer temperatures were being recorded and there were sufficient amounts of fresh fruit and vegetables available. The cook was interviewed and had a good knowledge of individual resident’s dietary needs and preferences. A choice of menu is available each day. The meals we saw on the day of the inspection looked and smelt appetising. People who use the service confirmed that the food was good at the home and that they always get enough to eat. Staff were providing discreet assistance where appropriate. One resident told us, “The food is very good”. Another resident commented, “Its good enough”. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and responded to in a professional manner. People at the home are protected from abuse by clear policies and procedures and by an appropriately trained staff team. EVIDENCE: The home has satisfactory policies and procedures in relation to complaints and protecting vulnerable people from abuse. Records of complaints we saw indicated that each complaint had been dealt with appropriately and in line with the home’s complaints procedure. People who use the service we spoke to said they had no complaints about the service but knew what to do if they did have a concern. The Commission received an anonymous complaint regarding the general environment of the home and the standard of care provided. This complaint was passed to the registered manager to investigate. A satisfactory report of this investigation was sent to the Commission. No further action has been required in relation to this complaint. Training records we examined indicated that most staff have attended training in adult protection. Staff we interviewed confirmed they had undertaken adult protection training and were able to give us examples of how people could be at risk from abuse and their responsibilities in relation to reporting any suspicions of abuse at the home. People we spoke to during the inspection told us they felt safe at the home. Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 16 The home has recently dealt with an adult protection investigation regarding end of life care. This issue was dealt with openly and professionally by the manager of the home and the allegation was not upheld. Stamford Nursing Centre DS0000027823.V364737.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is clean and maintained and decorated to a satisfactory standard. Residents may be put at risk from worn and frayed carpets and by insufficient lighting in the corridors. EVIDENCE: The registered manager showed us around the home and we met with many residents in their rooms. The home is generally decorated and maintained to a satisfactory standard. We noticed that carpets in the corridors had become worn and frayed. Tape had been applied to the frayed areas to limit the risk of people tripping. However this is not a long term solution to the problem and a requirement has been issued that carpets in the corridors are replaced. The manager told us that the organisation is planning refurbishments for all the homes but no date for this home has been given as yet. We also found that the corridors were quite dark. It would seem that the lighting is insufficient for the residents of the home. Older people require more light to see than younger Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 18 people and poor lighting could increase the risk of residents falling. The manager carries out a regular falls analysis and she told us that few people at the home are able to mobilise unaided and so there have not been a significant number of falls in the corridors. However in order to improve the safety of residents at the home a requirement has been made relating to adequate lighting in the corridors. A requirement was issued at the last inspection that all defective equipment must be repaired or replaced. We found no faulty equipment in the home and the manager told us that new hoists had been recently purchased. This should ensure that all equipment needed to move and transfer residents are working safely. People we spoke to told us the home was always clean. One resident told us, “The cleanliness is very good”. The water temperatures of wash hand basins in peoples’ rooms were checked and found to be within safe limits so residents cannot accidentally scold themselves. Bathrooms and toilets were clean and contained anti bacterial soap and paper towels to limit the risk of cross infection. We saw the laundry area, which has satisfactory equipment including facilities for sluicing bedding and clothes as required. Training in infection control is also provided for staff. There were no offensive odours detected in the home during the inspection. Stamford Nursing Centre DS0000027823.V364737.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staff at the home work very hard to meet the needs of the residents and are provided with good training opportunities to further enhance their knowledge and skills. Recruitment practices are sufficiently detailed in order to protect residents at the home. EVIDENCE: The staffing rota was examined. The rota indicated that sufficient numbers of nursing and care staff were on duty throughout the day. If staff phone in sick then the home uses bank staff to cover the shifts. The manager told us that the home rarely uses agency staff. At present there are fifteen vacancies at the home. Residents we spoke with told us they were well treated by staff. One person told us the staff were, “excellent”. Another resident told us, “The staff are very nice”. We observed friendly and supportive interactions between staff and residents. Visitors to the home also told us that the staff were friendly and welcoming. The manager told us that approximately 35 of care staff have completed their NVQ level 2 training. Another twelve staff are starting this course in care in August this year. All