Inspection on 24/04/07 for Summerville Nursing Centre

This inspection was carried out on 24th April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Summerville Nursing Centre 12/11/09

Summerville Nursing Centre 06/05/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Summerville Nursing Home Summerville Hilltop Road Stockton Heath Warrington Cheshire WA4 2EF Lead Inspector Helena Dennett Unannounced Inspection 24th April 2007 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 Summerville Nursing Home DS0000068757.V331231.R02.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. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerville Nursing Home Address Summerville Hilltop Road Stockton Heath Warrington Cheshire WA4 2EF 01925 265865 01925 212620 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) www.bupa.com BUPA Care Homes (CFHCare) Limited Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (6) of places Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 45 service users to include: *Up to 45 service users in the category of OP (Old age not falling within any other category). *Up to 6 service users in the category of PD (Physical disability under the age of 65). N/A Date of last inspection Brief Description of the Service: Summerville Nursing Home was first registered in 1986 and was owned by ANS. It has recently been taken over by BUPA. It is situated on the border between the Stockton Heath and Grappenhall areas of south Warrington. There is ample care parking space and a good public transport network around the home. It is within easy reach of Warrington town centre, the M6 and M56 motorways. The home is a large period house set in its own grounds by the Bridgewater canal. The original building has six large bedrooms, a bathroom, lounge, dining room, kitchen, laundry, staff facilities and office accommodation. A large purpose built extension houses thirty-seven further bedrooms, two smaller lounges and bathrooms. All residents have access to the nurse call system. The charges range from £444 to £630 per week. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit, part of the key unannounced inspection of the home, took place over 6.5 hours. It was carried out on 24th April 2007. The findings were discussed with the manager on the 25th April 2007. Before the site visit the manager was asked to provide information as part of the inspection. The views of the people who live at the home and their relatives were also sought; their comments are incorporated into this report. During the site visit the inspector spoke to the manager, some staff members and five people who live at the home. Three people’s records were looked at to check the care they receive. Policies, procedures and records of medication, care plans, staffing rotas and training records were also checked. Although the home is registered to accommodate up to six younger people with physical disabilities there were only two people under the age of 65 living in the home on the day of the site visit. What the service does well: What has improved since the last inspection? Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 6 Although the home was untidy, the general cleanliness has improved to ensure that people live in comfortable surroundings. The number and range of activities provided at the home has improved so people who live at the home are kept active and stimulated. All staff have received training on abuse and so should know what to do if an incident or allegation of abuse happens. 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. The summary of this inspection report can be made available in other formats on request. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given enough information and have their needs assessed before moving into the home so they can be confident that staff at the home can meet their needs. EVIDENCE: The statement of purpose and service user guide for the home was altered during the inspection visit to ensure that they were up to date and accurate. The manager said that she would inform all of the people who live at the home of the changes so they know the services and facilities the home has to offer. Before a person makes a decision to move to the home they are encouraged to visit so that they can meet staff and look around the building to help with them decide whether the home is suitable to meet their needs. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 9 Wherever possible, the manager of a senior member of staff also visits the person before they move in. This is to make an assessment to make sure that the home is suitable to meet the needs of the individual. This assessment is recorded and kept in the person’s care file so that staff can refer to it when the person first moves into the home. The following comment was made on a survey form received back to CSCI before the site visit: ‘From the very beginning when we were looking for a suitable home for my father the staff at Summerville have been extremely helpful and have helped us with information about the home and the process in terms of who we needed to speak to in respect of funding.’ Copies of the assessments made before the person moves into the home were seen at the inspection visit. The home does not provide intermediate care so Standard 6 does not apply. