Inspection on 25/05/06 for Ashley Park Nursing Home

This inspection was carried out on 25th May 2006.

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

Ashley Park Nursing Home 07/08/07

Ashley Park Nursing Home 27/10/05

Ashley Park Nursing Home 17/05/05

Ashley Park Nursing Home 17/11/04

Ashley Park Nursing Home 15/06/04

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

CARE HOMES FOR OLDER PEOPLE Ashley Park Nursing Home The Street West Clandon Guildford Surrey GU4 7SU Lead Inspector Denise Debieux Key Unannounced Inspection 25th May 2006 10:00 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 Ashley Park Nursing Home DS0000017588.V295885.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. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley Park Nursing Home Address The Street West Clandon Guildford Surrey GU4 7SU 0113 381 6100 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) BUPA Care Homes (BNH) Limited Mrs Ladan Roxanna French Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47), Physical disability (1) of places Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate service users from the age of 60 years Up to one (1) service user may be a person with physical disability from the age of 50 years 27th October 2005 Date of last inspection Brief Description of the Service: Ashley Park is a large, attractively presented detached property set in pleasant grounds in the village of West Clandon. The home is owned by BUPA and the service is registered to provide care, accommodation and facilities for up to 47 older persons requiring nursing care. The accommodation and facilities are set over three floors with a passenger lift access to all floors. However, there are two bedrooms that require service users to negotiate two sets of four stairs from the lift to the rooms. These rooms are reserved for respite care or people who are independent and mobile. The communal areas are all found on the ground floor and consist of a sun lounge, a drawing room, a large dining room and a very large activities room that is also used as the hairdressing salon and physiotherapy room. The home has very large gardens that run down to the neighbouring golf course. The grounds closest to the home are well maintained, with many seating areas around the house and a sun gazebo in the grounds. There is plenty of parking to the front and around the side of the home. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place over 7 hours and was carried out by Denise Débieux, Regulation Inspector. Mrs Ladan French (Registered Manager) was present as the representative for the establishment. A tour of the premises took place. Fifteen of the twenty-four service and five on-duty staff were spoken with during the visit. In addition, five service user survey forms and four relatives’ survey forms were completed and handed in to the inspector on the day of this visit. Some of the comments made to the inspector and made on the survey forms are quoted in this report. The home had completed a pre-inspection questionnaire and service user care plans, staff recruitment records, incident reports, complaint’s log, health and safety check lists, menus, activity schedule, medication records and storage were all sampled. The lunchtime meal and medication round was observed and the home was toured. The inspector would like to thank the service users and staff for their time, assistance and hospitality during this visit. What the service does well: What has improved since the last inspection? The ongoing maintenance, redecoration and refurbishment programme provides service users with a safe and comfortable environment in which to live. Since the last inspection the staff recruitment practises have greatly improved and service users are now only admitted following a comprehensive assessment. Improvements were also seen in the details provided in the care plans. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 6 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. Ashley Park Nursing Home DS0000017588.V295885.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 Ashley Park Nursing Home DS0000017588.V295885.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 6 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Each service user is only admitted to the home following a comprehensive needs assessment. The home must ensure that service users are not admitted to the home outside of their category of registration and that staff are suitably qualified to meet the service users needs. The home does not offer intermediate care. EVIDENCE: The care plans sampled all contained detailed assessments of the service users’ needs and included information regarding their preferences and previous likes and dislikes. On the pre-inspection questionnaire it was stated that seven service users had dementia. As the home is not registered to provide accommodation for people with dementia, the files for these service users were also sampled. Of the seven people named, one was no longer at the home. Of the remaining six service users only one had a confirmed diagnosis of dementia as the primary Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 9 reason for admission. The others had records of confusion with two having a diagnosis of possible dementia. In discussion with the manager it was established that there are three members of staff who have had some training in caring for people with dementia, although those three do not include the manager or the deputy manager who carry out pre-admission assessments. The home must make sure that service users are only admitted within their categories of registration, which is ‘old age, not falling within any other category, with one bed available for a person with a physical disability.’ Requirements have been made and the home must take steps to ensure that the staff at the home are suitably qualified, competent and experienced to ensure that all aspects of the personal, health and social care/activity needs of all service users are appropriately assessed and met. All service users surveyed stated that they had received enough information prior to making a decision to move to the home and all service users spoken with felt that they received the care and support they needed. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 10 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, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. Policies, procedures and practices are in place to ensure the safe administration of medication. EVIDENCE: Care plans sampled were comprehensive and set out actions which need to be taken by care staff to ensure that the health and personal care needs of the service users are met. These care plans were detailed and included appropriate risk assessments and any personal assistance required, with emphasis placed on the way the service users want their care to be provided. The pre-admission assessment and care plans had been signed and dated by the person completing the forms. However, some other assessment forms (i.e. nutritional assessments) had not been signed and a recommendation has been made. Care plans are reviewed on a monthly basis, with the service user signing to indicate their agreement. Daily notes are kept that reflect the care given and any changes or new concerns are recorded and acted upon. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 11 In one care plan there was reference to a service user having problems with nausea. Whilst it was clearly documented in the daily records whenever the service user had been unable to eat, there was no record being kept of what and when the service user did eat. A recommendation has been made that the staff relate their daily records more specifically to the actions stated in the care plans and to indicate that goals and needs are being met, and that problems are being suitably monitored. During the tour of the home staff were observed to always knock before entering the service users’ bedrooms and all interactions observed between staff and service users were seen to be caring and respectful. One service user said that she felt she was well looked after and that the ‘staff are very kind’. All relatives surveyed stated that they were satisfied with the overall care their relative receives. The medication administration records, medication storage, policies and procedures were all sampled and found to be in order. The lunchtime medication round was observed and seen to be in line with the home’s policies and procedures. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities are flexible and varied to suit individual service users’ wishes. Contacts with family and friends are encouraged and service users are encouraged and enabled to exercise choice and control over their lives. The meals in this home are good, offering both choice and variety. EVIDENCE: The routines of daily living are arranged to suit individual service users’ preferences and choices. This was reflected in the care plans sampled and confirmed by service users spoken with. The home employs two activity organisers, who both work three days a week. The activity schedule was seen and included quizzes, art classes, bingo, word games, skittles, exercises and other activities. On the day of this visit the inspector spoke with service users who were attending the art class. All service users stated how much they were enjoying the class and also mentioned that they were looking forward to the afternoon bingo session. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 13 Service users are able to choose which activities they attend or participate in and their individual rooms were all seen to contain many personal possessions which were arranged to suit their individual wishes. There are no restrictions to visiting times and staff support and encourage service users to maintain family links and friendships inside and outside the home. Relatives surveyed all said that they felt welcome at the home at any time. Menus sampled showed that the home offers a varied and well-balanced menu, with service users able to choose alternatives if they do not want the dish that is on the menu on the day. The lunchtime meal took place during this visit and the food was well presented with all service users saying how much they had enjoyed their meal. During the meal the atmosphere in the dining room was pleasant and relaxed, with ample staff available to offer help and assistance as needed. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a simple, clear and accessible complaints procedure which includes timescales for the process. All required policies and procedures are in place to ensure that service users are safeguarded from harm or abuse. EVIDENCE: There have been no complaints to the home or to CSCI since the last inspection and all service users spoken with were aware of who to talk to if they were unhappy with their care. During this visit it was noted that the home had an out of date copy of the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults and that this was hard to locate within the office. The manager downloaded and printed out a copy of the latest procedure before the end of the day and it is recommended that this is now brought to the attention of all staff and stored somewhere that all staff can readily access and refer to. The manager stated that she had attended the Surrey course on the protection of vulnerable adults about two years ago but was not clear on the exact procedure to follow. In addition there have been some changes to the local procedure and it is recommended that the manager and deputy manager enrol on and attend the Surrey course to ensure that they are aware of and following the most up to date procedures. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 15 All service users spoken with said that they felt safe at the home with one service user commenting: ‘Oh yes, very.’ Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home and gardens are suitable for their stated purpose. An ongoing maintenance and redecoration programme provides the service users with clean, pleasant and homely surroundings in which to live. EVIDENCE: The and and and home was toured and found to be well-maintained with fixtures, fittings furnishings of a high standard. The bedrooms seen were all well decorated many contained the service user’s own items of furniture, photos, pictures ornaments. An Environmental Health Officer carried out an inspection in January of this year and four recommendations were made. The home has attended to three of these recommendations but there is one outstanding regarding painting a window frame in the kitchen. A requirement has been made that this work now be carried out. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 17 The home provides a number of communal areas including a sun lounge, activities room, dining room and lounge. The grounds are extensive and provide pleasant views from the home. Laundry facilities are provided, with washing machines suitable for the needs of the service users at the home. On the day of this visit the home was found to be warm and bright with a homely atmosphere and a high standard of housekeeping apparent. Service users spoken with were happy with their rooms and all surveyed said that the home is always fresh and clean. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 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): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing numbers meet service users’ needs. The home has a staff training programme which is designed to ensure, as far as reasonably possible, that service users are in safe hands at all times but must be reviewed to include specific training to meet the needs of all service users accommodated at the home. Staff recruitment procedures have improved but work needs to be completed on making sure that all required information has been obtained on current employees. EVIDENCE: From information given on the pre-inspection questionnaire, out of fourteen care workers, seven are qualified to National Vocational Qualification (NVQ) level 2 in care or higher. BUPA have a training department and all new staff are provided with comprehensive induction training, which covers all areas identified in the Skills for Care induction standards. The staff rota was sampled and the numbers of staff provided were found to be appropriate to the needs of the service users at the home. During this visit, three staff files were sampled. The files were seen to contain all required documentation and appropriate checks had been carried out. The Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 19 manager still needs to double check and ensure that applicants/employees have given full employment histories with any gaps explained. BUPA have amended their care worker application form to say that a full employment history must be given but the forms for managers and trained staff still only request the past 10 years. This was discussed with the manager and the amended Schedule 2 requirements from The Care Homes Regulations 2001 were reviewed in some depth. On one application form the applicant had only given the dates of employment as years (e.g. 2003-2004) and whilst on the surface it appeared there were no gaps in employment, without having details of the month, as well as the year that employment commenced and ceased, it was not possible to ascertain whether a full employment history had been provided and verified. At the last inspection, numerous concerns were raised regarding the staff recruitment procedures at the home. The inspector was pleased to note at this visit that there has been a great improvement. The home also had clear written confirmation from external agencies providing staff, that the agency had carried out all required checks for each person supplied. The inspector commends the manager for her diligence in this regard. There was a poster from the General Social Care Council (GSCC) in the nurses’ office and some staff have been provided with a summary of the GSCC code of conduct and practise. However, all staff should be provided with a full copy of the code and a requirement has been made. During this visit the manager was able to download a copy of the code from the internet and stated that she would see that all staff receive a copy. The inspector was advised that a training day is planned, at the end of June, for all managers in recruitment and the protection of vulnerable adults. The need for staff training in the care of service users with dementia and for the manager and deputy manager to attend an update on the Surrey procedure for the protection of vulnerable adults has been addressed earlier in this report. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 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, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from the clear management approach at the home. The home has a quality assurance and monitoring system in place that is based on seeking the views of the service users. Service users’ financial interests are safeguarded by the policies and practices of the home. All other policies, procedures and practices are in place to ensure, so far as is reasonably practicable, the health safety and welfare of service users and staff. EVIDENCE: The manager is a registered nurse and holds the Registered Manager’s Award (RMA) qualification. Mrs French has been qualified since 1984 and began working in care homes in 1992. She has been the manager at Ashley Park since January 2003. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 21 BUPA carry out a bi-annual service user survey. When the results have been correlated a report is sent to the home and an action plan is developed to address any issues that are identified. The survey for Autumn 2005 was seen at this visit and is available to service users and their relatives. In order for this standard to be fully met the home will need to expand their quality assurance system to include seeking the views of stakeholders in the community (e.g. GPs, chiropodists, care managers and other health and social care professionals). All service users spoken with were happy with their quality of life at the home and were complimentary about the staff team and the accommodation provided. All policies, procedures , practices and safety checks are in place to ensure, so far as is reasonably practicable, the health safety and welfare of service users. Staff were observed to be following these procedures on the day of this visit. All interactions observed between the manager, staff and service users were inclusive, caring and respectful. Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 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 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 23 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 OP3 OP30 Regulation 14(1)(a) Requirement Timescale for action 25/07/06 2 OP4.1 3 OP4 OP30 4(3)(b) 12(1)(a) (b) Care Standards Act 2000 Section 24 18(1)(a) (c)(i) 12(1)(a) (b) The registered person must not provide accommodation to a service user unless the needs of the service user have been assessed by a suitably qualified or trained person. (With reference to the persons carrying out pre-admission assessments of service users with dementia.) The registered person must 25/05/06 ensure that service users are not admitted outside of their category of registration. (With reference to service users with dementia) The registered person must ensure that staff are suitably qualified, competent and experienced and receive training appropriate to the work they are to perform. (With reference to all staff, including activity organisers, working with and planning care for service users with dementia.) The registered person must identify any service users with dementia and arrange for their DS0000017588.V295885.R01.S.doc 25/07/06 4 OP4 14(1) (a-d) 25/07/06 Ashley Park Nursing Home Version 5.2 Page 24 5 OP19.5 12(1)(a) 23(5) 6 OP29.2 19(1)(b) Schedule 2(6) 7 OP29.4 18(4) 8 OP33.10 10(1) personal, health and social care needs to be fully assessed by a person suitably qualified or trained to assess people with dementia. Once completed the registered person must send a report to CSCI, Eashing office, setting out how the home is meeting or plans to meet the identified needs. The registered person must make arrangements for the window frame in the kitchen to be painted per the recommendation of the Environmental Health Officer report dated 04/01/06. The registered person must review all staff recruitment files (for staff employed since the 26th July 2004) and ensure that they contain a full employment history with extra care being taken to establish that there are no gaps in employment. Where potential gaps are identified they must be fully explored and a satisfactory written explanation of any gaps obtained. The registered person must supply a full copy of the Code of Conduct and Practise, set by the General Social Care Council (GSCC), to all staff. The registered person must submit, to the CSCI, Eashing office, an improvement (action) plan, setting out exactly how requirements 1-7 will be met in full. The plan must include specific timescales for completion of each requirement. 25/06/06 25/07/06 25/07/06 25/06/06 Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP8 Good Practice Recommendations It is recommended that the staff relate their daily records more specifically to the actions stated in the care plans and to indicate that goals and needs are being met and that problems are being suitably monitored. It is recommended that registered nurses review the Nursing and Midwifery council requirements for records and record keeping and ensure that all documents are signed and dated by the nurse carrying out the assessment. It is recommended that all staff are made aware of the contents and location of the latest version of the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults. It is recommended that the registered manager and deputy manager enrol on the next available Surrey Multiagency course for the protection of vulnerable adults. It is recommended that the registered manager establish the contact number for the local Social Care Team, for referral of any vulnerable adult concerns, and keep this number readily available in the folder with the local, Surrey procedure. It is recommended that the quality assurance system is expanded to include seeking the views of stakeholders in the community (e.g GPs, chiropodists, care managers and other health and social care professionals). 2 OP8 3 OP18 4 5 OP18 OP18 6 OP33.7 Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Ashley Park Nursing Home DS0000017588.V295885.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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