Inspection on 03/10/06 for Belle Vue Nursing Home

This inspection was carried out on 3rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Belle Vue Nursing Home 22/08/07

Belle Vue Nursing Home 03/11/05

Belle Vue Nursing Home 07/06/05

Belle Vue Nursing Home 21/09/04

Belle Vue Nursing Home 15/04/04

Belle Vue Nursing Home 26/01/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Belle Vue Nursing Home 26a Belle Vue Grove Middlesbrough TS4 2PX Lead Inspector Katherine Acheson Key Unannounced Inspection 3rd October 2006 09:45 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 Belle Vue Nursing Home DS0000000146.V314355.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. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belle Vue Nursing Home Address 26a Belle Vue Grove Middlesbrough TS4 2PX 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) 01642 852324 Belle Vue Healthcare Limited Dr Dilip Basant Acquilla, Mrs Sushma Acquilla Mrs Dorothy Matthews Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Manager (Mrs Dorothy Matthews) should attain a relevant Management qualification by 2005. To allow a maximum of 6 named service users, who are under the age category to reside in the home. To allow a maximum of 10 service users, with a physical disability who are 50 to reside in the home. 3rd November 2005 Date of last inspection Brief Description of the Service: Belle Vue Nursing Home is registered to provide personal and nursing care to sixty service users. The home is situated on Belle Vue Grove in Middlesbrough, and is close to all Local amenities and shops. The home is a two storey, modern, purpose built facility providing accommodation in the form of fifty-six single bedrooms and two double bedrooms. All bedrooms have ensuite facilities, which comprise of a toilet and hash washbasin, all bedrooms meet the required amount of space. The home offers a large dining area and a number of lounges. Belle vue is set in grounds, which are accessible to residents, and provides car-parking facilities for visitors. The cost of care at the time of the inspection visit (depending on the category of care) ranged from £338 to £476 per week. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection lasted for seven hours. Six residents, two care assistants, the office administrator and three trained nurses were spoken to during the inspection. The Manager was not present for the inspection process, however the three trained nurses and office administrator assisted with the process and should be complemented on their efficiency. Numerous records including care plans, menus, quality assurance, complaints and staff recruitment and training records were examined. A tour of the premises was carried out. Requirements identified at the last inspection in November 2005 were revisited. The details of any issues identified at this inspection requiring action are to be found at the back of this report. What the service does well: What has improved since the last inspection? It is evident that since the last inspection in November 2005 that staff at the home have worked hard to increase the number of staff who are trained to NVQ level 2 in care. The homes induction process has been developed to include all of the required elements. Since last inspection the homes uniform for care staff has changed. Care staff now wear the same polo shirt and trousers, which is smart but appears much less formal. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 6 Requirements identified at the last inspection in November have been addressed. 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. Belle Vue Nursing Home DS0000000146.V314355.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 Belle Vue Nursing Home DS0000000146.V314355.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, 6 The quality in this outcome in the area is good. This judgement has been made from evidence gathered before and during the visit to the service. Assessments of prospective residents are carried out to ensure that the home can meet their needs. EVIDENCE: Prospective residents receive an assessment that is carried out by a social worker or other health care professional to ensure that the home can meet their needs. Staff at the home then carry out their own pre-admission assessment to ensure that the needs of the resident can be met at Belle Vue Nursing Home. Records were evidenced on residents files examined during the inspection to confirm that this is the case. On arrival at the home the Inspector was informed that one of the trained nurses was actually visiting a resident in hospital who was to be admitted to the home to carry out a pre-admission assessment of needs. The home does not provided intermediate care. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 9 Belle Vue Nursing Home DS0000000146.V314355.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, 10 The quality in this outcome in the area is adequate. This judgement has been made from evidence gathered before and during the visit to the service. The home provides a good standard of care, however some resident plans of care would benefit from further development to ensure that they are specific and individual to the resident this will help to ensure that resident needs are met. Residents are treated with respect and their right to privacy is upheld. In general good procedures are in place to ensure safe practice in respect of the handling of medication, however improvement is needed to ensure that all medication prescribed to residents is administered. EVIDENCE: Two plans of care were examined in detail during this inspection. Care plans examined contained signatures of the resident to confirm that they had been drawn up with the involvement of the resident. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 11 The person in charge of the home during the inspection said that care plans are stored in resident’s bedrooms so that they can read them at anytime. Of the two care plans examined one was found to be extremely detailed, this included individual needs and specific care and intervention required to assist the resident. The care plan contained clear evidence of involvement with the resident, including quotations of how they were feeling and as such gave a good overall picture of the psychological, social and physical care needs. The other plan of care contained an up to date assessment of needs, however the actual plan of care was basic. The plan of care did not identify limitations, capabilities or assistance required by the resident to meet their needs. Care plans were observed to be reviewed on a monthly basis and contained detailed evaluations of any deteriorations or improvements made by the resident. Six residents were spoken to during the inspection and in general spoke positively about the care that they received, however, they did say that some care staff were better than others. One resident said, “I’m quite comfy, on the whole the staff are very good, occasionally some staff can speak in a manner that is a little abrupt”, another said, “The staff are quite nice”. The home enables and supports residents to take responsible risks. One resident spoken to during the inspection said that he goes out independently every morning to get his morning newspaper. Another resident was also observed to be going for a walk to the local shops. Residents spoken to confirmed that their dignity and privacy was respected. The home has a medication policy. Trained Nurses administer medication to residents at the home. Records were available to confirm that the home keep a record of all medication coming into the home and that of all medication returned for destruction. Medication was observed to be stored securely. An audit of the homes register of controlled medication and medicine administration records (mar sheets) highlighted that one resident appeared to have missed a dose of their medication that was prescribed every seventy-two hours. It was documented on the mar chart as being out of stock, however following examination of the pharmacy label the medication had been dispensed by the pharmacy and was available in the home for administration. This was pointed out to the person in charge of the home during the inspection for an investigation to be undertaken, this will be followed up as a separate issue. Belle Vue Nursing Home DS0000000146.V314355.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, 15 The quality in this outcome in the area is good. This judgement has been made from evidence gathered before and during the visit to the service. Residents are able to exercise choice and control. Visitors are encouraged and made to feel welcome at anytime. Mealtime is pleasant and relaxed. Lunchtime menus are wholesome and show variety, however teatime menus are repetitive. EVIDENCE: The home employs and Activity Co-ordinator to provide and arrange a plan of activities, entertainment and outings for residents. Activities mentioned included, crafts, bingo, quizzes, physical jerks and dominoes. One resident spoken to during the inspection said, “We have a new Activity Co-ordinator, she is very good. We do art and crafts on a Monday, Bingo on a Tuesday, physical Jerks on a Wednesday and a really good quiz on a Thursday. The Quiz keeps my mind active”. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 13 Another resident said, “I join in all the activities except bingo. We have been to Redcar Clayton Bank for a picnic and next week we are going to Pickering” Residents were observed to be enjoying a game of bingo during the inspection. Two residents spoken to said that they had become really good friends since coming into the home. One of the two said that she went to her friends room most evenings for a chat and so that they could watch television together. Both residents spoken to said that they enjoyed their time together and that they used to get a cup of tea at about 19:30 whilst watching television, however this time has now changed to 21:00, which is too late. This was pointed out to the person in charge of the home during the inspection who said that the tea trolley round is to change back again at the request of residents. The home supports residents to practice their religion and that visits from clergy are available to the home, residents spoken to confirmed that this was the case. Residents interviewed spoke of flexibility in routine and freedom of choice. Residents spoken to during the inspection said that contact with family and friends is encouraged and that visitors are made to feel welcome at any time. The person in charge of the home during the inspection said that the home mealtimes have benefited from change. Lunch is now provided in two sittings, the residents on the ground floor of the home have their lunch first with the residents on the first floor having their lunch second. She said that due to the large number of residents residing at the home mealtime was noisy and not relaxing, however following the introduction of the two sittings mealtime is peaceful and enjoyable and all resident’s needs are catered for. The Inspector observed the first sitting for lunch. Tables were appropriately set and residents were observed to be enjoying their food. Lunchtime was relaxed and pleasant, time was given to those residents who required assisting with feeding. The Assistant Chef came out of the kitchen on a number of occasions to check that residents were satisfied and to give choice. Residents spoken to during the inspections said that this was normal practice. Residents were heard to be saying that the food was “champion” another resident saying, “lovely”. Lunchtime menus examined during the inspection were observed to be wholesome and showed variety, however teatimes were observed to be repetitive. For at least five teatimes out of seven the menu was a different variety of soup and sandwiches. One resident spoken to during the inspection said that he liked the soup and sandwiches, however the others said that they would like something different. One resident said “He is just the job our Assistant Chef I have no complaints the corned beef pie today was lovely”. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 14 Another resident said, “The food is very good but the carrots can be a bit hard. The puddings are lovely”, another said “I’m fussy you know, we get too much mince and soup and sandwiches too often”. Records were available to confirm that appropriate temperature checks are carried out on fridge, freezers and food. Records of food provided were available for inspection. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The quality in this outcome area is good. This judgement has been made from evidence gathered before and during the visit to the service. Residents and relatives are encouraged and supported to make any complaints they feel necessary, however the complaint policy/procedure could be strengthened to include information of residents/relatives rights to complain to commissioning agencies such as Social Services and Primary Care Trusts. Residents residing at the home said that they felt safe. Adult protection procedures are in place, which help protect residents from abuse. Staff at the home were aware that they needed to report an incident of abuse to the Manager, however not all were not aware of procedures that followed. EVIDENCE: The home has a complaints policy/procedure. This policy/procedure should be updated to inform residents/relatives of their right to complain to any commissioning authorities such as the Primary Care Trust or Social Services. The complaint procedure within the statement of purpose/service user guide should also to be updated to include such information. The person in charge said that there has been one complaint in the last twelve months. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 16 Residents spoken to during the inspection said that they would feel comfortable in raising and concern or making a complaint to the staff or management of the home. The home has an adult protection policy which details action that staff must take if abuse is suspected. Two Care staff were interviewed during the inspection and asked what action they would take if abuse were suspected. Both staff confirmed that they would report the incident to the Manager, however were unaware of procedure that followed. The Person in charge said that adult protection training is provided to staff on induction and then on a regular basis. Residents spoken to during the inspection said that they felt safe, one resident said, “It’s better to be living her than living on your own”. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 17 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, 26 The quality in this outcome area is good. This judgement has been made from evidence gathered before and during the visit to the service. The standard of the environment within this home is good providing the people who live there with and attractive, homely and comfortable place to live. EVIDENCE: The person in charge accompanied the Inspector on a tour of the home. The home was observed to be well maintained with appropriate and comfortable furnishings provided. Since the last inspection three lounges in the home environment have benefited from refurbishment, which included re-decoration and new carpets. Communal areas were pleasing to the eye, comfortable and homely. Bedrooms visited during the inspection were personalized, with many benefiting from re-decoration and new carpets. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 18 The home has a policy in respect of control of infection. Staff spoken to during the inspection said that there was always a plentiful supply of protective clothing. Appropriate laundry facilities were in place. On the day of the inspection the home was observed to be clean and odour free. One resident said, “You can’t knock the cleanliness of the home. The domestic staff clean and tidy my bedroom regularly, they also pull out my bed and furniture so that they can give it a good do”. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 19 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, 30 The quality in this outcome area is good. This judgement has been made from evidence gathered before and during the visit to the service. In general good recruitment procedures are followed, however any gaps in employment for prospective staff must be explored to ensure safety of residents. Staffing levels are appropriate Staff receive induction training and a rolling programme of mandatory training is provided for staff. EVIDENCE: Staffing rotas examined informed the inspector that there were nine care staff on duty on a morning, eight on an afternoon, between seven and eight on an evening and four on night duty, in addition to two trained staff being on duty morning, afternoon, evening and night duty. The Manager of the home works five days supernumerary a week. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 20 The person in charge said that the home has worked extremely hard to assist care staff to achieve an NVQ level 2 in care. 35 of care staff working at the home have now undertaken an NVQ level 2 in care. Two staff files were examined at random during the inspection. Records examined contained two references, appropriate Criminal Record Bureau checks that had been received prior to the commencement of employment and proof of identity. One of the staff files examined showed that the care staff member had gaps in their employment, however there was no evidence on file to confirm that gaps in employment had been explored. The home employs a Registered Nurse to work two days a week to facilitate and provide training to staff. Records were examined to confirm that mandatory and other training relevant to the job that staff do is provided. Training for staff has also been planned for 2007. The home carries out an induction with all staff and records were evidenced to confirm that this is the case. Two care staff interviewed during the inspection confirmed that they received regular training. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 21 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, 38 The quality in this outcome area is good. This judgement has been made from evidence gathered before and during the visit to the service. The home is well managed, residents health, safety and well-being is promoted. The home seeks the views of residents to ensure that it is managed with their best interest, however this could be strengthened by extending the survey to relatives or representatives of those residents unable to complete the questionnaire. Systems are in place to ensure resident’s money is managed appropriately. EVIDENCE: Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 22 The Manager, Dorothy Matthews, is a first level Registered Nurse who has worked in the nursing and social care environment for many years. The Manager has completed her NVQ level 4 in Management and is awaiting certification. Staff and residents interviewed during the inspection spoke highly of the Manager and said that the home was well run. One resident said, “Dorothy, she is very good”. The home operates an effective system in which they look after the personal allowance of a number of residents. Quality assurance and quality monitoring practices are in place. Surveys are sent out to residents on a regular basis to see if they are happy with the home and care that is provided. It was observed that in the last quality assurance exercise that only twenty questionnaires were given to service users out of a possible sixty. The Inspector was informed that this was because not all residents are able to complete the questionnaire for one reason or another. It was pointed out that it would be of good practice in this case to send to relatives or families where possible. The results of the last quality assurance survey were made available during the inspection, however results were shown in a statistical format. This could be strengthened by including some of the anonymous comments made on the surveys The home operates a rolling programme of servicing appliances and equipment. Records examined at random confirmed that the home’s fire extinguishers, fire alarm system, gas boilers and lifts are serviced on a regular basis. The Windows on the first floor of the home environment are restricted to ensure safety for the people living there. Records were available to confirm that tests of the fire alarm system are carried out. Water temperatures in resident bedrooms and communal bathrooms are taken on a regular basis by the home’s handyman to ensure that they are within safe limits. Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 23 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 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 14, 15 Requirement Care plans require further development to ensure that they are individual to the resident. Care plans must include limitations, preferences and assistance required to meet the needs The Registered Person must ensure that all medication prescribed to residents is administered as directed The Registered Person must consult with residents and review the teatime menu The Registered Person must provide adult protection training to staff that includes action that is to be taken if abuse is suspected The Registered Person must continue with their action plan in which to achieve 50 of care staff trained to NVQ level 2 in care The Registered Person must explore gaps in employment of any prospective staff member Timescale for action 30/12/06 2 OP9 13 03/10/06 3 4 OP15 OP18 16 13 30/10/06 30/10/06 5 OP28 18 03/10/06 6 OP29 13 03/10/06 Belle Vue Nursing Home DS0000000146.V314355.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. 2 Refer to Standard OP31 OP16 Good Practice Recommendations The Manager should provide evidence of completion of her NVQ Level 4 in Management The Complaints policy/procedure should be updated to include information of resident’s rights to complain to commissioning agencies such as Social Services and the Primary Care Trust. The homes statement of purpose and service user guide should also be updated to reflect such information The homes quality assurance exercise could be strengthened by extending the survey to relatives/representatives of those residents who are unable to complete. The results of the survey could be strengthened by including anonymous comments received 3 OP33 Belle Vue Nursing Home DS0000000146.V314355.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Belle Vue Nursing Home DS0000000146.V314355.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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