Care Home: April Park Nursing Home

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What the care home does well People are well supported during their admission to the home. Their needs are suitably accounted for and are well met, in a manner, which accords with their rights and preferences. People are enabled to maintain their social, recreational, cultural and religious interests and receive wholesome and appealing food, which accord with their wishes and needs. Peoples` rights to complain are upheld and they are safeguarded from harm and abuse. The home is safe and very well maintained, furnished and equipped to a high standard. Staff are effectively recruited, inducted, trained and deployed. The home is being well-managed and run in peoples` best interests. What has improved since the last inspection? The requirements and recommendations made in our last key inspection report are achieved. There have been a number of key developments/improvements by the home, including: > The organisation of activities and information provided for people about them. > Ensuring monthly care plan reviews. > A review of manpower planning aimed to promote increased continuity of care for people. > Providing feedback cards for people to give their views about the home. > Providing a designated staff management role for co-ordinating key matters relating to safeguarding people, ensuring their protection from harm and abuse, and including a free phone telephone line for people to use > Purchasing of key replacement equipment and upgrade of the environment. > The promotion of improved team working, development of staff training and supervision arrangements. What the care home could do better: Provide people with clear details as to the actual range of fees the home charges and promote the availability of the homes` service guide/brochure in alternative formats as may be necessary. Ensure that the acting manager submits an application for their registration under the Care Standards Act 2000 to the Commission. Always ensure best practise in terms of any hand written medicines administration instructions. Clearly account within peoples` care planning records, as to how people`s individual capacity to exercise personal autonomy and choice in respect of their care, health and welfare is determined, in accordance with the Mental Capacity Act. Amend the home`s complaints procedures to provide accurate contact details for the Commission. CARE HOMES FOR OLDER PEOPLE April Park Nursing Home West Street Eckington Sheffield Derbyshire S21 4GA Lead Inspector Susan Richards Unannounced Inspection 22nd November 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address April Park Nursing Home DS0000066753.V351937.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. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service April Park Nursing Home Address West Street Eckington Sheffield Derbyshire S21 4GA 0161 368 9099 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) aprilpark@meridiancare.co.uk Meridian Healthcare Ltd Vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th December 2006 Brief Description of the Service: April Park care home provides nursing and personal care for up to forty older people. It is located within a residential area in the village of Eckington close to a main bus route and local shops and amenities. It is purpose built with accommodation over two floors. There is level access to well kept gardens with seating and separate car parking areas. The home is suitably adapted and equipped to assist those who may have mobility problems, including the provision of a shaft lift and emergency call system throughout. There are thirty-seven single rooms with three of these having capacity to be used as double rooms for couples or people who may wish to share. Eight bedrooms have en suite facilities. Each floor has a lounge and a separate lounge / dining area and a hairdressing room is also provided. A copy of the home’s most recent inspection report is available and openly displayed in the main reception area of the home. The fees for this home range from £352.00 to £498.30. Fees charged are determined in accordance with individual’s assessed needs and include contributions to personal or nursing care as may be determined by the local authorities for those who may be eligible. There are additional charges for hairdressing, holistic therapy, private chiropody and newspapers, which are all charged as per vendor fee. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. For the purposes of this inspection we have taken into account all the information we hold about this service. This includes our previous key inspection report of 04 December 2006, information provided in our annual quality assurance questionnaire completed by the home and survey returns from staff and residents. We used case tracking as part of our methodology. This involved the random sampling of three people, whose care and service provision was more closely examined. We spoke with people about the care and services they receive and looked at their written care plans and associated health/care records. We also inspected the private and communal accommodation of those people case tracked. We spoke with staff and management about the arrangements for their recruitment, induction, training, deployment, supervision and support. And we examined related records and observed some of staffs’ interactions and approaches with people during our visit to the home. We spoke with the acting manager about his role and responsibilities and about the management and monitoring arrangements for the home. What the service does well: People are well supported during their admission to the home. Their needs are suitably accounted for and are well met, in a manner, which accords with their rights and preferences. People are enabled to maintain their social, recreational, cultural and religious interests and receive wholesome and appealing food, which accord with their wishes and needs. Peoples’ rights to complain are upheld and they are safeguarded from harm and abuse. The home is safe and very well maintained, furnished and equipped to a high standard. Staff are effectively recruited, inducted, trained and deployed. The home is being well-managed and run in peoples’ best interests. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Provide people with clear details as to the actual range of fees the home charges and promote the availability of the homes’ service guide/brochure in alternative formats as may be necessary. Ensure that the acting manager submits an application for their registration under the Care Standards Act 2000 to the Commission. Always ensure best practise in terms of any hand written medicines administration instructions. Clearly account within peoples’ care planning records, as to how people’s individual capacity to exercise personal autonomy and choice in respect of their care, health and welfare is determined, in accordance with the Mental Capacity Act. Amend the home’s complaints procedures to provide accurate contact details for the Commission. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 1, 2 & 3 (NMS 6 does not apply to this service as they do not provide for intermediate care). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are suitably accounted for and overall they are well supported during the admission process. EVIDENCE: At our last key inspection of this service we judged that people, may be assured that they have their needs fully assessed before they move into the home. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 10 In our annual quality assurance questionnaire completed by the home, they say that they always ensure effective admission arrangements for people, including obtaining their full pre-admission needs assessment, offering trial visits to the home and the provision of key information for people about the home and its services. They feel they could improve by always visiting a prospective service user prior to the admission and in involving existing residents in providing their views about the service. They intend to improve over the coming 12 months by instigating preadmission visits to meet with people, by a representative of the home in order to establish relationships with people. At this inspection we spoke with people about the arrangements for their admission to the home, including information they were given and about their needs. We asked people by way of our written survey if they received enough information about the home before moving there and whether they had received a written contract. We also looked at the home’s service guide/brochure, which is provided in standard print format. We asked staff in person and by survey, if they are given enough information about the needs of people they care for. We also looked at the home’s service guide and the recorded needs assessment information for those people case tracked. People said that overall they are provided with the information they need about the home and after moving there are provided with a permanent written contract, detailing information about fees charged and what they include. However, clear detail of the range of fees charged is not provided within the home’s service guide/brochure. People’s care needs are well recorded, and include specific risk assessment information and known personal and lifestyle preferences and choices. People say that their needs are discussed with them and staff advised that they are usually given sufficient information about people’s needs necessary for their care. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 11 They feel they could improve by always visiting a prospective service user prior to the admission and in involving existing residents in providing their views about the service. They intend to improve over the coming 12 months by instigating preadmission visits to meet with people, by a representative of the home in order to establish relationships with people. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health care needs are well met in a manner, which accords with their rights, personal preferences and risk assessed needs. EVIDENCE: At our last key inspection of this service we judged that people’s perceived experience of care is good. However their care plans and risk assessments do not always underpin the standard of care given, which may place people at potential risk. We made two requirements relating to care planning and one recommendation relating to medicines practise. These are complied with at this inspection. In our annual quality assurance questionnaire they say that all people have person centred care plans, which are reviewed monthly or as required, being April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 13 based on their comprehensively risk assessed needs and aiming to promote their independence and choice. They also say that people are provided with suitable care and support from staff. That is conversant with and trained to ensure they receive the right care to suit their needs. That they ensure appropriate access for people to outside health care professionals, with whom they have good relationships with and that people are provided with the equipment they need by way of individual assessment. They feel they could always improve their training arrangements for staff and how they consult with people about the care and support they receive. Over the last twelve months they say they have improved in the review of people’s care plans and in staff deployment to promote continuity of care at the home. Over the next twelve months they aim to improve by ensuring greater involvement for people and their chosen representatives in their care plan reviews and by continuing to source appropriate staff training. At this inspection we spoke with people about the care they receive, including their medical and health care and also their medicines arrangements. We looked at the written care plans for those people case tracked, the arrangements for the management, storage and administration of their medicines and made general observations of staff approaches with people during our visit to the home. We also asked people by way of written survey if they receive the care and support they need, including medical care and if staff listen and act on what they say. People spoken with said they usually receive the care and support they need and that staff treat them with respect. Many comments were received, which are positive and include:‘The staff are lovely, nothing is too much trouble.’ ‘The nursing staff is excellent.’ Peoples written care plans are person centred, reflective of recognised practise concerned with the care of older people and are up to date, having regularly recorded reviews. Inputs from and access for people to outside healthcare professionals are also well accounted for. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 14 Overall the arrangements for the management and administration of peoples’ medicines are satisfactory. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service People are enabled to maintain their social, recreational, cultural and religious interests and receive wholesome and appealing food, in accordance with their known preferences. EVIDENCE: At our last key inspection of this service we judged that activities and recreation provided generally meet with peoples’ expectations and preferences and that meals are good and are taken in pleasant dining areas. We made two recommendations about information provision and presentation, which are achieved by the home. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 16 In our annual quality assurance questionnaire completed by the home, they say that they consult with and ensure a range of activities both within and outside the home and provide support for their spiritual needs and a choice of food food. That they have good links with the local community providing dedicated transport to assist people with mobility problems and regular in house hair dressing and holistic therapist services at the home. They say they have improved their activities arrangements over the last twelve months by listening to what people tell them and by way of feedback cards and have provided examples of these. They say they could do better by providing staff with training in nutrition and healthy eating. And, over the coming twelve months intend to address this and also to seek out sutiable and relevant training for their activities coordinator to access, which may futher benefit people at the home. At this inspection we spoke with and asked people by way of a written survey if activities are organised at the home, which they can join in. We also asked people if they liked the meals at the home. People said ‘usually’ or ‘always’ to both of these questions and comments receive, included, ‘The activities co-ordinator is brilliant.’ ‘The activities co-ordinator and her helpers always arrange activities, regular outings and parties for people. ‘If you don’t want to join group activities, there is always time for you on a one to one basis.’ In respect of food people said there is plenty of choice and variety and menus are always displayed. One person said they would like more fresh fruit to be available. People spoken with said that staff always consulted them about their daily living arrangements and for people case tracked comprehensive information is recorded about their daily living preferences, choices and lifestyle routines as agreed with them. One person was unable to provide this information, due to their mental capacity, however, this was collated with the assistance of their family. Also, some decisions were recorded as made on behalf of this person in respect of their health and welfare, although their care records did not clearly account for those decisions in accordance with Mental Capacity Act. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ rights to complain are upheld and they are safeguarded from harm and abuse. EVIDENCE: At our last key inspection of this service we judged that people are safeguarded from abuse and any concerns they may have are taken seriously and acted upon. We made one recommendation which is achieved at this inspection. In our annual quality assurance questionnaire completed by the home, they say that they have a positive attitude toward complaints and use them as a tool to seek improvements at the home. That they have a clear complaints policy and procedure, which is openly displayed for people to see in the home, and with a copy provided in people’s own rooms. Also their systems and arrangements promote people’s protection from harm and abuse. They feel that they have improved their arrangements for ensuring people’s protection by way of a designated staff role and providing a free phone line for people to use. That they can always improve by ensuring ongoing staff April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 18 training in relation to complaints and people’s protection from harm and abuse and intend to ensure this over the coming 12 months. At this inspection we looked at the home’s complaints record and discussed complaints recorded during 2007 with the acting manager. We spoke with and asked people by way of our written survey if they know who to speak to if they are not happy and if they know how to complain. We also looked at the home’s complaints procedure and asked staff about their responsibilities in dealing with complaints and with regard to safeguarding people from harm or abuse. There are a small number of complaints recorded in their home’s complaints log, including one investigated via social services safeguarding adults’ procedures. Records of these indicate that the home has taken appropriate action in accordance with recognised policy and procedural guidance concerned with complaints and safeguarding people. People spoken with or surveyed said that they always know who to speak with if unhappy and that they know how to complain. Each person is provided with a copy of the home’s complaints procedures in their own room. Staff spoken with is conversant with their roles and responsibilities with regard to dealing with complaints and ensuring people are protected from harm and abuse The acting manager agreed to revise the complaints procedure to provide correct contact details for the Commission, given some of our recent office closures/changes. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is safe and very well maintained, furnished and equipped and suits people’s needs. EVIDENCE: At our last key inspection of this service we judged that people live in a home that is well decorated, comfortable and well maintained. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 20 In our annual quality assurance questionnaire completed by the home, they say that they provide a safe, clean home, having a range of facilities, which is well maintained and suitably equipped, decorated and furnished to a high standard. And that people are always encouraged to personalise their bedrooms. They also provided us with some key and satisfactory information about the maintenance of equipment at the home. They say they could improve by purchasing new garden furniture and aim to do so. At this inspection we looked at the private and communal areas accessed by people case tracked and also the laundry. We also spoke with people, including by way of our written survey, if the home is always kept fresh and clean. All people said that it usually is and comments are received commending the work of domestic staff. All areas seen are safe, clean and well decorated, furnished and suitably equipped to a high standard. Peoples’ bedrooms are personalised as they choose. We also discussed recent internal changes/improvements to the environment with the acting manager and people who live at the home. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are met by staff who is effectively recruited, inducted, trained and deployed. EVIDENCE: At our last key inspection of the home we judged that people are safeguarded by the home’s recruitment practises and benefit from a commitment to staff training. In our annual quality assurance questionnaire completed by the home, they say that they ensure that staff is always effectively recruited, inducted and trained and that good relationships are always promoted within the home. They say they have improved over the last twelve months by working as a team to adapt to management and systems changes and feel that they can continue to improve by ensuring that staff working together in people’s bests interests. They have identified key areas for staff training over the coming twelve months. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 22 At this inspection we asked people by speaking with them or by way of our written survey if staff is usually available when they need them. We asked staff about the arrangements for their induction, support, training, deployment and supervision, including arrangements for communication with them about people’s individual and differing needs. And we looked at associated records. We also asked people what they think the service does well and what it could do better. Overall responses are positive. People say that staff is usually available when they need them. One comment received indicated that the only time they may have to wait is if staff are assisting someone else, although confirmed that the time they may have to wait is not usually excessive. Most say that they feel the home provides good standards of care and staff said that overall they are suitably inducted, recruited, trained and supported. Some staff feel, that residents’ would benefit from an additional carer during the afternoon – to provide five as in the morning – they say they are rushed during the afternoon and although people do receive their basic care – they feel quality is sometimes compromised. Records examined in relation to the above are satisfactory. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): NMS 31, 33, 3, 26 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well-managed and run, overall in peoples’ best interests, and whose health, safety and welfare is suitably promoted and protected. EVIDENCE: At our last key inspection of this service we judged that the home is generally well run peoples’ best interests interests and their health, safety and welfare is suitably promoted. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 24 In our annual quality assurance questionnaire completed by the home, they say that home is well managed in people’s best interests with clearly defined administrative, policy and communication systems. They say they have improved over the last twelve months by the acting manager and two senior care staff commencing key training appropriate to their roles, by continuing to develop good links and relationships with external agencies and by developing better team working and arrangements for staff training and development. They say they can always improve by ensuring continuing staff training relating to safe working practises for staff and aim to do so over the coming twelve months. At this inspection we spoke with the acting manager about his employment, role and responsibilities and also the home’s quality assurance and monitoring systems and arrangements for formal consultation with people. We spoke with people about how they are consulted and looked at the home’s systems for the management and handling of people’s own monies via case tracking. We spoke with and surveyed staff about the arrangements for their support and supervision and for communications at the home, together with the arrangements for ensuring safe working practises, including training and use and provision of equipment, accident reporting. We also made general observations during our tour of the home in relation to environmental safety/hazards. The manager appointed to the home is not registered to manage the home under the Care Standards Act 2000 and is yet to submit their registration application to the Commission. This process was discussed with him at this inspection. He confirmed that he has begun the process necessary for this to be submitted. Staff confirmed that there are suitable systems and arrangements in place for their support and to promote good communications necessary to enable them to provide the care and support that people need. The home has Investors in People Award, which recognises its quality assurance and monitoring of its service. A report of the home’s most recent quality monitoring and satisfaction survey is openly displayed in the reception area from May 2007. Results indicate an overall 84 of satisfaction relating to key service areas consulted about and also highlights action and improvements resulting from that survey. Plaudits and comment/feedback cards are also now displayed and available in the reception area for people to see and complete if they wish. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 25 The arrangements for the management and handling of people’s monies are satisfactory. Staff spoken with confirmed there is suitable arrangements in place to ensure safe working practises and we did not observe any environmental hazards during our tour of the home. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 26 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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X 3 X 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 X X 3 X 3 3 X 3 April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 27 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. Standard OP1 Regulation 5(1)(ba)( bd) Requirement Clear detail of the range of fees charged must be provided for people within the service guide. This must accord with that specified under this regulation (as amended 11/06) so as to best inform and assist people in choosing a home. The acting manager appointed must submit an application for their registration with the Commission. Timescale for action 28/02/08 2. OP31 8, & CSA 2000 Sec (11) 28/02/08 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 OP1 Good Practice Recommendations Provide the service guide in other suitable formats, as may be necessary (for example – to assist people who may have sight difficulties) and advise people of the availability of these. If for any reason a medicines instruction is hand written. This should be signed and dated by the person recording DS0000066753.V351937.R01.S.doc Version 5.2 Page 28 1. OP9 April Park Nursing Home 2. OP14 3. OP16 this and countersigned by a witness. Peoples’ care records should clearly show how their individual capacity to exercise personal autonomy and choice in respect of their care, health and welfare, is determined in accordance with the Mental Capacity Act. The home’s complaints procedure should be amended to provide accurate contact details for the Commission. April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI April Park Nursing Home DS0000066753.V351937.R01.S.doc Version 5.2 Page 30 - 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. 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