Inspection on 28/06/05 for Temple Ewell Nursing Home

This inspection was carried out on 28th June 2005.

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

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

Other inspections for this house

Temple Ewell Nursing Home 11/07/06

Temple Ewell Nursing Home 18/10/05

Temple Ewell Nursing Home 28/09/04

Temple Ewell Nursing Home 01/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

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

CARE HOMES FOR OLDER PEOPLE Temple Ewell Nursing Home Wellington Road Temple Ewell Dover Kent CT16 3DB Lead Inspector Susan Hall Announced 28/06/05 at 09:30hrs The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Temple Ewell Nursing Home Address Wellington Road Temple Ewell Dover Kent CT16 3DB 01304 822206 01304 822208 JACKIE@CHARINGHEALTHCARE.CO.UK Charing Cross Investments Limited 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) Ms Christina Osborn CRH 44 Category(ies) of Care Home for Older People over 65 years - (44) registration, with number of places Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning Disability service users age 45 and over up to a maximum of 10. 2. Terminally Ill service users age 45 and over up to a maximum of 5. Date of last inspection 28th September 2004 Brief Description of the Service: Temple Ewell Nursing Home is a purpose built, detached building, set into a hillside, and overlooking the village of Temple Ewell. The Providers are Charing Cross Investments Limited, who have a number of care homes in this region, and are experienced Providers for the care of older people. Accommodation is provided on 3 floors, with the layout of the building fitting in well with the hillside and the surrounding area. All floors can be accessed by a large passenger lift, and the corridiors and door widths are suitable for people using wheelchairs. The bedrooms are mostly for single use, and with en-suite toilet facilities. There are 3 rooms of sufficient size for 2 people to share if they should wish to do so (eg: married couples.) The grounds include paved walkways and some different seating areas, enabling Service Users to choose to sit in sun or shaded areas. Registration is for a total of 44 Service Users who need nursing care. This includes up to 5 beds for people requiring palliative care, and 10 beds for Service Users who are learning disabled. The Home has specific additional facilities to provide care for these categories. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted from 09.30 – 4.30pm, and the Lead Inspector was assisted by another Inspector, - Julie Sumner, - from 2.00pm onwards. Julie has specific training in Learning Disability, and looked at this aspect of care in the Home. Although this is a busy home, giving detailed nursing care, the Inspectors felt that the staff manage to retain a homely and friendly atmosphere. The Lead Inspector spent the morning talking with the Manager and some staff members, reading care plans and other documentation, examining staff files, and checking medication administration. She also spent time inspecting the kitchen and laundry facilities during the day, and viewed most rooms. Both Inspectors chatted with Service Users, relatives and other staff during the afternoon, and spoke to a total of 14 Service Users (5 with learning disability, 1 with palliative care needs, and 8 older people); 10 staff (nurses, adaptation nurses, carer, cook, kitchen assistant, maintenance man); the hairdresser, and 3 relatives. Service Users and relatives spoke very positively about the standards of care, with comments like “ I can’t fault the Home at all – it is excellent”; “I am very well looked after, the food is very good, and the staff are very kind” and “ the staff always know how to cope – the night staff and the day staff are excellent.” The Lead Inspector was sent 6 CSCI comment cards, of which 4 were very positive. One visitor expressed concern about access to the premises when staff are busy, and this concern has been taken up by the Manager to reassess the process. Another comment was that the Home seems short-staffed sometimes at weekends, and there are staff whose English is difficult to understand. The Lead Inspector checked staffing levels and there was no evidence of less staff at weekends, the only usual difference being that the Manager is not on duty. The Home employs a number of adaptation nurses from India and the Philippines. These had all passed the required spoken English tests, but may have accents which are difficult for older people to understand. There would be a shortage of staff within the Home if these staff were not employed. Documentation, - including care plans, staff files, accident reports, medication charts and servicing records – was seen to be in good order and kept up to date. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? The Manager had made some changes for the storage of medication. This now included a specific locked metal cupboard for storing liquid medicines, and separate cupboards for storing dressings and other nursing appliances. The Providers applied to CSCI for additional beds for Service Users with learning disabilities who require nursing. This is quite a specialised area, and not many Homes are equipped to offer this service. The number of beds for this category was increased from 6 to 10. As Service Users with learning disabilities may need nursing care at a younger age, the registration agreement is for Service Users over the age of 45 years. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 7 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. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-5 (Standard 6 does not apply in this Home.) The Manager ensures that prospective Service Users are properly assessed, and will only admit them if she is sure that the Home can meet their assessed needs. EVIDENCE: The Home’s statement of purpose is clear and precise, and states that the Home specialises in nursing care for different categories of Service Users. Service Users with a learning disability are often unable to use a call bell properly, and these Service Users are allocated with rooms which are easily observable by staff. The statement of purpose had been updated with details of the increased number of beds in the learning disability category. The Service Users’ guide contains details of the terms and conditions of the Home, (such as the Home’s no smoking policy), and includes information about the items which are included in the fees (eg: laundry costs). The complaints procedure is included, and a copy of a specimen contract, which would be Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 10 signed by both parties. Service Users are able to bring in some of their own furniture items and personal possessions, by arrangement with the Manager. Pre-admission assessments are usually carried out by the Manager. These are carried out in hospital or the Service Users’ own home, and the Manager obtains information from medical staff, relatives and other health professionals or carers as applicable. These may include occupational therapists, physiotherapists and the community learning disability team. Medical data recorded included assessments for mobility, skin integrity, continence, medication, risk of falls, nutrition and mental state. The Manager also makes enquiries about the Service User’s previous lifestyle and social or cultural preferences. The assessment process includes consideration of the rooms currently available, and if these would fit the person’s needs. Service Users needing palliative care, or with a learning disability, may require a larger room for additional equipment or sensory items. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7-11 The Home has detailed care planning systems in place, which enable staff to ensure that the health needs of Service Users are fully met. EVIDENCE: The Lead Inspector examined 4 care plans in detail, and the second Inspector specifically examined care plans relating to Service Users with learning disabilities. Care plans were all laid out in the same format, with different sections in the folders. This enables staff to reference separate sections easily and quickly. Admission assessments are based on the pre-admission documents. These form the basis of the care plans at first, and are gradually added to over a few days as specific needs are identified. One of the care plans which the Lead Inspector read was for someone who had been admitted during the previous week, and all necessary details were in place. The care plans are based on a system known as “Roper’s standards of daily living”, which include plans for maintaining a safe environment; for communication; diet and nutrition; mobility; continence, breathing; personal Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 12 hygiene; pressure area care ; pain and sleeping patterns. Each plan shows how these needs are to be met for the individual Service User, and are reviewed every month by named nurses. Some Service Users had specific dietary needs, or might be “PEG” fed via a tube into the stomach. A dietician was included in the assessments and planning, and in ongoing assessments to ensure that the level of nutrients is correct. Additional charts were in place to check amounts given. An Occupational Therapist is actively involved in assessing equipment needs (eg: wheelchair or hoisting facilities), and A Speech Therapist for assessing language and swallowing difficulties. Charts are included for recording weight, blood /specimen tests, GP visits, any infections, and advice given from other professionals. Daily reports are written at the end of both day shifts, and after the night shift. These are written by the trained nurses, but care staff input is valued, and there is a system in place for carers to document any changes they notice, and bring these to the attention of the nurse on that floor. Service Users said the were “well looked after”, and that “ nothing is too much trouble.” One said that staff even carried out unpleasant tasks with a smile on their face, or with a sense of humour. The Inspectors were able to see that personal care was given in privacy, and Service Users’ dignity was not compromised. Medication is administered from individual boxes and bottles, and there is a medication trolley for each of the 2 main floors. The medication room was neat and tidy, and the Inspector did not find any out of date medication. There are separate cupboards for storage of controlled drugs, liquid medicines and external dressings. Eye drops and other bottles were labelled with the date of opening. Medication is ordered by the Deputy Manager, and checked in on the Medication Administration Records (MAR charts.) These were viewed by the Lead Inspector and had been accurately completed, and were accompanied by a photograph of each Service User. The temperature of the room and drug fridge are recorded daily. The drug fridge had been running high (6-14 degrees instead of the recommended 2-8 degrees) during recent hot weather. There is a recommendation to check this is running accurately. Some staff had completed additional training courses in the management of palliative care, and there was an emphasis on ensuring that Service Users are kept as pain free as possible, that relatives are facilitated in visiting, and that staff are available to offer comfort and extra care. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 There is an emphasis on enabling Service Users to live as full a life as possible within the confines of their medical and disability needs. EVIDENCE: Activities are arranged for Service Users in all categories of care, and there is usually at least one group activity offered each day, as well as one to one sessions. Activities include art and craft, musical afternoons, reminiscence, making cakes, armchair exercises, and use of the sensory (“snoezelum”) room. This room is equipped with various pieces of equipment, such as a bubble lamp, projectors, optic light strands and different types of floor beanbags. The projectors have different slides to use, such as woodland scenes, butterflies, and bubble patterns. A trained nurse is employed as an activities co-ordinator, and she is also trained in reflexology and counselling. She records details about Service Users who participate in activities, and how they are progressing. The sensory room is appreciated and enjoyed by older Service Users as well as those with learning disabilities, and is a resource which enables people to relax and cope with painful and stressful situations. Art and craft activities were displayed in the dining room, and included mobiles hanging from the ceiling as well as paintings. Some Service Users had displays Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 14 in their own rooms, or in artwork folders. Individual therapy sessions showed goals for different Service Users such as “ to help strengthen listening skills” or “to engage in the wider environment and some socialisation.” This session had been carried out in the Home’s sensory garden, and by the waterfall, and the Service User had shown increased interest in these surroundings. Other Service Users were happy to watch TV or videos, read books or newspapers, or do knitting. Several were watching the current Wimbledon tennis tournament. Additional social events had included “wine and wisdom” evenings, barbecues, a fireworks party and birthday and anniversary celebrations. Several Service Users said that they liked having weekly visits from “Pat dogs” and their handlers. Meals are all prepared on site, and there is a choice of menu at each meal time. Seasonal changes are incorporated into the menus. The Lead Inspector spent some time talking with one of the cooks and a kitchen assistant – who was busy carrying out cleaning tasks. A set rota ensures that different aspects of kitchen cleaning are carried out every day or once per week as needed. There are separate areas for the storage of dry goods, and for freezers and fridge storage. Fresh fruit and vegetables are delivered once or twice per week. Service Users said that they like the food, and it is well prepared and presented. Drinks and snacks are always available. There is a separate kitchenette area where relatives can make their own drinks and snacks, and one relative said that he visits each day, and pays to have lunch with the Service User. He appreciated this opportunity to stay for the whole day. Service Users are assisted with eating and drinking where needed, and not rushed with their meals. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16-18 The Home has a satisfactory complaints procedure, and complaints are acted on and dealt with appropriately. EVIDENCE: The complaints procedure was included in the Service Users’ Guide, and is also displayed in the Home. The Lead Inspector asked to view the record of complaints since the last inspection, and one complaint was recorded. This was in regard to a Service User’s clothing and appearance. The Manager had taken steps to address this complaint, and to prevent further difficulties in this matter. Several comment cards included remarks from relatives that they would access the nurse in charge or the Manager if they had any concerns, and that these would be acted on accordingly. All staff (including domestic staff), had been trained in the recognition and prevention of adult abuse. The Manager has completed training which enables her to teach this in-house. The Home had satisfactory adult protection policies and a whistle-blowing policy, and these are always accessible to staff. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 16 Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 The Home is kept clean and well-decorated, and is a pleasant environment for Service Users. There is sufficient equipment in place, and this is appropriately serviced. EVIDENCE: The Inspectors viewed most bedrooms in the Home, some bathroom and toilet facilities, the kitchen and laundry facilities, and communal rooms. Bedrooms showed evidence of personal possessions and items of interest, which included different pictures and posters on the walls, and a fish tank in one Service User’s room. Communal areas were well decorated, and had comfortable armchairs and dining chairs. The Manager said that some of the soft furnishings and chairs were becoming worn, and she had a programme in place to update these. Some external maintenance was needed on an identified area of the building, and this had been cordoned off for safety, as it included some guttering and fascia boards. This was in the process of being dealt with. A full time Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 18 maintenance man is employed, and additional gardeners. The grounds were well maintained, and included walkways with bushes and flowers, a sensory garden, a waterfall, and tubs of