Care Home: St Claire`s Nursing Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well The home provides a clean, safe and comfortable environment for the people who live there. There is a friendly interaction between staff and residents. People are satisfied with standards of care and are treated with respect. The food is tasty, nutritious and provides a balanced diet. Those who have skin tissue conditions or who are very poorly have assessments done and extra food supplements given to maintain their health. Staff training is comprehensive and provides staff with the skills to care appropriately for the residents. The training programme exceeds the mandatory requirements, with some staff having achieved the Gold Standard Framework award for caring for people at the end of their life. What has improved since the last inspection? The statement of purpose and service user guide now reflect all aspects of the home`s purpose, service and facilities available. Information gathered about the prospective resident prior to admission is now in sufficient detail to ensure staff have a clear knowledge of their needs. Care plans are now comprehensive documents that show residents or their representative`s involvement. They detail the health, welfare and social needs of the individual enough for staff to be able to safely and capably look after the people in their care. The activity organiser works twenty hours per week and provides a programme of activities for groups of residents as well as individually taking some people out shopping and for outings. CARE HOMES FOR OLDER PEOPLE St Claire`s Nursing Home Birchwood Avenue Doddington Park Lincoln Lincs LN6 0QR Lead Inspector Vanessa Gent Unannounced Inspection 5th September 2008 02.15 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 St Claire`s Nursing Home DS0000002602.V371464.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. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Claire`s Nursing Home Address Birchwood Avenue Doddington Park Lincoln Lincs LN6 0QR 01522 684945 01522 696540 jane.dring@virgin.net 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) Lifeline Nursing Services Limited Mrs Jane Elizabeth Dring Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (2) of places St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care and nursing care for service users whose primary needs fall within the following categories:- Old age not falling within any other category (OP) (40) Physical disability (PD) (2) The 2 PD beds are to be used on a named basis only. One bed in the category PD is registered for a service user as named in the Notice of Proposal to Register dated 14 May 2005. One bed in the category PD is registered for a service user as named in the Notice of Proposal to Register dated 11 July 2005. The maximum number of service users to be accommodated in the home is 40. 17th September 2007 2. 3. Date of last inspection Brief Description of the Service: St Claire’s is a purpose-built, single story care home providing personal and nursing care for people of both sexes over 65 years of age. The home is situated in a residential area on the outskirts of the City of Lincoln. There are local shops and community facilities close to the home. The city centre can be reached by bus or car. The home is set within its own grounds with a central garden and small outer garden areas. These areas are accessible for wheelchair users as well as ambulant people. There is car parking to the front of the building. The home is separated into four main zones, connected by a continuous corridor. There are thirty-eight single bedrooms, seven of which have en-suite toilet and washbasin and one double bedroom. Communally, there are five lounge-cum-dining rooms, spread strategically around the home. There are four bathrooms, all with a toilet, one wet-room shower room and toilets situated near to lounges and bedrooms. The home is appropriately adapted to meet the needs of older people with disabilities, including lifting appliances and assisted bathing. The current fees range from £356.00 to £534.00 per week. Additional charges are made for chiropody, hairdressing, newspapers and magazines requested individually. Information about these costs as well as the day-to-day operation of the home can be found in the home’s statement of purpose and service user guide. These St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 5 documents and a copy of the last inspection report are available to people who live there and those interested in coming to live at the home. On the day of the inspection thirty-eight people were living at the home. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. An unannounced visit was made to the home as part of a key inspection. It started at 14.15 and lasted five hours. The manager completed and sent us a self-assessment form called the Annual Quality Assurance Assessment (AQAA), giving us information about the service, which contributed to the inspection process. Information from this, as well as that which we hold about the service was used to plan the visit and produce this report. The main method of inspection we used during our visit is called ‘casetracking’. This involves selecting a proportion of residents, and tracking the care they receive through the checking of records, discussion with them and the staff and observation of care practices. Our visit to the home focused on whether key standards and requirements from previous inspections had been met and on how people feel about the quality of the service provided. The care received by four people was followed in detail to ensure the health, safety and welfare needs were fully met and that they were supported to maintain their dignity, autonomy and choice. We spoke with four staff members on duty. Residents, including those being case-tracked, told us of their experience of living at the home and talked with people who visit the home. We also observed people’s care, using personal records, general house records and staff records to see if people’s overall needs were being met. All the residents and visitors we spoke with were very positive about the level and quality of care given. They told us that staff always listen to what people say and that the food is liked. Any comments we received will be mentioned in the main body of this report. A partial tour of the home was made and a sample of other records looked at. The manager