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Inspection on 26/07/05 for Ashridge Court Nursing Centre

Also see our care home review for Ashridge Court Nursing Centre for more information

This inspection was carried out on 26th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Ashridge Court provides a high standard of nursing and personal care to all residents. Comments made on the day of inspection include: `the care couldn`t be better` and is considered to be `consistently good`. The home is wellmaintained to a high standard throughout. It is well managed, and staff were found to be experienced, kind and caring. Residents are encouraged to have a say in how the home is run, through the use of regular residents` meetings. A variety of daily activities are arranged within the home, which residents speak highly of.

What has improved since the last inspection?

The home has continued to provide a consistent approach to care. Residents` care plans are now shared with and signed by the residents and their relatives / representatives as necessary. All policies and procedures have been consolidated and made more accessible to staff. A physiotherapist now visits the home approximately once a week to provide individual care to residents, and an Occupational Therapist has been approached to provide a detailed assessment regarding specialist services.

What the care home could do better:

The home needs to ensure that their pre-admission assessment document is reviewed, in order to allow the assessor to make a thorough assessment of all care needs prior to admission. This would enable the home to plan and implement a more detailed plan of care for staff to follow. The home also needs to consider how they will ascertain individuals` wishes regarding dying and death. This needs to be recorded. Finally, the home needs to ensure that the safety of residents is of paramount importance. Concerns were raised in respect of the storage of hazardous substances and recruitment procedures.

