Care Home: The Red House Nursing Home

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What the care home does well Staff encourage and support residents in retaining their independence for as long as safely possible. The home manager is receptive to advice given and is eager to put matters right where deficiencies are identified. Staff are enthusiastic about their roles and enjoy working at the home. Residents enjoy appetising and varied meals, which are nutritionally balanced. The manager promotes an open atmosphere and residents, staff and relatives are appreciative of this. Compliments and comments about the home included "I have had some very good meals"; "This is a very good and caring home. I find the professional staff helpful"; "[my] wife says the care is excellent, staff are kind and patient"; "[home] always provides a high standard of care. Patients seem to be dealt with appropriately at all times in my experience"; "The staff and nurses are always friendly and welcoming. They are hard working and anxious to place and accommodate in anyway they can.The food is excellent throughout the day, tailored to individual needs"; "Overall I am very happy to work here and my employers are always very approachable"; "The whole place runs very well and is a very loving and enjoyable place to work and has a family feel to it". What has improved since the last inspection? The lounge, quiet room and one bedroom have been redecorated. In addition, the lounge and quiet room have been provided with new soft furnishings and a new nurse call system has been installed throughout the home. For residents` safety the programme for fitting magnetic closures to all fire doors, including bedroom doors, within the home continues and is making good progress. It is anticipated the work will be completed by the middle of the year. New central heating boilers and a new cooker have been acquired and are awaiting installation by appropriate fitters. What the care home could do better: For residents` protection, the home must ensure all new staff are checked out with the Criminal Record Bureau in line with current requirements. All staff must receive mandatory training, including moving and handling, as soon as is practicably possible after commencing at the home. This is for the safety of residents and members of staff. Hand washing arrangements in the laundry must be re-instated to minimise cross infection hazards. And a comment card respondent added their comment on improving the service "Providing tea and coffee making facilities would be very nice". CARE HOMES FOR OLDER PEOPLE The Red House Nursing Home London Road Canterbury Kent CT2 8NB Lead Inspector Elizabeth Baker Unannounced Inspection 13th March 2008 09:20 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 The Red House Nursing Home DS0000026112.V360890.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. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Red House Nursing Home Address London Road Canterbury Kent CT2 8NB 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) 01227 464171 01227 788084 redhousenursing2@tiscali.co.uk The Red House Nursing Home Limited Mrs Susanne Elizabeth Williams Care Home 31 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (31) of places The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2007 Brief Description of the Service: The Red House Nursing Home is a large, detached property, which used to be a Victorian vicarage in previous days. It is set in its own grounds, with large attractive gardens at the front of the property, and overlooking one of the main roads into Canterbury. It is a family owned business, and the Provider and her son and daughter are actively involved in overseeing the running of the home. The premises have one lounge, a dining room and one quiet sitting room. Most bedrooms are for single use. A four-person passenger lift enables easy access to the first floor. Many bedrooms have en-suite facilities. The home is situated near to the city centre with all its accompanying resources. There are good transport links, and on site car parking for several vehicles. Current private fees range from £600.00 - £665.00 per week, inclusive of hairdressing charges (except perms), depending on the room available and the dependency needs of the service user. Additional charges are payable for telephone calls, newspapers, physiotherapy and chiropody. Activities include film shows, board games, poetry readings, religious services, music and trips to the seaside, gardens and the city centre. The inspection report is available on request at the home. The Red House Nursing Home DS0000026112.V360890.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. This is the key unannounced visit to the home for the inspection period 2007/08. Allocated inspector Elizabeth Baker carried out the visit on 13 March 2008. The visit lasted just under seven hours. As well as briefly touring the home, the visit consisted of talking with some residents, visitors and staff. Three residents and two members of staff were interviewed in private. Verbal feedback of the visit was provided to the home manager during and at the end of the visit. At the time of compiling the report, in support of the visit, we (the Commission) received survey forms about the service from five residents, one care manager, three healthcare professionals and three members of staff. At our request the home manager completed and returned the home’s first Annual Quality Assurance Assessment (AQAA). Some of the information gathered from these sources has been incorporated into the report. At the time of the visit 29 residents requiring nursing care were residing at the home. The commission has not received any complaints about the service. What the service does well: Staff encourage and support residents in retaining their independence for as long as safely possible. The home manager is receptive to advice given and is eager to put matters right where deficiencies are identified. Staff are enthusiastic about their roles and enjoy working at the home. Residents enjoy appetising and varied meals, which are nutritionally balanced. The manager promotes an open atmosphere and residents, staff and relatives are appreciative of this. Compliments and comments about the home included “I have had some very good meals”; “This is a very good and caring home. I find the professional staff helpful”; “[my] wife says the care is excellent, staff are kind and patient”; “[home] always provides a high standard of care. Patients seem to be dealt with appropriately at all times in my experience”; “The staff and nurses are always friendly and welcoming. They are hard working and anxious to place and accommodate in anyway they can. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 6 The food is excellent throughout the day, tailored to individual needs”; “Overall I am very happy to work here and my employers are always very approachable”; “The whole place runs very well and is a very loving and enjoyable place to work and has a family feel to it”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 7 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 The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Prospective residents move into the home knowing their assessed needs can be met. EVIDENCE: Where practicably possible the home manager visits prospective residents in their current place of occupation to determine whether the home is suitable to meet their individual assessed needs. Not all prospective residents are able to visit the home prior to admission. Where this is the case, their relatives or advocates do so on their behalf. Information is also sought from other agencies such as local authorities, where a sponsor is involved in the placement. The information gathered at the pre admission visits is then used to generate a plan of care which all residents are provided with following their admission into the home. The home is not registered for intermediate care. Standard 6 is not applicable. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 9 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 and 11. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. The health needs of residents are met with evidence of good multi-disciplinary working taking place on a regular basis. EVIDENCE: For case tracking purposes the care records of three residents were inspected. Records contained a care plan and a range of supporting clinical and health and safety risk assessments. The assessments included skin integrity, body maps, wounds, handling, nutrition, bed rails, continence and pain. There is evidence that residents are regularly being weighed. However the practice of recording the weights in two different places made it difficult to obtain a quick and precise picture as not all the details had been transferred to the individual care records. Care plans had been dated as having been regularly reviewed. However it has not been the home’s practice to formerly involve the resident or their advocates in the monthly reviews, if indeed they wish to. Involving residents and advocates in reviews helps to ensure all pertinent information is captured and recorded. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 10 Daily records are maintained and generally give a brief picture of residents’ quality of day and experiences. However a number of meaningless phrases had been used such as “all care given”; “all dependency care given “ and “all assistance”. In the event of an investigation into care allegations being made, this would not provide a detailed picture the care actually delivered to meet the individual resident’s assessed needs. Medication administration record (MAR) charts were inspected. Generally these had been completed as is required by the registered nurses’ professional body. However a particular ‘administer when required’ (PRN) pain relief medicine was not included in a supporting pain assessment chart for the resident, although another medicine was. Registered nurses generally administer medicines to residents. This suits the residents. However where medicines are self-administered by the resident, it has not been the home’s practice to carry out a risk assessment for the activity. For residents’ safety such an assessment should be carried out with input from the resident’s GP. To assist the home in enhancing its medicine procedures it was recommended the home obtain a copy of the guidelines The Handling of Medicines in Social Care issued in conjunction with the Royal Pharmaceutical Society of Great Britain. These can be obtained directly from the Society of via the Commission’s website. Medicines, nursing aids and sundry equipment are stored in a designated room for safety and hygiene purposes. The room is suitably equipped. To ensure medicines are stored in accordance with manufacturer’s instructions, the temperature of the room is checked on a daily basis. This is good practice. Residents spoken with said staff assist them with their personal hygiene needs in a manner, which protects their privacy and dignity. The majority of residents living at the home will do so for the rest of their lives. However care records inspected did not include detailed information on residents’ cultural and spiritual choices and preferences in the event of death and dying. Whilst recognising this is a sensitive matter, it is an important aspect of care and needs to be addressed. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 11 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 and 15. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Meals offer choice and variety and residents are supported in attaining their lifestyle preferences. EVIDENCE: Arrangements are made for residents to take part in structured activities, socialise with others and or to be as independent as possible. At the time of the visit arrangements were in hand for the Easter celebrations. Bonnets and cards had been made and eggs painted. Special meals are provided to celebrate occasions, birthdays and anniversaries. Current in-house activities include film shows and board games. Trips to nearby seaside towns and gardens take place in the summer. And in good weather the home’s large lawns are sometimes used for strawberry teas and picnic themes. Some residents are assisted in going into the City Centre for shopping and dining trips. Outside entertainers visit the home. Recent external entertainers provided accordion music and poetry readings. Residents can choose how and where to spend their time and some residents like to stay in their bedrooms. One to one support is provided, as some residents prefer to have a cup of tea and a chat as opposed to joining in with group activities. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 12 A Roman Catholic and Church of England service takes place at the home on a monthly basis. Lay people from other religious denominations visit particular residents to provide spiritual support as required. The home has a nicely furnished separate dining room for residents to use if that is their wish. Despite this some residents choose to have all their meals in their privacy of their own bedrooms. Residents and visitors spoken with said they enjoy the quality and variety of meals provided. Although meals were not sampled on this visit, an appetising and well-presented lunchtime meal was seen. Special diets are catered for and care records evidenced residents are regularly weighed. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 13 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 and 18. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents and or their advocates know their complaints and concerns will be listened to and acted upon. EVIDENCE: Information is conspicuously displayed in the reception area informing residents, visitors and staff of the home’s complaints procedures. The procedure includes contact details of the local social services and the Commission. Residents spoken with knew what to do if they had a concern or were unhappy about any aspect of their care. Indeed one respondent commented “if I have a complaint or niggles I talk to staff and it’s always put right – one is listened to here”. Staff interviewed said they had not yet received adult protection training at this home, although one had received such training at a former care home. However they were able to describe appropriately the action they would take if they suspected abuse had taken place. We have not received any complaints about the service. The returned AQAA indicates that in the last 12 months the home has received six complaints of which five were resolved in 28 days. One complaint was upheld. The form also indicates the home also been involved in one safeguarding adult referral. This would have been investigated under the county’s adult protection procedures. The home maintains a complaints book in which all types of concerns are recorded, including niggles. This is good practice. However the current practice of sometimes recording details of more than individual complaint on a page may compromise the confidentiality of the individuals concerned. Standard 37 also refers. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 14 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 and 26. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents live in a homely and comfortable environment. EVIDENCE: Areas visited and used by residents were fresh, clean, warm and odour free. Indeed residents and visitors spoken with indicated the home is always kept in a clean condition. The home has a rolling programme of replacement and redecoration. Since the last inspection the lounge, quiet room and one bedroom have been redecorated. New curtains and furnishings for the communal rooms have been acquired and are now in place. A new nurse call system is in place and residents have easy access to the system when they require assistance. Officers of the Environmental Health Department and Kent Fire and Rescue Service inspected the home on 28 September 2007 and 28 August 2007 respectively. Both visits resulted in some recommendations being made. The works have been complied with. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 15 The home has a range of moving and transferring equipment so staff can assist residents in a safe manner. As expected of care homes providing nursing care, the home has a range of pressure relief and preventative equipment, which is used on an assessed needs basis. Handrails are fitted in corridors to assist mobile residents to move around the home safely and independently. Residents spoken with said the home is always nice and warm. Radiators are covered to protect residents burning themselves. Residents’ linen and personal clothes are laundered on site. Residents spoken with said their clothes are returned to them in good order. The laundry is appropriately equipped. However following a change in the hanging arrangements of clean clothes in the laundry, the sink used for hand washing cannot now be reached without removing certain items, therefore preventing quick and safe access. This has resulted in the laundry operative having to use the hand wash facilities in the next-door sluice room. This new arrangement does not maximise infection control practices. For health and safety purposes it is also poor practice to leave sluice room doors open when not in use. The sluice room door was left wide open. It was suggested the home might like to obtain a copy of the Infection Control Guidelines published by Kent Health Protection Unit specifically for care homes. Contact details where provided. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 16 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 and 30. Residents who use the service experience adequate outcomes. This judgement has been made using a range of evidence including a site visit to this service. Staff morale is good resulting in an enthusiastic workforce that works positively with residents to help improve their quality of life. More stringent vetting of new staff will improve the safety of residents. EVIDENCE: As well as care staff, staff are employed for cooking, activities, cleaning, laundry, administration, maintenance and gardening. Staff were seen carrying out their duties in an unhurried manner and being attentive to residents. A review of the off duty shows that staffing levels generally comply with the requirements of the original regulatory authority for a home providing nursing care. Despite this one resident was of the opinion that there are not always sufficient staff on duty because staff sometimes forget to do what the resident has requested. And a number of staff returned comment cards included additional comments such as “[the home could improve by] employing one or two extra staff for the day for things like walking residents, cutting their nails, chatting to them and keeping them company” and “I do feel we could have more staff - sometimes we are very stretched”. Disappointedly only 17 of unregistered care staff are currently trained to NVQ level II or above in care. While acknowledging another three members of staff are now working towards this qualification, there is an expectation that 50 of staff would now be qualified. New staff are required to complete an The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 17 induction programme, which should equip them to better understand and meet the health and personal care needs of residents. Following the last visit, the home now maintains a training matrix. A review of this identified