Inspection on 30/11/05 for Acre Green Nursing Home

This inspection was carried out on 30th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Acre Green Nursing Home 05/07/07

Acre Green Nursing Home 11/07/06

Acre Green Nursing Home 12/07/05

Acre Green Nursing Home 13/01/05

Acre Green Nursing Home 03/08/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Acre Green Nursing Home Acre Close Middleton Leeds Yorkshire LS10 4HT Lead Inspector Sue Dunn Announced Inspection 30th November 2005 09:30 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 Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 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. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Acre Green Nursing Home Address Acre Close Middleton Leeds Yorkshire LS10 4HT 0113 2712307 0113 2714965 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) Southern Cross Care Management Limited Mr James Arthur Heptonstall Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (2), Terminally ill over of places 65 years of age (2) Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Acre Green is a 50 bedded care home with nursing beds. The two storey home is built around a central courtyard and provides residential care in the 20 beds on the ground floor and nursing care and higher dependency care in the 30 beds on the first floor. All rooms have en suite facilities. The two floors are staffed and operate as separate units with a nurse on duty 24hrs on the first floor. The kitchen and laundry for both units are on the ground floor with a small serving kitchen on the first floor. Each floor has two lounges and a dining area. A passenger lift provides access between the floors. The central courtyard provides a safe sitting area and land to the side of the building is landscaped to offer additional outdoor space for the use of residents and their families. There is a generous parking area in front of the building.The home is situated in the centre of a residential area in Middleton on the outskirts of Leeds on the site of a former local authority residential home. Local community facilities include a health centre, library, bowling green, day centre, club, shop and a school. A large retail shopping mall is approximately five minutes drive from the home. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook the inspection, which was announced. The inspection started at 10.30am and finished at 5.15pm. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents. A pre inspection questionnaire and comment cards were sent to the home before the inspection. Seventeen residents (some of whom had been assisted by staff) returned completed comment cards. After a brief word with residents in the main dining room on the ground floor the remainder of the inspection took place in the nursing unit on the first floor. Requirements arising from an additional visit in response to a complaint are shown in bold print at the end of the report and show where the timescales for action have been met. What the service does well: Some of the staff were observed to be good at talking to residents, explaining what they were doing and entering into good humoured banter. The home has introduced a weekly diary for each resident which care staff, who have most day- to- day contact with residents, have responsibility for completing. The home employs an activity organiser who tries to offer a range of activities which take place mainly in the ground floor area. Efforts have been made to involve the local community in the life of the home. The meal sampled was of good quality and an effort had been made to provide an imaginative dessert for those people on sugar free diets. People who were able to express their views felt that if they complained their complaints would be taken seriously. There has been a programme of redecoration and replacement of furniture and overall the home is well maintained. The home has a satisfactory standard of recruitment and selection of staff and tries to provide consistency of care by using the same people when having to resort to agency staff. Records showed this had not always been possible. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Staff on the first floor unit must pay more attention to the personal hygiene of some of the more dependant people. Residents have a right to be kept informed about the care they are being given. All the staff must explain to residents what they are doing whilst providing assistance. Staff must be discrete when they are discussing the care of residents and be aware that their conversations may be overheard by other residents. The home should introduce a system which provides new residents with a key person responsible for helping them settle into the home on their first few days. Staff are expected to keep weekly diaries about the day to day events in residents lives which link in with the care plans. Unfortunately there were lapses in this as staff were not aware of how this could benefit the residents. The nursing staff were not checking that this information had been completed. There appeared to be a lack of proactive management and effective teamwork on the first floor which led to the needs of some residents being overlooked. The meal, which was of good quality, was disappointing at the point of delivery as little thought had been given to forward planning or common sense at the point of serving. As a result of this some food was left to go cold, people were eating desserts with soup spoons and one person came close to missing the first course. Staff were struggling to carry dishes around the home without trays. Residents were seen to be left unattended in the lounges with only the television for stimulation. Staff must make more effort to spend time with people. The home has retained a good level of odour control but on the top floor there had been some deterioration in this since the last inspection. The home should provide evidence that all agency staff have a shift induction to show that they have the information needed in the event of an emergency. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 7 Staff training records must be up to date and the registered manager must take responsibility for ensuring all staff receive the training required to provide a satisfactory level of care for residents. 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. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 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 Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4,5 Service users or their representatives are provided with information to enable them to make an informed choice about the home. The admission process includes introductory visits. The homes own pre admission assessments had improved to give more guidance on how care needs would be met. However, the home was still accepting unsatisfactory referral information from other agencies. EVIDENCE: As the home received little background information other than the physical care needs from the hospital assessment it was difficult to decide if they could meet the full range of needs. This could potentially lead to people being wrongly placed. However, a pre admission assessment carried out by the manager gave enough information to formulate a draft care plan in preparation for the person’s admission. The nurse on duty did a more comprehensive assessment of needs on the day of admission. One person had chosen the home for ease of visiting and after an introductory visit and meal. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 10 Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10, The health care plans provide clear details of the health care given but not enough information about personal preferences to inform agency and new staff how people wished to be cared for. Closer monitoring is needed if satisfactory standards of personal hygiene and care are to be maintained for the less articulate residents EVIDENCE: Several of the residents who had returned comment forms said they only felt well looked after ‘sometimes’. However, on speaking to people some said the staff were kind and they were generally well looked after, another said ‘some staff are carers, the majority are not’ as its just a job. Residents appeared neatly dressed but on closer contact with some people there was an odour to indicate they were not being washed properly after toileting. Some staff were observed to talk to residents, explain what they were doing and enter into friendly banter, others moved people about in wheelchairs without speaking, leaving them facing a chair until someone returned later to assist them to transfer into the chair. One person was reluctant to use the call bell for assistance having overheard staff complaining about someone who used their call buzzer a lot. This meant that on occasions the resident was not washed. A new resident had been told Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 12 that the call system could be ‘used in emergencies’. This could be misleading and lead to immobile residents not using the system when they need assistance with routine tasks. There is no system to ensure that new residents are assisted to settle into the home at a time when they are anxious and not sure what to expect. This appears to rely on the varying skills and compassion of the staff on duty. A resident said that the staff worked very hard and felt that 12 hour shifts were too long. Staff felt that the nurses, who were included in the ratio of carers to residents did not work as part of the team providing practical care. One person said some nurses ignore call bells, leaving it to care staff to respond. It was clear that care staff were under pressure to carry out routine tasks at peak times. Articulate residents said they were able to make choices about their routines but a comment was made that some people seem to go to bed at times to suit the staff. One person said they had difficulty understanding some of the overseas staff. A care plan examined did not describe the personal care preferences, as described by the resident, and there was no information seen in the care plans which distinguished one person from another. However there was a good description in another care file of the care and progress of an open wound. As the care staff have most contact with residents on a day to day basis they are expected to complete a weekly diary of events for each resident to provide information to review care plans. One person admitted that this had lapsed. A district nurse visited to give flu vaccinations to those who had chosen to have them. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 More able residents are offered the opportunity to participate in social and leisure activities, and to exercise choice and control over their lives. More should be done to improve the quality of life for those residents who rely on staff for all their daily needs. A good, varied and nutritious diet taking into account individual choices is provided at the home. This needs some improvements at the point of delivery. EVIDENCE: The home employs an activity organiser who organises group activities on the ground floor and tries to spend time with people who stay in their rooms on a one to one basis. Efforts are made to involve the local community in the life of the home but staff said residents have to rely on family and friends to be taken out as they don’t have the time. A trolley selling sweets and crisps has proved a popular addition to the facilities for residents. The care staff do not appear to involve people in activities though some conversed as they were carrying out personal care. A number of people said that residents who sat in the lounge were left unattended for long periods with only the TV for company. During the inspection there was no evidence that Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 14 staff went into the lounge to talk to residents or provide any stimulation, therefore most were asleep. Residents said that the night staff had more time to talk with them. The wishes of more articulate and mobile people were respected but this was not as clear for the people who had difficulty making their needs known. The meal served in the upstairs dining room was sampled. The food was tasty but not enough effort was being made to ensure the food was kept warm to allow for second helpings. Because everyone had been served, the main course had not been returned to the hot trolley. Later when a person in one of the bedrooms was taken dessert it was found that she had not had a first course. Portions of sponge pudding made for Diabetics had been left on a side table going cold, people were given soup spoons for their dessert (this has been noted in previous inspections) and staff were trying to carry several dessert dishes to people in their rooms without a tray. A member of staff admitted that residents do not always get a drink between meals if staff are busy. This has been brought to the CSCI in the past as a complaint and was said to have been resolved. The organisation and team work at mealtimes needs to be managed to a satisfactory standard for the benefit of residents and staff. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Residents and their relatives have their views listened to, taken seriously and action is taken to resolve issues. EVIDENCE: The home has a good complaints log which shows what action has been taken. Complaints dealt with by the manager had been resolved but he was still waiting for a response from a complainant about the findings of a recent investigation. One anonymous complaint was made to the CSCI leading to an additional visit to the home in June. The complaint concerned the following: Inappropriate admission to the home Staff not trained to deal with challenging behaviour Manager’s refusal to provide protective masks The complaints were partially upheld. The requirements and recommendations arising from the complaint are included at the end of this report. The operations manager held a meeting with the staff team following the additional visit to discuss the matters raised by the complainant. One person said that if residents ‘have anything to say, it is not pooh poohed’ and another had felt confident to complain to the manager when she was offended by the way an agency employee had spoken to her Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,22,23,24,25,26 The home offers a clean, safe, environment for the residents and provides appropriate bathing, toilet facilities and specialist equipment. Systems are in place for the upkeep and maintenance of the building. The home has been making every effort to have the automatic door closer system repaired. Residents and staff had been experiencing considerable inconvenience in the meantime. Some work is needed to maintain satisfactory levels of odour control in all parts of the home EVIDENCE: The home provides accommodation in line with current standards therefore all rooms are single with en suite toilet and washbasin. Some residents rooms contained items of personal furniture and possessions which made them distinctive and comfortable, others were furnished with the minimum supplied by the home and gave no indication of the tastes and interests of the occupant of the room. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 17 The home has a good range of specialist equipment and liaises with other agencies to ensure residents’ needs are met. The home was clean and some parts of the home had been redecorated and furniture replaced. The home was free from unpleasant odours with the exception of the main lounge upstairs where there was an underlying odour. This area appeared functional but impersonal and would benefit from some ‘homely’ touches to provide a more stimulating environment for the residents who sit there. An engineer was working in the home to fix the door closer system linked to the fire alarm. This had not been working properly for some weeks, despite repeat visits by the engineers. As doors cannot be propped open this causes difficulties for residents and staff trying to go about their daily tasks. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,29,30 The recruitment and selection procedures protect service users. A training programme is in place to train staff to be able to understand and meet the needs of the service users. Training records were not up to date therefore it was not clear who had done what training. The target of 50 staff with NVQ had not been achieved and the standard of some practices seen on the day of the inspection indicated staff need further training and management in the basic principles of care. More effective leadership is needed on each shift to ensure resident care is of a consistent standard. EVIDENCE: The recruitment and selection records were examined for the two most recently appointed members of staff. Each applicant is given a copy of the staff handbook and a job description. The job description includes the essential and desirable attributes for the job. The interview check list and notes gave a general overview of what was covered in the interviews. Only one of the interviewers had completed the check lists. Each interviewer must show evidence that the full employment history has been checked and make notes of the interview if a balanced judgement is to be made. The induction record for one person had not been signed as having been completed The training programme records showed that the following topics had been offered:Manual handling, Fire, Challenging behaviour, Medication, Infection control, Tissue viability, Sensory skills, Health and safety and Food hygiene. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 19 The records of a number of staff, including nurses, did not show evidence of any training since 1999 and 2003 and some had nothing on their record. This, it was said, was a shortfall in the records which needed updating. The inspector was not provided with information on the number of staff, if any, with the NVQ award. Nurses are included in the number of staff providing care on each shift but staff felt as most of their time was spent giving medication or writing there were not enough staff to provide for residents care needs at peak times. The home has used a lot of agency staff recently to maintain staffing levels. The agency is asked to try to send staff who have been to the home before to give residents some continuity of care. The home does not have an induction checklist for new agency staff therefore there is no evidence that they have the information to know what to do in the event of an emergency. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,36 The manager has the qualifications and knowledge to provide leadership and is well supported by the operations manager. However, the home needs firm management throughout the home and throughout the week if standards of care are to be satisfactory in all parts of the home. EVIDENCE: It was disappointing to find that the home manager was still without the support of a deputy as the person appointed left after three days. The post has been re advertised and in the meantime the operations manager was giving support to the manager. Past evidence has shown that the home needs the continuity of a strong management team. The manager has re introduced staff supervision. A few staff had received supervision with the following topics covered:- Sickness, routines , keyAcre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 21 working, care plans , core values, administration of medication and moving and handling. A residents and relatives meeting was held in November. The minutes showed that people had commented on the lack of staff presence around the home, the suitability of TV programmes and background music and labelled laundry not being returned to the right rooms. Residents appeared to be confident that matters brought to the attention of the manager would be dealt with. A Health and safety meeting had led to a plan of action being developed. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 22 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 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x 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 x 18 3 3 x 4 3 3 3 3 2 STAFFING Standard No Score 27 x 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 x x 3 x 3 Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? 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 OP7 Regulation 12,15,18 Requirement Care plans must show that residents personal preferences have been taken into consideration and personal care for all residents must be of a satisfactory standard The standard of the organisation and management of mealtimes must be improved to ensure residents needs are met. A satisfactory level of odour control must be maintained in all parts of the home The home must have a minimum ratio of 50 Care staff with the NVQ award Senior staff responsible for shifts must receive training to give them the management skills to ensure care is of a satisfactory standard Managers and staff must ensure that the home is run in the best interests of all the residents Pre-admission assessments must be undertaken that include information on all aspects of service user needs. COMPLETED Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 24 Timescale for action 31/03/06 2 OP15 18 31/01/06 3 4 5 OP26 OP28 OP32OP30 OP27 23 18 12,18 31/01/06 31/12/06 31/03/06 6 1 OP33 OP4OP3 18(1)a,(1) c, (2)(3) 14 31/01/06 29/06/05 2 OP27OP28 OP30 18.1(a)(c) Staff must receive training that equips them to meet the needs of service users, i.e. managing and understanding challenging behaviour, communicating with service users, and infection control in relation to MRSA. SOME STAFF HAVE HAD TRAINING Care plans must include aims as to how identified needs, prior to and at admission, are to be met MANAGER HAS DONE The daily log must record all events and allow for cross referencing of accident, incident, medical interventions, etc. The current records do not give a true picture of care given by staff or the quality of life experience by service users INTRODUCED BUT NOT BEING KEPT UP TO DATE 31/03/06 3 OP7 15.1 15.2(b) 31/07/05 4 OP7OP8OP 37 17.1a Sch 3 para.3 29/06/06 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 Refer to Standard OP33 OP1010.5 OP88.7 OP32OP31. 7OP44 OP88.7 Good Practice Recommendations The manager should ensure that assessments of need from other agencies give sufficient information to identify what those needs might be. Staff should be aware of behaviour which may breach confidentiality The home should have a system to ensure new residents are assisted to settle into the home Managers of shifts should provide leadership and take more responsibility for ensuring systems are followed Staff on the nursing unit should spend more time with residents to meet their social and emotional needs DS0000001317.V258472.R01.S.doc Version 5.0 Page 25 Acre Green Nursing Home 1 2 30 38 Staff should receive training from specialist providers. Staff should receive support and guidance following training to ensure the knowledge is used appropriately The manager should acknowledge and respond to staff concerns about their health and safety at work. Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 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 Acre Green Nursing Home DS0000001317.V258472.R01.S.doc Version 5.0 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. 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