Care Home: Cherington Nursing Home

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What the care home does well Cherington has an admissions process, which ensures that people have information on which to make an informed decision as to whether the home is suitable for them and people have their needs assessed before being offered accommodation at the home. The staff group is balanced so that people can have a choice of male, female and age related preferences. There are plenty of opportunities for people to take part in meaningful activities and there is a programme of outside entertainers planned for throughout the year. The home actively encourages family and friends to be involved in their relatives or friends care at the home. Relatives meeting are held, a newsletter is sent to relatives and friends periodically and the service welcomes the relatives support group, which meets six times a year. The environment is well maintained and clean and has good access to community facilities. People are encouraged to personalise their own rooms. There is a good staff-training programme to ensure that staff develop and maintain their skills. What has improved since the last inspection? The Statement of Purpose and Service User guide has improved and now details the specialist training which staff had received to enable them to assist, communicate and respond to people who have dementia. Care plans are already being improved to include how staff should support their individual mental and emotional well-being and includes information about peoples past lives. Mealtime arrangements have change after consultation with people who use the service and relatives/friends so that the main meal of the day is served later in the day. The service has found solutions to issues which previously restricted the communal space available to people living at the home, by relocating the lounge and dining areas. The lounge, dining room and hallways have been redecorated in the past year and two new stereo systems have been purchased. New serviceable armchairs have been purchased for the lounge. Further staff are undertaking NVQ qualification and the acting manager has achieved the NVQ assessors award. What the care home could do better: The computerised care planning system is an area, which the service has told us that it wants to improve. One relative returning survey to us told us that communication is sometimes a problem for some staff who use English as a second language but this person did also comment that this was already being addressed. CARE HOMES FOR OLDER PEOPLE Cherington Nursing Home 15 Stocker Road Bognor Regis West Sussex PO21 2QL Lead Inspector Mrs Diane Peel Unannounced Inspection 09:30 10th June 2008 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 Cherington Nursing Home DS0000060641.V365294.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. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherington Nursing Home Address 15 Stocker Road Bognor Regis West Sussex PO21 2QL 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) 01243 865936 01243 828432 cherington@saffronland.co.uk www.homebeechltd.co.uk Homebeech Limited Care Home 42 Category(ies) of Dementia - over 65 years of age (42) registration, with number of places Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: Cherington is care home able to offer personal and nursing care and accommodation for, up to 42 people with dementia. The premises consist of terraced houses that have been extended and adapted for use as a care home. Homebeech Ltd owns the service and since we last carried out a Key Inspection at the home the directors of the company have changed. The Responsible Individual on behalf of the company is Mrs Jane Page and an acting manager is currently managing the home who has already made an application for registration with CSCI. The current fees being charged are £459 to 775 per week. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Mrs Diane Peel carried out this unannounced visit to Cherington Nursing Home on the 10th June 2008. During this visit the intended outcomes for 32 standards were assessed; these included the key standards for care homes providing a service to older people. The Annual Quality Assurance Assessment (AQAA) was returned to The Commission for Social Care Inspection (CSCI) in January 2008 and was referred to during this visit to address areas of improvements and confirm some numerical data. Have Your Say surveys were returned to us by twelve staff working at the home prior to the visit. We had six Have Your Say surveys returned to us by relatives of people living at the home in February 2008 and after checking with the acting manager that these people were still living at the home we used relevant information from five surveys to inform our inspection process. Everybody returning surveys had positive things to say about Cherington giving examples of good practice. During the course of the visit we met many of the people living at Cherington and spoke with some to try and find out what it is like to live there. We also spoke to a visitor to the home to find out their views of the service. We spoke to staff and observed staff during their interaction with people living at the home. A case tracking exercise for three people living at the home was undertaken to look at how the assessed needs of this group of residents were being met and other care records were observed in individual bedrooms when we looked around the home. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The Statement of Purpose and Service User guide has improved and now details the specialist training which staff had received to enable them to assist, communicate and respond to people who have dementia. Care plans are already being improved to include how staff should support their individual mental and emotional well-being and includes information about peoples past lives. Mealtime arrangements have change after consultation with people who use the service and relatives/friends so that the main meal of the day is served later in the day. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 7 The service has found solutions to issues which previously restricted the communal space available to people living at the home, by relocating the lounge and dining areas. The lounge, dining room and hallways have been redecorated in the past year and two new stereo systems have been purchased. New serviceable armchairs have been purchased for the lounge. Further staff are undertaking NVQ qualification and the acting manager has achieved the NVQ assessors award. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cherington Nursing Home DS0000060641.V365294.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 Cherington Nursing Home DS0000060641.V365294.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): 1,3,4,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who come to live at the home only move in after a needs assessment has been carried out and visits to the home by prospective residents and their families are encouraged so that they can make an informed decision about if it can meet their needs. EVIDENCE: During the visit to Cherington we saw the most recent Statement of Purpose and Service user Guide that had been revised since our last visit to the home. Information included informed people about the necessity of carrying out an assessment of people considering moving into the home. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 10 The service users guide also states “ a visit to the home by the resident and family/advocate is encouraged”. The information had been expanded to include details of specialist training which staff had received to enable them to assist, communicate and respond to people who have dementia. We saw an example of a new brochure, which will also be available to accompany the Statement of Purpose and Service User Guide. A visitor to the home spoke to us about the process of finding a care home for their relative living at Cherington and told us about visiting a few homes including Cherington before deciding that Cherington was the most suitable. A relative returning a Have Your Say survey to us told us in February 2008 “ I heard an advert on the radio for Cherington and just called in to the home.” They told us that their relative had initially gone into Cherington for respite but liked it so much that they stayed. They also said that they see the home as an extension their own home. We looked at the care records of three people who had moved into Cherington since we last visited the home and saw that they all had a care needs assessment and for those people who had a Social Services care plan the service had also carried out their own needs assessment. All three assessments were dated as being carried out prior to the persons moving into the home. A person living at the home who we were told had moved into Cherington recently was able to tell us that they had been in hospital and that their daughter had “found this place for me.” The staff group is balanced so that people can have a choice of male, female and age related preferences and on the day that we visited the care assistants consisted of four male and four female carers in addition to the qualified nurses and ancillary staff. Training records observed showed that staff have the skills to deliver the care, which it offers to provide. Cherington does not offer intermediate care. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. 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. Care needs are identified in care plans and recent improvements already undertaken in the care of people who have pressure care needs has ensured that they should have a better quality of life. EVIDENCE: Care plans are currently all being transferred to a computerised system, which was demonstrated to us during our visit, and we were told will include information about peoples life’s before they moved to Cherington We looked at the care plans for three people living at the home during our visit to see how peoples assessed needs had been transferred into a care plan. One Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 12 of these three people was able to talk to us about how their needs were being met. Each area of need documented in the care plan identified how the need was to be met and what assistance and support was needed from the care staff and other health care professionals. The three plans observed has been reviewed monthly and had contributions from relatives and advocates and agreements to bedside rails and permission for photographs to be taken for use in displays within the home. Mental health assessments, nutritional assessment, pressure care risk assessments, and moving and handling assessment and fire risk assessments were observed to be in place and regularly reviewed. Additional risk assessments were in place for those individuals where further risks had been identified e.g. falls risk assessments and leaving the building unescorted. We saw during our visit that there are some records kept in individual peoples rooms which record the attention to meeting daily personal care and monitoring of health and welfare for example turning charts and food and drink intake charts. The Statement of Purpose and Service Users Guide, which we saw during our visit, explained arrangement for accessing additional health care needs such as dentists and chiropodists. Care plans observed recorded the intervention of other health care professionals such as doctors, opticians, and dentists and during the time of our visit a Clinical Psychiatric Nurse (CPN) visit the home. Information from other health care professionals recently visiting the home has informed us that there has been evidence that care prevention and treatment has not met one individuals needs, resulting in poor care for that person. The acting manager and responsible individual acting on behalf of Homebeech Limited have worked with these health care professionals to rectify this matter. The home has a medication policy, which has recently been updated following concerns about supply of medication brought to our attention by other healthcare professionals. We saw a staff signature list showing that registered nurses administer medication and was told that one trained nurse has the overall responsibility of checking medication delivered and returned to the supplying pharmacy. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 13 We looked at medication record sheets at random and saw that they were completed up to the time of our visit with reasons for medication not been taken explained using a code system. Medication was observed to be stored in a locked metal trolley and an additional locked medication storage room. Controlled medication records were observed and controlled medication was accounted for. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have opportunities to meet family and friends, have opportunities to continue their recreational interests and enjoy varied diets so that that they can continue to have a stimulating lifestyle. EVIDENCE: The large notice board in the hallway provides information about forthcoming events such as a garden party in July and a memory walk in August. There was also information about and a summer outing to Earnley to see the butterflies. We were told that this would happen over two days when one to one escort would be provided in hired transport to give more people the opportunity to go. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 15 Regular entertainment from outside entertainers was posted on the notice board for the whole year, which included music for health and a musical duo. There was also a list of activities for the week and a copy of the most recent newsletter sent to relatives and friends was also posted on the notice board. Displays of photographs on the walls in the lounge hallways and dining rooms show previous outings, events and activities that people have taken part in and on the morning of our visits a group of people were trying out their cooking skills in the dining room. Products of craft activities are on the display in the home and there is also a reminiscence and rummage area in the dining room which included photographs of a rag and bone man, a lamplighter, an old grocers shop, the first TV and many other images for people to reminisce about. The home has a large sensory garden at the rear of the property, which was being used by people living at the home during our visit. We saw staff taking time to sit talking to people in the garden and within the home during our visit. The Statement of Purpose and Service Users Guide also informs people about the availability of a visiting hairdresser, manicures and hand massage, reflexology and how arrangement can be made for people to take part in their preferred religious observances. Relatives and friends returning Have Your Say surveys to us in February 2008 told us: “Plenty of activities such as films, live music, shows, exercise.” “ They provide lots of social events like garden barbecue, parties for small occasions, lots of music which is stimulating and enjoyable for the residents. There is keep fit, cooking, drawing and colouring, games for those able and outings in the summer.” During our visit there were people visiting their relatives living at Cherington and they were observed to be made welcome by the staff. We spoke to one visitor who told us about their satisfaction with the service, that they were happy with the care that their relative received. They told us that they thought “standards were good and had not seen any deterioration in standards.” Information about ongoing contact with relatives and friends was observed in the daily care records, which we saw, and the visitors book in the entrance hall showed many visitors to the home. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 16 The AQAA returned to us in January 2008 informed us “the home has an open visiting allowing family and friends to participate in activities and aspects of daily living.” The acting manager told us that after consultation with residents able to make a choice and relatives, the main meal of the day had moved to early evening. We were told that after an outing last year when a picnic lunch was provided and then a main meal later in the day it was noticed that people ate more in the evening and had slept better at night. During our visit we saw the menu for the lunch advertised on a menu board in the dining room and sampled the meal. Advertised was mushroom soup, bean and sausage hot pot followed by apple upside-down pudding. Alternatives of jacket potatoes, sandwiches, toasted sandwiches and pasta of the day were offered. At lunchtime we observed that there was some staggering of the meal so that staff could assist those people who needed the most assistance to eat their food and then others were encouraged to go to the dining room for their meal. In the dining room staff were also available to assist people who had some difficulties in eating. Cherington Nursing Home DS0000060641.V365294.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and safeguarding procedures are in place so that people using the service and working within the service know how to respond to any dissatisfaction, which they may have. EVIDENCE: The home has a complaints procedure, which is on display in the entrance hall and the procedure is explained in the Statement of Purpose and Service User Guide. Relatives who returned Have Your Say surveys to us in February 2008 told us that they knew how to make a complaint and one person told us: “All in the paperwork viewed on admission.” When asked the question “ Has the care service responded appropriately if you or the person using the service has raised concerns about their care.” Relatives told us “ I have brought to their attention a couple of times some minor health concerns. They have listened and acted promptly and appropriately” and “ anything flagged up is dealt with.” Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 18 The acting manager told us that there had been no formal complaints in the last year. The home has its own safeguarding adults procedures in addition to the West Sussex Multi Agency Safeguarding policies and procedures. In the past year the service has been proactive in reporting safeguarding matters through the multi agency procedures and has notified us about these safeguarding alerts. There is currently a safeguarding matter, which is not yet concluded for one person. The providers have co-operated with the investigation, provided information requested and provided details of actions to be taken to ensure the issues are resolved to the satisfaction of all involved. If necessary we may contact the provider after the safeguarding investigation is concluded. Staff training records show that safeguarding adults training had been updated for all staff in April 2008 and all thirteen staff returning Have Your Say surveys told us that they knew what to do if a service user/relative/advocate or friend had concerns about the home. Cherington Nursing Home DS0000060641.V365294.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): 19,20,21,22,23,24,25,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Cherington is comfortable, clean and well maintained so that people have a homely environment to enjoy. EVIDENCE: The communal areas of the home are homely and were refurbished and modernised during the building programme a few years ago. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 20 Since we last visited communal space had been reorganised to provide more lounge space for people to use and the lounge, dining room and hallways have been redecorated. The dining area has been relocated in the previous space used as main the lounge. The acting manager told us that this had been undertaken after consultation with residents and relatives. We were also told that lounge chairs had been replaced. At the rear of the home is a pleasant, secure sensory garden, which has a water feature. Residents were observed to use the area during the visit with visitors and staff. Toilets and bathrooms visited on this visit to the home were observed to be exceptionally clean and well equipped with aids and adaptations. All rooms have an emergency call bell system and the home has a number of rooms with overhead hoists in addition to mobile hoists. The emergency call bell was observed to be effective during our visit when a resident called for assistance and pressed the emergency button by mistake. There are thirty-nine single bedrooms and one double bedroom at the home. Twelve bedrooms were seen at this visit chosen at random across the three floors. All were well equipped, clean and had been made to feel homely by resident’s own possessions and small pieces of furniture being on display. The laundry room is to the rear of the property and is well equipped with modern laundry equipment an on the day of this unannounced visit we observed that the home was clean in all the areas which we visited. Cherington Nursing Home DS0000060641.V365294.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. The wellbeing, health and security of people using the service are being protected by the agency’s policies and procedures on recruitment. EVIDENCE: There were thirty nine people living at Cherington on the day of our visit and there were two qualified nurses, three senior care assistants and five care assistants, a lounge care assistant and the acting manager on duty being supported by the kitchen staff and cleaners/laundry staff. The acting manager told us that recruitment practice had improved with job vacancies being advertised locally. That she has more input into the recruitment process and once a job offer has been made Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures are applied for. When they are confirmed as clear, staff then can start their induction. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 22 The recruitment records of three staff were viewed during the visit, which included the most recently employed staff. A job application was on file for each person, two references; evidence of verification of identity had been confirmed for both people whose recruitment documents were viewed. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures had been obtained prior to then starting work at the home. When asked in the staff Have Your Say surveys “ Did your induction cover everything you needed to know to do the job when you started? eight staff returning surveys reported very well and four staff reported mostly. All twelve staff returning surveys reported that that they were being given training relevant to their role, which helped them understand and meet the needs of individuals who they work with and keeps them up to date with new ways of working. We saw training records during our visit to the home, which showed that new staff undertakes the Skills for Care induction programme and they receive regular training to carry out their roles, which focuses on improving outcomes for people who use the service. Recent training included: Dementia awareness, wound care, catheter care, fire training, first aid, POVA, infection control, moving and handling and on the afternoon of our visit a large group of staff attended food hygiene training. Staff recruitment records, rotas and training records show that there is a diverse staff team that has a balance of skills, knowledge and experience to meet the needs of people who live at the home. Cherington Nursing Home DS0000060641.V365294.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): 32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that people benefit from a well managed home and people living at the home and their relatives can be confident that the registered provider wants to run the home in the best interests of the people that live there. EVIDENCE: An acting manager who has worked at the home for many years is currently managing the service. We have accepted a registration application from this Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 24 person and we are currently considering the application for fitness to become the Registered Manager. During our visit we saw Regulation 26 reports which showed us that the providers is making arrangement for the home to be visited regularly by the nominated responsible individual to monitor the standard in the home. On the day of our visit both the quality manger and responsible individual acting on behalf of the organisation visited the home. We saw minutes of relatives meetings, which take place thoughout the year and a relative returning a Have Your Say survey to us, said “ regular relatives meetings where manager reports changes and answer questions.” There is also a relatives support group that meets six times a year run by one of the relatives. We were shown the new service users/ relatives surveys, which we were told would be sent out later in the year to find out what peoples views of the service are. The ones sent out last year were also observed during our visit. The arrangement for quality monitoring through surveys was observed to be explained in the Statement of Purpose and Service user Guide. The acting manager told us that the service does not look after money for anyone living at the home any expenditure not included in the fees are invoiced to the individual, their next of kin or their advocate. Safe working practices were observed to be included in the training records seen. Regular checks on machinery, hoists and fire equipment were observed to have been carried out. Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 25 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 X 3 3 3 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 3 4 4 4 4 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X 3 3 3 3 Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cherington Nursing Home DS0000060641.V365294.R01.S.doc Version 5.2 Page 28 - 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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