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Inspection on 01/02/06 for The Glen Nursing & Residential Home

Also see our care home review for The Glen Nursing & Residential Home for more information

This inspection was carried out on 1st February 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Glen is in a very pleasant rural setting and the grounds are well managed providing a very pleasant outlook for service users and level access for those service users wishing to go outside. The home is well managed; the Manager is approachable and is an experienced professional nurse. There is a good level of administrative support. This home offers both nursing and residential (personal care) care; this is in separate areas of the home but with integrated services and no restrictions on access across the communal areas. Service users were seen to be treated kindly and respectfully by staff. The communal areas of the home are very well and comfortably appointed. The dining rooms are attractively presented and add to the social occasion of meal times. Bedrooms are comfortable and can be personalised to make them homely.

What has improved since the last inspection?

The menu received criticism on the visitor`s feedback cards; at the time of this inspection the home was on week two of brand new menus. There was little negative feedback about the new menu reported at this inspection. The top floor was undergoing redecoration and is due for re carpeting on completion of the decorating. Service users made very positive comments to the inspectors during the inspection days.

What the care home could do better:

The home should re address relatives meetings and aim to work with service users, family and friends to improve services through feedback and attention to recognising what they could do better. The comments received by CSCI were generally good but indicate that feedback is helpful when trying to maintain and improve quality in care provision. The management of medications on the residential wing should be audited/ monitored and reviewed to ensure best practice at all times across the home. Meal times were highlighted at this inspection where care practices were poor. Assisting someone into a good position at the table will allow them to sit more comfortably and eat more easily and more enjoyably. Staff may need to work with some supervision to assist them to recognise where their practices are poor. Oral hygiene was identified as weak where assistance is required and the manager was informed that this must be addressed. The Manager took a positive approach and alerted care staff to this during the second day.

