Inspection on 21/11/06 for Blenheim Court Nursing Home

This inspection was carried out on 21st November 2006.

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.

Other inspections for this house

Blenheim Court Nursing Home 26/02/07

Blenheim Court Nursing Home 16/01/06

Blenheim Court Nursing Home 11/07/05

Blenheim Court Nursing Home 11/01/05

Blenheim Court Nursing Home 29/06/04

Blenheim Court Nursing Home 02/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Blenheim Court Nursing Home Elm Lane Sheffield South Yorkshire S5 7TW Lead Inspector Janice Griffin Key Unannounced Inspection 21st November 2006 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Blenheim Court Nursing Home DS0000021770.V315192.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. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blenheim Court Nursing Home Address Elm Lane Sheffield South Yorkshire S5 7TW 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) 0114 245 6026 0114 257 7016 blenheimcourt@highfield-care.com Southern Cross Care Homes Limited Post Vacant Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow 3 beds for service users aged 55 years and over Date of last inspection 16th January 2006 Brief Description of the Service: Blenheim Court is a nursing home providing care and accommodation for 44 older people, including care for up to three people between the ages of 55 and 65. The home is a short distance to local amenities such as shops, pubs and churches. The home is a two-storey building with lift access to the upper level. The home is accessible for wheelchair users. The home has both single and double accommodation. The home is split into two wings consisting of the original building and an extension. The homes gardens are accessible to wheelchair users and there is a patio with seating area. Copies of the last Commission For Social Care Inspection report were kept in the entrance for service users and their families to read. The weekly fees range from: £404 to £476. This information was provided on the 26th October 2006. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 08:30 am to 15:30 pm. As part of the inspection process the inspector spoke to six service users, five relatives, five staff and the manager on duty. The inspector would like to thank service users, the relatives, the staff and the manager on duty for their openness and for their commitment to the inspection process. The inspector was pleased to note that all the users spoke positively of the ongoing support provided by the staff. Observations confirmed that service users were extremely comfortable and at ease in the company of the manager and staff whom they said were approachable, supportive and sensitive to their needs and feelings. Four relatives described the service as in the main good; one relative described the service as ”appalling”. She said the home was dirty in some areas, that the home had an offensive smell, there was a limited choice of food provided, she was also concerned about the attitude of some staff and the rough handling of service users which she has witnessed herself. This issue was brought to the attention of the manager on duty who promised the relative that her concerns would be investigated by the homes manager. As some of the concerns raised by the relative are of an abusive nature the manager on duty reported the issues to the Social Services Adult Abuse Team. The relative was happy with this arrangement. A number of records were examined which included, medication records, three service users care plans, and three weeks menus and three weeks staff rotas. Records relating to staff recruitment, service users finances, staff training and the homes quality assurance systems were also checked. Several areas of the building were also inspected. Feedback on the inspection was given to the manager on duty before the inspector left the home. What the service does well: What has improved since the last inspection? The bed linen has been replaced. 57 of the staff are now trained to NVQ Level 2. Blenheim Court Nursing Home DS0000021770.V315192.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. Blenheim Court Nursing Home DS0000021770.V315192.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 Blenheim Court Nursing Home DS0000021770.V315192.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): 2, 3 and 6. Quality in this outcome area is: good. This judgement has been made using available written evidence, discussion with six service users, five relatives, five staff, the manager on duty and a visit to the home. No service users have moved into the home without having his or her needs assessed, this ensures that care needs can be met. Service users were able to have informal introductory visits to the home at the time of their admission. Relatives confirmed that this helped service users to get to know everyone at the home, which made them feel less anxious. An up to date contract/statement of terms and conditions had not been provided for all service users at the time of their admission. This is poor management practice. Intermediate care is not provided at this home. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 9 EVIDENCE: Detailed full needs assessments have been completed for all service users admitted to the home. Families have been involved in the assessment process as appropriate. The manager on duty confirmed that service users were only admitted to the home once they were sure that they could meet their needs. Relatives spoken to said at the time of the service users admission they were able to have informal introductory visits to the home. Records checked confirmed that service users families had been involved in decisions regarding the arrangements. An up to date contract/statement of terms and conditions are not provided for all service users at the time of their admission. Blenheim Court Nursing Home DS0000021770.V315192.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: adequate. This judgement has been made using available written evidence, discussion with six service users, five relatives and observations made by the inspector at the visit to the home. Discussions with service users, their relatives and observations made by the inspector confirmed that the staff promoted the service users privacy and dignity. The information in the care plans was not adequate to ensure that the service users health, cultural and social cares needs could be met. This does not protect the well being of service users. There was no evidence to show that service users and their relatives were involved in the care planning and reviewing process. This does not allow the service users and relatives to have a say in how the service users needs are being met. Some medication practices could cause a risk to the service users health and welfare. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 11 EVIDENCE: All the service users spoken to said that the staff promoted their privacy and dignity .The inspector observed staff knocking on bedroom doors and waited to be invited in before entering. Three service users plans of care were checked. The plans did not set out in detail all the service users needs and the action required and taken by staff to ensure those needs were met. One stated that the service user must be given 1.5 litres of fluid a day but the daily reports did not state whether the fluids had been given or not. Service users weight was being checked on a regular basis. Two care plans detailed the service users religious and cultural needs but one did not give enough detail of the service users special cultural needs, none stated the gender of staff that they wished to support them with their personal care. All three gave no details of the service users last dental appointment. There was no evidence in the care plans to show whether the service users or their relatives had been involved with the production of the care plans or the reviews. Ranges of aids to assist service users with mobility problems were provided; these included lifting hoists, assisted baths, walking frames and wheelchairs. Service users who were able could retain control of their own medication, a lockable facility was provided to store such items. Records were kept of medication received, and disposed of. Medication was insecurely in some bedrooms and one medication-recording chart had not been signed on one occasion to show whether medication had been given or not. A pharmacist had checked the home’s medication systems in June 2006 and several recommendations to improve the medication system were made. Blenheim Court Nursing Home DS0000021770.V315192.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: adequate. This judgement has been made using available written evidence, discussion with six service users, five relatives, five staff and a visit to the home. Service users had access to a range of leisure activities based on their individual choices and preferences. Service users confirmed that the routines of daily living were flexible and suited their individual preferences. Service users were supported with maintaining and developing contact with their family and friends, and they also said that visitors were always welcome at the home. Which creates a home that people want to visit. A relative complained that a good choice of food was not offered to some service users at all meal times. The inspector observed breakfast being served and the food served was of poor quality. This does not promote the health and wellbeing of service users. The six service users spoken to said they were not consulted when menus were planned and one Muslim service user was not getting his diet as described in his care plan. This does not allow the staff to meet the special needs of the service user. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 13 EVIDENCE: Service users confirmed that staff supported them with discovering how to enjoy social situations and activities. Service users said they could choose how they wished to spend their leisure time and generally this was based on the personal preferences of each individual. A programme of the daily leisure activities was displayed on the notice board. The inspector observed breakfast and lunch, the breakfast consisted of cereals, cold porridge, cold toast and ready made up marmalade sandwiches, and the meal served looked unappetising. The inspector took lunch and the meal served at lunchtime was of very good quality. One relative was concerned that some service users were not getting a choice of food at some meal times. The kitchen staff produced the menus and the service users were not consulted when menus were planned. One service user care plan stated he required a moderate Muslim diet, the staff interviewed did not know what a moderate Muslim diet was, they said that they new the service user did not eat pork but the new little else about the special dietary and cultural needs of a Muslim service user. Six service users were receiving special diets. Blenheim Court Nursing Home DS0000021770.V315192.