CARE HOMES FOR OLDER PEOPLE
Church Farm Nursing Home Church Lane Cotgrave Nottingham NG12 3HR Lead Inspector
Stephen Benson Key Unannounced Inspection 22nd January 2007 09:30 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 Church Farm Nursing Home DS0000065731.V328529.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. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Church Farm Nursing Home Address Church Lane Cotgrave Nottingham NG12 3HR 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) 0115 989 4595 0115 989 4345 Church Farm Nursing Home Ltd Mr John Spollin Care Home 34 Category(ies) of Dementia (34), Dementia - over 65 years of age registration, with number (34) of places Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories Dementia - Over 65 years of age ( DE(E) ) (34) Dementia - 55 years and over (DE) ( 34) 24th January 2006 Date of last inspection Brief Description of the Service: Church Farm nursing home cares for 34 residents in an extended and converted period building in the heart of Cotgrave. It is close to the village amenities and bus routes to the Nottingham city centre. The home is registered to provide nursing and non-nursing care. A maximum of three people who require palliative care can also be accommodated. There are both single and shared bedrooms. Two of the three bathrooms have adaptations. The home has an attractive garden to the front and an enclosed courtyard to the side, which is level and is freely used by residents. All areas of the home are accessible through ramps and a passenger lift. The deputy manager said on 22/01/07 that the range of fees for the service is £420 - £550 fully inclusive, including hairdressing and chiropody. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The site visit lasted for 5 ½ hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive and checking their records. It was not possible to discuss their care with these residents as one was unable to hold a conversation, another was tired and did not feel up to talking and the third was involved in an activity and did not want to leave it. Other residents were spoken with and additional records were seen. A discussion was had with the deputy manager, staff on duty and care practices were observed. A relative was spoken with during the visit. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Survey forms sent to the home by The Commission for Social Care Inspection had been completed by six residents and/or their relatives were seen. What the service does well:
There were pre assessment forms completed by the manager on residents’ files. There was also community care assessments seen and further information was seen in a document called a life review. The evidence shows that new residents are assessed before they come to live at the home. Care staff pass any health care concerns onto the nurse in charge and a record is made of any healthcare appointment. Entries showed that residents are involved with a range of healthcare professionals. The evidence shows that residents’ health care needs are fully met. There are four activities coordinators working in the home and residents have opportunities to take part in activities and watch entertainment. The evidence shows that residents’ lifestyle matches their expectations. Residents are able to go on outings out of the home and make use of a local coffee shop. Visitors to the home are made welcome and can take residents out. The evidence shows that residents maintain contact with family, friends and the local community. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 6 The home has a complaints procedure and staff knew how to deal with any complaint made. The evidence shows that residents are confident that their complaints will be listened to. The rota was an accurate reflection of the number of staff on duty. Staff said there are enough staff on duty and any vacant shifts are covered. The evidence shows that residents’ needs are met by the numbers and skill mix of staff. The manager has worked at the home for a number of years and has completed National Vocational Qualification level 4. The evidence shows that there is a suitable manager employed to run the home. Staff are provided with training and a record is made in the staff training file of any training received. The evidence shows that staff are trained to do their jobs. What has improved since the last inspection? What they could do better:
Care plans seen did not have enough information in and did not explain how residents needs must be met. Staff said they did not refer to the care plans. The evidence shows that residents needs are not set out in an individual plan of care. The home’s medication administration procedure was not being followed correctly when giving out the lunchtime medication. The evidence shows that residents are not fully protected by the homes procedures for dealing with medicines Residents were left putting their cutlery in their drinks whilst waiting for their lunch. A resident had her hair dried in a communal area. Staff are told about promoting residents privacy and dignity as part of their induction. The evidence shows that residents’ privacy and dignity are not promoted. Staff could only think of a few areas where residents are provided with choice and the deputy manager said that more choices could be offered. The evidence shows that residents could have greater control over their lives.
Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 7 The menu dos not provide for residents having a choice of meal. Staff said that residents have enough to eat and residents were seen enjoying their lunch. The evidence shows that residents do not have an opportunity to choose what they have to eat. The Adult Protection Procedures are out of date and staff were unaware of these. The evidence shows that staff are not aware of how to protect residents from abuse. There were a number of repairs needing to be carried out. The evidence shows that residents do not live in a safe, well-maintained environment. The laundry floor and walls were in poor condition. The evidence shows that the laundry is an infection risk. There are 10 staff who have completed or are working towards National Vocational Qualification level 2 leaving well over 50 of staff not doing so. The evidence shows that residents are not in safe hands at all times. There were two staff working in the home without a current Criminal Records Bureau or Protection of Vulnerable Adults checks. The evidence shows residents are not supported or protected by the home’s recruitment policy and practices. There is not any quality assurance system in place to seek the views of residents and/or their relatives on the care provided. The evidence shows that residents do not express their views on how the home is run. There were no records available of water temperature tests being carried out. The evidence shows that the health, safety and welfare of residents are not protected. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. New residents are fully assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was an assessment completed by the manager in the file of the most recently admitted resident, which was completed before they moved to the home. There was a community care assessment and a document called a life review seen on files. The life review contained information which relatives are asked to complete shortly after admission to give background information about the resident and to help staff with planning their care. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 10 The deputy manager said that when a referral is received an offer is made to come and visit the home. The manager then carries out a pre admission assessment and if the home can meet the residents’ needs a date if offered for them to move in. Staff said that they know in advance when a new resident is moving to the home and they are told about new residents by senior staff. Staff said they have not read the assessments completed and would like to know more about the assessment process. Assessments included details of any specialist assistance a resident requires. The deputy manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. There are not any arrangements made for the home to provide an intermediate care service. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is poor. Inadequate care plans do not give residents confidence that there care needs can bee met Residents’ health care needs are fully met. Residents are not fully protected by the homes procedures for dealing with medicines. Some care practices do not promote respect and dignity for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The deputy manager said that the care plans have been redone following a requirement set at the last inspection. There are now three teams with a team leader responsible for preparing and updating the care plans in their team. The plans seen were not completed with enough information and did not provide sufficient detail as to how a residents needs should be met. An example of this was where the plan stated that a resident should be
Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 12 encouraged to carry out tasks independently, but did not say what these tasks were. Relatives had signed care plans confirming that these have been discussed with them. There were review sheets showing that care plans were reviewed monthly by a team leader as well as being audited monthly by the deputy manager, however these had not picked up on the lack of detail in care plans and alternative ways of doing this were discussed. Care plans include details of resident’s gender, ethnic origin, religious beliefs and any disability. Several staff were asked about using care plans and they said that they did not use them, one member of staff saying she had only checked one once since starting. The deputy manager said that she would be looking at how to involve staff more in the preparation and use of care plans. There were references in care plans to meeting the health care needs of residents and this included optician and chiropody appointments. Care staff said that they tell the nurse in charge of any healthcare concerns. A resident said, “I see the doctor when I am not well”. There were references in the care plans as to how residents like to take their medication. Medicine Administration records were fully completed and there were photographs to identify each resident. The lunchtime medication round was observed and the nurse on duty was giving medication to care staff to take to residents. The deputy manager said that the nurse should be giving the medication directly to the residents and not to care staff. This is also what the home’s administration of medicines procedure states. Care plans did not include details as to how to promote the privacy and dignity of residents. One resident was seen having her hair blown dry in a communal room, although other personal care was provided in private. The deputy manager said that with hindsight she felt it would be better to dry people’s hair in private. There was a notice on the wall seen in one resident’s room, which was an instruction for staff and did not need to be displayed in that manner. Staff said that they were told about promoting the privacy and dignity of residents as part of their induction.
Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 13 Residents were seen sitting in the dining room waiting for lunch. They had been given drinks and some were putting their cutlery in these. There were a number of staff present who did not stop them until asked to do so by the deputy manager. One resident was seen in an apron, which had a number of holes in. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Some aspects of the lifestyle offered at the home such as activities matches their expectations. Residents maintain contact with family and friends and the local community. Residents could have greater help to exercise choice and control over their lives. Residents dietary preferences are catered for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are four activities coordinators employed who provide a range of activities in the home and arrange trips out. There is a summary of what residents have enjoyed taking part in over the previous month in each care plan but no record is kept of when an activity is provided and who joined in. There were different activities seen taking place, including some reminiscence. One of the activities coordinators said that they try to offer a varied range of activities including painting and making pictures, and two boat trips and a picnic have been arranged for later in the year.
Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 15 There were no activities pictures or notices on display but the activities coordinator said these have been taken down to be repainted and will be back up shortly. There were references seen in care plans to residents going out to a local coffee shop. The activities coordinator said that as well as going to the coffee shop residents go for meals at one of the local pubs, trips into Nottingham and shopping at a local supermarket. Families are able to come and take residents out. The deputy manager said all Christian festivals are celebrated and visitors are welcome anytime. A visiting relative said that she is always made welcome when visiting and that she can visit at any time. Staff said that they try to give residents choices and gave the example that they always ask them what they want to wear, but could not suggest any others apart from to do with choice of food and drink. One care plan seen stated that a resident not being given choices will effect their cooperation. The deputy manager said that more could be done to develop residents’ opportunities for making choices. There were details seen in care plans about residents eating habits and a list of likes and dislikes. The menu does not provide a choice of meal, although alternatives are available if someone does not like a meal. One resident is vegetarian and has a separate diet. The deputy manager said that they have been looking at the idea of introducing a choice of meal onto the menu. Staff said that residents get enough to eat and the food is very good. The manager said that any special diet for personal choice, religious or health reasons will be accommodated. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is poor. Residents and their relatives are confident their complaints will be listened to, taken seriously and acted upon. Lack of adequate training and up to date procedures regarding safeguarding adults places service users at potential risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The deputy manager said the home has a complaints procedure and there is a complaints file, however she was unable to locate this. Staff said that they would take the details of any complaint made and take it to the nurse in charge. There was a copy of the Adult Protection Procedures in the office, however these have not been updated since these were first issued. Staff said they had not had any training on the Adult Protection Procedures and did not know them. The deputy manager said that it was some time since she had any training on the Adult Protection Procedures and could do with a refresher on these. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 17 The deputy manager said there have not been any reported incidents of abuse and that any form of abuse or discrimination would not be accepted and would be dealt with by following the Adult Protection Procedures. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is poor. Lack of a well maintained building places residents at risk and does not enable them to live in pleasant comfortable surroundings. Residents’ bedrooms do not have the required facilities. The laundry presents an infection risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were a number of repairs noticed during the inspection. There was a rotten window to a bedroom and a broken window in a corridor. The dining room floor was in very poor condition with some broken tiles and others come unstuck. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 19 There was not a clear system for reporting any maintenance; however there was a light reported not working in October 2006 that was not working when tested on this inspection There was a requirement set at the last inspection to provide lockable facilities in all bedrooms unless by agreement with relevant parties it is considered unnecessary, which has not been complied with. Staff said that protective clothing is available and were seen wearing it. Staff said they have had training in infection control. The laundry floor and walls were both in need of attention to prevent infection risks due to wear and tear Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is poor. Residents’ needs are met by the numbers and skill mix of staff. Residents are not in safe hands at all times due to insufficient training. Residents are not supported or protected by the home’s recruitment policy and practices. Staff are trained to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides 1 nurse and 5 care staff during the day, 1 nurse and 6 care staff in the evening and 1 nurse and care staff at night. In addition the home employs a manager, deputy manager, activities coordinators, catering and domestic staff. The home employs male and female staff and they are of varying ages and from differing ethnic backgrounds. Staff said they felt there are enough staff on duty and cover is provided if someone is off sick. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 21 There are 10 care staff who have either completed or are working towards National Vocational Qualification level 2 and the remainder have yet to be enrolled on this course. Staff files seen showed that the correct recruitment practices are not being followed. There were two staff working without a current Criminal Records Bureau or Protection of Vulnerable Adults checks having been carried out. An immediate requirement notice was left in respect of this. Each member of staff had a training file where any certificates are kept. It was not possible to establish which staff have not completed a course without going through each member of staff’s training file. It would be easier to work out a training programme if there was an easier method of checking on staff training. Staff said they had received some training and new staff said they had been given an induction. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 22 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. There is a suitable manager employed to run the home. Residents do not have an opportunity to express their views on how the home is run. Residents’ financial interests are being safeguarded. The health, safety and welfare of residents are not fully protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has worked at the home for a number of years and has completed National Vocational Qualification level 4.
Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 23 The deputy manager said there have not been any recent quality assurance exercises carried out. The home does not handle any money on behalf of residents and there are no additional charges made, including hairdressing and chiropody, which are included in the fees. The deputy manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Records of tests carried out for the prevention of Legionella could not be found. It was a requirement at the last inspection that these must be available for inspection. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 24 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 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 1 2 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 Requirement The registered person must ensure that care plans contain detail of all residents needs and how these are to be met. The registered person must ensure that the privacy and dignity of residents is promoted. The registered person must ensure the correct practices are followed when administering medication. The registered person must develop the amount of choice provided to residents. The registered person must ensure the home is kept in good repair. The registered person must provide lockable facilities in all bedrooms unless by agreement with relevant parties it is considered unnecessary. Agreements reached must be fully documented. This is a repeated requirement,
DS0000065731.V328529.R01.S.doc Timescale for action 01/04/07 2 OP10 12 01/02/07 3 OP9 13 01/02/07 4 OP14 12 01/04/07 5 OP19 23 01/04/07 6 OP24 16 01/04/07 Church Farm Nursing Home Version 5.2 Page 26 the previous timescale of 28/02/06 was not complied with 7 OP26 13 The registered person must decorate the laundry and repair or replace the floor. The registered person must obtain a satisfactory Criminal Records Bureau or Protection of Vulnerable Adults check before staff can start work in the home. This is a repeated requirement, the previous timescale of 24/01/06 was not complied with The registered person must introduce a system to seek the views of residents on the quality of care they receive. The registered person must ensure water temperature recordings are available for inspection. This is a repeated requirement, the previous timescale of 28/02/06 was not complied with 01/04/07 8 OP29 19 22/01/07 9 OP33 24 01/04/07 10 OP38 13 01/02/07 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. