Inspection on 16/07/07 for Albany House Nursing Home

This inspection was carried out on 16th July 2007.

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

Albany House Nursing Home 20/07/06

Albany House Nursing Home 06/01/06

Albany House Nursing Home 23/03/05

Albany House Nursing Home 03/11/04

Albany House Nursing Home 17/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Albany House Nursing Home Albany Washington Tyne & Wear NE37 1BJ Lead Inspector Irene Bowater Key Unannounced Inspection 09:00 16th July 2007 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 Albany House Nursing Home DS0000018186.V340416.R02.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. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albany House Nursing Home Address Albany Washington Tyne & Wear NE37 1BJ 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) 0191 415 3481 0191 417 3433 Cotswold Spa Retirement Hotels Limited (wholly owned subsidiary of Four Seasons Healthcare Ltd) Mrs. Enid Hansford Care Home 38 Category(ies) of Dementia - over 65 years of age (17), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (20) Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The MD(E) service user category relates to the current service user only. 20th July 2006 Date of last inspection Brief Description of the Service: Albany House offers permanent accommodation with nursing and personal care for up to thirty-eight older people. The home accommodates persons with general nursing care needs on the ground floor and persons with dementia care needs on the first floor of the building. The home does not provide nursing care for people with dementia. The property is situated in a residential area of Washington and is within walking distance of a range of local amenities, including a large shopping complex with a post office, banks and a pub. Churches of three denominations are also nearby. The area is well served by public transport. Accommodation is provided over two floors, each with self-contained facilities including lounges, dining areas and bathrooms. Externally generous car parking is available, along with a pleasant, secure courtyard area, which service users can enjoy in good weather. The home has developed a Statement of Purpose and Service User Guide that informs people of the aims and objectives of the home. These are readily available in the home. The current fee ranges for this home are between £359 and £492 per week The nursing care element is extra and is set nationally. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit on 20 July 2007 • How the service dealt with any complaints and concerns since the last visit • Any changes to how the home is run • The provider’s view of how well they care for people • The views of people who use the service and their relatives, staff and other professionals The Visit: An unannounced visit was made on 16 July 2007 During the visit we: • Talked with people who use the service, relatives, staff, the manager and visitors • Looked at information about the people who use the service and how well their needs are met • Looked at other records which must be kept • Checked that staff had the knowledge, skills and training to meet the needs of the people they care for • Looked around the building to make sure it was clean, safe and comfortable • Checked what improvements had been made since the last visit We told the regional manager what we found. What the service does well: The staff collect information together about the person before anyone moves into the home to make sure they can meet their needs. Staff involve the residents, their representatives and other professionals in the care planning to makes sure their needs can be met. The staff have formed good relationships with the residents and make sure their rights to privacy and dignity are met. There is good communication with other professionals to ensure peoples health care needs are met. The meals are nutritious, nicely presented and choices are available. Visitors are made welcome and there are good links with the local community. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 6 Residents and relatives said they would be able to use the complaints procedure if they had a concern. The activities organisers work hard to provide activities inside and outside of the home. The staff receive the training they need to care for the residents needs. The recruitment policies are followed. The home is nicely decorated, clean and bright. Comments from returned surveys said “We are lucky to have chosen Albany” “There is a comfortable, caring atmosphere” “Nothing is too much trouble” “The staff are lovely and look after X” “I am always made very welcome” “Every effort is made to make sure they are well cared for” “It’s lovely and clean” “I never worry about X” “Everyone works together” What has improved since the last inspection? What they could do better: The staff must make sure that all handwritten directions on the Medicine Charts are clear with no crossings out. The garden area needs to be landscaped so that it is a safe and attractive place for residents. The lift must be repaired. Surveys said “I feel X spends a lot of time on her own as staff are always busy” Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 7 “X could do with more company as the staff are busy” The manager needs to continue to look at how meal times can be better managed. Sufficient staff needs to be available in the nursing unit at meal times so that support and assistance is given on an individual basis. 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. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments give lots of information about the person’s needs on admission. This ensures that individual needs can be identified and planned for. EVIDENCE: Care plans show that the manager carries out comprehensive assessments before any resident is admitted. The care managers’ and nurse assessments were also available. Information is also available about residents’ previous lifestyles, including background, cultural, religious or other needs and how this will help residents to settle into the home. The assessment looks at what each person can do to take of themselves and what support they will need with the tasks of daily living and personal and Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 10 health care. Where possible the relatives and representatives are involved in this process. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans are comprehensive and person centred. This ensures people’s needs are recognised and fully met. Health and personal care is well met so that the care people receive is based on their individual needs. Robust systems for the administration of medicines are in place and ensure that people using the service receive their medication safely. A good level of personal support is in place, which promotes peoples rights to privacy and dignity. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 12 EVIDENCE: All of the plans were clearly set out and up to date. Accredited assessments tools for the prevention of pressure sore and wound care, moving and assisting, catheter care, continence promotion, nutrition and mental health status were completed and reviewed and updated monthly. Care plans are regularly reviewed and updated according to changes in social, personal and health care needs. Residents who have reduced appetite or low weights are regularly weighed and intervention sought from dieticians. Their recommendations are acted upon and the care plans updated as necessary. Up to date information regarding changes in wound care is documented on a regular basis and regular reviews take place with residents’, their relatives and care managers to make sure the home is still meeting their needs. Clear information is available about peoples’ previous lifestyles and preferences This information is used to make sure that they receive a person centred approach to their care needs. Daily and weekly progress reports are available and these are used to make sure the appropriate care is given at all times. Some of the wording in these records is not appropriate For example “Nasty to staff and winding residents up” “Obstinate” “Won’t move” The residents have access to all NHS facilities to ensure their healthcare needs are met. There are regular visits from GP’s and other health professionals including, dentists, opticians and chiropody services. There are appropriate pressure relieving devices available to support the staff and residents in daily activities. Advice is sought from, psychiatrist’s occupational therapists, tissue viability specialists, speech therapists and continence advisors. Visits from the multi disciplinary team are recorded in individual care plans. The home has comprehensive medication policies and procedures for staff to use. Records are in place for all medicines received, administered and disposed of. An audit of Controlled Drugs showed no discrepancies. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 13 Handwritten directions on the Medicine Administration Records (M.A.R.) had been changed. Instead of rewriting the staff had just crossed out the original direction and put the new direction in the same place. This could cause the wrong amount of medication to be given. There is a register of staff who are authorised to administer medication. There were no extra stocks and the medicine trolley was clean and tidy. None nursing staff have completed training in Safe Handling of Medication. There was a good rapport between staff, residents and relatives, which was friendly and professional. Care was delivered in private and staff were seen to knock on doors and wait for permission before entering. Albany House Nursing Home DS0000018186.V340416.R02.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. Residents are well supported to take part in a range of social activities, which provides stimulation and interest for those living in the home. Support from relatives and representatives provide residents with opportunities to maintain their previous lifestyles. Residents are well supported to make choices and take control over their lives. Choices of nutritious and appetising meals are available to ensure individual dietary needs and preferences are met. EVIDENCE: The home benefits from having a designated activities person. Activities and events are displayed throughout the home. These include various ball games, bingo, listening to music, and trips out to the coast. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 15 On the day of inspection it was hairdressing day and in the afternoon residents joined in “keep fit” exercises. Some of the residents cannot or choose not to join in-group activities and they have individual time allocated with the organiser. Records are kept in each residents individual care file giving information about the activities or social interaction that they have taken part in. These were all up to date. There is also a social profile with individual information so that each resident has some sort of activity tailored to him or her. Visitors were seen to come and go throughout the inspection. They are able to use the lounges or residents bedrooms for visits. It was confirmed that there are no restrictions on visiting times. Comments included “They are lovely staff” “We are always welcomed”. Residents have brought small items with them making their rooms personalised and reflective of their previous lifestyles. There are dining rooms on each floor of the home. The lunchtime meal is taken to the dining rooms in a “hot lock” trolley and the cook serves the meals. Residents living on the nursing unit have their breakfast served in their own rooms. Residents on the upstairs unit may have breakfast in their room or in the dining room. Hot and cold drinks with biscuits or home bakes are available throughout the day. The lunchtime menu is written on a chalkboard upstairs but the menu downstairs is only in small print and was not readily available. There was a choice of sausage casserole or corned beef pie with potatoes, carrots and cabbage for main course followed by apple crumble and custard. Alternatives for dessert included ice cream or yoghurt. Upstairs the mealtime was unhurried with staff assisting in a sensitive manner. Tables were set and residents had access to drinks and condiments as they wished. The dining room on the nursing unit was busy. Several of the residents sit a large rectangular table with four staff to assist them to eat their meal. Ten residents need support in the dining room and seven residents who stay in their rooms also need assistance. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 16 The four staff followed good practice by supporting one person at a time while prompting others, however there were more people who needed help that staff available to undertake this role. This was discussed with the regional manager who agreed to look at how mealtimes and staffing at peak times could be better managed. There was ample food, nicely cooked and presented. Residents said “The food is nice” “I get plenty to eat” Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 17 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. The complaints procedures are clear and easily accessed. This helps people to feel confident that their views are listened to and acted upon. Robust arrangements for Safeguarding Adults help to protect people from harm. EVIDENCE: The home has detailed complaints procedures, which clearly sets out how and to whom to make a complaint. The procedure is available in the Statement of Purpose, Service User Guide and is displayed in the home. On admission all residents receive a “Welcome Pack” which also contains information about how to complain. The home keeps a full record of complaints, which include details of the investigation and any action taken. Information provided by the home shows that eleven complaints have been received during the last twelve months. All were resolved within twenty-eight days with three being upheld. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 18 The policies and procedures for Safeguarding Adults are available and give clear guidance to those using them. Staff understand when incidents need to external input and who to refer the incident to. There has been one referral since the last inspection, which has been resolved to everyone’s satisfaction. Training of staff is regularly arranged and follows Local Authority and the Company’s guidance. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, warm, well maintained and suitably decorated so that the residents have a homely and comfortable place to live. EVIDENCE: The two units have their own lounges and separate dining rooms. There is a designated smoking room for residents to use on the upstairs unit. Residents can easily access the central garden area. This is in need of landscaping to make it a safe and pleasant place to be especially in the warmer weather. All areas are well decorated and furniture in communal areas is domestic in style. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 20 The home has two lifts one of which has been out of service for some time. In the dementia care unit residents have personal photograph boards on their doors so that they can find their rooms more easily. The unit is decorated with the colours and sensory trigger areas to help them find their way around the unit. The bathrooms and toilets are fitted with appropriate aids and adaptations to meet the different needs of the residents. The residents have been encouraged to bring small items into the home, making their bedrooms highly personalised and reflective of their lifestyles. All areas of the home were clean, tidy, well lit and fresh smelling. The laundry is kept locked when not in use and was clean and organised. There are infection control policies and procedures in the home. All staff followed the procedures and confirmed that they had completed infection control training. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 21 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. The current staffing levels is sufficient to meet the residents’ needs. A detailed training programme is in place to ensure staff has the competence to care for the residents needs. The residents are kept safe and supported by comprehensive recruitment procedures to prevent unsuitable people from working in the home EVIDENCE: Each unit in the home is staffed separately. On the nursing unit there is one registered nurse on duty throughout the twenty-four hour period. Three care staff supports the nurse during the day until eight pm. From then until eight am there is one carer. Two carers staff the dementia care unit over twenty-four hours, one of whom is either the unit manager or senior carer. Ancillary staff includes, administrator, maintenance, activity organiser, cook, kitchen, laundry and domestic staff. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 22 The levels of dependency on the nursing unit are high with at least seventeen residents needing staff to assist them with all of their care needs. This was especially noticeable at meal times. Residents were grouped together at the table and staff were not able to spend time assisting residents on an individual basis. The staffing levels at peak times were discussed at the time of inspection and the regional manager agreed to review the mealtime and how staff were deployed. The home continues with NVQ level two training with over 50 holding the qualification. Staff files showed that the recruitment procedures are followed. All contained evidence of completed application forms, interview records, two written references, terms and conditions of employment and induction records. Criminal Record Bureau and POVA First checks are carried out and these records are held securely. Personal Identification Numbers (P.I.N.) numbers of qualified nurses are checked with the Nursing and Midwifery Council to make sure nurses are registered. Each member of staff has a separate training and development file. Evidence from the files and from discussion with staff confirmed that they have received training in moving and assisting, first aid, food hygiene, and infection control and fire safety. Other training includes, care planning, wound care, dementia care, and safe guarding adults. There was plenty of information available for staff to use, including achieving best practice in Medication Administration, swallowing difficulties, and exploring Palliative Care for people with Dementia. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 23 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, 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 has an experienced and proficient manager who provides leadership. This ensures the home is run in the best interests of people using the service. Clear systems for consultation and quality monitoring make sure that the views of residents are sought and acted upon. Residents personal accounts are well managed to ensure their best interests are protected. The health, safety and welfare of residents are being protected as far as reasonably possible. EVIDENCE: Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 24 The registered manager is experienced and competent to manage the home. She continues to update her knowledge to continually improve the service for the people who live in the home. The company’s’ quality assurance systems are in place System includes the monitoring of complaints, maintenance, catering and domestic services within the home. The manager is responsible for monthly audits of care files, medication and financial records. The regional manager carries out regular audits and reports with actions and outcomes are available in the home. Residents and families are asked to complete quality questionnaires every year and these are sent directly to Head Office. Residents have individual balance sheets that records information about their personal monies. They have access to money through a float held by the home through the administrator or manager. Balances are reconciled weekly and all transactions have two signatures. There are copies of the accounts in paper form and on the computer. The manager also checks and audits the system.. It is not possible to audit individual monies as all money is held in a central non-interest bearing account. Staff have had training in safe working practices with records kept. Fire training is completed every three months for night staff and six months for day staff. A fire risk assessment is available and up to date. Water temperatures are recorded to ensure temperatures of 44 C is not exceeded. Accidents are clearly recorded and the manager completes monthly accident analysis to examine and track any trends. All internal maintenance checks are dated and signed. External service contracts were available and up to date. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 25 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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 2 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 Requirement Timescale for action 01/09/07 2 OP19 23 3 OP22 16,23 The registered persons must ensure that all handwritten changes on the Medicine Administration Records are re written in full. The registered persons must 01/10/07 ensure that the courtyard garden area is kept safe, tidy and attractive The registered persons must 01/10/07 ensure that the lift is repaired. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 27 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 Refer to Standard OP7 OP15 OP27 Good Practice Recommendations It is highly recommended that the wording in the daily records on the dementia care unit is none judgemental. It is highly recommended that the management of mealtimes especially lunch time is reviewed It is highly recommended that the deployment of staff at peak times be reviewed. Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Albany House Nursing Home DS0000018186.V340416.R02.S.doc Version 5.2 Page 29 - 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!