flowers on the patio area. Bathrooms are fitted with integral hoisting facilities, and are situated on different floors. Some rooms have en-suite toilet and washing facilities. Shared toilets are situated near to communal areas. These were seen to be clean and tidy, and fitted with liquid soap dispensers and paper towels. The Home has 6 mobile hoists, enabling use of a hoist in different wings of the Home at the same time. The hoists have different capacities, and staff can evaluate which hoists are most suitable for each Service User. The servicing records were up to date. Service Users were being supplied with individual slings for hoisting, ensuring the correct fit for each person. A large passenger lift provides access to all floors. There is an adequate supply of pressure-relieving mattresses and other associated equipment. A call bell system is fitted throughout the Home. The laundry room is situated in the basement, and was seen to be well organised. There is a red bag system for dealing with soiled linen. There are 2 washing machines and 3 tumble dryers, and the washing machines have controlled amounts of detergent and fabric conditioner piped into them. There is a separate area for ironing and storage of clean laundry. The Home was clean throughout, and there were no offensive smells. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27-30 The Home has good systems in place for recruiting and induction of new staff. The Manager is supported by nursing staff in ensuring that staff understand their different roles and responsibilities. EVIDENCE: The Lead Inspector examined the numbers of staff employed each day, and noted that the Manager had increased numbers of care staff on each shift, due to increased levels of dependency for Service Users. There are usually 2 trained staff on each day shift, and either 1 or 2 trained nurses on night duty. These are assisted by up to 11 or 12 care staff in the mornings, and 7 care staff in the afternoons/evenings. Night duties have either 1 trained nurse and 3 carers, or 2 of each. Service Users are not all up and dressed in the day, as many have high nursing needs, and may be up for short periods in the day, or spend most of their time in bed. Additional staff in the mornings enables sufficient time for Service Users to have their hygiene needs properly met, and for staff to be available to help with feeding some Service Users at breakfast and lunch times. There were satisfactory numbers of kitchen and domestic staff to ensure smooth running of the Home. The Lead Inspector viewed a number of staff files, including one for a newly recruited staff member. The files were all in order, and contained the correct documentation. The induction record was viewed for one carer, and this is a good induction procedure. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 20 Detailed records were in place for staff training, and showed that mandatory training in fire awareness, first aid, moving and handling and health and safety were being kept up to date. The Manager is a Link Nurse, and carries out Moving and Handling training, Adult Protection training, and Infection Control training herself. The Home currently employed 5 adaptation nurses from India and the Philippines. These were employed as senior care staff until their adaptation training was completed. They had been properly checked, including police checks in their own countries. There were 2 other senior carers who had both achieved NVQ level 3. 3 carers had completed NVQ level 2, and 3 others had applied to start this. This meant there was a total of over 58 of care staff who had completed at least NVQ level 2. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-34, 36-38 Administrative procedures demonstrated good management of the Home, and attention to detail ensures that Service Users rights and welfare are maintained. EVIDENCE: The Manager provides a clear lead, and ensures that staff are aware of their individual responsibilities, and can take accountability for their own actions. Nursing staff had specific goals to achieve, and differing areas of responsibility. The Home operates a named nurse process, so that they take responsibility for keeping different care plans up to date, and liaising as much as possible with these Service Users and relatives. Staff meetings are held for trained nurses and carers, and separate meetings for kitchen and domestic staff. The Manager is given a budget to manage the Home, and can purchase Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 22 equipment as needed. Bigger items would be discussed with senior management in the Company first. Policies and procedures had been reviewed since the beginning of the year, and some had been amended. An additional policy had been included for managing if there is a heatwave. The Lead Inspector viewed documentation for gas and electrical certificates, fire records, (fire alarm services, fire drills, and fire extinguishers); and detailed fire risk assessments. Accident records had been accurately completed and maintained. The Manager uses a record book for referencing accidents, in order to audit them more easily. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 x 3 3 3 Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations To ensure that the drugs fridge is working correctly. Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 25 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 Temple Ewell Nursing Home H56-H05 S26124 Temple Ewell V225609 280605 Stage 4.doc Version 1.30 Page 26 - 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. 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