Care Home: Druid Stoke Nursing Home

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What the care home does well The pre-admission assessment processes and the information that is available about the home, will ensure that people who come to live at this home will know that their care needs can be met. The people who live in this home will receive an excellent standard of care, their individual needs will be met and they will be treated with respect and dignity. The people who live in this home are very well fed and can choose to spend their time as they wish. There is a range of different activities that they can participate in if they want to. Those who live in this home, and their relatives, can be assured that any concerns they have will be listened to and acted upon. They will be safeguarded from harm. Druid Stoke Nursing home is a modern, safe, well- maintained and wellequipped home. It is beautifully furnished, clean and comfortable.The people who live in this home will be cared for by staff who are skilled and competent, and will have been carefully recruited. This means that they can be assured they will be well looked after. This home is well managed with the best interests of the people who live here, at the heart of all decisions making processes. What has improved since the last inspection? This is the first inspection of this service since it was acquired by BUPA care homes. It has however always been a very good home providing the people who live there with a good quality service. What the care home could do better: It has not been necessary to issue any requirements or recommendations following this inspection. CARE HOMES FOR OLDER PEOPLE Druid Stoke Nursing Home 31 Druid Stoke Avenue Stoke Bishop Bristol BS9 1DE Lead Inspector Vanessa Carter Unannounced Inspection 10th March 2008 09:00 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 Druid Stoke Nursing Home DS0000070582.V359686.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. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Druid Stoke Nursing Home Address 31 Druid Stoke Avenue Stoke Bishop Bristol BS9 1DE 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) 0117 968 8111 0117 968 5621 www.bupa.co.uk BUPA Care Homes (ANS) Ltd Ms Amanda Durbin Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26), Physical disability (5) of places Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling wtihin any other category - Code OP, maximum number of places: 26 2. Physical disability - Code PD, maximum number of places: 5 The maximum number of service users who can be accommodated is: 26 Newly registered service previously trading with another care provider. Date of last inspection Brief Description of the Service: Druid Stoke Nursing Home has been running as a nursing home for many years but was acquired by BUPA Care homes in August 2007. The home is registered to provide personal and nursing care for up to 26 persons who are elderly and infirm. The home is purpose built with accommodation spread over three floors. It is fully accessible, with a passenger lift and other aids and adaptations throughout the premises. It blends in well with the immediate environment. The main entrance is into the first floor, where the manager’s office is located along with some of the private rooms. The lower floor houses a small number of bedrooms, the communal areas, the kitchen and the exit out into the landscaped gardens and waterfall area. The area is secluded, laid out with quality garden furniture and is an extremely pleasant area in which to sit out. Three en-suite bedrooms have patio doors leading out on to this patio area. The cost of placement at the home ranges from between £760 - £905.00 per week and is based upon individually assessed needs. Additional charges for a number of items and further information about the home, is listed in the homes brochure. This can be obtained from the home manager. Druid Stoke Nursing Home DS0000070582.V359686.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 3 star. This means the people who use this service experience excellent quality outcomes. This key inspection was unannounced and took place over one day. A total of seven hours were spent in the home. Evidence to form the report has also been gathered from a number of other sources:• Information provided by the Home Manager in the Annual Quality Assurance Assessment (AQAA) • Talking with the Home Manager and the deputy manager • Talking with some of the registered nurses, care staff and ancillary staff • Observations of staff practices and their interaction with the people who live in the home • A tour of the home • Case Tracking the care of a number of people who live in the home • Talking with a number of the people who live in the home • Looking at some of the homes records • Information supplied by some people and some relatives in CSCI survey forms • Information supplied by two GP’s who visit the home What the service does well: The pre-admission assessment processes and the information that is available about the home, will ensure that people who come to live at this home will know that their care needs can be met. The people who live in this home will receive an excellent standard of care, their individual needs will be met and they will be treated with respect and dignity. The people who live in this home are very well fed and can choose to spend their time as they wish. There is a range of different activities that they can participate in if they want to. Those who live in this home, and their relatives, can be assured that any concerns they have will be listened to and acted upon. They will be safeguarded from harm. Druid Stoke Nursing home is a modern, safe, well- maintained and wellequipped home. It is beautifully furnished, clean and comfortable. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 6 The people who live in this home will be cared for by staff who are skilled and competent, and will have been carefully recruited. This means that they can be assured they will be well looked after. This home is well managed with the best interests of the people who live here, at the heart of all decisions making processes. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Druid Stoke Nursing Home DS0000070582.V359686.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 Druid Stoke Nursing Home DS0000070582.V359686.