Care Home: High Hurlands Nursing Home

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What the care home does well There are excellent systems to assess people`s needs before they move into the home and to develop initial care plans. This helps to reassure people that the home will be able to meet their needs. People`s needs are set out in clear and detailed care plans and risk assessments. This helps staff to provide the care and support that people need. People are supported to take part in a range of activities, to keep in contact with family and friends and to follow a healthy diet. People`s personal and health care is well met by staff who know their needs. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and investigated. The home is well maintained and provides a clean, comfortable and safe environment for people.There is a very good training programme and staff are thoroughly checked before they work in the home. This helps to keep people safe and ensure staff have the skills to meet their needs. The home is well managed, which helps to keep people safe and there are good systems to plan improvements to the service. What has improved since the last inspection? There are good systems to safely manage people`s medication. Since the last inspection the manager has started to complete monthly medication audits to ensure that accurate records are being kept. Warning signs are now in place when oxygen is being used in people`s bedroom. What the care home could do better: There are no actions highlighted in this report that the provider must take. The home has a plan of improvements they would like to make following their own assessment of the service provided. This process should continue. CARE HOME ADULTS 18-65 High Hurlands Nursing Home Nr Passfield Liphook Hampshire GU30 7RY Lead Inspector Craig Willis Unannounced Inspection 12th March 2008 9:40 High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 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 High Hurlands Nursing Home DS0000012133.V359359.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 Adults 18-65. 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. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Hurlands Nursing Home Address Nr Passfield Liphook Hampshire GU30 7RY 01428 751202 01428 751610 fizz@highhurlands.co.uk 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) Miss Fiona Lovelace Carter, Mrs Alicia Lovelace Hackshall, Mrs Diana Carter Mrs Gillian Derbyshire Care Home 22 Category(ies) of Learning disability (22), Physical disability (22) registration, with number of places High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be accommodated over the age of 16 years Date of last inspection 19th January 2007 Brief Description of the Service: High Hurlands nursing home is a well-established service providing care and support to twenty-two adults with learning disabilities. People have very complex needs that can require medical and nursing interventions. Staffing is provided twenty-four hours a day and has links with local General Practitioners and nursing team to support and enhance the service provided. The home is owned and operated by High Hurlands partnership. The home is situated in a rural part of the Hampshire countryside and transport facilities are provided for people to access local facilities in the area. The current fees for a place in the home were requested during the visit, but the partners were unwilling to provide this for publication. The partners reported that fees are available on request. High Hurlands Nursing Home DS0000012133.V359359.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 star. This means the people who use this service experience good quality outcomes. The evidence used to write this report was gained from a review of the information the provider sent to us since the last visit and the previous inspection report. This information included incident reports and an annual quality assurance assessment. A site visit to the home was made on 12 March 2008. During the visit we spoke with one person who lives in the home and observed other people’s interactions with staff. We received comments from five relatives, three care managers and two members of staff. We also spoke with the manager, one of the registered providers and staff on duty. The communal areas of the building were viewed and documents relating to the running of the home were inspected during the visit. What the service does well: There are excellent systems to assess people’s needs before they move into the home and to develop initial care plans. This helps to reassure people that the home will be able to meet their needs. People’s needs are set out in clear and detailed care plans and risk assessments. This helps staff to provide the care and support that people need. People are supported to take part in a range of activities, to keep in contact with family and friends and to follow a healthy diet. People’s personal and health care is well met by staff who know their needs. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and investigated. The home is well maintained and provides a clean, comfortable and safe environment for people. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 6 There is a very good training programme and staff are thoroughly checked before they work in the home. This helps to keep people safe and ensure staff have the skills to meet their needs. The home is well managed, which helps to keep people safe and there are good systems to plan improvements to the service. 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. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are excellent systems to assess people’s needs before they move into the home and develop initial care plans. This helps to reassure people that the home will be able to meet their needs. EVIDENCE: The manager reported in the annual quality assurance assessment that a full assessment of people’s needs is completed before anyone moves into the home. The assessments are completed by two members of the management team, one of whom is a registered nurse. Two people have moved into the home since the last inspection. The files for these people showed that a very thorough assessment had been completed before they were offered a place in the home. The assessments covered people’s physical, personal and health care, social and cultural needs. Information is obtained from a variety of sources, including people’s relatives, care managers, occupational therapists, music therapists and current placements, for example schools. Potential residents are able to visit the home to meet with staff and other people who live there. Once a prospective resident has been offered a place, a High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 9 provisional care plan is developed from the needs assessment and shared where possible with relatives, care managers and carers to ensure it meets people’s needs. The manager reported that she will only offer a place to people if she is sure the home will be able to meet their needs. This has meant that on occasions following the assessment process people have been informed that they will not be offered a place. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are clear care planning and risk assessment systems, which involve people in making decisions where possible and helps staff to provide the support that people need. EVIDENCE: The records of four people who live in the home were inspected during the visit. People had a care plan, which set out how their assessed needs should be met. The care plans seen contained detailed information about how staff should provide support to meet people’s different needs and aspirations. Relevant people are consulted when plans are developed and reviewed, for example relatives and relevant specialists or professionals. Each plan contains a person centred planning ‘map’, which sets out an interpretation of people’s wishes and aspirations, with input from a ‘circle of support’ of people who know the resident. Plans are formally reviewed every six months and there was evidence that plans had been amended where people’s needs have High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 11 changed. All staff had signed the plans and those spoken with said the information in the plans was accurate and useful. During the visit we observed staff using the detailed guidelines that are included in the care plans, for example when using the hydrotherapy pool and supporting people to complete exercises developed by the physiotherapist. It was clear that the care plans are working documents that are used on a daily basis to ensure people receive the correct support to meet their needs. Details of how people should be supported to make decisions are set out in the care plans. Each plan seen had a detailed section on communication and details of any limitations on decision making as a result of people’s disability. Three care managers completed a survey for us and all said the home always provides support to people to live the life they choose wherever possible. Risk assessments have been completed for all people living in the home and include clear information about how to minimise the identified hazards. These assessments are reviewed as part of the care planning meetings and had been amended where assessed as necessary. The home has a committee that reviews all accidents and incident and assesses whether the current control measures are sufficient to meet people’s needs. Staff spoken with demonstrated a good understanding of people’s needs and actions needed to minimise the identified hazards. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13,15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support for people to take part in a range of activities, to keep in contact with family and friends and to follow a healthy diet. EVIDENCE: The home provides a full day service and people are supported to take part in a wide range of activities including music, exercise, pottery, body awareness, visits to local pubs and shops and horse riding. The home also has a hydrotherapy pool. People have an individual programme of activities, which is based on their needs and wishes. Each activity has clear goals so that support can be focussed to meet people’s specific needs. At the weekends there is a more relaxed programme of activities, however, staff are still expected to plan the activities based on people’s needs and with clear goals to demonstrate why the activity has been chosen and how it will benefit people. People’s spiritual and High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 13 cultural needs are assessed and support is provided for people to practise their religion. One relative commented that staff “provide lots of support and activities for the residents.” One person spoken with said they enjoy the activities that are organised. People are supported to maintain contact with their friends and family, with regular contact from staff in a way that best meets the relatives’ needs. Five relatives completed a survey for us. All said they are kept up to date with important issues affecting their relative. One relative commented that they are “always informed of any changes in routine or staff changes”. Staff spoken with demonstrated a respect for people’s privacy and rights. Staff were observed asking permission to enter people’s bedrooms and spending time interacting with people. The home has a planned menu and details of people’s needs, likes and dislikes in relation to food are included in their care plans. The plans seen contained detailed information about the support people need to eat their meals, for example consistency of food and specialist cutlery. Staff spoken with had a good understanding of people’s needs. A high proportion of people living in the home need to be fed by a Percutaneous Endoscopic Gastrostomy (P.E.G) tube. Details of the support required and provided are recorded. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s personal and health care is well met by staff who know their needs. There are good systems to safely manage people’s medication. EVIDENCE: Care plans contain details of the personal care people need and how it should be provided. This is developed from the initial needs assessment and as far as possible the home tries to follow the same routines to provide continuity of care. The assessment includes any specialist aids and equipment that people need, for example hoists and standing frames. The plans seen contained information about the equipment that should be used, for example hoist slings. Each person has a motor skills / exercise programme in place, which is overseen by a physiotherapist. Staff spoken with demonstrated a good understanding of people’s needs. Everyone living in the home is registered with a local GP and has a general health review at least every six months. There is clear guidance in plans about care of pressure areas and pressure relief equipment that people should use. This equipment was seen to be available and in use. The manager reported High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 15 that people currently see the dentist annually, although a new dentist is being used who hopes to increase this to every six months. Each person has a health action plan, which is completed by staff and sets out all the health services that they attend and checks whether any additional services are needed. Details of all consultations are recorded, including any advice given by the practitioner. Medication is securely stored in locked cabinets and a trolley. A record is kept of medication coming into the home and disposed of. The medication administration record for the current month was inspected and had been fully completed. Qualified nurses administer medication in the home and support workers administer medication when it is taken out of the home, for example during activities and trips out. All staff administering medication have received training. None of the people who live in the home are able to administer their own medication. A recommendation was made at the last inspection that the manager should regularly audit the medication administration records to ensure they are fully completed. The manager is now completing this on a monthly basis. It was also recommended that a notice should be displayed on the door of a bedroom during the time oxygen therapy is being administered. The manager reported that procedures were in place and a sign is available and used when oxygen is being used in the person’s bedroom. Of the three care managers who completed a survey for us, two said the home always supports people to manage their medication correctly and one did not answer the question. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. EVIDENCE: The home has a complaints procedure, which is displayed in the home and provided to all relatives. The manager reported in the annual quality assurance assessment that the home has not received any complaints in the last year. We have not received any complaints about the home since the last inspection. All five of the relatives who completed a survey for us said they know how to make a complaint about the home if they need to. Those who reported they had raised concerns about the service felt they had been responded to appropriately. Staff have completed training in abuse and the safeguarding adults procedures. Staff spoken with demonstrated a good understanding of the action they should take if abuse is witnessed, reported or suspected. There is a policy and procedure on safeguarding adults and the prevention of abuse. One referral has been made under the safeguarding adults procedures since the last inspection. This concerned an injury sustained by one person who lives in the home. The investigation concluded that the person’s injury was as a result of an undiagnosed pre-existing medical condition. As a result, the home has revised the guidelines in place about moving and handling. Records High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 17 of the incident were available and clearly demonstrated the action that had been taken. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. 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 maintained and provides a clean, comfortable and safe environment for people. EVIDENCE: All of the home’s communal areas were viewed during the visit. The home is well maintained, with good quality furniture and fittings. The home is arranged in four areas, so that communal areas are not shared by more than six people. Due to the level of people’s physical needs there is a large amount of aids and equipment in the home. These have been fitted in as unobtrusively as possible and there is a domestic feel to the home. Bathrooms are accessible to everyone living in the home and some have been recently improved, with height adjustable changing tables and an enlarged space. Staff spoken with said they felt there was sufficient equipment and space to be able to meet people’s needs safely. There is a planned maintenance and renewal programme and staff reported that maintenance issues are resolved quickly. The home has six double bedrooms. Each has a screen and people have been High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 19 supported to personalise their part of the room. One care manager who completed a survey for us said the home does “their best to maintain privacy and dignity to the best of their ability” in relation to shared rooms. The manager reported that none of the people who share rooms have demonstrated signs of distress or unhappiness. The home has laundry and housekeeping staff and all areas viewed during the visit were clean and hygienic, with no unpleasant odours. There is a separate laundry, with equipment capable of hygienically washing soiled clothing. There are infection control procedures in place which staff have received training in. Staff reported that there was always a good supply of protective equipment available for them, for example gloves and aprons. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and there are good systems to check staff before they work in the home. This helps to keep people safe and ensure staff can meet their needs. EVIDENCE: The manager reported in the annual quality assurance assessment that seventeen of the thirty-nine staff have achieved the National Vocational Qualification (NVQ) at level 2 or above and four are currently completing the award. All five relatives who completed a survey said staff always or usually had the right skills and experience. Staff spoken with said they felt there were sufficient staff on each shift to provide the support that people need. The manager reported in the annual quality assurance assessment that all staff who have worked in the home over the last twelve months have had satisfactory pre-employment checks. The files of three members of staff were inspected. All had written references on file and confirmation that they were not on the protection of vulnerable adults (POVA) list as unsuitable to work in a care home and an enhanced Criminal Records Bureau (CRB) disclosure had been obtained or applied for. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 21 The home has an on-going training programme and staff reported that they receive good training, which is relevant to their role and helps them meet people’s needs. The home has a training manager, who co-ordinates the programme and identifies training needs. New staff complete a comprehensive induction during their probationary period, which is based on the skills for care common induction standards. At the end of the induction, staff are assessed and must demonstrate their understanding before passing their probation. Staff training records indicated people had completed a range of courses including medication administration, first aid, safeguarding adults, food hygiene, moving and handling, challenging behaviour, fire safety, infection control, autism, epilepsy, care planning, gastronomy and health and safety. Each member of staff completes an annual personal development plan, which sets out their objectives over the following five years and what support, including training they need to achieve them. In additional to the induction and training programme, all staff undertake an annual care assessment, in which they are assessed on how they are supporting people and whether they are following the correct procedures. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. 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, which helps to keep people safe and there are good systems to make improvements to the service. EVIDENCE: The manager has been in post for approximately ten years, is a registered nurse and has twenty-six years experience in senior management posts. She has completed the NVQ in management and care at level 4 and undertakes regular training relevant to her role, to update and maintain her knowledge. Staff spoken with said they thought the manager was very supportive. All three care managers who completed a survey for us said they thought the manager had the skills and experience to meet people’s individual social and health care needs. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 23 Two of the registered providers work in the home on a daily basis. The home completes an annual survey of relatives and other stakeholders, for example GPs and care managers. The responses to these surveys are collated and used to plan improvements to the service. Where people have made specific comments the manager contacts people directly to discuss their concerns. The home has a quality assurance system, based on the national minimum standards. The results of these assessments are used to develop a plan of actions to improve the service provided. This information is given to staff with a ‘challenge sheet’ for them to highlight any concerns they have over the proposed changes. There is a system in place for analysing accidents and incidents to ensure that any lessons learned are applied across to whole of the service. The manager reported in the annual quality assurance assessment that the electrical system, fire detection and fighting equipment, lifts, hoists and heating / hot water system are regularly serviced and maintained. These records were sampled during the visit and confirmed the manager’s report. High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 25 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 High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 26 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 High Hurlands Nursing Home DS0000012133.V359359.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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