training has been arranged for subjects including protection of vulnerable adults, first aid, health and safety and moving and handling. This is important as interviews with two members of staff indicated that they had not received adult abuse or moving and handling training at this home. Since the last visit a number of registered nurses have received dementia care training. And some members of staff will shortly attend Mental Capacity Act awareness training. The personnel files of two members of staff were inspected. Since the last visit the home’s application form has been amended. Because of this applicants are now required to record all their former employment histories. This is good practice. As part of the home’s vetting practice references are sought and obtained, POVA first is accessed and normally Criminal Record Bureau (CRB) checks are undertaken for all new staff. However it was identified on this visit that a CRB disclosure had been accepted from the previous employment because of the document’s currency. CRB disclosures are not transportable. To assist homes in the development of their recruitment procedures and practices, the Commission published guidance during 2006. The publications in question are called Safe and Sound? Checking the suitability of new care staff in regulated social care services and Better safe than sorry – Improving the system that safeguards adults living in care homes. Both documents can be obtained from the Commission’s website. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 18 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, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is good overall. The manager has a good understanding of what needs to be done to improve the service further. EVIDENCE: The home manager is a registered nurse, is experienced in working with elderly residents and has run the home for many years. Residents, visitors and staff spoken openly during the visit about their experiences of visiting, living and working at the home and how approachable the home manager is. Management promote an open door policy for residents, visitors and staff. Residents and relatives meetings have not been well attended in the past and no longer take place. However residents and their advocates are invited to complete yearly surveys and the home strives to ensure any suggestions to improve the service are made. The home is a member of the Registered The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 19 Nursing Homes Association and attends conferences and meetings arranged by the organisation relevant to the business of running care homes. Staff appraisals and formal supervision sessions are now being introduced. This should allow staff and management to discuss individual performance and identify any training needs shortfalls. The home’s inspection report is kept in the home manager’s office and can be accessed on request. The majority of records relating to residents and staff are maintained to a good standard and stored appropriately. However as indicated previously within this report the confidentiality of some residents may be compromised because not all pertinent information in relation to complaints and niggles is kept separately. The home is not responsible for residents’ personal allowances. However the home does assist some residents in managing personal monies for the day-today activities of living in a care home. Where is the case, receipts are obtained and kept for services provided or items obtained on their behalf. Records are kept showing how the monies are spent. When more funds are required, requests are made to the advocates. As is required of care homes providing nursing care, this home has two designated sluice rooms. However it was noted on this visit that it is not the home’s practice to keep sluice room doors locked shut when not in use, to prevent unauthorised access and minimise potential accidents. Generally all care staff receive all mandatory training. This includes First Aid, fire, infection control and health and safety. However during an interview with member of staff it was identified they had not yet received moving and handling training. This staff member had not been employed in a care home before. This training is important for the safety of residents and the member of staff. The home manager said action was now being taken to address the issue. The returned AQAA indicates the home has policies and procedures for staff to refer to when carrying out particular duties. The documents are currently being reviewed to ensure they reflect good practice and current regulation. The AQAA also records the home’s equipment is serviced and or tested as recommended by the manufacturer or other regulatory body. The electrical installation and small electrical appliance testing are due an imminent inspection. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 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 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 2 2 The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19 Requirement Criminal Bureau Record disclosure from former employers must not accepted as evidence of the applicant’s suitability to work at the home. Timescale for action 19/03/09 The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 8 Refer to Standard OP7 OP8 OP9 OP11 OP26 OP28 OP37 OP38 Good Practice Recommendations Care plans should record evidence they had been compiled with input from the resident and or their advocate. Care staff should record meaningful statements to describe each resident’s quality of day and experiences. Risk assessments should be carried out, recorded and regularly reviewed for residents who self-administer medications. Care plan components should be available covering the spiritual and cultural needs and wishes of residents in the event of death and dying. Readily accessible hand washing facilities should be available in the laundry. 50 of unregistered care staff should be trained to NVQ level II care. All residents records should be maintained with due regard to confidentiality. New staff must be provided with mandatory training as practicably possible after commencement of employment. This includes moving and handling. The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 23 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 The Red House Nursing Home DS0000026112.V360890.R01.S.doc Version 5.2 Page 24 - 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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