CARE HOMES FOR OLDER PEOPLE
Stone House Nursing Home Bishopstone Road Stone Aylesbury Buckinghamshire HP17 8BX Lead Inspector
Christine Sidwell Unannounced Inspection 20th March 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stone House Nursing Home DS0000019253.V360886.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. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Stone House Nursing Home Address Bishopstone Road Stone Aylesbury Buckinghamshire HP17 8BX 01296 747122 01296 747 007 phil@stonehousecare.co.uk 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) Mr Dhanani Mrs Dhanani Philomena Heritage Care Home 31 Category(ies) of Dementia (31), Old age, not falling within any registration, with number other category (0) of places Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Elderly Physically Frail Elderly Mentally Impaired Date of last inspection 21st September 2006 Brief Description of the Service: Stone House Nursing Home is situated in a country road, within 20 minutes drive from the main Aylesbury town centre, where a wide range of shops and other local amenities can be found. The home is a large older house set in well-kept, large gardens. The home is able to provide nursing accommodation for 31 residents, with an additional category for residents diagnosed with dementia. The manager is a qualified nurse and is supported by a team of qualified nurses, care assistants, housekeeping and catering staff support the manager. Access to the community care team and other health care services is through the general practitioner referral or by direct contact. A qualified nurse is on duty at all times. Fees currently range between £620.00 and £850.00 per week. Additional costs are incurred for hairdressing, personal items and chiropody. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes.
The inspection was conducted over the course of five days and included a one day unannounced visit to the home. The key standards for older people’s services were covered. Information received about the home since the last inspection was taken into account in the planning of the visit. Prior to the visit, the manager completed an annual quality assurance self-assessment and surveys were distributed to service users, relatives, visiting health and social care professionals and staff. Fourteen residents or their families, one general practitioner, one healthcare professional and four staff members returned the questionnaires. Residents and families were also spoken to on the days of the unannounced visit. Discussions took place with the manager, nursing, care and ancillary staff. Care practice was observed. A tour of the premises and examination of some of the required records was also undertaken. The homes approach to equality and diversity was considered throughout. What the service does well:
There is information available to potential residents and their diverse social and care needs are identified with them, prior to their move to the home, to ensure that they can be met. All residents had contracts or statements of terms and conditions. A thorough assessment of potential resident’s needs and wishes is undertaken before the resident moves to the home, where this is possible, although a number of residents moved to the home straight from hospital. Resident’s personal, healthcare and medication needs are met, promoting their dignity and wellbeing. Residents and their families were complementary about the care offered. Comments included ‘my family and I are very satisfied with the care offered at Stone House’, ‘the standard of care in all ways is excellent’ and ‘the carers treat the elderly in their care with respect… residents are treated with great care and attention’. The home offers flexible care, in line with resident’s abilities and supports their autonomy. There is a programme of activities which residents may join in with they wish. The meals are of a high standard and meet resident’s nutritional needs. The cook is knowledgeable about residents’ likes and dislikes and works hard to meet them. Food is home cooked and fresh fruit and vegetables are available. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 6 The complaints and protection policies and procedures work well, giving residents, and their families, confidence that their concerns will be addressed and any safeguarding issues will be addressed, in conjunction with the local authority. Families said that if they raised any concerns they would be dealt with promptly. The Commission for Social Care Inspection has received one anonymous complaint since the last inspection and has not been notified of any safeguarding allegations made to the local authority, which is the lead agency in these matters. The home is an older building, which is clean and well maintained, providing an attractive and safe home for residents. Residents are encouraged to personalise their rooms with pictures ornaments and small items of furniture. Most had their own televisions. The maintenance team value the role that they play in putting up pictures and shelves to help residents to create a room, which reflected their homes and their memories. There are sufficient staff, who have received relevant training, to meet resident’s care needs. The home is well staffed and there is a good programme of training available to staff. The training programme is run in conjunction with Buckinghamshire County Council and with some other homes in the area. There is a multicultural staff team who are very relaxed and proud of the home and the standards that they endeavour to achieve. The manager is an experienced nurse who also holds the National Vocational Qualifications in Management at level 4. There are quality assurance systems in place to ensure that residents receive a good standard of care and that their views are taken into account in the running of the home. The proprietor undertakes regular quality monitoring visits and residents and their family’s views are sought. A relative chairs the resident/ family committee. Services and equipment are maintained and regular safety checks are undertaken to protect residents and staff from injury arising from their care or work. What has improved since the last inspection? What they could do better:
The recruitment procedures should be reviewed to ensure that prospective staff member’s work history and references are consistent, to protect residents from potentially unsuitable carers. Two references should be sought for each
Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 7 employee, including one reference from the potential staff member’s last employer. Gaps or inconsistencies in work history should be clarified at interview and records kept. The number of staff with dementia care training should be increased to ensure that sufficient staff are knowledgeable about this aspect of care. Residents should not share hoist slings. 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. Stone House Nursing Home DS0000019253.V360886.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 Stone House Nursing Home DS0000019253.V360886.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): 2, 3 and 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. There is information available to potential residents and their diverse social and care needs are identified with them, prior to their move to the home, to ensure that they can be met. EVIDENCE: The home has an up to date statement of purpose and service users’ guide. All of the residents, or families, who returned the questionnaire, said that they had received information about the home and the families spoken to said that they had been made welcome at the home and invited to look around before their family member moved to the home. All residents who fund their own care have a contract and these were seen in their files. Those residents who are supported by the local authority or health services also have statements of their terms and conditions. Families confirmed that someone had visited their relative to assess their needs before they moved to the home and copies of the assessment were seen in the files. Residents’ social, cultural and religious needs had been had been identified at the initial assessment for all residents. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 10 The home does not offer intermediate care. Stone House Nursing Home DS0000019253.V360886.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 the service experience excellent quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Resident’s personal, healthcare and medication needs are met, promoting their dignity and wellbeing. EVIDENCE: The care of four residents was followed through. Their files contained comprehensive care plans and there was evidence in some files that both residents and families are involved in planning their care. The staff spoken to were knowledgeable about residents’ care wishes. The care plans had been reviewed regularly and updated when appropriate. The residents and family members who returned the questionnaires and those spoken to on the day of the unannounced visit said that they were involved in planning their care and that the staff were responsive to their wishes. Those who returned the questionnaires were complementary about the standard of care offered. Comments included ‘my family and I are very satisfied with the care offered at Stone House’, ‘the standard of care in all ways is excellent’ and ‘the carers treat the elderly in their care with respect…residents are treated with great care and attention’. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 12 Residents had had assistance with their personal hygiene. All had had their hair dressed recently and gentlemen were shaved. One family member commented that ‘my father is always well dressed which shows the residents are shown respect’ Resident’s risk of acquiring pressure damage due to immobility had been assessed and appropriate equipment was available. No residents had pressure damage on the day of the unannounced visit to the home. Nutritional risk assessments had been undertaken. The staff and cook were aware of residents’ dietary needs and could provide special diets to meet residents’ health and cultural needs if necessary. The cook was aware of the need to provide some people who suffer from dementia with a high calorie diet. Residents are weighed regularly and those residents whose care was followed through had maintained their weight on moving to the home. There was evidence that falls assessments are undertaken and the advice of the local Primary Care Trust specialist falls prevention team is taken where necessary. Residents register with local general practitioners, one of whom visits the home a weekly basis. One general practitioner (GP) returned the questionnaires and both said that the home communicated clearly with him and that any specialist advice was incorporated into the resident’s care plan. He said that the staff call him when necessary and make appropriate use of the out-of-hours GP service. He felt that ‘overall, a caring and competent service is provided’. There are medication management policies and procedures in place and the staff spoken to were aware of these. Storage facilities are satisfactory. Records are kept of medication entering and leaving the home. The medication administration records were accurately completed. Controlled drugs were stored satisfactorily and all entries to the controlled drug register were signed. A contract is held for the disposal of unused medication. The registered nurses spoken to said that medication was not administered covertly. If a resident refused medication this would be recorded. If the medication was essential and the resident lacked the capacity to make the decision, the doctor and family would be informed and a way forward agreed. None of the residents in the home managed their own medication at present although there is a policy to facilitate this if a resident wishes. The pharmacist who returned the questionnaire said that the service was ‘very receptive to resident’s needs’. The staff were observed to be respectful towards residents and to protect their dignity. All care is given in residents’ rooms. Residents and relatives who returned the questionnaires and those spoken to on the day said that staff Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 13 were kind and caring and always asked residents what they would like to do and gave them a choice. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home offers flexible care, in line with resident’s abilities and supports their autonomy. The meals are of a high standard and meet resident’s nutritional needs. EVIDENCE: There is a programme of activities to bring interest and diversion to the day. Activities include weekly entertainment, tea parties and individual reminiscence. There is a resident’s committee, which raises funds and helps with activities. A local community bus service is used if residents wish to go out. A comprehensive social history is undertaken for all residents to support them to remember things that are meaningful for them and to give carers greater understanding of residents likes and dislikes when they cannot articulate them for themselves. The local vicar visits monthly. Most family members and residents were pleased with the activities on offer although one commented that they felt more individual activities would be helpful for some residents. This should be considered. Families said that they could always see their family member in private if they wished and confirmed that they were made welcome at any time. Families are also encouraged to stay for a meal if they wish. One said that he had really enjoyed a ‘glass of wine with his Dad’. Tea and coffee making facilities are
Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 15 available for families to help make them feel at home. Families were also complementary about the fact that the care staff are sensitive to residents wishes. One said, when asked what the home does well, ‘I think that that they listen really well, to me, my dad and the rest of the family…’ Information about local advocacy services was available in the home and displayed prominently for residents and their families. There is a varied menu and there is evidence that residents have a choice of meal. There is a choice of breakfast and a choice at supper of a cooked meal or soup and sandwiches. Late night drinks with biscuits are offered. Residents had drinks within reach throughout the day of the unannounced visit. The cook is currently reviewing the menus. She was very knowledgeable about residents and their individual preferences. She was also aware of those who needed special diets on medical grounds. She was aware that some residents may lose weight and knew who was on prescribed meal supplements. Most food is home cooked and there was evidence that fresh fruit and vegetables are available. The residents and families who returned the questionnaires said that they enjoyed their meals. The staff were observed to be helping those who could not eat unaided discretely. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The complaints and protection policies and procedures work well, giving residents, and their families, confidence that their concerns will be addressed and any safeguarding issues will be addressed, in conjunction with the local authority. EVIDENCE: There are complaints policies and procedures in place. The manager said that she would record both verbal and written complaints. There had been two complaints since the last inspection. All the families and residents who returned the questionnaires said that they knew who to speak to if they were unhappy. Three families commented that they had minor concerns, which were dealt with immediately. The home has an up to date copy of the local multi agency strategy for safeguarding vulnerable adults. Most staff have had safeguarding training and those spoken to said that they would have no hesitation in reporting any concerns about resident’s welfare. The manager has undertaken additional training to become a trainer herself. There are whistle blowing policies and procedures in place. The home is secure and the manager said that restraint was not used. None was observed. The Commission for Social Care Inspection has received one anonymous complaint since the last inspection and has not been notified of any Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 17 safeguarding allegations made to the local authority, which is the lead agency in these matters. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 18 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, 24 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home is an older building, which is clean and well maintained, providing an attractive and safe home for residents. EVIDENCE: The home is a listed building and has a ground floor extension. It is situated in a rural area with views over the Vale of Aylesbury. Residents’ bedrooms are on the ground and first floor. There is a passenger and stair lift to the second floor. There is an ongoing decoration and refurbishment programme. Heat reducing blinds have been installed in the conservatory since the last inspection. The bathrooms have been refurbished, new carpets fitted to the communal areas and new flooring laid in the laundry and kitchen. Residents are encouraged to personalise their rooms and many had chosen to do so. The maintenance team were happy to put up shelves and pictures and saw this as a valuable part of their role.
Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 19 The standards of infection control are good. There are policies and procedures in place, which have been updated in line with the Department of Health’s guidance issued in June 2006. Staff were observed to be wearing protective clothing and were observed to wash their hands and had had training in infection control. Alcohol hand rub was available to help prevent cross infection. The manager said that residents had their own sliding sheets where they needed them and that they would have their own hoist sling if they had an infection. She said that hoist slings are washed regularly. The latest Department of Health guidance about the use of hoist slings states that residents should not share slings. This should be implemented in the home. The laundry is well managed and the home was clean and tidy on the day of the unannounced visit. There were no offensive odours. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 20 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 the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. There are sufficient staff, who have received relevant training, to meet resident’s care needs. The recruitment procedures should be reviewed to ensure that prospective staff member’s work history and references are consistent to protect residents from potentially unsuitable carers. EVIDENCE: A staff rota is kept and showed that there are qualified nurses and care staff on duty on each shift. The residents and families who returned the questionnaires said that their needs were met in a timely way. All residents were up by mid morning. The manager said that there were additional staff on duty at busy times of the day. She also said that she had a regular staff team and did not need to use agency staff. In addition to the twenty- six nursing and care staff employed to cover the 24- hour rota there are eight additional staff providing housekeeping, maintenance and catering support to residents. Seven staff members returned the questionnaires and all said that they felt supported in their role. They said that they tried to focus on individual needs and respect peoples choices. Those spoken to confirmed that they had had recent training, which they valued. There are comprehensive training programmes for staff. Sixty-two percent of care staff hold the National Vocational Qualifications in Care at Level 2. The training matrix showed that all staff have had the mandatory training in safe
Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 21 working practices and that staff undertake an induction programme on appointment to the home. The home is working with other homes in the district and Buckinghamshire County Council, to offer training collaboratively and to maximise the take up of grants to support staff to undertake training. The training matrix showed that nine of the thirty-two members of staff had received dementia care training in 2007. It is recommended that this be increased and that all staff have dementia care training commensurate with their role. The recruitment files of four recently recruited members of staff were reviewed. All had the required documentation to show that checks as to the potential staff member’s identity and suitability to work with vulnerable people had been undertaken. All had submitted an application form, which showed their work history. Criminal Records Bureau checks had been undertaken before the staff member commenced work. There was evidence in the files seen that work permits had been obtained where necessary. Two references had been obtained, although in two cases these were not from the staff member’s previous employer. There was some inconsistency in work history for one staff member, which was not explained clearly on the application from. With the exception of one staff member, interview records had been kept although these discrepancies had not been explored. The recruitment policies and procedures should be reviewed to ensure that references are taken up from the prospective staff member’s last employer and that any discrepancies in the work history or references is explored at interview and records of the discussions are kept. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 22 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 the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home is well managed by an experienced manager and there are quality assurance systems in place to ensure that residents receive a good standard of care and that their views are taken into account in the running of the home. EVIDENCE: There is an experienced manager in post. She is a qualified nurse and holds the National Vocational Qualifications in Management at level 4. The lines of accountability within the organisation are clear. The residents spoken to say that the management team were approachable and responsive to their needs. Families and staff spoke highly of the manager and said that she worked alongside them and listened to their views. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 23 The home has a quality assurance system in place. Regular resident, family and staff meetings are held. A relative chairs the residents/relatives meeting. The organisation also undertakes a quality assurance survey twice a year. The latest responses showed that residents and their families were positive about the care offered saying ‘carers and staff show a lot of respect’ and ‘you would go a long way to beat Stone House’. The providers monitor the quality of care by means of regular visits. Residents are spoken to and reports of these visits, with action points are kept. There is a clear business plan for the home for 2007/08, which has clearly identified targets. The home has renewed it’s Investors in People accreditation in 2007. The home does not manage residents’ financial affairs and there is no facility for residents to hold personal allowance in the home. A billing system is used and any personal purchases are added to the monthly invoice. Receipts are kept. There are health and safety policies and procedures in place. The information sent prior to the visit showed that service and maintenance records are up to date. Most staff have had moving and handling training, health and safety, food hygiene, infection control and fire safety training. Fire safety records are kept and were up to date. The staff spoken to were aware of the fire evacuation procedures. The Fire Authority last visited the home in March 2008 and was satisfied with the fire safety standards. Risk assessments for safe working practices have also been undertaken. Records are kept of safety checks of hot water temperatures, particularly baths and showers. The divan beds have now been replaced with height adjustable beds with integral bed rails. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 25 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. 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 2 3 Refer to Standard OP26 OP30 OP30 Good Practice Recommendations Residents should not share hoist slings. All staff should receive dementia care training commensurate with their role. The recruitment policies and procedures should be reviewed to ensure that references are taken up from the prospective staff member’s last employer and that any discrepancies in the work history or references is explored at interview and records of the discussions are kept. Stone House Nursing Home DS0000019253.V360886.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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
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