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission assessment processes and the information that is available about the home, will ensure that people who come to live at this home will know that their care needs can be met. EVIDENCE: The Statement of Purpose is rewritten to reflect the new ownership by BUPA Carehomes, and refers to their current policies and procedures. It contains all the necessary information for anyone wanting to find out about the home, and to be able to make an informed choice about what is on offer. All the CSCI survey forms returned by people who live in the home and relatives, stated that enough information was available. One person wrote “Decisions were made upon my behalf as I was in hospital before I came here” and a relative wrote “the staff were very helpful when I enquired about the home and gave me their brochure”. Statements of terms and conditions are issued to everyone who comes to live at this home, when they are admitted. Some people will be privately funding Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 9 their care whilst others will be part-funded by the local authority or will have been awarded continuing healthcare funding. This statement will therefore be in different formats depending upon the financial arrangements. The pre-admission processes for one person was looked at to determine what happens before placement is offered to anyone new. The person would be visited in either their own home or in hospital, and a comprehensive assessment undertaken in order to identify the specific care and specialist equipment needs. Information would be gathered from any other relevant sources such as adult community care teams and healthcare professionals. The home provides placement for older people needing nursing care, but also cares for those at the end stages of their illnesses. They look after many people who are referred by St Peters Hospice and who have attracted continuing healthcare funding. Where possible people are invited to visit the home prior to taking up placement. If this is not possible, relatives or other representatives are encouraged to visit and speak with the manager or the staff team. One person wrote in the CSCI survey form “my family looked around different homes and chose this one for me”. The home does not provided intermediate care however will offer placement on a short-term respite basis, when a bed is available. Druid Stoke Nursing Home DS0000070582.V359686.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live in this home will receive an excellent standard of care, their individual needs will be met and they will be treated with respect and dignity. EVIDENCE: The Care planning documentation for three people were looked at to determine the processes involved in preparing individual personal plans of care for each person. New care documentation has been introduced that is clear and well formatted. The information that is recorded at pre-admission stage is rechecked to ensure that care needs have not altered. Following on from this assessment, personal plans of care are developed for each highlighted need. As a result each person receives a person-centred package of care and support. The plans contained personal preferences and provided evidence of resident and relative involvement. The plans are reviewed on a monthly basis and clearly amended where necessary. One person spoken with during the course of the inspection said “I like things done a certain way and everyone knows”. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 11 A number of risk assessments are completed in respects of the likelihood of pressure sore development, falls, nutrition and manual handling. The manual handling risk assessments result in a safe system of work being devised that provide clear information for the staff to follow so that know how many staff should undertake each transfer and what equipment is required. Wound care documentation evidences that the home monitor and review how things are going, each time the dressings are changed. It is recorded how often dressings should be attended to and what products are to be used. Information for staff is clear. Two GP comment cards were returned to CSCI. Both said that they were overall satisfied with the standard of care delivered to their patients. GP’s are contacted as and when necessary and will visit on an individual basis. Other healthcare professionals are arranged as needed, for example Those people spoken to during the course of the inspection said physiotherapists, podiatrists, audiology services, district nurses, dentists and opticians. Regular monitoring of healthcare status is completed for each person – this includes body weight, blood pressure and pulse and diabetic blood sugar monitoring. Comments received for people who live in the home and relatives include “ I am very satisfied with all aspects of my care”, “my relative requires constant vigilance and care of pressure sores. The staff are excellent” and “the staff cope wonderfully with my relatives mood swings and are bright and cheerful around them”. Medications systems are safe. There are safe procedures in place for the ordering, receipt, storage, administration and disposal of medicines. The current storage place for the drugs trolley and stock of drugs is the manager’s office. This arrangement can be disruptive for the manager and for the nurse dealing with medications and therefore is to be changed in the near future. One person is currently using oxygen therapy and hazard signs are displayed outside of the room and a note of room location is posted on the fire panel. CSCI survey forms contained the flowing comments “I get the care and support that I need”, “the standards of care are excellent”, “The staff are very kind and considerate, and my relatives wishes are respected” and “my relatives clothes are always clean”. One person spoken to during the course of the inspection said “This is the Rolls Royce of homes”. This is a newly registered service, however the home already has established an excellent reputation in looking after people who have palliative care needs. Staff are skilled in caring for people with end of life care needs and have received appropriate training from St Peters Hospice. The staff are currently looking after one terminally ill person and although it was not possible to speak with them, it was evident from looking at care notes that the staff are skilled in pain management and dealing with relatives concerns. Druid Stoke Nursing Home DS0000070582.V359686.