Care Home: Hurstead House Nursing Home

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What the care home does well The manager was good at visiting people before they moved in, to make sure the home could provide the care they needed. They were also good at writing down what care people needed and making sure they received it. Comments received from relatives of residents living in the home were: "Individual needs, wishes, concerns are listened to. Particular reference to dad`s diet - he was eating poorly and in very poor health upon moving into Hurstead. He has menu choices, which he appreciates"."Excellent `events` - especially Christmas and Summer party. Keep us informed and do their best in difficult circumstances. The staff are friendly and make time to have a little chat with the patients as they go about their business." "They treat each resident as a unique individual and ensure holistic care is provided. They are very good at individualising every resident`s care package (as you would expect from a home). Everyone seems to be treated fairly, respectfully. The care team are very friendly and welcoming and make me feel part of my dad`s care. They offer a high standard of furnishings and cleanliness." "Staff seem very attentive and my auntie`s health seems to have improved during her time there. She seems very happy and content. The care home provide very good entertainment for the residents and just the right amount, not too much and not too little". Meals and mealtimes were considered to be an important part of the residents` day. The dining rooms are nice places to sit, eat and meet with other residents. The residents said that they really enjoyed their meals. Residents were satisfied with the choice of meals and the way they were cooked and served. The free bar every evening was a hit with many residents. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. The manager was experienced and ran the home well. She made sure she checked out staff before they started working at the home and gave them training and support to make sure they did the job to the best of their ability. Both residents and staff benefit from the home`s strong leadership and open management ethos. What has improved since the last inspection? All of the previous requirements and recommendations from the last inspection have been complied with. The care plan documents are detailed and are reviewed on a regular basis. The entertainment in the home is described as `great`.The staff and the owner have worked very hard to improve the environment in the home and the owner says he is committed to continue to improve the standards in the home. The improvements have led to a more homely and comfortable setting. Questionnaires about how others see the home have been given to residents, relatives, and staff. When these have been collated, the results have been looked at and any improvements suggested have been acted on. What the care home could do better: More care needs to be taken when recording that medicines have been given to a resident, because we found one example where this had not been done. New medicines that are entered on the recording sheet and are hand written must be witnessed so the chance of making a mistake is reduced. There are not enough care staff on the afternoon shift to ensure that residents are dealt with promptly, if more staff were on duty staff would not be rushed and therefore able to do their job more effectively. The new manager need to apply to the Commission of Social Care Inspection to become registered, which is a legal requirement to ensure that she is fit to manage the home. CARE HOMES FOR OLDER PEOPLE Hurstead House Nursing Home Hurstead House 631 Halifax Road Rochdale Lancashire OL12 9QU Lead Inspector Bernard Tracey Unannounced Inspection 26th June 2008 08:15 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 Hurstead House Nursing Home DS0000017330.V365523.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. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hurstead House Nursing Home Address Hurstead House 631 Halifax Road Rochdale Lancashire OL12 9QU 01706 379511 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) nicfrost@hotmail.co.uk Mr Nicholas John Frost Post Vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 30 service users, to include: Up to 30 service users in the category of OP (Older People) The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 28th June 2006 Date of last inspection Brief Description of the Service: Hurstead House is a large stone property, which has been adapted and extended to accommodate 30 older people, providing personal care for all and nursing care for up to 30 service users. Hurstead House is situated in a residential area off Halifax Road, Rochdale, approximately two miles from Rochdale town centre. Local amenities include a Post Office, newsagents and pub all of which are within short walking distance. A regular bus service passes the home to/from Rochdale and Littleborough. Parking is provided to the front of the home. Ramped access is available to the front door and a passenger lift and stair lift enables service users access to the first floor accommodation. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £9.00 Hairdressing £4.50 to £14.00 Newspapers and magazines as priced Fees charged by the home in June 2008 are: £353.82 to £512.78p. Hurstead House Nursing Home DS0000017330.V365523.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. We (the Commission of Social Care Inspection) undertook a key inspection, which included an unannounced visit to the home. The staff at the home did not know the visit was going to take place. Several weeks before the inspection, questionnaires were sent out to the residents and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The manager was also asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. We spent over five hours at the home. During this time, we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to six residents, as well as speaking to five staff. We have not received any complaints about the service. What the service does well: The manager was good at visiting people before they moved in, to make sure the home could provide the care they needed. They were also good at writing down what care people needed and making sure they received it. Comments received from relatives of residents living in the home were: “Individual needs, wishes, concerns are listened to. Particular reference to dads diet - he was eating poorly and in very poor health upon moving into Hurstead. He has menu choices, which he appreciates”. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 6 “Excellent events - especially Christmas and Summer party. Keep us informed and do their best in difficult circumstances. The staff are friendly and make time to have a little chat with the patients as they go about their business.” “They treat each resident as a unique individual and ensure holistic care is provided. They are very good at individualising every resident’s care package (as you would expect from a home). Everyone seems to be treated fairly, respectfully. The care team are very friendly and welcoming and make me feel part of my dads care. They offer a high standard of furnishings and cleanliness.” “Staff seem very attentive and my auntie’s health seems to have improved during her time there. She seems very happy and content. The care home provide very good entertainment for the residents and just the right amount, not too much and not too little”. Meals and mealtimes were considered to be an important part of the residents’ day. The dining rooms are nice places to sit, eat and meet with other residents. The residents said that they really enjoyed their meals. Residents were satisfied with the choice of meals and the way they were cooked and served. The free bar every evening was a hit with many residents. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. The manager was experienced and ran the home well. She made sure she checked out staff before they started working at the home and gave them training and support to make sure they did the job to the best of their ability. Both residents and staff benefit from the home’s strong leadership and open management ethos. What has improved since the last inspection? All of the previous requirements and recommendations from the last inspection have been complied with. The care plan documents are detailed and are reviewed on a regular basis. The entertainment in the home is described as ‘great’. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 7 The staff and the owner have worked very hard to improve the environment in the home and the owner says he is committed to continue to improve the standards in the home. The improvements have led to a more homely and comfortable setting. Questionnaires about how others see the home have been given to residents, relatives, and staff. When these have been collated, the results have been looked at and any improvements suggested have been acted on. 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. Hurstead House Nursing Home DS0000017330.V365523.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 Hurstead House Nursing Home DS0000017330.V365523.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): 3. Standard 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Detailed assessments are undertaken before people come into to the home so they can feel confident that their needs can be met. EVIDENCE: Before any resident was admitted to the home an assessment of their needs was undertaken, by a senior member of the nursing staff from the home or from the professional, i.e., Rapid Response Nurse requesting their admission. The assessment documents of three residents were looked at. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents as well as the involvement, if any, of their relatives. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 10 A care file had been prepared for each resident who is joining the home at a later date. The assessment information is used to form the basis for the individual plan of care and staff interviewed were aware of the importance of collating sufficient information during the initial assessment. Standard 6 did not apply, as intermediate care is not provided in the home. Hurstead House Nursing Home DS0000017330.V365523.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 the available evidence, including a visit to the service. Residents received high quality personal and health care in a way that was acceptable to them, and benefited their general sense of well-being. EVIDENCE: Three care plans were inspected, two of which related to residents who had lived at the home for a relatively short time. Each resident in the home had a detailed up to date and individual plan of care, covering all personal, health and social care needs. Any areas of risk for the resident were highlighted along with the planned action to reduce that risk. Care plans demonstrated those residents’ personal choices and preferences had been taken into account by staff. Preferences around care delivery were also recorded, such as who liked a bath and who would prefer a shower. This information was generally gathered from families or through recording the residents’ expressed wishes. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 12 We spent time talking with care staff who were working in the home, they were able to demonstrate knowledge, skill and a caring manner in carrying out their specific tasks. Care plans demonstrated staff’s respectful approach to residents. It was evident that staff upheld residents’ privacy and dignity, and this was especially so where residents were no longer able to maintain the social graces they would have had in the past. All care plans had been regularly reviewed by staff on a monthly basis. Care plans clearly recorded GP, Rapid Response team and care management involvement. Residents spoken with said these health professionals were contacted when necessary. Completed survey forms from relatives stated: “The care team are very friendly and welcoming and make me feel part of my dads care”, “We are very pleased with all aspects of my auntie’s care - both medical and personal”, “Staff seem very attentive and my auntie’s health seems to have improved during her time there.” All residents in the home can access their NHS entitlements, which include dentistry, opticians and chiropody services. The residents spoken with confirmed that if they were unwell or they request it, the home would call a doctor. There was evidence that residents had access to speech and language therapist, diabetes nurses and dieticians. Residents spoken with