nurses and care staff we spoke to were very positive about the training opportunities provided by the organisation. Training records examined Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 20 indicated that most staff have completed the required training so they can provide a good level of care to the people using the service. This training includes moving and handling, protection of vulnerable adults, fire training, infection control, wound care and tissue viability training. A number of senior staff have attended a dementia care course. Staff were very positive about this training and were keen to tell us how this training has improved the way they support people with dementia. A good practice recommendation has been issued that all staff attend this course in order to further improve the care of people with dementia at the home. A requirement was issued at the last inspection that staff undertake training in managing challenging behaviour. The manager said that managers and senior staff have undertaken a “Train the trainers” course and that this training was being cascaded to other staff in the home. The manager told us that residents who have a degree of challenging behaviour are being supported by staff who have had this training. We examined the files of three staff who have recently been employed at the home. All files contained the information required to protect residents including CRB disclosures, two written references and proof of identity. Some references did not include a company staff or letter headed paper from the referee. This would further confirm the authenticity of the references and a good practice recommendation has been issued relating to this matter. Stamford Nursing Centre DS0000027823.V364737.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The registered manager is working hard to improve the quality of care provided at the home. Residents have opportunities to have a say in how the home is run. Residents’ financial interests are being safeguarded. The health and safety of residents and staff are being promoted and protected. EVIDENCE: Staff and residents that we spoke with were positive about the registered manager of the home. One visitor told us, “She runs a tight ship”. A resident told us the manager was, “Very pleasant” and that she, “Takes a real interest”. The registered manager, Helen Moriarty is a qualified nurse and has undertaken the training required to manage a registered nursing home. There was also evidence that the manager attends regular training. Recently the Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 22 manager has attended a safety awareness course and training in managing challenging behaviour. The organisation undertakes regular quality assurance surveys for residents and their representatives. The results of these surveys are then published and made available to all interested parties. To further enhance the quality monitoring at the home a good practice recommendation has been issued that the management explore the use of “Dementia Care Mapping”. This is an observational tool that can monitor for signs of wellbeing in those residents with cognitive impairment. This should ensure that the staff at the home can assess whether they are providing a good level of care and support for those people who have dementia and may not be able to express their opinions verbally. There was also evidence from relatives and residents’ meetings that people can have a say in how the home is run. For example the manager told us that the provision of activities has changed as a direct result of residents’ comments. Each resident has their own personal account for their money. The administrative staff were able to explain how this system works and accounts that we examined were accurate and clear audit trails were evident to ensure that residents are protected from financial mismanagement. A requirement was issued at the last inspection that fire alarm tests are carried out weekly. Records we examined indicated that this was now taking place as well as regular fire training and fire drills for staff. We examined satisfactory records in relation to other health and safety issues including electrical safety, gas safety and Legionella control. Staff training records indicated that staff are undertaking the required health and safety training in order to protect both residents and staff. Stamford Nursing Centre DS0000027823.V364737.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Stamford Nursing Centre DS0000027823.V364737.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. Standard OP19 Regulation 23(2) d The registered person must ensure that the carpets in the corridors are replaced so that residents are not put at risk from tripping over worn or frayed areas. 2. OP19 23(2) p The registered person must ensure that there is sufficient lighting in the corridors of the home so that residents can walk around the home safely. 01/12/08 Requirement Timescale for action 01/06/09 Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The registered person should ensure that the home’s “Statement of Purpose” includes an equal opportunities statement detailing how potential residents from diverse backgrounds are welcomed and encouraged by the home. 2. OP29 The registered person should ensure that all references include a company stamp or letter headed paper to further confirm its authenticity. 3. OP30 The registered person should ensure that dementia training is provided for all nursing and care staff at the home. 4. OP33 The registered person should explore ways that “Dementia Mapping” could be used as part of the home’s quality monitoring systems Stamford Nursing Centre DS0000027823.V364737.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stamford Nursing Centre DS0000027823.V364737.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!