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live in this home are very well fed and can choose to spend their time as they wish. There is a range of different activities that they can participate in if they want to. EVIDENCE: There are currently two activity organisers employed, 20 hours per week and covering each weekday. In addition a hairdresser visits each Tuesday “I like to have my hair set. I have always had my hair done every week”. Of the 10 CSCI survey forms returned, all said that there were activities arranged that they could take part in. Examples of things that are arranged include memory games, board games, bingo and current affairs discussions. The organisers will spend time on an individual 1:1 basis chatting with people in their own rooms. Parties are always arranged at holiday times and birthdays are always celebrated. The pictures from the recent Christmas party were displayed in an album and kept on the coffee table in the lounge. A staff member will buy each person a Christmas gift using funds raised in various events throughout the year. One person said “ I like to spend my time in my room. I like to look at my TV and doze”. In the summer time trips are arranged – photo’s of the outing to the Zoo in 2007 were displayed in the lounge – the venue was Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 13 chosen by those people who went on the trip. The library service visits the home on a regular basis and books to suit all different tastes are supplied. Visitors are welcome in the home at any reasonable time and the home manager and staff team ensures that a good relationship is fostered with all families and visitors. One relative wrote in a CSCI form “there is a very friendly and homely environment. I do enjoy visiting”. There is plenty of evidence to show that the people who live in this home are in control of their lives and able to make their own decisions. Even those people who have little or no communication skills, or are confused, are offered choices. Staff were observed to knock on doors before entering a room and assistance with personal care is given in private. People are encouraged to make choices about where they take their meals, and how they want to be cared for. Where appropriate, they are encouraged to remain as independent as possible. There is a four-week menu plan. These are due to be reviewed in line with the ‘BUPA menu master’. The menu for the day is displayed in the dining room and on each table. Most of the people take their main midday meal in the pleasant dining room – this is set out hotel style with linen tablecloths and napkins. There is a choice of two midday meals but alternatives can be prepared upon request. Cottage pie and fresh vegetables were served on the day of the inspection, but a number of people had omelettes. A new chef started at the home in December 2007 – new people living at the home will visited by the chef to determine any specific dietary requirements and feedback after meals is generally sought on an informal basis. Fresh fruit is always available and fresh vegetables are used more often then frozen. One person said “I have just had a very nice lunch. He is a good cook”. Those that completed the CSCI survey forms said that they always or usually liked the meals that were served. One relative said “my mother always says that the food is good and attractively presented”. Breakfasts are always served in the private bedrooms, with most people choosing to have “breakfast in bed” – cooked breakfasts are available every day upon request. Druid Stoke Nursing Home DS0000070582.V359686.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those who live in this home, and their relatives, can be assured that any concerns they have will be listened to and acted upon. They will be safeguarded from harm. EVIDENCE: The complaints procedure for this home is included in the statement of purpose and the home’s brochure. It is also displayed in the main reception area. All relatives and people who live in the home, who completed the CSCI survey said that they were aware of the complaints procedure. One relative wrote “I am very satisfied with all aspects of care and have not had reason to complain”. CSCI have received no complaints regarding this home and the manager has not recorded a complaint in the logbook for many months. The people who live in this home can be assured that any concerns they have will be dealt with appropriately. The manager and the staff team demonstrated that the best interests of the people who live there, are paramount at all times, and that the appropriate actions would be taken if any adult protection issues were observed or alleged. The staff team are aware of the local protection of vulnerable adult (POVA) procedures, and information is readily available. Staff spoken with were aware of their responsibility to report bad practice (whistle-blowing) and to safeguard the people they care for. Abuse training is mandatory for all staff and regular training is arranged. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 15 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, 2, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Druid Stoke Nursing home is a modern, safe, well-maintained and wellequipped home. It is beautifully furnished, clean and comfortable. EVIDENCE: Druid Stoke Nursing Home is a purpose built care home that has been specifically designed around the needs of older and disabled people. The accommodation is a three-storey building, but the main entrance is into the first floor. The manager’s office is currently located opposite the main entrance but there are plans for her to have an office base separate from the nurses area but still on this first floor. The front door is secured with a key padded system. There is one passenger lift that services all floors. The ground floor comprises the lounge area, the dining room and kitchens, the laundry and three of the bedrooms. A loop hearing system is installed in the lounge, enhancing this area for those with a hearing impairment. All areas of the home are comfortably furnished and tastefully decorated. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 16 From the ground floor there is access out onto the patio area. Here there is quality garden furniture, surrounded by an amazing terraced rockery complete with waterfall and a fishpond. The terrace looked lovely with established shrubbery and daffodils in bloom. It is a very pleasant area in which to sit in the warmer weather. The 23 other bedrooms are located on the first and second floors. Each of the bedrooms have matching bed covers and curtains and are well furnished. Everyone is encouraged to bring in any personal possessions to make them feel “at home”. Half of the bedrooms have en-suite facilities, whilst others just have a wash hand basin installed. There are a sufficient number of assisted bathrooms throughout the home to meet the needs of those who live here. One bathroom on the second floor has recently been converted into a level access shower room. The home is well equipped with nursing aids to assist safe moving and handling or people. Most of the beds are specialist electric beds or hospital beds but there remain a few divan beds – these will be replaced once funding is available. The home was spotlessly clean and tidy and free from any offensive smells. “Immaculate, is a more apt description” was written by one person on a CSCI survey form in response to ‘ is the home fresh and clean’. Housekeeping staff cover seven days per week. One relative described the home as “exceptionally clean and well maintained”. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in this home will be cared for by staff who are skilled and competent, and will have been carefully recruited. This means that they can be assured they will be well looked after. EVIDENCE: The home currently has 20 people with a number of vacancies. Respite or short stay placements are arranged when beds are available. Staffing levels are arranged according to the care needs and dependency levels of the people who are living there. One the day of inspection there was one registered nurse and a team of care assistants on duty along with the home manager. The home also employs housekeeping, catering, administrative and maintenance staff in addition to the care staff, to ensure that all daily living needs are met. Of the care staff currently employed at the home 58 have already achieved at least an NVQ Level 2 in care, and three staff have just signed up to start their training. This commitment to training will ensure that skilled and competent staff cares for the people who live here. The staff files of four members of staff were looked at in order to determine the processes the home goes through in recruiting new staff. Robust recruitment procedures are followed and pre-employment checks are completed. These include written references POVA 1st checks and CRB disclosures. These measures will ensure that the right staff are employed. All Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 18 four files were in order. There has been a number of staff changes recently, with the recruitment of new care staff, new activities organisers, a new chef and a new maintenance person. All staff will receive mandatory training in the following – fire, manual handling, abuse awareness, food hygiene and health & safety. New recruits will complete an induction-training programme and one new member of the team was currently working through the new ‘care staff learning portfolio’. New staff are always allocated a mentor who will monitor their progress and development. A training record is kept for each staff member and a look through these evidenced that the staff team have received a range of different training including dementia care, venepuncture, tissue viability and bandaging, wound care management, mental capacity act training and specific health care topics. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 19 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): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This home is well managed with the best interests of the people who live here, at the heart of all decisions making processes. EVIDENCE: Amanda Durbin has been the registered home manager at Druid Stoke Nursing Home for many years. She is a registered nurse and have previously achieved a management qualification – the registered managers award. A deputy manager along with a team of registered nurses, support the manager in the running of the home and ensure that each person’s care needs are met. There has been very little change to the staff team since the last inspection and the home being acquired by BUPA. There is a very open style of management, staff said that they are encouraged to make suggestions about how things are done. Those people spoken to Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 20 during the course of the inspection said that the manager and the staff team were “professional and efficient” and “always listened to what we want”. The last customer service questionnaire was completed in December 2007 and the outcome showed that in general people were pleased with the service they were receiving. In three areas the home had scored 100 - being treated an individual, cleanliness and the range of activities offered. The manager is in the process of completing an action plan to address those areas that did not score so well. The manager also talked about the improvements that have already been made since the survey was undertaken- for example a new head chef has been employed and there is now no need for agency catering cover. The home does not look after personal monies for any one however have procedures in place to be able to purchase requirements on their behalf and invoice for payment. These arrangements have always worked extremely well. Staff are supervised regularly on a daily basis and formally by a senior member of staff. Staff confirmed that they have supervision regularly and that the manager is available at any time to answer questions or provide advice. The deputy manager also participates in this process. It is very apparent that the staff team work well together and support each other in meeting the care needs of the people who live there. All of the home records that were looked at were kept secure in the managers office. There are plans that the nursing office and the managers office will be separated in the near future – this will enable both parties to function more easily. All the necessary maintenance contracts were up to date and the home is well maintained throughout. Staff were observed to be following safe moving and handling procedures and each person had a safe system of work devised following a manual handling risk assessment. Where bed rails were being used to maintain a persons safety whilst in bed, an assessment had been completed to ensure that this was the most appropriate method, and written consent had been obtained from family or the person involved. Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 4 3 4 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 4 3 X 3 3 3 3 Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Druid Stoke Nursing Home DS0000070582.V359686.R01.S.doc Version 5.2 Page 24 - 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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