Care Home: Park House Nursing Home

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What the care home does well Park House provides a good standard of care within a bright clean and homely environment. The home provides a warm and friendly atmosphere, which was commented upon by both residents and their relatives. The building and the garden area were well maintained and provided a safe environment in which residents can be supported to maintain as much independence as possible. Residents` healthcare needs were monitored and appropriate professional support sort when required. Staff demonstrated a caring attitude towards the residents. There was an activities organiser who provided a good range of activities for residents, and residents were supported in their every day choices of how they wished to spend their time. Food looked nutritious and well-presented, individual diets and preferences were catered for, and the cook and staff ensured that residents` requests were accommodated whenever possible. Visitors were made welcome and residents and relatives said that they were well supported by the Manager and staff. What has improved since the last inspection? What the care home could do better: Recommendations: This is what the home could do to improve the service: The Statement of Purpose and Residents Guide, which included the complaints procedure, should be updated to include contact details for Social Services and the area CSCI office. The Controlled Drugs (CD) register should be checked and signed as correct at shift handover or at least once a day. Information about independent advocacy should be made available for those residents or their relatives/representatives who may which to seek support and advice from a source that has no direct links to the home. CARE HOMES FOR OLDER PEOPLE Park House Nursing Home 50 Park Road Wellingborough Northants NN8 4QE Lead Inspector Mrs Carole Burgess Unannounced Inspection 8th July 2008 09:45 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 Park House Nursing Home DS0000012631.V368006.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. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Nursing Home Address 50 Park Road Wellingborough Northants NN8 4QE 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) (01933) 443883 01933 279844 park.house@fshc.co.uk Four Seasons Homes (No 4) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Manager post vacant Care Home 42 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (42), of places Physical disability over 65 years of age (10) Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No one falling within the category OP may be admitted into the home where there are 42 service users of this category already accommodated within the home No one falling within the category PD(E) may be admitted into the home where there are 10 service users of this category already accommodated within the home No one falling within the category DE(E) may be admitted into the home where there are 6 service users of this category already accommodated within the home No one falling within the category TI(E) may be admitted into the home where there are 42 service users of this category already accommodated within the home To be able to admit the named person in variation application dated 20th May 2004 number V000014766 14th August 2007 Date of last inspection Brief Description of the Service: Park House is situated close to Wellingborough town centre. It is a purpose built home located in a residential area of the town. The home provides residential and nursing care to male and female residents. There are trained nurses on duty at all times. The home is on two floors and has a small garden/patio area, which is accessible to all of the residents. The first floor is for people with nursing care needs and the ground floor is reserved for people who need only residential care. All of the rooms are single rooms with en suite facilities. There are pleasant lounges and dining rooms on both floors. There are additional toilets, bathing and assisted bathing facilities for those residents who require additional help with personal care. The Statement of Purpose and Residents Guide (these provide information on how the home is organised and what services they provide), and last inspection report are available in the reception area of the home. The Statement of Purpose and Residents Guide are provided for all new residents. At the time of the site visit the fees were between £341.55 and £725.00 per week depending whether residential or nursing and the level of care required. There were additional charges for hairdressing, private chiropody and newspapers. Park House Nursing Home DS0000012631.V368006.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’ as it appears throughout the Inspection Report refers to ‘The Commission for Social Care Inspection’. The focus of the inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. Planning for the inspection included reviewing the Annual Quality Assurance Assessment (AQAA), which is a self assessment tool completed by a representative of the service, reviewing the previous inspection report, assessing notifications of significant events, any complaints about the service and reviewing the home’s service history to date. The site visit was unannounced and took place over six hours. We selected four residents and tracked the care they received through a review of their records, discussion with them (where possible), relatives, the care staff, and observation of care practices. We spoke with staff members regarding training and support. Prior to the inspection we sent out ‘Have Your Say about Park House’ surveys. We received one from a resident and three from staff. The resident was generally satisfied with the care but felt staff could be gentler when helping them to move, and said that the vegetables at lunchtime were not looked enough. Three responses from staff were positive about the care they provided. They said that they had the information they needed to care for the residents. They said that they had time for individualised care, although one said that residents with dementia would benefit from more one-to-one time. The Manager, administrator and other staff spoken with were very positive and helpful during the inspection. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? There were no requirements made following the last inspection in August 2007. Improvements since August 2007 included: Care plans had been revised to provide a more person centred approach to care. All residents who required them now had profiling beds. The Manager said that they had Capital Grant money of £16.000. This had been spent on new curtains, new ‘snack kitchenettes’ (on both floors) where residents and relatives could prepare drinks and snacks, a new Parker style bath, a wet room on the first floor (another was being planned) and fencing for the garden area, all of which provided an improved environment for the residents. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 7 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. Park House Nursing Home DS0000012631.V368006.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 Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good information about the home, and have their health, welfare and social care needs assessed, so that they can be fully supported and met once they move into the home. EVIDENCE: The home provides prospective residents and/or their relatives/representatives with a Statement of Purpose and Residents Guide (both give information about the home) to help them decide if the home is the right one for them. A copy of the Residents Guide is provided for residents in their own room. As this also contains a copy of the complaints policy and procedure it should be updated to Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 10 include all contact details for Social Services and the CSCI so that residents and their relatives/representatives have the correct information. Signed copies of residents’ Terms and Conditions (contracts) were kept and residents, or their relatives, were provided with a copy. The relative of a fairly new resident said that she had been given a copy of the contract and that staff had been very helpful and had gone through it with her as she found it a bit confusing. All four residents’ care plans reviewed contained a detailed pre-admission assessment to show that the home could meet their specific health, welfare, and social care needs. The ‘Dependency Assessment Tool’ completed by the Manager, provided a scoring system to assess activities of daily living, which demonstrated the level of care required to support the resident. The assessment included personal details, relative and GP contact numbers, past and present medical history, current health care requirements, medications and a social history. It also highlighted specific areas of concern i.e. where a prospective resident had problems with swallowing, actions and interventions were recorded prior to the resident moving to the home so that they would not be forgotten. This was then incorporated the resident’s plan of care to ensure that all of their needs would be met. A relative said that the staff had been very supportive and understanding at this difficult and upsetting time (when her husband had to move into a home). Staff said that the Manager ‘does his utmost to communicate future residents’ needs’. The home does not provide intermediate care. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well looked after in respect of their health and personal care. EVIDENCE: Four residents’ care plans were checked. They had been improved and updated since the last inspection. All four were detailed and provided the carers with thorough information about the health, personal, and social care needs of the residents. They contained personal profiles and additional information that promoted a person centred approach to care. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 12 All four care plans had been reviewed on a regular, monthly basis to ensure that residents received the support and care they required. All contained appropriate and detailed risk assessment to minimise falls and ensure nutritional requirements were closely monitored, especially for residents with poor appetites. Residents’ weights were recorded on admission, and regularly thereafter, to ensure that any significant loss of weight was picked up at an early stage. Where necessary referrals to an appropriate health professional had been made and interventions taken to ensure the health care needs of the residents had been addressed. A relative said she had been involved with planning care and had discussed and agreed it with the staff on behalf of the resident, who was unable to so. All care plans seen had been signed by either the resident or their representative to show that they agreed with the proposed plan. In the survey a resident commented that staff sometimes get him/her dressed whilst sitting on the toilet. This was discussed with the Manager as this is unacceptable and compromises the resident’s dignity. It was agreed that it would be addressed with the staff concerned to ensure that residents’ dignity is maintained at all times. The care plans demonstrated that residents were cared for and valued as individuals. This was particularly evident in the ‘Daily Progress Sheets’, which were well written, detailed and reflective of each resident’s individual personality, behaviours and daily life in the home. Contact with healthcare professionals such as GP’s, District Nurses, the Community Psychiatric Nurse (CPN), hospitals, and Chiropodist were recorded in the care plans to ensure that residents’ healthcare needs and treatments were promptly addressed. A relative said that staff were very supportive and that they had ‘arranged everything’ regarding the resident’s hospital visit so that she did not have to worry and could accompany him to the hospital. Medication policies and procedures were sound. Only trained nurses (on the first floor) and senior cares (on the residential floor), trained to do so administer medication. It was recommended that it would be considered to be good practice to record Temazepam (which was stored correctly) in the Controlled Drugs (CD) register, and that the register should be checked and signed as correct at shift handover or at least once a day to ensure that CD’s were closely monitored by staff. Observation during the inspection showed that staff had a good awareness of how to protect residents privacy and dignity. Staff spoke to residents in a respectful, friendly, quiet and supportive way. Residents said that staff Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 13 responded quickly when needed. Although staff were available it was noted that one call bell in the first floor lounge had become detached from the wall so that residents could not ring for assistance if needed. This was discussed with the Manager. A solution should be found to ensure that residents are always able to ring for assistance. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff work hard to ensure that residents experience a safe and homely life style which supports their personal preferences. EVIDENCE: On the day of inspection residents were watching television, listening to the music or spending time in their own rooms. There was also Bingo in the morning and Prize Bingo, organised by volunteers, in the afternoon, which residents said they enjoyed. Residents were able to have their own television in their room should they choose to do so. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 15 There was an activities organiser who works twenty hours a week and offers a weekly programme of activities such as a ‘Trolley Dash’ which supplies residents with small items to purchase such as biscuits, sweet and toiletries, Pamper Sessions (care of nails & massage), Floor Games, one-to-one time, hairdressing, shopping and craft sessions on Fridays. There were also a ‘Summer Fayre’ during July, entertainers who visited the home and organised trips. Birthdays and festival days were also celebrated; local children visited the home at Easter, which residents said was very enjoyable. There was also a regular church service, which anyone can attend. Two residents spoken with said they enjoyed quizzes and scrabble, which they regularly played, and another resident said although she could go out in her wheelchair she preferred to stay in as the payments were very bumpy and she felt ‘shook up and worn out’ after a trip out. Residents also said that they were able to have visitors at any time and a number of people came to visit during the course of the inspection. All meals were prepared in the home’s kitchen by the cook. The home was visited by the local Environmental Health Office (EHO) and received a positive report in January of this year. There were choices at all main meal times. Special diets such as diabetic and soft diets were catered for. Everyone had jugs of water of juice in their rooms. Residents were weighed regularly as necessary, and had everyone had a nutritional assessment in their care plan to ensure that their dietary needs were met. Residents were generally very pleased with the quality, choice and quantity of food. One resident commented that the vegetables needed to be cooked a bit more, another said that she had too much food and another said that it would be nice to have the evening drink, usually provided at 7pm, a bit later. The food provided for lunch looked nutritious, well presented and residents who required assistance were given this in an unobtrusive manner. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 16 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. Arrangements for receiving and responding to complaints are robust resulting in the good protection of residents’ rights. EVIDENCE: Residents and staff comments showed that people felt safe and at ease discussing any concerns with the staff or the Manager. All residents and relatives spoken with said that they were very happy with the home and had no complaints. Staff said that the Manager was approachable and diplomatic which made staff and relatives feel at ease discussing their concerns. The CSCI had been aware of one possible ‘safeguarding adults’ issue. This has now been resolved and the member of staff no longer works for the home. Neither the CSCI nor the home had received any complaints the service. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 17 The home’s complaints process reflects the local ‘Safeguarding Vulnerable Adults’ policies and procedures. Staff were clear about the correct procedures to follow, and had received appropriate training to ensure that they knew how to safeguard the people in their care. The complaints policy and procedure required updating (see Choice of Home) to include current information and contact details for Social Services and CSCI. Although the home does have contact with outside agencies – the Alzheimer’s Society were due to visit - it was recommend that information about independent advocacy was made available for those residents and relatives who may wish to seek support and advice from a source which has no direct links to the home. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 18 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. A comfortable, clean and good standard of accommodation is provided for the residents that maximises their independence within a safe environment. EVIDENCE: The home was clean, safe and well maintained with adaptations to suit residents’ specific needs. It was decorated and furnished to a good standard that created a comfortable and homely environment. Residents also had access to an attractive safe, well maintained patio/garden area. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 19 The housekeeper has an ‘Admission check list’ which she checks through and signs to ensure that unoccupied rooms were clean and equipped and ready to receive a new resident. It was also noted that ‘Do not disturb’ signs were provided to ensure that residents’ privacy was respected. All residents’ rooms had en-suite facilities; all had ‘nurse call’ and were clean and well decorated. Residents were able to bring items of their own furniture and possessions with them and all residents’ rooms that were seen were well personalised, some with resident’s home furnishings. One room visited was furnished with the resident’s own furniture, including easy chairs and a sideboard, and looked very comfortable and homely. On both floors there were dining rooms with an attached kitchenette where residents who were able, or relatives, could make drinks and snacks. In addition to the en-suite facilities there were sufficient toilets and assisted bathing facilities, including a wet room and Parker style bath, for residents who required extra help with bathing. All of the residents looked clean and well dressed. Residents spoken with said that the home and their rooms were always kept very clean by the care staff. Clothes were laundered on site and a resident said that they were always returned in good condition. One resident said that the housekeeping staff do a good job, but not quite to her standard, because they don’t always put thing back in quite the right place but she re-organised things when they had finished. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are trained and sufficient in number to meet the current residents’ needs. EVIDENCE: There were forty-one residents at the time of the inspection. Staffing levels, at the point of inspection, were in line with those suggested by the Department of Health Residential Forum Guidelines and were sufficient to meet the current residents’ needs. Staffing on the residential floor had improved since the current Manager had been in post. Very little agency staff was now used and the staff team appears well established. On the ground (residential) floor there was a senior carer and two care staff in the morning, one senior carer and one care staff in the afternoon and one senior carer and one care staff at night. On the first (nursing) floor there was a Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 21 Registered Nurse and four care staff in the morning, a Registered Nurse and three care staff in the afternoon and a nurse and one care staff at night. There were also administrative staff, housekeepers and kitchen staff and the Manager is about to appoint a maintenance person. This enabled the nurses and care staff to concentrate on providing care for the residents. Residents and a relative said that they felt that there were sufficient staff to care for them. Four staff files were checked during the inspection and showed that there was a satisfactory recruitment process that ensured that residents were well protected. New staff carry out an induction training programme under supervision so that they have the necessary basic skills to care for the residents. The Manager kept a training matrix for all staff, which indicated that they were being provided with appropriate training. Staff training included: Safeguarding Adults, Moving & Handling, Dementia Awareness, Fire Safety, Care Planning and the Safe Handling of Medicines, provided through ‘Boots’ the Chemist. Staff said that they were provided with training and received regular supervision and were well supported by the Manager. . The Manager said that the uptake for National Vocational Qualifications (NVQ’s) in Care was not very good, with only two or three care staff having attained and NVQ. However, three care staff had almost completed an NVQ and two others were going to soon start. This and a planned programme of annual, mandatory training would ensure that staff continue to have the necessary skills to give safe care to the residents. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 22 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager provides effective and supportive leadership to staff, ensuring that residents receive a good standard of care. Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Manager is a Registered Nurse with a number of years experience in care, having been a carer and deputy manager in the past. He said that he was in the process of applying for Registration with CSCI, which would further demonstrate that the CSCI consider him ‘fit’ to manage a care home. The Annual Quality Assurance Assessment (AQAA) submitted by the Manager demonstrates a robust quality assurance process. There were regular residents, relatives and staff meetings; an annual quality audit and satisfaction surveys, with feedback to residents so that residents can see that their comments help to improve the service. For example had been noted that a wider parking space for disabled or wheelchair uses would be helpful and this had been implemented. Good interaction between staff and residents ensured that there was a culture of openness and friendliness in the home. Staff, residents and relatives said that they now had a good Manager and that things had improved a great deal since he took over. Staff said that he was a ‘good and caring Manager’. The Manager had undertaken recorded staff supervision (regular review of staff’s personal and training needs in relation to their work) to ensure that they had the necessary skills to provide a good service for the residents. Health and Safety Policy and Procedures, such as regular fire drills, fire alarm tests and hot water checks were completed to ensure the health and safety of the residents and staff. Park House Nursing Home DS0000012631.V368006.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 4 X X 3 Park House Nursing Home DS0000012631.V368006.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. 1. Refer to Standard OP1 Good Practice Recommendations It is recommended that the Statement of Purpose and Residents Guide, which include the complaints procedure be updated to include contact details for Social Services and the area CSCI office. It is recommended that the Controlled Drugs (CD) register should be checked and signed as correct at shift handover or at least once a day to ensure that CD’s are closely monitored. It is recommend that information about independent advocacy is made available for those who may wish to seek support and advice from a source that has no direct links to the home. 2. OP9 3. OP17 Park House Nursing Home DS0000012631.V368006.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region CPC1, Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.eastern@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 Park House Nursing Home DS0000012631.V368006.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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