CARE HOMES FOR OLDER PEOPLE The Glen Nursing & Residential Home Shapway Lane Evercreech Shepton Mallett Somerset BA4 6JS Lead Inspector Barbara Ludlow Announced Inspection 1st February 2006 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 The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Glen Nursing & Residential Home Address Shapway Lane Evercreech Shepton Mallett Somerset BA4 6JS 01749 830369 01749 831390 smithgaupa.com 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) BUPA Care Homes (CFC) Ltd No 2006738 Ms Gale Lesley Smith Care Home 58 Category(ies) of Old age, not falling within any other category registration, with number (58) of places The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Number of persons for whom nursing care is provided shall not exceed 35. Up to 26 places for personal care, 23 of which must be sited within the original building. Up to three persons of either sex, in the age range 18-64, who require general nursing care. Maximum overall number 58. Date of last inspection 14th September 2005 Brief Description of the Service: The Glen is a service that supports up to 60 older people. The Glen is part of the BUPA Care Homes group. The service is situated in the village of Evercreech, which is a few miles from the town of Shepton Mallet. The home is situated within pleasant grounds in a country setting. The service is split into two wings with those service users who require nursing support in one and those who require personal care only in the other. There is a common kitchen and offices in the centre of the two wings. The bedrooms are distributed over three floors and there are two passenger lifts that allow easy access to all floors. Service users are able to visit all areas of the service even if their bedroom is on the opposite wing. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out by two inspectors for CSCI over one and a half days. The Registered Manager was available throughout the inspection period and to receive feedback at the conclusion of the inspection periods. Here were 49 service users in residence, 21 were residential (PC) category and 28 service users were in receipt of nursing care. The manager had provided detailed pre inspection information to CSCI and feedback comment cards had been distributed. A large response from service users and their relatives was received by CSCI, this was most helpful. The analysis of these questionnaire responses is incorporated into the body of this report. A tour of the premises was made and service users were seen and spoken with both in private and in the communal areas of the home. The home was clean, tidy and well maintained. Lunchtime was observed in the dining areas of the home. Records were sampled, these included contracts, care planning and recruitment. What the service does well: The Glen is in a very pleasant rural setting and the grounds are well managed providing a very pleasant outlook for service users and level access for those service users wishing to go outside. The home is well managed; the Manager is approachable and is an experienced professional nurse. There is a good level of administrative support. This home offers both nursing and residential (personal care) care; this is in separate areas of the home but with integrated services and no restrictions on access across the communal areas. Service users were seen to be treated kindly and respectfully by staff. The communal areas of the home are very well and comfortably appointed. The dining rooms are attractively presented and add to the social occasion of meal times. Bedrooms are comfortable and can be personalised to make them homely. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 NMS 6 does not apply The home provides a good level of information for prospective service users to make an informed choice of care home. Visits to view the home are welcomed. EVIDENCE: The CSCI Registration certificate is displayed. The Glen has a Statement of Purpose and offers information to prospective service users and their families/carers. Visits to the home are welcomed and the home offers respite care. Information is displayed in a file in the foyer at the home. The home uses the visitor’s log at reception, this is good practice. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 9 Comment cards returned by service users indicated that they felt that the home was satisfactory, ‘very good home’, ‘everyone friendly and helpful’. 15 indicated that they like living here 2 said sometimes. The home has four beds that are contracted with Somerset Social Services. Two contracts were sampled at this inspection and these demonstrated a clear breakdown of the costs. A sample of the BUPA terms and conditions of residency was shown to the inspectors, this was detailed and clear. The homes fee rates went up 7 in January and range from £550 per week for residential/personal care only to £700 per week for Nursing Care. Respite is charged per night and is currently £85 per night for residential care to £100 per night for nursing care. Care plans contained the information gathered for pre-admission assessment and care plans had been written to meet the needs of service users. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Care plans were sampled and demonstrated a good level of service user information and care planned. Care needs are generally well met. Requirements are made for personal care and fluid intake records. Service users were treated respectfully and with kindness by staff. EVIDENCE: Care plans were in place for all service users these demonstrated a good level of relevant information and care planning. Seventeen comment cards from service users and eight from relatives were returned to CSCI. All seventeen respondents said they felt well cared for. One service users said they were ‘cared for in a sensitive and caring way’. Relatives commented: ‘wonderful home’ another that ‘carer rapport was poor’ and another that particular disabilities such as blindness ‘were not accounted for’, ‘not holistic’ miss ‘picking up health care needs. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 11 Three GP comment cards were returned two were very positive about the care given and one referred to communication difficulties with overseas staff. One District Nurse responded positively to the questions sent to visiting professionals in a CSCI questionnaire. At the last inspection it was recommended that fluid charts should be used to monitor the intake of very dependent service users. These charts were in place for a number of service users at this inspection but not all had entries made on the day, on three the last entries were made the evening before. Fluid charts should be completed at each care giving intervention. Personal oral hygiene was queried as service users were seen that had debris in their teeth and dentures. It was noted that toothbrushes were dry and one paste tube had hardened. The Manager reported examining this evidence herself the morning after the full day inspection. The manager took action immediately to address this aspect of personal care and hygiene immediately with the care and nursing staff team. The management of medication was examined on the second visit to the home. The residential wing medications store was tidy; the temazepam log was up to date. All medications