were happy with the care they received. The management of medicines in the home was, in the main, safe and served to protect residents from harm, and ensure they benefited from the medicines prescribed for them. Records of medicines received into and leaving the home were up-to-date. Staff were knowledgeable about residents’ medicines and understood about monitoring for side effects and adverse reactions. We examined eight medicine-recording sheets, one was inaccurately completed; the administration of three doses of a medicine had not been recorded on the sheet and there was evidence that a hand transcribed medication had not been signed by two staff in order to avoid errors occurring. Personal care was provided privately in bedrooms or bathrooms, and door locks or engaged signs were used. Residents wore their own clothes and were dressed appropriately for the weather and their activity. Hair care, nail and teeth care had been attended to. A relative told us “Everyone seems to be treated fairly and respectfully”. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 13 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 The quality outcome in this area was considered good. This judgement has been made using available evidence, including a visit to this service. The social activities in the home, provide the residents with enjoyment and interest and is planned to meet individual preference. The dietary needs of the residents are well catered for, with a balanced and varied selection of food available that meets the residents’ tastes and choices. EVIDENCE: Great importance is attached to ensuring that residents are given opportunity for stimulation through leisure and recreational activities. activities organiser is in place who encourages residents to participate in day’s activities and ensures that individual attention is given, as well as more organised group programme. the An the the Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 14 During the course of conversations, residents spoke frequently about making choices, for example, in relation to what they do during the day, what time they got up or went to bed, and whether they spent time with others or alone. The home has contact with a local church whose members visit the home on a regular basis. The week following the inspection it was planned that a Strawberry Tea was planned to take place as part of the focus on seasonal activities. Residents have access to a free bar each evening of the week and this was much appreciated by those who chose to use this facility. Relatives are invited to meetings, which are held at the home every two months. The dining tables were appropriately set for breakfast and lunch. Residents received appropriate and sensitive assistance with their meals. The lunchtime meal was taken in a relaxed environment, soft music playing in the background, with staff and residents regularly interacting with each other. Time was taken for residents to eat their meals and staff would ask each person if had they finished or would like a further helping. Staff were observed to assist those residents requiring help in a caring, sensitive and unhurried way, gently encouraging the resident to continue with their meal until they had finished eating. Menus were nutritious and balanced and included a good variety of meat, fish, fresh vegetables and fruit. The home confirmed that, should a resident request something that was not on the menu, alternative meals were available. Residents said they were asked in the morning what they would like from the choices for lunch and tea and all felt this was a good idea. There were many compliments and expressed satisfaction by residents and relatives, in survey responses, in respect of the food offered by the home. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 15 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. The home has a clear complaints procedure and residents and their families know action will be taken to resolve their concerns. Staff have a good knowledge and understanding of Adult Protection issues which safeguards residents from abuse. EVIDENCE: The complaints procedure is available in the main entrance of the home for all visitors to see and the procedure is also provided to each resident on admission. Visitors’ surveys said they knew of the complaints procedure but had not had any occasions to use it. They said that staff were approachable and if they had any concerns they would speak with the staff. In the AQAA the manager informed us that: All service users are informed of the complaints procedure and would be fully supported by the staff in making their complaint. Records show that most of the staff have received training in the protection of vulnerable adults. Staff spoken with said they had training in understanding what abuse was and what to do if they suspected abuse. Records were available of staff training. Staff also confirmed they had undertaken NVQ training and this also included information and training in abuse. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 16 The staff are provide with information in what to look for and how to recognise abuse and what actions to take if they suspect potential or actual abusive situations. We suggested to the manager that a record should also be kept of minor concerns from residents and visitors as this will help to ensure that any frequent concerns can be recorded and subsequent remedial action be taken. The Commission of Social Care Inspection have not received any complaints about the home. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 17 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents live in pleasant, safe, comfortable and well-maintained surroundings. EVIDENCE: Hurstead is a two storey house that has been largely extended. The main hall has a copy of the most recent inspection reports and other information regarding the home. The areas viewed were clean and well maintained. The home was found to be bright, airy and warm and the residents have a passenger lift to the upper floors. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 18 The home is subject to an ongoing programme of decoration and refurbishment and since the last inspection three bedrooms have been decorated and refurbished. There are three lounges on the ground floor, one of which is also used as the dining room. The lounges have comfortable armchairs and coffee tables. There is a large screen television in one lounge. The décor of the home is of a good standard and bedrooms seen were attractively decorated. The bedrooms had personal items in accordance with the resident’s individual preference. Residents described the accommodation as very ‘homely’ and pleasant to live in. There is moving and handling equipment and a number of special beds/ mattresses to provide extra pressure relief according to assessed need. These were seen in use. Bathrooms seen were clean and odourless. The temperature of the hot water is recorded to the baths to ensure it is delivered to a safe temperature. A check of the hot water to one bathroom confirmed this. Housekeeping staff carry out laundry duties and the laundry room was clean and personal items are returned to the residents in individual baskets. The home follows infection control procedures and COSHH data is available on products in use. Staff receive infection control training and have access to gloves and aprons. These were seen in use. There is a ramp to the front entrance to assist the residents who are less independent. The home has some parking space on the front forecourt. There are mature trees and shrubs but, as such, no garden for the residents to sit in. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 19 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 adequate. This judgement has been made using the available evidence, including a visit to the service. Staffing levels did not always ensure the needs of the residents were met consistently. The staff team was well trained, competent and displayed a positive attitude to residents. EVIDENCE: The rotas indicate that there are sufficient care staff on duty in the morning to meet the residents’ needs, but by reducing the number of carers on the afternoon shift, residents, visitors and staff feel there are insufficient staff. The home is split into two floors and it is recommended that there be a minimum of four care staff on the late shift to provide care alongside the Registered Nurse so that staff on duty can meet residents’ care needs. Some of the staff have worked at the home for many years, this provides continuity. Residents and relatives commented on the high turnover of staff at the beginning of the year and said they felt this to be quite unsettling. The recruitment of new staff has now stabilised that situation. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 20 An examination of a sample of staff records indicated that all new staff had two references, enhanced Criminal Record Bureau checks, statements of terms and conditions on their personnel file. The manager views training as important and the records indicate that staff have received training in several areas. Staff confirmed that they had received several days’ training and that if they see a course they want to attend the home will attempt to ensure that the member of staff can attend. We spoke to a new member of staff who was currently undergoing a thorough induction programme. The induction programme had recently been updated and is comprehensive. Staff spoken with indicated that they were clear about their roles and responsibilities and all enjoyed working at the home. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 21 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, 33, 35 & 38 The quality outcome in this area was considered good. This judgement has been made using available evidence, including a visit to this service. The manager is supported by the senior staff in providing clear leadership throughout the home. The manager operates a programme of self-review and consultations, which include seeking the views of residents, staff and relatives. EVIDENCE: The manager has been in post for approximately nine months. She has yet to submit a completed application to the Commission for Social Care Inspection to be registered. She is a trained nurse and has many years’ experience working in the care home setting and has successfully completed the Registered Manager’s Award. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 22 Resident and relative meetings are held on a regular basis and minutes are circulated to people living in the home along with a newsletter. Staff have meetings with the manager and everyone is encouraged to join in with discussions and voice their opinions. Residents and staff agreed that they are able to express ideas criticisms and concerns without prejudice and the management team will take action, where necessary, to bring about positive change. The manager operates a quality assurance programme made up of audits and satisfaction surveys to gain feedback on the quality of the service offered at the home. The responses to the latest survey had not been collated as yet but showed that respondents were very happy with the care provided. Staff supervision files show that individuals receive formal supervision with the home manager on a regular basis. Records required for the protection of residents and the running of the business are in place, reviewed and updated as required. Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP27 Regulation 18(1)(a) Requirement The registered person must ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of the residents. An application for a registered manager must be submitted to the Commission of Social Care Inspection so that they are assured it is being managed by someone competent to do so. Timescale for action 08/08/08 2 OP31 9 08/08/08 Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP9 OP9 Good Practice Recommendations Hand transcribed medication should be witnessed by two staff members to avoid errors. An accurate record of all medicines administered to residents should be maintained to ensure that the resident receives their prescribed medication. A record of all concerns should be maintained to assist the manager in making improvements to the home where there is an identified need. The registered person must ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of the residents. OP16 OP27 Hurstead House Nursing Home DS0000017330.V365523.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Hurstead House Nursing Home DS0000017330.V365523.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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