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although people’s health needs are generally met, the way in which staff do some of their jobs means that the privacy and dignity of the people who live at the home is not always maintained. EVIDENCE: Every person who lives at the home has a plan of care which sets out their individual needs and how these are to be met by staff. Since the change of ownership BUPA are introducing person centred care plans, which means that all of the care provided should be targeted to the individual’s needs. Members of staff were in the process of developing these care plans for everyone; however they recognise that completing this work will take time. Three of the care plans were looked at; although there was some problems, in the main people’s needs were well recorded. Five people who live in the home and two relatives were spoken with during the inspection visit. Two of the relatives were positive about the care Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 11 provided. One relative said that she is confident her relative is well looked after; members of staff help him to wash and dress. Several people were still in bed at 1130 on the morning of the inspection visit. One person said the their relative who was living at the home did not get out of bed because they needed a special chair to sit in so that they wouldn’t slip or fall. The relative of this person said they had been told that the home did not provide this chair. The relative agreed that this could be discussed with the manager and the manager confirmed she deal with the problem. Other people were seen being helped to get up out of bed at 1215. Staff said that it was ‘getting later and later’ when they could get around to helping people out of bed. Concerns were raised by some of the people living at the home about the time it takes staff to answer call bells. One of the care plans identified, under personal care, that the person liked to have a bath twice a week. However records indicated that she was offered a bath once a week. The person confirmed that she is offered a bath once a week although she would have like one a little more often. The health of people living at the home is monitored closely and generally managed well. People who had pressure sores when they moved into the home had improved since then. People’s weight is monitored and advice sought from the dietician as necessary. BUPA have recently bought six new specialised beds for the home that are due for delivery shortly. This means that the needs of people living at the home will be met and people should be more comfortable in bed. People who live at the home and their relatives made the following comments on survey forms they sent back to CSCI before the inspection visit: ‘My father entered Summerville in November 2006 following a lengthy period of ill health and hospitalisation. The difference in his health general well being and general quality of life under the care of Summerville staff is remarkable, our evidence of their caring and efficient approach.’ ‘My father has gained weight and is now enjoying his food again. Staff know my father and treat him in a friendly and respectful manner. When my father felt ill staff acted quickly and appropriately. ‘I was nursed back to life since my arrival at Summerville. I don’t think you can find a home as good as this one anywhere in England.’ Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 12 People’s medicines are generally managed well. A sample of medicine records was looked at. The sheets were completed in full to show that people are getting their medicines as prescribed. Large amounts of prescribed food supplements were stored in people’s bedrooms, which is not ideal. The medicine trolleys used at the home were quite small so some prescribed products were stored in a tray at the bottom of the trolley. Consideration should be given to providing larger trolleys to accommodate all people’s prescribed medication. The privacy and dignity of people living at the home is not always maintained. The inspector saw a member of staff help a person into the bathroom without knocking on the door first. There was already a person in the bathroom at that time. Another carer was seen entering a person’s room twice without knocking on the door. At 1215 a person was seen lying in bed with just a sheet covering her. Her pillows were on the floor; her locker door and drawers were left open. There was talc over the floor and on the sideboard and the curtains were drawn. One of the nurses said the person was waiting to go to the bathroom for a bath and have her hair done before lunch. A concern had been raised to the manager about maintaining the privacy and dignity of the people who live at the home. One of the concerns was that staff weigh people in the lounge area when they are coming back from the toilet and that staff then discuss the person’s weight. The manager confirmed that members of staff do weigh people in the lounge. Discussion took place about maintaining the dignity of the people who live at the home. Summerville Nursing Home DS0000068757.V331231.R02.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 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although good activities are provided, the routines of daily life for some people are not flexible enough to ensure that all of their needs are met as they would prefer. EVIDENCE: As identified above, some people were left in bed until 1215 before being helped to get up for the day. There was nothing recorded to suggest that this was what the people involved wanted. This was also raised as a concern by a relative before the inspection visit. Another visitor said they would have liked their relative to go to the lounge in the day to meet other people and socialise; however, because there was no suitable chair for her relative to sit in, this does not happen. Several positive comments were made on survey forms which were received by CSCI before the inspection visit. These included: ‘The introduction of more activities has been very good. My father has enjoyed and benefited from this. I would like to see further activities introduced for Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 14 example an exercise class for those able to participate (chair bound people can find this stimulating). ‘ ‘One key aspect is that the home has at least 2 carers charged with ‘entertainment’ either in the lounge or her room plus occasional day trips. To me this is an essential part of the higher fees.’ ‘The involvement of residents in daily activities is extremely helpful in helping them maintain a quality of life’ ‘The home seems to be fully aware of my mother’s physical disabilities. We have arranged for a minister to visit my mother as the home seemed to assume all residents were Church of England’. People who live in the home said that there are plenty of activities for them to take part in if they wish. They also said that they are able to follow their religious beliefs. Members of staff were aware of how to access different places of worship dependent on a person’s beliefs. People who live at the home and relatives said that choice was generally promoted. One person living in the home said, ‘I like to stay in bed. I like the home, staff are very good. The food is good and I get a choice of meals. Visitors come and go as they please. I like to watch television and don’t want to take part in any activities.’ Another person said, ‘There are not always enough staff on duty –I sometimes have to wait’. One lady said she would like a bath more often but is only offered a bath once a week. All of the people living at the home were very positive about the food provided. They said they were offered a choice and that the food is good. The layout of the dining room currently is not homely as several tables were pushed together to seat more than ten people, giving an institutional feel to the room. The manager confirmed that this would be sorted out as part of the refurbishment programme for the home. Summerville Nursing Home DS0000068757.V331231.R02.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 & 18 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People may not always know who to tell their concerns to and staff have not always reported serious incidents in accordance with the home’s policy and so people may be at risk of their needs not being met. EVIDENCE: The complaints procedure for the home is included in the service user guide and sets out the action to be taken if a person is not satisfied or has concerns about any issue. Some of the people who used the service were not sure about whom to approach if they had a concern or complaint. One person said she would tell the activity lady as she sees her a lot. Another person said they would tell one of the senior nurses. A record of complaints received and the action taken by management as a result was kept. A concern about staff practices was also received; this was not logged as a complaint. Some of the issues were investigated; however more thorough investigation is required and this was discussed with the manager of the home. There is a policy on protecting vulnerable adults available in the home. However this policy does not appear to have been followed for one issue raised some time ago. CSCI was also not informed. This was discussed with the manager during the visit. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 16 The manager confirmed that all staff have received training on adult abuse so people living at the home should not be at risk of injury or harm. Summerville Nursing Home DS0000068757.V331231.R02.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 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although there are signs of wear and tear, a refurbishment programme is planned to ensure that people live in safe, suitable, comfortable and well-maintained surroundings. EVIDENCE: There are signs of wear and tear in the building. The owners of Summerville Care Home intend to undertake a full refurbishment of the interior of the home. This is due to take place shortly. Meetings have taken place with the people who live in the home and their relatives to discuss the proposed changes. The following comments were made on survey forms, which were received by CSCI before the site visit: Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 18 ‘BUPA are embarking on a phase of significant building change to improve its appearance and function. Hopefully for the benefits of the residents rather than visitors or for their desire for corporate consistency.’ ‘I understand refurbishment/decoration is underway and it is reassuring for relatives that the provider is wiling and able to infest in the facilities/building. All too often in other establishments visited, this seems to be a low priority to the detriment of residents/staff.’ ‘The residents sit in two areas around the edge of the room. I would like to see smaller, homely settings. However the home is due for refurbishment and hopefully this will be addressed.’ ‘When the refurbishment is done it will be great’ The nurses’ station is currently situated in the lounge. The operations manager said that she has asked people living at the home at the moment and their relatives what they think about this and they have said they want the nurses’ station to be kept in the lounge. Discussions have taken place with the operations manager and the home manager about this issue, as having a nurses’ station in a lounge area detracts from a homely environment. It gives an institutional feel and could breach confidentiality in terms of telephone calls about individuals and discussions that may occur following visits by other professionals. The home was generally untidy on the day of the site visit. The manager said this was due to the fact that staff were preparing for the refurbishment and some cupboards had been emptied. However when the inspector toured the premises at about 1130 some towels were seen to be stored on top of a toilet in a bathroom. At 1445 the towels were still there; in addition some used towels were on the floor and hairdressing gowns placed over a very full clinical waste bin. It was also noted when walking around the home that some hoists were stored in people’s bedrooms. In addition, in several of the bedrooms, packs of continence aids were being stored on the floor. Food supplements were being stored in some bedrooms; in one, more than 100 packets of food supplements were stored in containers in a box on the floor. Suitable storage areas should be found for these items; storing such items on the floor in people’s rooms could cause a hazard, makes it difficult to clean the rooms properly and compromises the dignity of the people living in those rooms. Summerville Nursing Home DS0000068757.V331231.R02.