Inspection on 28/11/06 for White House Nursing Home, The

This inspection was carried out on 28th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

White House Nursing Home, The 16/10/07

White House Nursing Home, The 19/09/05

White House Nursing Home, The 03/05/05

White House Nursing Home, The 19/10/04

White House Nursing Home, The 04/05/04

White House Nursing Home, The 06/02/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE White House Nursing Home, The 274 Malden Road New Malden Surrey KT3 6AR Lead Inspector Diane Thackrah Key Unannounced Inspection 09:45a 28th November 2006 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 White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White House Nursing Home, The Address 274 Malden Road New Malden Surrey KT3 6AR 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) 0208 949 0747 Mr Badru Manji Mrs Saker Manji Mrs Lesley Elizabeth Carnegie Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2005 Brief Description of the Service: The White House Nursing Home provides accommodation for up to twenty five people who require nursing care. Accommodation is provided in single bedrooms. There are communal areas and a small garden. The home is situated on a main road close to the centre of New Malden. Public transport, shops and other amenities are within close distance of the home. Parking facilities are available. A copy of the service’s Statement of Purpose and Service User Guide can be obtained on request from the Registered Manager. Fees for the home at the time of writing are between £502.18 - £675.00 per week and there are no additional charges. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 28th November 2006 between 09.45 and 15.50. A partial tour of the premises took place and care records were examined. Observations of care practices also occurred. The Registered Manager, administrator and three staff members were spoken with, as were seven service users and three visitors. The views of two relatives, one general practitioner and nurses from the local hospice have been received via comment cards. The views of these people will be reflected in this report. What the service does well: This is, in general, a well run home were service users have their needs well met. The majority of feedback received about the home was very positive. One professional said that there are “Excellent staff”. Feedback from community nurses was that “We are very impressed with the high standard of nursing care” and “Staff are always well informed and able to give clear reports…” Also, “Staff are very professional and treated (named service user) with gentleness and kindness, maintained their dignity and demonstrated an excellent knowledge of palliative care”. A visitor said that there were always sufficient staff members on duty, that they were consulted with about their relatives care and that they were satisfied with the overall provision of care. Another visitor said “I have no complaints what so ever” A further visitor said “I am always made to feel welcome” One service user spoken with said “I like it here, its all good” Another service user said “they respect my privacy and always knock before entering my bedroom” There are good arrangements for ensuring that service user’s needs are assessed prior to them moving into the home and service users and their representatives are consulted with about the care to be provided on an ongoing basis. Service users have their health needs met well and are, in general, protected by good practice in handling medication. There are good arrangements for handling complaints and allegations of abuse. There are very good arrangements for ensuring that service users live a fulfilling lifestyle, in accordance with their wishes. Structured activities are provided daily and there are opportunities for service users to relax and spend time with their family members and friends. The home is comfortable, homely and well maintained and there is a garden that offers a pleasant space to relax. Staff members are supplied in sufficient numbers and there is good staff training. All staff members are thoroughly vetted, offering a good level of protection to service users. There is good management of the home and a quality White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 6 assurance system that takes into account the views of those using the service. Health and safety is taken seriously. 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. White House Nursing Home, The DS0000026255.V308356.R01.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 White House Nursing Home, The DS0000026255.V308356.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 6. There remain appropriate arrangements for obtaining information about the needs of service users before they move into the home, which allow these needs to be met. This is a user-focused service with service users and their carers fully participating in the process of planning for their care and for their changing needs, this ensures that the wellbeing of service users is promoted and protected. The home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Assessment information was examined for the three most recent admissions. Assessments included a short social history, risk assessments and details about the service user’s personal and health care needs. There was White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 9 documentation detailing that service users and some family members are fully involved in this process. There was excellent feedback from service users, their relatives, and two visiting professionals about the home. One professional said that there are “Excellent staff”. Feedback from community nurses was that “We are very impressed with the high standard of nursing care” shown to a named service user, and “Staff are always well informed and able to give clear reports…” Also, “Staff are very professional and treated (named service user) with gentleness and kindness, maintained their dignity and demonstrated an excellent knowledge of palliative care”. A visitor said that there was always sufficient staff members on duty, that they were consulted with about their relatives care and that they were satisfied with the overall provision of care. Another visitor said “I have no complaints what so ever” A further visitor said “I am always made to feel welcome and they always offer me a cup of tea” One service user spoken with said “I like it here, its all good” Another service user said “they respect my privacy and always knock before entering my bedroom” A Requirement made at the last inspection of the home regarding the need to apply for a variation in registration categories has been removed. There are a number of service users in the home who are confused, but have not been diagnosed with dementia. The home’s administrator is aware of the need to amend the home’s Statement of Purpose to reflect this. One service user has recently had their needs reassessed and has being diagnosed as having dementia. Appropriate arrangements have been made for this service user to move to a home that is registered to provide care to meet their assessed needs. White House Nursing Home, The DS0000026255.V308356.