Care Home: Pentlands Nursing Home

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well Mrs Hathaway manages the home to a good standard with the help of a deputy manager. The staff team are well trained and work hard to meet the needs of residents to a good standard. There is a person centred approach to care and staff are noted to treat residents as individuals and with respect and dignity. Staff are flexible and responsive to residents needs. The home has implemented The Gold Standard Framework for Palliative Care which means residents if able or those close to them can say how they wish to be cared for at the end of their lives. We are told and noted that staff are friendly and approachable to residents and their visitors. Record keeping in the home is to a very good standard and a quality assurance system is in place. What has improved since the last inspection? The kitchen staff have now completed NVQ2 in `Catering and Hospitality`. The entertainment and activity programme has been extended in the last six months. New carpets have been changed throughout the ground floor of the home. The ground floor bathroom has been refurbished with new bath and shower facilities and also includes an overhead hoist to access and facilitate personal hygiene. A new stair-climbing chair has been purchased to allow four rooms which cannot be accessed by the passenger lift to be reached. A new system has been introduced giving residents choice as to where they eat. We are told that to improve team leadership and standards the service has introduced senior carers who are trained to NVQ3 and who have had extra training and now take on many more responsibilites. The support and supervision programme has been reviewed to enhance working relationships.Since the last inspection Mrs Hathaway is now registered with the Commission and has completed her Registered Managers Award. CARE HOMES FOR OLDER PEOPLE Pentlands Nursing Home 42 Mill Road Worthing West Sussex BN11 5DU Lead Inspector Ann Peace Unannounced Inspection 12th May 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 Pentlands Nursing Home DS0000024194.V363419.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. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pentlands Nursing Home Address 42 Mill Road Worthing West Sussex BN11 5DU 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) 01903 247211 01903 504 887 South Coast Nursing Homes Limited Mrs Debra Hathaway Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP) The maximum number of service users to be accommodated is 32. Date of last inspection 19th November 2007 Brief Description of the Service: Pentlands is a care home presently registered to provide nursing care for thirty- two residents in the category of Older People. South Coast Nursing Homes Ltd own the service. The home is situated in a residential area between Goring By Sea and Worthing West Sussex and is near to shops, a pub and cafes. Worthing town centre is a short drive away. The area is suitable for wheelchairs and the sea front is approximately half a mile away. Buses serve the area and pass the home and the railway station is about half a mile away. The home is a detached house that has been adapted for nursing care. All bedrooms except four on the mezzanine level are accessible by a passenger lift those on the mezzanine floor can be accessed by a specialised chair lift, all bedrooms have en-suite facilities. The fees for the home range between £475 and £710. Pentlands Nursing Home DS0000024194.V363419.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. A visit to the home was carried out on the 13th May 2008 by Mrs Ann Peace Regulatory Inspector and lasted five hours. Prior to the site visit the Annual Quality Assurance Assessment (AQAA) was returned to The Commission for Social Care Inspection (CSCI) by the service, this provided us with information and data about how the service meets the needs of the people who use the service, and what improvements the service has identified it could make. We also carried out a thematic inspection during this visit; this is where we gather additional information on a particular theme. The theme for this visit was on safeguarding. The information gathered is included in this report in the safeguarding section we concluded that the home has policies and procedures on place to safeguard people living in the home. Have Your Say surveys had been sent to people using the service and staff prior to the inspection and everybody returning surveys made positive comments about the management of the home and the delivery of care. Residents said they were well looked after and the staff were very good to them. We observed that residents were relaxed and content in the home and had good relationships with the staff who care for residents in a caring, friendly and professional manner. Some comments were: “I cant speak highly enough of the staff”. “Everyone is helpful, efficient and really professional”. No one could have done a better job of looking after Mum”. Requirements made at the last inspection have been complied with. Mr P Colville The Registered Provider was present for part of the feedback following the inspection. What the service does well: Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 6 Mrs Hathaway manages the home to a good standard with the help of a deputy manager. The staff team are well trained and work hard to meet the needs of residents to a good standard. There is a person centred approach to care and staff are noted to treat residents as individuals and with respect and dignity. Staff are flexible and responsive to residents needs. The home has implemented The Gold Standard Framework for Palliative Care which means residents if able or those close to them can say how they wish to be cared for at the end of their lives. We are told and noted that staff are friendly and approachable to residents and their visitors. Record keeping in the home is to a very good standard and a quality assurance system is in place. What has improved since the last inspection? The kitchen staff have now completed NVQ2 in Catering and Hospitality. The entertainment and activity programme has been extended in the last six months. New carpets have been changed throughout the ground floor of the home. The ground floor bathroom has been refurbished with new bath and shower facilities and also includes an overhead hoist to access and facilitate personal hygiene. A new stair-climbing chair has been purchased to allow four rooms which cannot be accessed by the passenger lift to be reached. A new system has been introduced giving residents choice as to where they eat. We are told that to improve team leadership and standards the service has introduced senior carers who are trained to NVQ3 and who have had extra training and now take on many more responsibilites. The support and supervision programme has been reviewed to enhance working relationships. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 7 Since the last inspection Mrs Hathaway is now registered with the Commission and has completed her Registered Managers Award. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pentlands Nursing Home DS0000024194.V363419.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 Pentlands Nursing Home DS0000024194.V363419.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): 1,2,3,4,5,6.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service users guide has recently been updated. People have an accurate assessment of their needs carried out before admission. Once admitted a further in depth assessment is undertaken and risk assessments compiled and staff have training specific to the needs of the residents. Residents all have a contract which sets out clearly the fees and any extras that will be charged. Intermediate care is not offered at Pentlands. EVIDENCE: Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 10 The statement of purpose and service users guide has been recently updated. People have an accurate assessment of their needs carried out before admission, this is because they or people close to them have been able to visit the home and have been given good information about the service the home provide. One comment from a relative said “ Thank you for showing me around Pentlands, I felt I was received with great understanding and sensitivity”. A new resident was due to be admitted from hospital on the day of the visit and we could see that a pre assessment had been completed and the relatives had been spoken to in order to gain further information. When a resident is admitted a further in depth assessment is undertaken and risk assessments compiled. Records indicated that staff have training specific to the needs of the residents. Residents all have a contract which sets out clearly the fees and any extras that will be charged. Intermediate care is not offered at Pentlands. Pentlands Nursing Home DS0000024194.V363419.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): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and personal needs are met to a high standard. All residents have a person centred plan of care and risk assessments that they or people close to them have been involved in making and that they have signed. The home operates safe procedures for the storage and administration of medicines and staff care for residents with privacy and dignity. EVIDENCE: Residents were seen to be encouraged by staff in a friendly and supportive manner to make decisions about what they wanted to do. The home uses core care plans, however these have been added to so they are person centred and are generated from a full assessment. These are reviewed and updated on a regular basis. Night care plans are also compiled. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 12 The care plan sets out in detail the action which needs to be taken by care staff to ensure all aspects of the health personal and social care needs of residents are met. Records showed that when care plans have been agreed with the residents or their representative they have been signed. Risk assessments are comprehensive and when tracked to individual residents were appropriate to their needs. Nutritional assessments are also in place, the home has just started to use a new screening tool and records showed that staff are booked on training so they can use the tool. Records indicated that resident’s health is monitored regularly and where necessary intervening action is taken. In each room there is a daily log of care and where necessary food/fluid intake which staff have to complete for accountability. A number of residents who were poorly and being nursed in bed looked clean and comfortable, staff were noted to be following the instructions in the care plan ensuring food and fluids were given. A case tracking exercise was carried out to check whether the care identified as being needed from assessments was being followed up by staff. In all the cases checked, residents were receiving the care and support they needed to a very good standard from a caring, well-trained and supportive staff team. Records and observation showed that clinical guidelines and safe infection control procedures are being followed in the home. Specialist equipment necessary for the promotion of tissue viability and the treatment of pressures sores is provided. We are told and records showed, that residents receive care and support from other health care professionals such as doctors, dentists, opticians and chiropodists on a regular basis. We are told and we observed that residents are treated with respect and dignity at all times by a professional, caring and excellent staff team. One comment from a relative was “Thank you for the wonderful care, you gave my mother dignity and respect”. The home follows the guidelines for a Gold Standard Framework for Palliative Care. This will ensure that when residents are approaching the end of their life they and their close ones will be reassured that their death will be handled with sensitivity, dignity and respect and will take into account their spiritual and cultural wishes. A resident had recently passed away at the home and on the day of the visit the Manager and the Deputy Manager were noted to be in discussions with the relatives and the funeral directors to ensure that the last wishes of the resident was honoured. Policies and procedures are in place for the safe administration of medication. No residents presently at the home are self-medicating and qualified nurses Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 13 always administer all medication. Records and observation of the medication administration round on one floor showed that medicine is being administered as prescribed and records completed appropriately. Where PRN (as required) medication is administered this is monitored and the outcomes recorded to establish efficacy. Medication training for staff is provided on a regular basis. A requirement made at the last inspection relating to medication administration is met. Surveys said residents receive the care and support they need and relatives say they are kept up to date. Another comment received said, “I appreciated the courtesy and kindness I received during my stay”. Pentlands Nursing Home DS0000024194.V363419.