was present throughout the visit. What the service does well: St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 7 The home provides a clean, safe and comfortable environment for the people who live there. There is a friendly interaction between staff and residents. People are satisfied with standards of care and are treated with respect. The food is tasty, nutritious and provides a balanced diet. Those who have skin tissue conditions or who are very poorly have assessments done and extra food supplements given to maintain their health. Staff training is comprehensive and provides staff with the skills to care appropriately for the residents. The training programme exceeds the mandatory requirements, with some staff having achieved the Gold Standard Framework award for caring for people at the end of their life. What has improved since the last inspection? What they could do better: The activities provided should be in enough variety and reflect the needs, capabilities and preferences of the residents to enable and encourage them to participate and keep as fit and well as possible. There should be enough staff on duty at all times to enable the residents to have the attention they need to live as full a life as possible. The responsible individual, at their monthly, unannounced visit to the home, should find out the opinions of the residents, visitors and staff and write, then share a detailed report that shows that they are aware of people’s needs, preferences and wishes. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 8 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. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 9 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 St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 10 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, [Standard 6 N/A]. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information about the home and how it runs is provided is detailed enough to help people to decide if they want to move into the home. The assessment procedure in place ensures that the manager and staff can check that they can meet peoples needs before they move into the home. EVIDENCE: The manager showed us that the statement of purpose and service user guide, which give people information about the home, have been updated. These are available, along with other interesting details to tell people about what to expect once they move into the home. This information, and being able to visit the home “without an appointment” and see how it operates, helps people to make an appropriate decision about going to live at the home. A person who recently chose to come and live in the St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 11 home told us they were very pleased about the decision they made and that “everything at the home is lovely”. People told us that the manager visited them in their previous accommodation and took many details before offering them a place. This was to make sure they could be cared for in the way they wanted and needed. Pre-admission assessments we saw in people’s care plans confirmed this. The manager told us they are not contracted for and do not provide an intermediate care service. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 12 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. Clear, comprehensive care planning, useful contact with healthcare professionals and the monitoring of any issues ensure that residents’ health, emotional and social needs are met. Peoples wishes, privacy and dignity are well respected. EVIDENCE: The manager confirmed that once the pre-admission assessment has been completed and the person has decided to move into the home, the manager and senior staff continue the assessment process by making a full list of the person’s needs and wishes within the first 48 hours. They then spend the following two weeks, “to establish social preferences and non-essential needs”. This helps to create a care plan. During the inspection visit, people confirmed this happened for them and that they were fully involved in the whole process. We saw signatures of residents who had agreed to the contents of their care plans. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 13 People told us that if they are poorly, staff respond straight away by calling the doctor, or ambulance service if serious enough. They also inform the relatives or next-of-kin if the resident wants them to, as confirmed by relatives and people we spoke with. The care plans showed us that they liaise with healthcare professionals, such as district nurse, tissue viability nurse, nutrition advisor, psychiatric community nurse, and hospital staff to care appropriately for each individual. Explanations of people’s conditions were illustrated by ‘body mapping’, and photographs where necessary were used with the full consent of the individual concerned. People who live at the home told us about the support they need to take their medicines safely. We observed some of a ‘medicine round’, spoke with staff about their training and knowledge of the medication administration process and checked the written records. The supplying pharmacist monitors the medication service and the last report on 11th July this year said that everything was satisfactory. Records showed the local pharmacy gives training to all staff who give the medicines out, especially after an untoward incident was detected in one of the medication processes. Staff received update training and were monitored in their practices until they were passed as competent again. People told us the staff treat them in a very dignified manner all the time, “from the youngest to the oldest” staff. A relative said, “[the resident] is happy and content, she sleeps right through, every night”. We observed staff attending to the people who stay in bed all the time and are very ill, with gentleness and dignity. Relatives told us, “the manager and staff have great compassion for all the residents”. A person, after their relative’s death, wrote to thank the staff saying, “I never felt that Mum was just another person to be cared for but rather that you held her dear to your hearts.” Some of the staff have especially trained in caring for people at the end of life, achieving the ‘Gold Standard Framework’ award. They are now passing on their knowledge to the other staff. St Claire`s Nursing Home DS0000002602.V371464.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. Although some people are satisfied with the activities provided, limiting their choices means that their wishes are not always fully catered for. People are provided with good quality food that gives them a balanced, nutritious and varied diet and is in accordance with their wishes. EVIDENCE: A member of staff specialises in providing activities for four hours each day. The activities available are posted on notice boards around the home. Although the activities provided were limited in variety and number, some residents said they were happy with what was available. One person told us they are taken out by staff shopping or to the library, which they enjoy. Other residents told us there was not enough variety or quantity of activities. We observed that many people spent a lot of time in their rooms. We spoke with the manager about this who confirmed she is in the process of joining the national charity, NAPA [National Association for the Provision of Activities for older people], that encourages activities and exercise in care homes for older people. She told us this will give staff more ideas abou how to St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 15 vary the activities and give people more choice in how they want to spend their time. The manager brings in people to do exercise sessions with the residents every six weeks. Staff are being encouraged to learn how to do the exercises with people to enable this activity to be provided more often. Within one of the lounges, there is a small room with a ‘shop’ window, where people sell the things they make in group craft sessions. Any money made from this activity is ploughed back into the activities. A sensory garden has been started by clearing the site of big hedges and plants. The manager and gardener confirmed they will oversee the project, which will include introducing items of smell, texture and colour. The manager said that a lot of visitors come to the home to see many of the people who live there. Visitors said that they were very happy with the care provided for their relatives. They told us they are made very welcome. We saw staff chatting with visitors in a friendly, helpful manner. One visitor said, “they always have time for the residents and for us. They’re lovely.” People told us that they have as much choice as they want in the home. We were told, “They [the staff] have always supported the residents to live the life they choose.” People told us that the food is “excellent; there’s good choice every day.” The manager told us, and we saw during our visit, that people who needed assistance with their meals were given time and not hurried. Staff chatted with them and did not rush them. People who need extra nutrition because they are very poorly are given food supplements and their food is enriched to help them maintain their body weight and health. Fresh fruit and vegetables are served with meals and throughout the day. Plenty of fluids are encouraged and recorded on charts for people who are in bed or unable to assist themselves with drinks. St Claire`s Nursing Home DS0000002602.V371464.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. People are protected by knowing they can always voice any concerns and will be taken notice of, and by staff who are trained to prevent abuse and who are conscientious and caring toward people at all times. EVIDENCE: The manager told us the home has not received any complaints this year. Those received previously were dealt with using the complaints policy. Records were documented and available with the outcomes. The manager has been sent letters of thanks for the care and attention given to the residents. One stated, “We could not have chosen a better home for Mum. You all went over and above ‘a call to duty’.” People told us they know how to make a complaint but one person said, “I know they would deal with anything straight away but so far there’s nothing I’ve been unhappy with”. Staff told us they have had training to safeguard the residents. Their records confirmed this. They had knowledge of the procedures to take to prevent abuse occurring and what to do should someone make an allegation. They said they work together as a very close team but would not hesitate to mention any bad practice they observed in a colleague. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 17 A visitor said, “The staff have great compassion for all the residents, especially the poorly ones and those in bed all the time”. St Claire`s Nursing Home DS0000002602.V371464.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, 22, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People in the home live in a clean, pleasant, hygienic and safe environment. EVIDENCE: People told us that the home is always spotlessly clean and tidy. The rooms of people we spoke with were clean and fresh. One person said, “the room is done every day. It’s lovely. I have a birdfeeder outside my room and a nice view of the garden.” The manager has achieved the Investors in People award each year since 1996. Equipment to assist moving and handling and for pressure damage prevention was seen in use throughout the home. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 19 The last fire officer’s report was satisfactory. Issues raised by the fire officer were being addressed by the manager to ensure people were safe. Records showed a further fire officer’s risk assessment is due on 11th September this year to check on work being completed. The manager told us that they would shortly be due a visit from the Environmental Health Officer and that this helps to confirm the environment provided is safe. The manager said, “our maintenance man is spot-on. He keeps the home in a good state of repair.” He keeps very clear and precise records of all the maintenance processes, including water temperatures, legionella prevention, fire safety and testing the portable electrical equipment. St Claire`s Nursing Home DS0000002602.V371464.