were stored appropriately and there was no overstocking. On the nursing wing an air conditioning unit is used to keep the temperature below 25 degrees Celsius, this had at times reached higher temperatures, for example 26.2 degrees Celsius. At the last inspection skin creams for individual service users did not have opened on, nor discard by, dates on them; this was recommended. At this inspection a small number of creams were seen that were not dated. Blood sugar monitoring equipment has improved since the last inspection and all diabetics have an individual box storing their personal equipment. Drug returns are managed subject to an appropriate waste contract. There had been one drug error occurring off site and reported through the accident procedure. This was discussed and this had been dealt with appropriately at the time. Attention should be paid to the recording of drug administration instructions when service users are away from the home. The Medication Administration Records (MAR) contain staff signature sheets and specific staff reminders etc. The MAR charts were complete on the nursing wing. The MAR charts on the residential wing had two entries where signatures were missing and one where a duplicate entry was seen (same drug but soluble format) one had not been deleted after the change. A monthly audit of The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 12 medication management to oversee the administrative practice on the residential wing is recommended. The home uses the Gold Standard Framework for Care Homes, advanced care planning. This allows a the service users wishes for treatment to be recorded in advance and therefore be available for consultation in the event of their health deteriorating. One frail service user was seen and they looked very comfortable and care planning indicated that care needs were addressed and reviewed regularly. Comment cards indicated that 15 service users felt that their privacy was respected, 2 said sometimes. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 the following standard(s): 12.13.14.15 Activities are well advertised and well managed. There is a good range of social events and for the less able there are opportunities for one to one social contact. Comment cards indicated that 13 service users found the activities suitable, 3 said sometimes. Families were seen to be welcomed and to be part of the home life. The menu is varied and looked appetising; the hot menu choice at teatime has been replaced with home made fresh vegetable soups. Comment cards indicated that 13 service users liked the food offered, 2 said sometimes and 2 said no. EVIDENCE: All activities and event at the home are well advertised; service users were seen to have an activities sheet for the summer and a newsletter, which is issued monthly. This was seen in service users rooms at this inspection. This newsletter contains activity information, notice of forthcoming events, welcomes new service users and informs of staff news. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 14 The hairdresser visits weekly and Holy Communion is held monthly. On the inspection day, activities included stroke club, which held a quiz and afternoon tea by invitation, to enjoy a favourite food. Special preferences had been disclosed, specifically sourced and purchased for the event, such as cakes, fresh fruits and special bread. The inspectors found this activity to be well attended, it had been well prepared and service users seemed to be enjoying the social occasion. The Glen hosts the community stroke club to enable service users to access the club and participate if they wish. The Art group is a popular activity and pictures are displayed at the home. Service users from the BUPA home, Clare Hall, are invited and attend. Lunch was observed in the dining rooms, the dining rooms are well presented and meals are nicely presented by the catering staff. The food looked served looked appetising. Fish pie, sausage casserole, sautéed courgettes, swede. Dessert was sponge and chocolate sauce or mandarin jelly. Feedback to CSCI from service users included some concerns about overcooked green vegetables, would prefer to have less processed food, desserts are purchased not home made. Other comments were about foods such as chicken nuggets, fish fingers and burgers being offered and thought to be unsuitable. The menu has been addressed; these aspects of concern raised should be monitored through the homes quality assurance. Service users asked at the inspection commented that the food is good. The nursing/care staff did not seem to be attending to details, which could have made the dining experience more enjoyable for the less able. For example the positioning of four wheelchair users at one table meant that one person was seated some way back from the table, to allow for the footrests, this person was observed to have a long reach to their plate and subsequently some difficulty eating their meal. Another did not have sufficient aids or assistance to enable the meal to be eaten without food spilling onto their clothing. The hot choice at teatime is now only soup; the inspectors discussed this with the catering staff and sampled the soup of the day, curried parsnip. The soup was delicious and had been prepared with fresh vegetables. The chef described the soups that are offered; all are freshly made with fresh vegetables in a drive to produce a nourishing wholesome diet to offer to service users. At teatime there is also good selection of sandwiches and filled croissants offered. Cakes are usually home made. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 the following standard(s): 16,18 The home has a complaints procedure which is made available to service users. Service users are protected from abuse with the homes policies and procedures and practice. EVIDENCE: The home has a corporate adult protection and Whistle blowing policies. These policies were reviewed on 07/01/05. The home has a complaints policy and procedure. All complaints are investigated and a record is kept. Five were reported for the last twelve months. Two of these five complaints had been received at the home since the last inspection, one concerned care, one the menu. The complaint regarding the menu is currently being processed. There had been three letters of compliment and thanks to staff for care given to service users and families. Service user comment cards indicated that 13 felt safe, one said sometimes and one said no. Thirteen said they would know who to speak with if unhappy. 2 said No One said sometimes. No one wanted to speak to the inspectors. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 16 Staff files were checked and these demonstrated good recruitment practice. The records showed a good level of information and that staff had two references taken up and CRB/POVA First checks before commencing work at the home. Comment cards indicated that 16 service users felt that staff treat them well, one said sometimes. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 the following standard(s): 19.20.21.22.23.24.25.26 The Glen is well maintained and provides a comfortable well adapted and well maintained environment for service users. Redecoration of the second floor was in progress at this inspection. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 18 EVIDENCE: The Glen is suitable for its stated purpose with well-maintained buildings and attractive well kept gardens. The service is split into two wings with those service users who require nursing support in one and those with personal care needs in the other. The bedrooms are distributed over three floors and there are two passenger lifts that allow easy access to all floors. Service users are able to visit all communal areas of the home, even if their bedroom is on the opposite wing. Redecoration was in progress on the top floor of the residential wing. In addition to the 49 bedrooms with en-suite facilities the Glen has a further 11 toilets and 4 bathroom facilities. There are gardens, which are accessible by wheelchair and provide pleasant places to sit or walk, in warmer weather. All communal areas are nicely furnished and decorated. The Glen has in place a range of equipment and adaptations. A nurse call bell is available in all areas. Various hoists and moving and handling equipment are provided to meet the needs of service users. There are grab rails and specialist bathing hoists. Service user comment included that bedrooms may not being big enough to accommodate much personal equipment, where this could be problematic this should be highlighted to prospective service users. The Glen provides aids used for pressure relief and the prevention and treatment of pressure ulcers, equipment was seen in use. The sluice rooms are small, but contain a wash and disinfection cycle machines. The laundry room is small for the size of the home. One machine was out of order and had been for two weeks; staff informed the inspector that they were coping. No issues were raised by service users concerning the laundry process, at this inspection. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The home has sufficient staff employed in all departments and demonstrated a satisfactory number of staff on duty at this inspection. Recruitment practice was good. Staff training is provided. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 20 EVIDENCE: At the last announced inspection it was confirmed that the schedule for nurses and care staff used was as set by the former registering body, Somerset Health Authority and for the personal care unit, the minimum care hours as set by Somerset County Council are provided. In addition there are dedicated administration, catering, domestic and laundry staff. There has been no change in this as a baseline and staffing over this number is made. The Manager raised the matter of changing the staffing arrangements to accommodate more care staff. CSCI have not offered an alternative assessment for staffing. It is recommended that a proposal be sent to CSCI, with the proposed scheme demonstrating how staffing will be met linked to service user dependency. This schedule must demonstrate how staffing will be flexible and easily increased to meet the demands of higher care needs. Visitor’s comments cards indicated their perception that there are not enough staff on duty at all times. Staff were spoken with, induction and training were confirmed. The home has achieved 41 care staff with an NVQ qualification in care, 9 of the 26 employed. There are a number of overseas staff that have experience and qualifications as nurses in their country of origin yet they work as senior carers at the home. The home employs 12 first level registered nurses. The registered nurses also pick up extra shifts at the home as carers. The home has not used any agency staff for two years. The shifts worked as carers by the homes registered nurses and by the overseas (trained) staff carers were not included in the calculation of 41 . The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31.32.33.34.35.36.37.38 The home has a CSCI Registered Manager and the home is well managed. Records are appropriately stored and systems are in place to protect the best interests of service users. Maintenance is well managed; one requirement only is made for health and safety. EVIDENCE: Mrs Gale Smith was appointed by BUPA and was approved for the post as Registered Manager with CSCI on 26/01/05. Mrs Smith is managing the home well; she has a friendly open management style. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 22 The Manager is supported by a deputy manager, an administrator and by the corporate management teams input. Regulation 26 monthly management visits are made and are recorded. All records sampled for staff and service users were seen to be well managed and appropriately and safely stored. Financial accounts were seen where small amounts of money are held on behalf of service users. This was well managed and is held in one bank account for named individuals each with their own personal account details and each being individually interest bearing. This was satisfactory. Records are held on the homes accounts computer system that has restricted access. Maintenance of the homes equipment and servicing was indicated on the pre inspection information sent in by the Registered Manager. This indicated that the lifts had been serviced in November 2005. The fire alarm system had been serviced in 09.05, and was confirmed as checked weekly. The most recent fire drill was 10.05. Emergency lighting was checked in 11.05. The home has electrical wiring certificates for 05.04 and 12.05. The homes central heating was checked on 11 .05. Hot water is checked for safe temperature each month for baths and showers and six monthly at individual basin outlets. The home checks hoists on a monthly basis and there is an annual service. The sit on scales and the homes syringe driver had been serviced in December 05 and February 05 respectively. Two wardrobes were identified that need to be secured to the wall to reduce the risk of them toppling forwards and causing injury. This is a requirement at this inspection. Accident analysis to review risks and identify hazards is undertaken. This is good practice. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 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 3 3 X 3 3 X 3 2 The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP8 OP15 Regulation 12(1) and (3) 12(3) and (4)(a) Requirement Oral hygiene must be encouraged and assistance given as required. Service users must be sat in a comfortable position and be assisted as required at mealtimes. This will enhance the social experience and be beneficial to independence. Two wardrobes were identified that must be secured to prevent them from toppling forwards and causing injury. Timescale for action 24/03/06 24/03/06 3. OP38 13(4)(c) 24/03/06 The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP15 OP9 OP26 Good Practice Recommendations Fluid charts should be in place where service users are dependent upon staff for assistance with fluid intake and should be filled in whenever food or fluid is given. The medications management on the residential wing should be audited/monitored and reviewed to ensure best practice is followed in both parts of the home. The washing machine/plinth should be repaired to ensure the laundry is adequately equipped. The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 The Glen Nursing & Residential Home DS0000003298.V272034.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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