CARE HOMES FOR OLDER PEOPLE Ashridge Court 163 Barnhorn Road Bexhill on Sea East Sussex TN39 4QL Lead Inspector Niki Palmer Unannounced 26th July 2005 10:00 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 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. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashridge Court Ltd Address 163 Barnhorn Road Bexhill on Sea East Sussex TN39 4QL 01424 842357 01424 848570 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ashridge Court Ltd Mrs Elizabeth Teresa Van Eugen Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (OP), 34 of places Physical disability (PD), 34 Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is thirty four (34). 2. That the care home provides general nursing care to older people over the age of sixty five (65) and those who may have a physical disability. Date of last inspection 16 December 2004 Brief Description of the Service: Ashridge Court Nursing Centre is located on the main road between Eastbourne and Bexhill, approximately half a mile from Little Common Village. Local amenities are accessible by public transport. Ample parking is available at the front of the property. The home is situated in well-maintained gardens that have extensive views to the rear of the property overlooking a large pond, Cooden Beach golf course and the coastline. Ashridge Court is accommodated over two floors, which are accessible by a passenger shaft lift. The home comprises of 32 single bedrooms, 27 of which have en-suite facilities and one double room. The nursing centre is divided into two wings (East and West) which are staffed separately from each other. Ashridge Court is registered with the Commission for Social Care Inspection to provide nursing care to older people as well as those who may have a physical disability. The Nursing Centre is owned and managed by Mr and Mrs Van Eugen. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Ashridge Court will be referred to as ‘residents’. This unannounced inspection took place on a Tuesday between 10.00am and 5.00pm. The inspection began with discussions with the owner and Registered Manager of the care home in respect of progress made since the last inspection, followed by an inspection of the premises. In order to gather evidence on how the home is performing, individual discussions took place with eight residents, whilst others commented on their care during lunchtime, the Inspector having been invited to join them for a meal. In addition, four care staff were spoken with during the visit, three registered nurses and five visitors to the home. 33 residents were accommodated at the time of the inspection. Records and documentation inspected included: five care records, the homes adult protection policy and procedure, staff recruitment files and staffing rotas, the home’s quality assurance systems and medication procedures and records. What the service does well: What has improved since the last inspection? The home has continued to provide a consistent approach to care. Residents’ care plans are now shared with and signed by the residents and their relatives / representatives as necessary. All policies and procedures have been Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 6 consolidated and made more accessible to staff. A physiotherapist now visits the home approximately once a week to provide individual care to residents, and an Occupational Therapist has been approached to provide a detailed assessment regarding specialist services. 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. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 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 standard(s) 1, 3 and 6. This home provides prospective residents and their relatives with sufficient information to help them make a decision of where to live, however residents and staff would benefit from a thorough pre-admission assessment being completed. EVIDENCE: Many of the residents and relatives spoken with said that they had originally heard about Ashridge Court via friends or family. Others had just been passing and enquired within. They all confirmed that their first impression of the home was good; they were greeted well by staff and found the layout and cleanliness of the home exceptional, particularly the views to the rear of the property from the main lounge and bedrooms. Ashridge Court has a detailed Statement of Purpose in place, which is kept on display in the reception area to the home. It was found to contain thorough details of the services and facilities that the home can offer, the relevant qualifications and experience of staff working in the home, and the arrangements in place for dealing with complaints. Copies of the home’s Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 9 Service User Guide and terms and conditions of contract were seen in a number of residents’ bedrooms. Two of the relatives spoken with confirmed that their relatives/friends had been assessed prior to them moving in to the home. Four individual preadmission assessments were seen, all of which had been completed by one of the senior nurses or the Registered Manager. However, there was no evidence that an assessment had been carried out prior to admission in one individual care plan file. Any specialist equipment required such as pressure relieving mattresses are obtained before residents are admitted. The pre-admission assessment document itself was found to be quite brief in nature and contain minimal information such as contact details of the General Practitioner, next of kin and any prescribed medication. Whilst personal care and activities of daily living were covered, the current document only allows the assessor to circle the appropriate level of need that the individual requires, it does not allow for detailed additional information to be included such as likes/dislikes, individuals’ cognition state or details of personal background and history (including the names of family members). It was recognised during the last inspection that these assessments were not as full and comprehensive as they should be. Intermediate care is not provided. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 11. Ashridge Court provides a high standard of health and personal care to all residents. In order to protect residents, all care needs need to be identified and recorded within their plans of care. EVIDENCE: Five individual plans of care were seen during the inspection. It was a requirement of the previous inspection that the home incorporate the social and psychological needs of residents. From those seen, there was insufficient evidence to show that this is now happening, for example one care plan stated that the person was ‘confused’, yet there was no reason as to why she may be confused or the impact that this has on her. In addition there were no details recorded of the action that is to be taken by staff to ensure that her psychological needs are met. In another plan of care, it was recorded that the person is under the care of a dietician, yet there was no record of why, what her care current care needs are or the action that should be taken by staff to ensure that she maintains a healthy diet. The home is in regular contact with a tissue viability nurse on an individual basis. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 11 It was pleasing to note that the home has obtained a recognised risk assessment tool for the prevention of falls in older people. This was found to be detailed and thorough, although not yet in use in individual plans of care. One of the relatives spoken with confirmed that her mother’s care plan is now shared with her on a regular basis. All representatives and residents are asked to sign the care plans where possible. Other residents and relatives said that the nursing staff always keep them informed and up to date of any changes or deterioration in their health. A sample of the home’s medication administration systems and records were viewed and found to be in order. Controlled drugs are stored in an appropriate metal cupboard, and records indicate that the home’s procedures are good. A good practice recommendation was made in the previous report for the home to implement a full policy and procedure for the care of the dying resident. Although the home has adopted this from a recognised source, it has not been adapted to the home to state what nursing care interventions can be offered at the home, whether or not a relative can stay with the dying person up until and following the death, or what practical assistance and advice can be offered by the home. This was discussed in length with two senior nurses and the home’s administrator. A good practice recommendation has been made in respect of this. It was concerning to note that not one of the individual plans of care seen had recorded residents’ wishes following death. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15. The variety of activities and food offered within this home is of a high standard. All residents are encouraged to exercise choice and control over their lives and in the running of the home. EVIDENCE: A variety of different activities are offered to all residents at least four times a week. A senior carer is employed to initiate many of these activities such as word games, art and craft, singing, poetry sessions and reminiscence (objects of reference have been borrowed from the local museum in the past and used with residents). All of the residents and relatives spoke highly of this. One relative commented ‘the home are very good on activities’. On the day of inspection an external person had been employed to initiate a motivation session the lounge area, this was enjoyed by many of the residents who wished to attend. In addition ‘Pat dogs’ and ‘Cuddle a bunny’ visit regularly to allow the residents to stroke and play with the animals. This is offered on a communal basis in the lounge area and often in individuals’ bedrooms to those who are unable to go downstairs. Many of the residents choose to go out in to the garden or out with their relatives shopping, or for lunch. On the day of the inspection it was apparent that visitors to the home are able to come and go as they wish. All of the relatives spoken with said that they Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 13 visit regularly and some visit on a daily basis. They all confirmed that they are always made to feel welcome. Residents, staff and relatives confirmed that residents’ meetings are held on a bi-monthly basis in the lounge area, indeed one was planned and took place on the morning of the inspection. Minutes of these meetings are recorded, some of which were seen. Items on the agenda included: entertainment within the home, menus and drinks, new staff and visiting facilities. Between 12-15 residents attend each meeting. The home employs one full-time chef and two on a part-time basis. The menus are changed on a seasonal basis and rotated. The following day’s menu is on display in the dining area. Care staff ask the residents on an individual basis the day before what their choice is for the following day; residents confirmed this. Records are kept of what is eaten and dietary requirements as necessary such as pureed diets and those who require a low sugar alternative. All of the residents spoken with confirmed that all meals are hot, tasty and nutritious. The lunchtime meal was found to be relaxed and calm; staff were seen to offer discreet support to those who needed it. A variety of hot and cold soft drinks are available throughout the day and alcoholic drinks on request. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 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 standard(s) None of the above Standards were fully assessed. EVIDENCE: Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19, 22, and 26. Ashridge Court presents throughout as a comfortable and homely place for residents to live. EVIDENCE: Ashridge Court is a large well-maintained care home separated into two wings. Only one bedroom is considered to be of double occupancy, however on the day of inspection it was accommodated by one resident. All bedrooms are decorated and furnished to a good standard. The home was found to be clean throughout to a high standard, with no unpleasant odours noted. During the inspection of the premises a number of bedrooms and bathrooms were viewed and some concerns raised in respect of cleaning products being left in one of the bathrooms and the storage of duvets, blankets and pillows in another. It was also noted that a number of extractor fans were not working in four of the en-suite bathrooms. The home has had planning permission approved to extend the building to the rear of the property. 12 bedrooms will be created, although this will only accommodate a further eight residents as four of the current rooms in use will Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 16 become a new dining area on the first floor of the East Wing. Other existing bedrooms will be extended to provide en-suite facilities and patio doors with extensive views over the garden and coastline. The foundations of this work are due to commence in September 2005. It is anticipated that this work will be completed by July 2006 Since the last inspection the Registered Manager has secured the services of a qualified physiotherapist who visits when necessary, and is in the process of seeking the views of an Occupational Therapist to carry out a detailed assessment of the home regarding specialist facilities. There is a separate laundry, which is operated by a full-time laundry assistant. The majority of bedding (sheets and pillowcases) is contracted out to a separate company for laundering. Dry cleaning is also managed in this way. All clinical waste is disposed of safely in accordance with recent Regulations. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 29. Sufficient numbers of suitably trained staff are employed by the home, however the home need to ensure their recruitment procedures are robust to safeguard the welfare of residents. EVIDENCE: A total of 35 staff are employed by the home, comprising of 10 Registered Nurses, two overseas adaptation nurses (almost qualified) and 10 care stafffour of which are trained to at least NVQ level 2. Other staff employed include: a maintenance person, gardener, domestic staff and an administrator. All of the residents, their relatives and staff spoken with confirmed that there are always sufficient numbers on duty to meet the assessed needs of residents. On the day of inspection there were three care staff and one Registered Nurse working on each of the wings. Ashridge Court is approved by the University of Brighton to provide placements for up to three pre-registration nurses and four overseas adaptation nurses at any one time. Four individual recruitment files were seen. All were found to contain a completed application form, details of relevant experience, a health declaration, permit to work (if necessary) and a Criminal Record and POVA First check. It was unclear in one of the files as to the relationship of the referee to the employee, and in one instance a member of staff had been employed prior to written references being received obtained. Another Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 18 member of staff had commenced work prior to a CRB/POVA first check being obtained. It has been stressed to the home that no member of staff can be employed prior to these checks being carried out. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, and 37. Ashridge Court has adequate management and administration systems in place to ensure that the home is run in the best interests of the residents. EVIDENCE: The Registered Manager of the home was approved by the Commission for Social Care Inspection in January 2005. She has worked as a Registered Nurse for almost 40 years and has a great deal of experience in caring for older people. She has recently been accepted by the University of Greenwich to undertake a Foundation Degree in Management. A senior nurse within the home oversees the running of the home in her absence. He is currently undertaking an NVQ assessors course, and has also been accepted by the University of Greenwich to complete a Foundation Degree in Management. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 20 The home has recently been audited by the University of Brighton, the outcome was very positive. Feedback from staff is sought regularly, usually via staff meetings. Residents’ questionnaires are given out on a regular basis, however the numbers of those that return the completed form is small. The home is reliant on residents’ meetings to seek feedback - which works well. Recommendations have been made for the home to seek the views of visiting professionals and consider placing a suggestions box in the entrance area. All feedback obtained (including verbal compliments/complaints) must be published and made available to the residents. Since the last inspection the home has updated and consolidated many of its policies and procedures. These are now easily accessible to staff. As previously mentioned in the report (Standard 11), the home should consider adapting the policies and procedures specific to the home. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 x 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x 3 x x x 2 STAFFING Standard No Score 27 3 28 2 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x 2 x x x 3 x Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 22 YES 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 OP3 Regulation 14(1)(2) Requirement That the home review its preadmission assessment document to ensure that it allows the assessor to gain thorough details of individuals medical and social history and personal care needs. All residents must have a plan of care to ensure that all aspects of health, personal care and social care needs are met [THIS IS OUTSTANDING FROM THE PREVIOUS INSPECTION]. That details of any specialist interventions required (e.g from a dietician) are recorded within individual plans of care. That residents wishes concerning terminal care and arrangements following death are discussed, recorded and carried out. All cleaning materials and hazardous substances must be stored in a locked cupboard to safeguard residents from risk and harm [IMMEDIATE REQUIREMENT]. The home must ensure that all extractor fans are cleaned regularly and in good working Timescale for action 26/10/05 2. OP7 12(1) 15(1) 26/08/05 3. OP8 12(1)(a) (b) 13(1)(b) 12(2)(3) 26/08/05 4. OP11 26/10/05 5. 6. OP19 13(4)(a) (c) 26/07/05 7. OP26 23(2)(p) 26/08/05 Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 23 order. 8. OP26 13(3) Duvets, pillows and blankets must be removed from the communal bathroom and stored appropriately to maintain good hygiene practice throughout the home. Two written references must be obtained by the home prior to any person commencing employment. CRB/POVA checks must be obtained prior to any person commencing work at the home. All results of residents / relatives / visitors questionnaires and surveys must be published and made available to residents. 26/08/05 9. OP29 19 & Schedule 2 19 & Schedule 2 24 26/07/05 10. 11. OP29 OP33 26/07/05 26/10/05 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 OP1 OP11 OP28 OP33 OP37 Good Practice Recommendations That the homes Statement of Purpose is dated to evidence that it is kept under review. That the home adapt their policy and procedure regarding the care of a dying resident in order to make it personal to the home. That 50 of care staff achieve NVQ level 2 by December 2005. That the home consider the reasons as to why response from residents questionnaires is low and revise if necessary. The home should consider adapting all policies and procedures in order to make them specific to the home. Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT 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 Ashridge Court H59-H10 S13956 Ashridge Court V230580 260705 Stage 4.doc Version 1.40 Page 25 - 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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