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. There are very good arrangements for care planning and service users continue to have their health, social and personal care needs well met. There are generally good arrangements for ensuring that medication is handled safely, however, there remains a need for improved practice in medication record keeping in order to fully protect service users. A strong emphasis is placed on protecting the dignity, and respecting the privacy of service users. This ensures that the well being of service users is protected. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Three care plans seen were in good order, had been drawn up in consultation with the service user’s family member, and had been reviewed appropriately. Care plans contained information about the service user’s personal, health and social care needs and there were risk assessments in relation to moving and White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 11 handling and pressure care. Care records seen detailed that service users have access to a range of health care professionals and that the home is proactive in arranging health care appointments. There were records detailing that service users are registered with a General Practitioner, have their weight monitored regularly and see opticians and dentists as necessary. There was positive feedback about the home from visiting health care professionals. The Registered Manager said that the majority of service users have been provided with a hospital style bed. A number of service users were noted to have pressure relieving mattresses and cushions. There are, in general, appropriate arrangements for handling medication safely in the home. However, some poor practice in handling medication was noted during this inspection, and at the last inspection of the home. Medication Administration Records were examined for two service users. One record was in good order and reflected the current medication stocks held by the home. However, one service user had been prescribed medication by their General Practitioner that detailed a daily dosage. This had been recorded on the service user’s Medication Administration Record as ‘as required’ The Registered Manager explained that this change had been agreed with the service user’s General Practitioner, but there were no records to back this up. Medication Administration Records must accurately reflect the instructions on prescribed medication, or there must be a clear record detailing that the General Practitioner has agreed the change. A repeated Requirement is made regarding this issue. The Registered Manager said that only qualified nurses administer medication in the home, and that there competency to do so is observed during their first two medication rounds. Whilst it is acknowledged that medication is handled by nursing staff only, there remains a need to ensure that there are records detailing the names of staff trained in medication handling, specifically within the home. i.e. they have read and understood the home’s medication policy and procedures. A Requirement is made regarding this issue. Staff members were observed to treat service users with respect and to uphold their dignity. Staff members knocked, and waited for a response before entering bedrooms. The home was found to be relaxed on the writer’s arrival and there was a homely atmosphere, with service users being supported to spend time as they choose, whether this be watching television in their bedroom, or joining in with the structured activities in the main lounge. One staff member was noted to chat and laugh with a service user as they fed them. This interaction was relaxed and unhurried and based on respecting the service user’s needs. Care records seen detailed that staff members spend time with individual service users with a view to understanding their needs and wishes. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 12 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 and 15. There continues to be a varied activities programme and wholesome and enjoyable meals are provided; therefore differing expectations and lifestyles are well catered for. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Service users continue to have very good opportunities for social and recreational activities. There is a fulltime activities coordinator who continues to provide a wide range of structured activities that are in line with the wishes and preferences of service users. There was an activities programme displayed in the lounge, and in the entrance hall of the home. Service users spoken with said that they were happy with the range of recreational facilities available to them. One service user said that they enjoyed choosing talking books from the visiting library and going out shopping once a week with a volunteer. Another service user said that there was plenty to do in the home and lots of opportunities for going out. A further service user said, “You can do what you want” A number of service users have a television, music equipment and a telephone in their bedroom. The home has a small garden and a number of service users have enjoyed spending time in it during the summer. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 13 There are good opportunities for service users to engage in religious observance. An Anglican Minister visits the home on a regular basis and some service users take Holy Communion in the home. The activities coordinator said that work has recently been undertaken in creating opportunities for one service user to make links with a local, Royal Borough of Kingston Upon Thames run Multi-Cultural Centre. Service users have good opportunities for being involved in decision making in the home. There were records detailing that there have been service user’s meeting, facilitated by staff members, were service users have opportunities to formally make decisions about day to day life in the home. Three service users spoken with said that they felt that they were listened to and that their views were taken seriously. There was very positive feedback about food served in the home and meals seen looked nutritious and well presented. A weekly menu available detailed that meals provided are varied. There was a notice board detailing what meals would be served and that a choice of meal was always available. Some service users spoken with said that they enjoyed food in the home. One service user said, “The food is very good” Another service user said, “We always get a choice” and another service user said that the food was “OK” There were records available on a board in the dining room detailing the special arrangements for food preparation for service users. It is positive that the home is ensuring that service user’s dietary needs and preferences are being catered for, however, personal information about service users must not be displayed publicly as this breaches confidentiality. This notice board was removed on the day of this inspection. There were suitable numbers of staff to assist service users at lunchtime and good practice was observed by staff members who were feeding service users. The local Environmental Health Officer has recently visited the home and raised concerns about hygiene standards in the kitchen. The Registered Manager said that the kitchen has been deep cleaned since this inspection. Some walls and surfaces in the kitchen have been re-surfaced with stainless steel, including the area behind the sink, in line with a Requirement made at the last inspection. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 14 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 and 18. There is a system in place for the effective handling of complaints and service users and their relatives are encouraged to raise any concerns they have. Service users therefore know that their concerns will be acted upon. Arrangements are in place for handling allegations and instances of abuse. This ensures that service users will be protected from harm. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: There are policies and procedures in place for dealing with complaints. Information is made available in the Service User Guide about how a compliant, concern or suggestion should be made, and how this will be handled. This information also includes details about how a concern may be raised with the Commission for Social Care Inspection. Service users and their relatives are encouraged to raise any concerns with staff members before they become problematic. No complaints have been made about the home since the last inspection The home has a copy of the Royal Borough of Kingston Upon Thames vulnerable adult protection procedures. Records were available detailing that staff members have undergone training in the Protection of vulnerable adults since the last inspection of the home. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 15 White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 16 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, 25 and 26. The home is maintained, decorated and furnished to a good standard, which ensures that service users live in a pleasant, homely and comfortable environment. Facilities are in general clean and safe, and improvements have been made since the last inspection, however, there is a need for some improvements in order to ensure the well being of service users. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: It was positive to note that a number of environmental improvements have been made in the home since the last inspection. New semi profiling beds have been purchased, new furniture has been provided in some bedrooms and a number of areas in the home have been redecorated. The home is well maintained and good efforts have been made by the staff team to create a pleasant and homely environment for those who live there. There was documentation detailing that the London Fire and Emergency Planning Authority visited the home on 29/09/05 and found it to comply with fire safety White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 17 requirements. As detailed in Standard 15 of this report, the kitchen did not comply with the requirements of the local Environmental Health department at a recent inspection. The home has taken positive action to comply with the requirements made. The grounds of the home are tidy and there is a small paved area that has been developed since the last inspection of the home and this now provides a pleasant seating area for service users and their visitors. There are plans to create a sensory garden in this space. Service users have access to this area via a ramp if necessary. There are small verandas leading from each conservatory. On the day of this inspection it had rained and one veranda was very slippery. There is a need to protect service users from slipping if using this area. There should be a warning sign in this area until non-slip flooring is provided. Positive action has been taken by the home for ensuring that service users are not at risk of scalding. Water temperatures in two bedrooms and one bathroom were tested and found to be safe. A Requirement made regarding this issue at the last inspection of the home has now been met. The home was generally clean and fresh smelling and there was a cleaning staff member on duty. One service user, and a visitor spoken with said that they found the home to clean and well maintained. Some skirting boards in corridors were very dusty. These areas must be kept clean. There were no cleaning schedules available. In light of the outcome of the recent Environmental Health inspection, and the lack of cleanliness of the corridor skirting boards, cleaning schedules must be maintained. These must detail all required cleaning tasks in the home, and the times that they have been carried out. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 18 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 and 30. Staff members are provided in sufficient numbers and the procedures for the recruitment of staff are robust and provide the safeguards to offer protection to people living in the home. There is a staff training and development programme that provides staff members with skills necessary for meeting the needs of service users. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Staffing levels as detailed in the staff rota, and in the numbers on shift at the time of this inspection are appropriate, and in line with the needs of current service users. As well as four care staff and one registered nurse, there was the Registered Manager, Administrator, a cook, a cleaner, a maintenance worker and an activities coordinator on shift. There was feedback from staff members, service users, and visitors that staffing levels are sufficient. One service user said that the staff members were “Wonderful” and that they “can’t do enough for you” Another service user said that the staff members were “very good” A visiting General Practitioner said that there was “Excellent staff” Three new staff members have been employed to work in the home since the last inspection. Personnel files for these staff members were examined. Files contained all the information and documentation required and there was White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 19 documented evidence that all required checks had been carried out prior to the staff members commencing work in the home. Records available detailed that each new staff member had undergone a detailed induction programme and that the Registered Manager had been satisfied that the staff member had understood the information provided to them during induction. The home is in to process of aligning the staff induction and foundation training programme with ‘Skills for Care’ specifications. There were records indicating that staff training has been ongoing since the last inspection. All staff members have recently undergone training in adult abuse awareness, dementia awareness and moving and handling. A Requirement has been made in under Standard 9 of this report regarding the need to ensure that there are records in the home detailing the date that staff members were assessed as being competent in the safe handling of medication. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 20 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, 33, 35, 36 and 38. Staff members continue to receive good support and guidance from the manager and there is an effective quality assurance system, this ensures that the home is run in the best interests of the service users. There are good arrangements for handling service user’s finances, which ensure that service users financial interests are safeguarded. There have been improvements in the arrangements for managing health and safety in the home, this ensures that the well being of service users, in general, is promoted and protected. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 21 The Registered Manager has continued to demonstrate good practice and competence in running the home. Relaxed and positive interactions were noted between her and service users, visitors and staff members alike and there was positive feedback from the local palliative care team about their interactions with her. The Registered Manager is supported by a fulltime administrator who also demonstrates a strong commitment to providing a quality service to those living in the home. There are a number of tools for self- monitoring. Service users and their family members and staff members are surveyed on a regular basis about their views on the home. There were minutes of service user’s meetings detailing that service users have been consulted with formally about daily living issues in the home such as food, the environment and activities. The administrator has carried out ‘spot checks’ in the home this year, including one at night. This is good practice. Records indicate that staff members receive formal supervision, and that this time is spent constructively. However, staff members are currently not receiving supervision six weekly, in line with good practice. The Registered Manager is aware of the need to increase the level of supervision offered to staff members and has stated her intention to address this. There were records detailing that staff members are trained in safe working practices such as moving and handling, food hygiene, infection control and first aid. There is a need to ensure that there are records in the home detailing the date that staff members were assessed as being competent in the safe handling of medication. Records indicated that there are regular safety checks on water temperatures, fridge and freezer temperatures, the fire alarm, emergency lighting, fire fighting equipment, and door guards. There are regular fire drills, gas and electricity safety checks, portable electrical appliance safety checks and testing for legionella. Safety checks on the lift, wheelchairs, hoists and bath seats occur. There are risk assessments in place for chemicals and all accidents and incidents are recorded. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 2 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 X 3 X 3 2 X 3 White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13 (2) Requirement Timescale for action 01/01/07 2. OP9 13 (2) 3. OP12 17 (1)(b) 4. OP19 13 (4)(a) The Registered Provider must ensure that Medication Administration Records accurately reflect the instructions on prescribed medication, or there must be a clear record detailing that the General Practitioner has agreed the change. Repeat Requirement. Timescale of 01/11/05 unmet. The Registered Provider must 01/01/07 ensure that there are records in the home detailing the date that staff members were assessed as being competent in the safe handling of medication. The Registered Provider must 01/01/07 ensure that all records detailing personal information about service users are stored securely and treated as confidentially. (i.e. not on a notice board in the dining room) The Registered Provider must 01/03/07 ensure that there is non-slip flooring provided on the slippery veranda. DS0000026255.V308356.R01.S.doc Version 5.2 White House Nursing Home, The Page 24 5. OP26 23 (2)(d) (A warning sign should be positioned in this area as soon as possible) The Registered Provider must 15/12/06 ensure that: 1. Skirting boards in the home are kept clean. 2. Cleaning schedules are maintained, and available for inspection. 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 OP36 Good Practice Recommendations The Registered Provider should ensure that care staff members receive formal supervision at least six times a year. White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 White House Nursing Home, The DS0000026255.V308356.R01.S.doc Version 5.2 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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