Inspection on 11/08/05 for Strode Park Nursing Home

This inspection was carried out on 11th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Strode Park Nursing Home 01/08/06

Strode Park Nursing Home 20/02/06

Strode Park Nursing Home 01/11/04

Strode Park Nursing Home 15/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Strode Park Nursing Home Strode Park House Herne Herne Bay Kent, CT6 7NE Lead Inspector Kim Rogers Unannounced 11/08/05 at 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Strode Park Nursing Home Address Strode Park House, Herne, Herne Bay, Kent, CT6 7NE 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) 01227 373292 01227 369033 Strode Park Foundation for Disabled People Registered Care Home 44 Category(ies) of Physical Disabilities x 44 registration, with number of places Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 30 of the 44 beds are registered for nursing patients. Date of last inspection 1/11/04 Brief Description of the Service: Strode Park Nursing home provides accomodation and support to 44 permanent and respite service users, the majority of whom are accomodated in single rooms. All facilities are situated on the ground floor. There is a shaft lift to access the first floor. The home has a call bell system and each bedroom has a television point. A small number of bedrooms have been provided with telephone points which service users have requested. There is a day centre located next to the home which provides service users with access to physiotherapy and IT facilities. Service users are able to maximise their independence through the provision of environemental aids and adaptations. There are extensive grounds with mature gardens and an attractive fountain. Located within the grounds is the Theatre in the park which is well utilised by both service users and visitors throughout the year. The home is situated in the village of Herne immediately adjacent to the main Sturry to Herne Bay road. There is access to a bus service and other facilities such as local shops, which are within walking distance. There is a shop within the home staffed by volunteers. There is ample car parking at this home. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out by Kim Rogers on 11/8/05 between 10.00 and 16.45. There are currently 40 service users at the home. The Inspector spoke to the Manager, the Deputy and staff. The Inspector spoke to service users in private and as a group and met in private with the service user advocate and the service user representative. The Inspector looked around the home and looked at records. Service users said positive things about living at Strode Park and staff were positive about working at Strode Park. Service users said ‘I love the staff to bits’ ‘We get lots of outings’ ‘We could do with more staff but then couldn’t every home’ ‘The 3 new care staff are very good’ ‘We get a choice of meals’ Staff said ‘I am proud to work here’ ‘Developing the induction has made a real difference’ Staff are well supported by the manager and the manager is supported by the Foundation’s senior management and trustees. The manager has support from a Deputy Manager and administrator. There is a Director of Care, Human Resources Manager, Chief Executive and Maintenance Manager on site as well as other corporate staff. Staff are enthusiastic about their work and morale appeared good. The home has shown commitment to meeting the National Minimum Standards. This home is well run by sufficient competent staff providing a good standard of care and support to service users. The home has recently been awarded ‘Investors in People’ status. There is currently some building work in progress. An extension is being built to increase the size of the home. What the service does well: This home is good at listening to service users views. There is a service user representative who is a resident and meets with the manager every week to discuss any issues. There is a service user advocate who meets with the manager and senior managers regularly. The home plans to start a selfadvocacy group. The management structure is strong so staff feel supported and valued. The home has aids, equipment and adaptations to enable service users to maintain and maximise their independence. Service users said ‘the cleaners are very good’ Activities and events are well planned to ensure maximum participation. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: 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. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4 Service users know their needs will be assessed. Prospective service users know they can make visits and stay overnight before they decided to move in. Service users know this home will meet their needs. EVIDENCE: The Inspector sampled service user plans. All contained assessments either carried out by professionals involved or by the home. There were detailed moving and handling assessments. Assessments are regularly reviewed to identify any changing needs. The standards recognise this process as crucial as the assessment forms the basis of the service users plan. The Inspector discussed the need to assess hopes, dreams and aspirations in as much detail as clinical and health needs have been assessed. The manager agreed to do this. The manager told the Inspector about the referral process. If someone enquires about the home they are asked to complete an application form. Information about the home is sent to the prospective service user. The manager asks for an assessment from a care manager or health professional then meets with the service user to carry out her own assessment. The manager said she now tries to take a senior staff with her to help with the assessment. This information is relayed back to the staff team who start to develop a care plan or service user plan from the assessments. The manager said that the home would not offer a place to someone whose needs it could not meet. When an application has been accepted the prospective service user is invited to visit the home. This is done at a pace to meet the service users Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 9 needs and