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. People are cared for by staff who are skilled, safely recruited and well trained enough to meet their needs, there is enough staff on duty to attend to the residents’ wishes and preferences. EVIDENCE: During the inspection visit, which took place in the afternoon and evening, the bells that people use to summon help from staff were often left ringing for quite a long while each time. However, residents said they did not always have to wait. They told us they were not left unattended a long periods. We observed staff members meeting peoples physical needs, taking into account the dependency levels of the thirty-seven residents and the layout of the building. However, in the afternoons, the rota showed that the number of staff is less than in the mornings, which means people may not be able to get as much attention at these times. We spoke with the manager about this and she told us she assesses and monitors the staffing situation daily and if there is a perceived need, she is able to call in extra staff. As well as nurse-trained staff and care staff, she employs an activity organiser and “an extra staff member in the mornings to St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 21 run errands and lay tables, for example”. She said the staff are very helpful and fit in to meet the residents’ needs at all times. None of the residents or visitors complained of there being any shortage of staff. Staff told us they are a close team and that they fill in for each other, when necessary. Some staff have worked at the home for many years. They said they were happy in their work and would not want to work anywhere else. One said, “it’s like an extended family; and we pass that on to the residents. That makes us more confident in our work. And we support each other in the staff team. We can talk to each other and work together as a team.” A recently employed staff member said they are still being supported in their induction, which they said is excellent. The staff records we saw showed that staff are safely recruited, with all the necessary checks and items in place as required. A staff member who had been recently employed told us about the process they went through before being taken on to the staff team. Staff told us the “the training is wonderful. We don’t just get the mandatory stuff but lots of extras as well. It is very supportive. It also teaches us to have respect and dignity for the residents.” Staff records contained certificates that they gained through their studies. The manager keeps an audit of staff training to make sure everyone is up-to-date. St Claire`s Nursing Home DS0000002602.V371464.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, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a manager who is well thought of, respected and has an effective management approach. People and staff are protected by efficient maintenance, practices, policies and procedures. EVIDENCE: The manager is a trained nurse who is in the process of completing her Registered Manager’s Award. Staff say she is “fantastic; treats us as equals; very factual and down-to-earth; open - you can talk to her about anything.” “The manager is fair; she has caring qualities; she treats us all as an extended family.” When asked what they do well, the manager said, “Work together as a team; support each other; create a happy atmosphere.” St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 23 To gain the views and preferences of the people who live at the home, the manager distributes annual questionnaires for residents, relatives, visitors and healthcare professionals. She also gives questionnaires to people about six weeks after they have come to live in the home, so she can gauge their feelings as they are settling in. She also holds resident and relative meetings, although these so far have often been poorly attended. Records available showed that a representative of the homes owners visits the home regularly every month to monitor the progress of the care team and compile a report on outcomes for people and any improvements needed. We saw that reports written did not provide details to inform the manager how well she and the staff are doing in the opinions of the people who use or visit the service. The manager said she will discuss this with the provider to ensure reports provide more detail and show that people are fully involved in providing regular feedback on how well the service is doing. Most people or their relatives or representatives had chosen to look after their own finances. For those whose personal allowances are maintained by the manager, there are receipts and clear records kept. Staff confirmed they have regular one-to-one, supervision meetings with a senior member of staff. Staff said they can say what they want and feel supported by the regular meetings. Records of their meetings are kept in their staff records. One recently employed staff member told us that although she has not been working long enough to have had any formal one-to-one supervisions yet, the manager has spoken informally with her every shift and regularly asks her how she is getting on with the work, the residents and the other staff. Staff also have team meetings, which are documented. The manager says they are not held as often as she would like but intends that they will become more frequent to support staff fully. A comprehensive Health and Safety policy is in place which includes electrical, water and equipment testing and management, fire drills and fire alarm testing and food management. These and the records kept by the manager and maintenance man are comprehensive enough to enable the home to be run safely and in accordance with the residents’ needs and wishes. St Claire`s Nursing Home DS0000002602.V371464.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 4 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 3 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 4 2 X 3 3 X 3 St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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. 2. Refer to Standard OP12 OP33 Good Practice Recommendations The activities provided should be in enough variety to encourage them to participate and enable them to keep as fit and well as possible. The responsible individual, at their monthly, unannounced visit to the home, should find out the views of the residents, visitors and staff and write a comprehensive report that shows that they are aware of people’s needs, preferences and wishes. St Claire`s Nursing Home DS0000002602.V371464.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team 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@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 St Claire`s Nursing Home DS0000002602.V371464.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!