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. Each resident is treated as an individual and the care home is responsive to their needs. The home supports personal interests and activities and residents are encouraged and supported to be as independent as they can be. Residents are able to keep in touch with their family, friends and representatives. Not all residents thought that the quality of the meals served in the home was good. EVIDENCE: We observed, and are told that the routines within the home and the activities provided are flexible and that that relatives and friends are always made very welcome by managers and staff. Residents are able to bring personal possessions into the home to make their rooms more homely. There is a large lounge available; blinds have recently been fitted to make the temperature more comfortable. There is an enclosed garden laid to lawn with flowering shrubs and garden seating available. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 15 One resident has a small indoor garden in her room, where she was raising flowers from seeds. People told us that suitable activities are provided for residents, these consist of individual activities and group activities. A visiting theatre comes to the home three times a year and a pantomime is also arranged. One resident said that staff would take her out to the shops if she wants to go. Photographs were available of activities and parties held in the home and residents looked happy and seemed to be enjoying themselves. A physiotherapist visits the home on a Saturday to carry out musical movement exercise sessions. There was a poster displayed advertising a spring fair to be held at the home at the end of May. Clergy will visit the home to provide spiritual care. Four out of the five surveys returned to us said people were unhappy with the food provided at the home. On the day of the visit there were mixed reactions from residents some said they liked the food others said they did not. Due to this it is recommended that Mrs Hathaway undertakes a quality assurance audit involving residents and concentrating on the provision of meals, taking into account what they wish to be prepared and cooked for them. Mrs Hathaway agreed to carry this out. Some residents told us that just soup and a sandwich or toast was not enough for supper, as it is served between 5-5.30pm and there is a long time until breakfast, so this should also be taken into account in the audit. On the day of the visit the main meal was chicken pie served with potatoes, courgettes and butternut squash, this was followed by summer fruit pudding. There were alternatives meals available. Residents are able to eat in the lounge or their rooms as they wish. We are told and did observe that staff do respect the privacy and dignity of residents by knocking on doors and waiting before going into rooms and giving relatives and friends privacy when they visit. Pentlands Nursing Home DS0000024194.V363419.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): 16,17,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. If people have concerns about their care they or people close to them know how to complain. Any concern is looked into and action taken to put things right. Policies and procedures are in place to protect resident’s legal rights and advocates are accessed when needed. The thematic probe undertaken showed that the home safeguards people from abuse and neglect and takes action to follow up allegations. EVIDENCE: CSCI has not received any complaints or allegations related to the home since the last visit. The complaint procedure is clearly displayed in the home and people told us that they knew whom to complaint to if they had a problem. There are no outstanding complaints in the home’s records. Staff training records showed that staff are trained and are aware of their roles in protecting residents from abuse. In line with the thematic inspection we asked the manager and the staff specific questions about the safeguarding policies in the home, we looked at recruitment and training records and the quality assurance system and concluded that the home does safeguard residents. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 17 We also asked residents whether they felt safe and if they had any concerns would they feel able to raise them and the all said they felt safe and would not hesitate to report any problems. Surveys indicated that relatives and close ones knew who to complain to and they knew there was a procedure. All of the residents spoken to during the visit and two people who were visiting confirmed that they knew who to complain to. Pentlands Nursing Home DS0000024194.V363419.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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable, clean environment and have the specialist equipment they need to meet their needs. EVIDENCE: The home is well maintained internally and externally with good quality furnishings and furniture. There is a large lounge/dining room where blinds have recently been fitted to make the temperature more comfortable for residents. New carpets have been laid in some areas. Records indicate that regular maintenance and servicing is carried out to systems ensure the home is as safe as can be for residents and staff. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 19 There are adequate washing and bathing facilities and a new shower room suitable for wheelchairs has recently been provided. The home provides enough specialist equipment to meet the identified needs of residents. Bedrooms are nicely decorated and furnished and residents are encouraged to have their own personal belongings around to make them homely and suit their needs. All parts of the home are very clean and hygienic and there are no unpleasant odours. The home has a policy for infection control and staff were noted to take precautions and follow safe procedures. Call bells are available in all areas and staff were noted to respond quickly to calls. The garden is well maintained and residents can sit out if they wish we were told that there are plans to improve the garden in the future. Since the last inspection a specialist chair lift has been purchased to enable the rooms on the mezzanine floor to be accessed by people with mobility problems. Pentlands Nursing Home DS0000024194.V363419.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. Residents living at Pentlands are protected by the recruitment procedures and staff receive good training so they can meet the needs of the people living at the home. The staff team work well together to deliver a very high standard of care. EVIDENCE: Since the last inspection and following a requirement being made the recruitment procedure and records have been improved although Mrs Hathaway was reminded to ensure an up to date CV was requested at all times. The records of four staff including new staff were seen during this visit they included the necessary records and checks required to ensure their fitness and suitability to work with vulnerable residents. Duty rotas showed that a good number and skill mix of staff is employed over a 24-hour period to meet the needs of the residents in an individualised and person centred way. The home has a stable staff team who work well together to the benefit of residents. The staff were noted to be well organised and able to respond to the needs of residents living at the home. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 21 In addition to the registered manager and deputy manager, qualified nurses and care staff there are cleaning staff, maintenance staff, kitchen staff and an administrator. The AQAA recorded that almost 50 of the staff have NVQ level 2 or above and other are working towards it. A staff-training programme is in place and includes mandatory training in health and safety and specific training related to the identified needs and illnesses of residents. A staff supervision, support and appraisal system is operated in the home. The home has been designated as a suitable placement for student nurses Brighton University carries out regular audits to ensure the home maintains its suitability. Two student nurses are expected to arrive for their placement shortly. Pentlands Nursing Home DS0000024194.V363419.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): 31,32,33,34,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a very well run home which concentrates on providing good outcomes for the residents and are safeguarded by the homes policies procedures and systems. EVIDENCE: Mrs Hathaway the registered manager is competent to run the home and meet its stated aims and objectives. Mrs Hathaway has been working at the home for over 10 years and has recently completed the Registered Managers Award. Pentlands Nursing Home DS0000024194.V363419.R01.S.doc Version 5.2 Page 23 The Annual Quality Assurance Assessment was completed and returned to CSCI in good time for it to inform the visit. This showed that the home continues to develop in all areas to improve the daily lives of the residents. Mrs Hathaway and the deputy manager both demonstrate a clear sense of direction and application of best practice systems to the benefit of the residents and staff. People told us that the home is managed to a good standard and is run in the best interest of the residents. They also told us that Mrs Hathaway maintains a high profile in the home and is always available if people wish to see her. We were told of one example where the home has recognised a diversity issue and noted that this has been dealt with it sensitively and instructions are in the resident’s care plan. We are told that staff follow the policies and procedures of the home and this is monitored through working with staff on the floor and through the supervision and appraisal system. Record keeping is of a good standard and records are kept securely. Working practices in the home are safe and staff are trained in mandatory and selective areas. A small number of night staff were out of date with fire safety training, however a list had already been compiled with their names on which indicated that the shortfall had already been identified and training arranged. There is a comprehensive range of policies and procedures to promote and protect resident’s and employee’s health and safety. There are full and clear written recording of all safety checks and accidents, accidents records are analysed to ensure that any trends would be identified. There is a quality assurance system in operation and the latest audits of the home were available along with any action that was required. Following the last inspection a requirement was made at the last inspection that the providers complete Regulation 26 reports on the conduct of the care home on a monthly basis. Basic reports were available in the home for inspection so the requirement is met, however Mrs Hathaway said that they would look at the template to ensure that the report is expanded and includes more detail. Pentlands Nursing Home DS0000024194.V363419.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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 3 3 Pentlands Nursing Home DS0000024194.V363419.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 OP15 Good Practice Recommendations Residents should be consulted about what food they would like the home to prepare and cook for them. Pentlands Nursing Home DS0000024194.V363419.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 Pentlands Nursing Home DS0000024194.V363419.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!