may involve day visits and/or overnight stays. Service users confirmed this saying people visit all the time. The service users advocate said the home works closely with the service user and their representatives during this time. A meeting is held a few weeks after someone moves in to decide if the person wants to stay. The timing of this meeting, that is at what stage it happens, is set to meet the person’s needs. The home has equipment necessary to meet service users needs. The majority of service users use wheelchairs so doorways are wide with automatic opening doors in place. There are hoists and assisted bathrooms, which ensure that service users independence is maintained and maximised as much as possible. Staff are trained in safe moving and handling as part of their induction. Most of the staff team are long standing and experienced and were observed supporting service users discreetly and respectfully. The Inspector spoke to some service users and asked if their needs were being met. All service users spoken to said yes. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9,10 Service Service Service Service users users users users cannot be sure all their needs will be recorded in their care plan. cannot be sure all potential risks will be identified and assessed. know they will have support to make decisions. know their confidences will be kept. EVIDENCE: Each service user has an individual service user plan. These are colour coded depending on whether a person has nursing needs. The service user plan is developed from the initial and ongoing assessments and is the agreement between the home and the service user about how the home intends to meet the person’s needs. Potential risks are assessed and included in the plan. Each service user has a ‘named nurse’ or key worker who takes responsibility for reviewing the service user plan regularly. The Inspector sampled service user plans. The manager and acting deputy said that care plans need reviewing and updating. They recognised that care-planning styles had been inherited and changed by previous managers. They said they are not happy with the format and bulkiness of the plans. They have been researching more appropriate model to use following consultation with a care manager recently. The Inspector agreed. Each service user has two files. One is the working document that staff look at daily. Some of the information was in both files. Some information in the second file should be in the working file. The Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 11 Inspector could not get a true overall picture of each service user after reading their plans. There was limited background or life history. Clinical and health needs were very detailed but social care needs, hopes and dreams were not as detailed. The Inspector spoke to several service users about their life and backgrounds, not all of this was recorded in their plans. The Inspector discussed essential lifestyle planning and person centred planning with manager who agreed to research a suitable model and consult with service users and staff then update the plans. Risk assessments showed regular review however not all risks identified in initial assessments had been fully assessed. For example one service user is at risk from social isolation and withdrawing. Staff were aware of this and told the Inspector of actions they take to prevent it although there was no risk assessment or detailed guidelines for staff to follow. The qualified nurses write daily reports. These reports are detailed but did not refer to social care needs. The manager agreed to address this. Information about service users is held securely. Staff and the manager spoke about the importance of keeping service users confidences. Service users are supported to make decisions about their lives. There is a service users advocate who has previously lived at the home. The Inspector met in private with the advocate. The advocate is at the home four days a week. He meets with and speaks individually to all service users regularly. He is available to listen to any issues or concerns and if necessary feed back to the manager or care director. The advocate was aware of his responsibilities and the need to refer some issues to other professionals for further advice. The Inspector also met in private with service user representative. The representative is elected by service users and is in post for one year. The representative said he meets daily with all service users and has lived at the home for 19 years. He meets with the manager every week to discuss and address any concerns or issues. The representative told the Inspector about issues he has raised on behalf of the other service users, which the manager has addressed. He said the manager would always listen and act on ideas and suggestions. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14 Service Service Service Service users users users users know they will have opportunities for personal development. are able to take part in appropriate activities. benefit from being part of the local community. know their relationships will be supported. EVIDENCE: Service users have access to some day centre facilities at the adjoining home including IT. Activities are also provided in the home by staff from the attached day centre. Some service users enjoyed a Bingo session in one of the lounges during the afternoon. A service of worship is held regularly with all service users given the opportunity to attend. The Inspector spoke with the service users representative who was preparing to attend a discussion group that afternoon. One service user said one of the good things about living at Strode Park was the activities and events on offer. The ‘Theatre in the park’ is sited in the grounds of Strode Park. Service users said they enjoy being part of this by helping behind the scenes and attending performances. Service users also enjoy performances at the Marlowe Theatre in Canterbury. Staff organise transport and staffing. The home has several vehicles to enable service users to access the community. There is a shop in the home and a café in the Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 13 grounds. Service users access facilities including local shops and libraries. The Inspector saw board games, magazines and newspapers. Some service users were choosing to spend the afternoon watching the large wide screen television and reading newspapers. The Inspector was told about and read about a service users recent holiday to Spain. The manager said that service users are supported to plan and prepare for their holidays. The Inspector sampled service user plans after talking to service users about how they like to spend their leisure time. There should be more detail in service user plans about service users leisure, hobby and activity needs. The manager agreed to address this. Relationships are supported by the home. Contact details of family and friends are recorded. Families are invited to reviews and meetings. The home has recently worked closely with a family and service user while they settled in. The home keeps relatives informed about events being planned and held. There are several notice boards around the home giving information about activities and events. The home caters for special diets and soft diets. Service users said they are offered alternatives daily and are able to choose what they have to eat. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 Service users know their personal care needs will be met. Service users health needs are well met. EVIDENCE: Service users personal care needs are detailed in their individual service user plans. This ensures that staff are aware of how people prefer to be supported. All service users have a detailed moving and handling assessment. The home has assisted bathrooms and specialist aids and equipment to maximise service users independence with personal care needs. All bedrooms have a wash hand basin with lowered taps to meet service users needs. Service users said that staff respect their privacy and dignity when supporting them with personal care. Service users said that times for getting up and going to bed are flexible. Registered nurses employed by Strode Park or district nurses meet nursing needs. The home works with closely with health care professionals including physiotherapists and occupational therapists. The manager spoke with knowledge about accessing this specialist support and advice where necessary. All service users are registered with a GP and health is closely monitored in service users plans. Service users have full access to a range of health care professional including dentists and chiropodists. Detailed daily records relate directly to health needs. Health records were in order and up to date. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users know their views will be listened to and acted on. EVIDENCE: The home has a complaints procedure. This is displayed on several notice boards around the home. The service users representative told the Inspector that he is confident any issues he raises on behalf of himself or other service users will be listened to and acted on. The Inspector heard about changes that have been made following suggestions and feedback from service users. The service users representative meets weekly with the manager to feedback any issues. The service user advocate employed by the home also has regular meetings with management to discuss and concerns or issues. Regular service user meetings are also held as well as reviews which families and care mangers attend. The minutes of the last service user meeting wee displayed on a notice board and dated 22/7/05.This enables time to discuss the way the home works. The acting deputy told the Inspector about some improvements she is making following a recent review and feedback from a care manager. The staff appeared keen to listen to ideas and suggestions about ways to improve. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,29,30 Service users live in a well-maintained safe home. Service users say their rooms meet their needs and promote their independence. Service users have the equipment they need to maximise their independence. This home is clean. EVIDENCE: The home employs a maintenance manger who is responsible for ensuring the environment is safe for service users. Regular audits are carried out to ensure the home is safe and well maintained. The home has been adapted to meet service users needs with wide doorways, assisted bathrooms and some automatic doors fitted. On the day of the visit the home was suitably heated and ventilated. The home was very clean and suitably fragranced. Service users said their rooms are kept very clean by the domestic staff. The hoe employs a number of domestic staff. Hand washing facilities are sited appropriately. The laundry was not inspected at this visit. Furnishing s and fittings are of good quality and domestic in nature. There are several communal rooms, which are airy and light with views over the gardens from most rooms. The grounds are extensive and attractive. There are seating and patio areas. There is a bird aviary and an ornamental fountain. The communal Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 17 areas and grounds are accessible to service uses in wheelchairs. All bedrooms are for single occupancy and have wash hand basins. Rooms are personalised with service users own possessions. Service users told the Inspector they are happy with their rooms. Bedrooms are large enough to accommodate any necessary equipment such as hoists to maximise service users independence. The home has several hoists and other moving and handling equipment. Service users said staff always work on pairs to ensure that service users are lifted safely. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35 Staff are aware of their roles and responsibilities. Competent staff support Service users. Staffing is kept under review to ensure it is effective. EVIDENCE: The home is registered jointly for residential and nursing services. Therefore the home employs care staff and qualified nurses. There are 12 care assistants and 2 nurses on duty from 7am to 2pm then 8 care assistants and 2 nurses on duty from 2pm to 9pm. There is one nurse on night duty with 4 care assistants. Staff spoke with knowledge and understanding of their roles and responsibilities. Staff were observed supporting service users discreetly and respectfully. Staff were observed interacting with service users in a positive manner. The manager has worked with the staff to ensure the staffing structure is effective. Staff deployment was looked at partly as a result of feedback from service users. The home is divided into two wings. Staff teams were separated between the wings. Staff are now one team covering both wings. The manager is monitoring this with staff and service users. One service user the only thing that would improve the home would be more staff but added ‘wouldn’t all homes say the same’.’. Service users said that staff attend promptly when they call for assistance. The manager said that some staff chose to work long hours to a maximum of 60hours a week. This effect will be monitored at future inspections. The manager monitors staff sickness closely. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 19 The home employs a training manager who is based at the home. All staff complete a detailed induction in line with the minimum standards. The manager said that this induction has been developed since the last inspection. New staff work alongside a mentor and are given time to spend with their mentor getting to know the building the systems and the service users. The manager felt that this new improved induction has made a difference to staff retention and has given new staff more confidence and improved morale. The Inspector saw a completed work booklet that staff complete as part of the induction. Staff complete written sections. This written work shows the level of competency and understanding. Senior nurses ( Care trainers) observe staff practical work. Reports are made by senior staff who then feedback to the manager about any shortfalls in training. This monitoring ensures that competent staff support service users. One service user said ‘the three new staff are very good’ One staff member said ‘ I am really proud to work here’ The home has a large number of volunteers who help wit the shop and the Theatre in the Park amongst other things. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,43 This is a well run home. Service users and staff benefit from good leadership and approachable management. Systems for reviewing and developing the service are good and are underpinned by service users views. This home has sound accountable management. EVIDENCE: The manager has been in post for about one year. The manager is a qualified nurse and has recently completed the management units to ensure her qualification is in line with National Minimum Standards. The manager attends periodic training and has shown commitment to meeting previous requirements made by the Commission. The manager was observed speaking to staff in a positive manner giving clear direction. The Inspector saw communications from staff to the manager offering ideas and suggestions to improve the service. The manager said she encourages staff to be part of the running of the home by giving staff responsibilities. Staff and service users made positive comments about the management of this home. The home Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 21 actively consults with service users about all aspects of the service provided. As mentioned regular service user meetings are held. Service users told the Inspector they enjoy attending these meetings which the service users representative chairs. The service user representative meets weekly with the manager to discuss and address any issues. The service users advocate s also available to listen to any concerns or issues. Service users said the home listens to their ideas and suggestions. The Inspector heard about improvements made to the home following service users ideas and suggestions. There is an annual development plan, which is displayed in the reception of the home. The home has gained the ‘Investors in People’ status. The homes induction was praised at this review. Systems are in place to ensure financial planning and quality monitoring. The home has sufficient public liability insurance. Monthly-unannounced visits are made to the home usually by one of the trustees. The trustee will talk to staff and service users and have a look around. A report is produced about the visit. This is all required under Regulation 26 of the Care Homes Regulations. The manager agreed to send a copy of each report to the Commission from now on. The home employs a maintenance manager who is responsible for health and safety. Regular checks are made of equipment and the premises. There are systems in place for monitoring health and safety. Reports are produced and sent to the HR manager and client care manager. Staff are trained in all areas relating to health and safety during their induction. The home reports incidents and accidents appropriately. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Strode Park Nursing Home Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x x 3 H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 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. 2. 3. Standard YA6 YA9 YA6 Regulation 15 13 15 Requirement Service users plans must be reviewed and updated to include all areas of a persons needs. All potential risks must be assessed and recorded with actions to reduce those risks. Daily records must relate directly to all assessed needs and show the care and support provided. Timescale for action 31/12/05 31/12/05 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA31 YA39 Good Practice Recommendations At least 50 of staff should be qualiified to level 2 NVQ by 31/12/05 NOT INSPECTED The manager should send copies of the Regualtion 26 reports to the Commissison from now on. Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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 Strode Park Nursing Home H56-H05 S26122 Strode Park Nursing Home V235799 110805 Stage 4.doc Version 1.40 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. 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!