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 written evidence, discussions with six service users, five relatives, five staff and a visit to the home. The homes complaints procedure was clear, accessible and contained the necessary information. This protects the rights of service users. Service users were not protected from abuse by the awareness of staff through professional abuse training. EVIDENCE: The complaints procedure was available for visitors, relatives and staff. The manager on duty confirmed that this would be available in alternative formats and languages should this be requested. Four relatives spoken to said that they knew that they could complain if they were not happy about anything, one relative said she had raised concerns to the manager about poor care practises and the attitude of some staff, she felt that her concerns had not been fully investigated by the manager. One allegation was made in February 2006 about staff rough handling service users this was investigated under the Social Service Adult Protection Procedures. The relative raised concern of a similar nature to the inspector on the day of this inspection. The concerns were reported to the Social Services Adult Abuse team on the day of the inspection. The staff had received some in house training on recognising and dealing with abuse, but after discussion with the inspector it was clear that they were not fully aware of all aspects of abuse. Staff had been made aware of the action to take in dealing with third party information. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 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 the following standard(s): 19, 22 and 26. Quality in this outcome area is: adequate. This judgement has been made after discussion with six service users, five relatives and using available evidence including a visit to the home. The home looked homely but some areas looked dirty. Some area around the home had damaged decoration, damaged furniture and stained carpets. This made the home look shabby in parts. The bedroom doors were fitted with locks. This promotes the privacy of service users. Some areas had an offensive smell. This could affect the well being of service users. Some bins used to store soiled pads were not fitted with secure lids and some string light cords were dirty. This is not hygienic. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 16 EVIDENCE: The service users said that the home was always warm, well lit and there was always enough hot water. Some areas of the home had damaged decoration, some furniture was damaged and several carpets were stained. Parts of the home had an offensive smell and some areas had not been thoroughly cleaned, on relative said that the home was sometimes dirty in parts and smelt offensively. Bedroom doors were fitted with suitable door locks and lockable facilities were provided in all the bedrooms. The appropriate seating had been provided outside for those service users wishing to sit outdoors whenever the weather permitted. Each floor had a number of toilets and bathrooms, assisted baths and showers were provided for those service users with mobility problems. Toilets were easily accessible as they were close to lounge and dining areas. All the toilets had been adapted for service users with physical disabilities and a good supply of equipment was also available for those service users. One bath did not have an emergency alarm over the bath. Some bathrooms had waste bins with no lids and the string light cords were dirty. Staff confirmed that they were provided with protective clothing if they needed it and that all the equipment was in good working order and that it had been serviced as required. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 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 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 after discussion with six service users, five relatives, five staff and using available evidence including a visit to the home. Care staff had a range of skills and experience, which effectively supported the service users. 57 of the staff were trained to NVQ level 2. This will ultimately benefit the health and welfare of the service users. The homes recruitment policies and procedures were not adequate. This does not protect the service users from harm. The home had a training and development plan but some have had little training on diversity issues. This does not protect the rights of service users from different cultural backgrounds. EVIDENCE: The service users and five staff said that there was always enough staff on duty. They added that staff worked very hard. The inspector checked three weeks rotas and it was noted that the home was maintaining the staffing levels agreed with the Commission for Social Care Inspection. Three staff files were checked; they did not demonstrate that a thorough recruitment processes had been followed as required by the Regulations. Criminal Record checks had been done and two references obtained, but gaps were noted in two staff’s employment history. Staff spoken to had had received training on moving and handling, food safety and infection control. The home had a training and development plan but some have had little training on diversity issues. Staff Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 18 files checked and discussions with five staff and the manager on duty confirmed that all staff had completed detailed induction training Staff were approachable and sensitive to the needs of service users and were able to communicate effectively with each person. Staff had completed training on NVQ in care and this had ensured that more than 57 of the staff team were qualified to level 2. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 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 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 after discussion with the manager on duty, five staff and using available written evidence including a visit to the home. The manager was not registered with the Commission for Social Care Inspection. This does not meet the Care Homes Regulations. All service users and staff spoken to said the manager was approachable and very professional. He had not yet completed his NVQ level 4 training. This could affect the way the home is managed. Records were in the main up to date and well ordered to ensure the best interests of service users. The homes policies and procedures met the required standards. A safe environment was not provided in all parts of the home. This could affect the health and welfare of the service users. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager had a job description that clearly defined his roles and responsibilities and staff were aware of his role. They said he was committed to ensuring that the home provides a good standard of care. The manager was not registered with the Commission for Social Care Inspection. The manager is not trained to NVQ level 4 in management. Staff spoken to had an understanding of the home’s procedures; they had received training on fire, moving and handling, food safety and infection control. The responsible individual visits the home on a regular basis and a report is written following the visits. A copy of the responsible individuals monthly report was available at the home. No fire exits were blocked but hazardous substances were insecurely stored in the kitchen and two fire doors were not fully closing on their rebates. The kitchen fire door had gaps, which could affect fire containment. The records showed that the fixed electric wiring had not been checked for over five years. A Health and Safety Officer had inspected the home in May this year, seven requirements were made following the visit the manager on duty was not sure if the requirements had been actioned or not. The administrator handles money on behalf of some service users, account sheets were kept, receipts were available for all transactions. The accounts were not audited annually. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X 2 X X X 1 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 1 Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP2 Regulation 5 Requirement Each service user must be provided with a written contract at the point of moving into the home. The care plans must detail what action is needed and taken by the staff to meet service users needs. The care plan and review must be drawn up with the involvement of service users and their families. The care plans must detail the service users dental care needs and the gender of staff required to assist with personal care tasks. The care plans must detail in full the service users special cultural needs. Medication must be kept in secure place at all times. Medication record charts must be signed to show if medication is given or not. Recommendation/requirements made by the pharmacist must be implemented. Service users must be given the DS0000021770.V315192.R01.S.doc Timescale for action 01/02/07 2. OP7 15 01/02/07 3. OP7 15 01/02/07 4. OP8 15 01/02/07 5. 6. 7. 8. 9. OP8 OP9 OP9 OP9 OP12 15 13 13 13 12 01/02/07 21/11/06 21/11/06 01/01/07 01/02/07 Page 23 Blenheim Court Nursing Home Version 5.2 10. OP15 16 11. OP16 12 12. OP18 12 13. OP18 13 14. 15. 16. OP19 OP19 OP19 23 16 23 opportunity to exercise more choice in relation to cultural interest and religious observations. The food provided at breakfast time must be improved, the hot food must be served hot and more choice of food should be offered. The service users must be involved in menu planning. The complaint made by the relative on the day of the inspection, must be investigated under the homes complaints procedures. Robust procedures for responding to suspicion or allegations of abuse must be implemented and followed to ensure the safety and protection of service users. All care staff must be offered professional training on recognising and dealing with abuse. The damaged decoration and furniture must be replaced. The home must be kept clean at all times and steps taken to eradicate the offensive smells. All areas of the home used by service users must be well maintained. (Carpets) Call systems with an accessible alarm facility must be provided over all baths. All refuse bins must be fitted with secure lids. The string light cords must be cleaned or replaced. Gaps in staff’s employment history must be explored. The staff need training on diversity with regard to caring for service users from different DS0000021770.V315192.R01.S.doc 01/01/07 21/11/06 21/11/06 01/03/07 01/03/07 21/11/06 01/07/07 17. OP22 12 01/01/07 18. 19. 20. 21. OP26 OP26 OP29 OP30 16 16 19 13 30/11/06 30/11/06 30/11/06 01/05/07 Blenheim Court Nursing Home Version 5.2 Page 24 22. 23. 24. 25. OP31 OP31 OP38 OP38 9 8 12 12 26. 27. OP38 OP38 12 12 cultural backgrounds. The manager must be trained to NVQ level 4. The manager must be registered with the Commission for Social Care Inspection. Hazardous substances must be securely stored at all times. Fire doors must fully close on their rebates. The manager must check with the fire service to establish if the gap in the kitchen fire door is safe. The requirements made by the Health and Safety officer must be implemented. The manager must check whether the fixed wiring needs checking. 12/12/07 01/03/07 21/11/06 30/11/06 30/12/06 30/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP35 Good Practice Recommendations In order to protect the financial interest of service user it is recommended that an outside auditor checks the service users account annually. Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Blenheim Court Nursing Home DS0000021770.V315192.R01.S.doc Version 5.2 Page 26 - 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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