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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a good recruitment process in place to ensure that staff are suitable to work in the home but staffing levels need to be reviewed to make sure that the needs of people living at the home are always met. EVIDENCE: The new owners of the home have reviewed staffing levels and some changes have been made. The manager confirmed that staffing levels and the ‘mix’ (number of registered nurses to the number of carers) of staff are due to change at the end of April. The manager confirmed this was to reflect the dependency levels of the people who lived in the home. The changes mean that there will be one less carer in a morning but one more in the afternoon and evening. Also changes have been made to night staff. Instead of two qualified nurses and two carers on duty all night, there will be one qualified nurse and four carers to meet the needs of 43 people living in the home. Concerns were raised about the staffing levels in the home during the inspection visit. The following comments were made on survey forms received by CSCI before the inspection visit: ‘My mother is unable to walk so she is dependent on rapid response to her ‘bell’. Sometimes it is slow (she says she sometimes waits for up to one hour Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 20 to go to the loo) maybe this relates to staff levels or very busy times of the day e.g. lunchtimes.’ ‘All the staff I have met have been helpful and on my visits appeared to be caring and supportive of residents’ ‘There seems to be a rapid turnover of staff which can cause confusion to my mother. She also mentions they seem to be understaffed or overworked. It is difficult for us to make a judgement but I would expect this home to have more staff than the norm bearing in mind the high fees’. ‘I visit the home regularly and the staff are always friendly and a good caring atmosphere prevails. I feel the staff do a great job often under pressure to do all they can to meet the individual residents needs’. Generally people who live in the home said they were very happy with the staff provided but felt that there was not enough staff on duty at times to meet their needs. Four of the people spoken with said they have to wait a considerable length of time for the call bell to be answered. One person said, ‘sometimes I have to wait up to one hour to go to the toilet. You can’t ask to go during lunchtimes which is why I eat in my room’. Another person said, ‘sometimes have to wait up to half an hour for a call bell to be answered. Staff will come in and switch it off and say they will come back – its not their fault they are very busy with other residents, you can’t expect them to leave another resident to come to you, but they do need more staff’. There is a good recruitment policy in place. All of the necessary checks have been carried out before a new member of staff is employed in the home. All members of staff receive induction training when they first start working at the home. Staff said they are supported in their training and all staff have done mandatory training to ensure they are competent to do their job. Out of a total of 22 care staff, 7 have NVQ Level 2 or equivalent qualification. This falls short of the national minimum standard of 50 . Summerville Nursing Home DS0000068757.V331231.R02.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, 31 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well managed but concerns about the quality of people’s lives and the potential health and safety problems could mean that the needs of people living at the home may not be met. EVIDENCE: Since the last inspection the manager of the home has changed. The manager currently in position took over management responsibilities in December 2006. She has management experience and was a manager of another BUPA run home before taking up this post. Her application for registration with CSCI is currently being processed. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 22 Comment cards received back to CSCI before the inspection visit were positive about the management of the home. The following comments were made: ‘The home is generally open about planned changes’; ‘Management have always been approachable and welcomed comments’ Although there is a quality assurance system in place, this does not appear to have identified some of the concerns about the quality of life in the home that were found during the inspection visit. The manager needs to consider the best method to ensure that she has this information and so can take action to make sure that the needs of the people living at the home will be met. The company that runs the home has a quality assurance system that includes seeking the views of people who are living in the home; this is done annually. Meetings have been held with the people living at the home to discuss the refurbishment programme. Staff meetings have also been held. There is an effective policy on the management of resident’s money. Records are kept of all transactions. The health and safety of people living in the home is generally well maintained. As stated previously the storage of hoists, large amounts of continence pads and food supplements in people’s bedrooms could compromise the health and safety of people who are living at the home and their visitors. This needs to be reviewed. A sample of maintenance records was looked at and showed that the company ensures that all essential equipment is maintained regularly. Summerville Nursing Home DS0000068757.V331231.R02.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 2 X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 OP10 OP14 OP27 Regulation 12 (4) (a) 12 (2) 18 (1) (a) Timescale for action The privacy and dignity of people 24/05/07 using the service must be maintained at all times. People must be given a choice 24/05/07 wherever practicable about the time they get up in a morning. Staffing levels and staff practices 24/06/07 must be reviewed to ensure that people’s needs are met and that they are do not have to wait for long periods of time before getting the help they have called for. Requirement 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 OP20 Good Practice Recommendations Consideration should be given to moving the nurses’ station from the lounge so that communal rooms are not used for staff purposes and people living at the home can have privacy. DS0000068757.V331231.R02.S.doc Version 5.2 Page 25 Summerville Nursing Home 2 OP38 The manager should review the storage of equipment, continence aids and prescribed food supplements so that peoples bedrooms are kept free from hazards. Summerville Nursing Home DS0000068757.V331231.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. 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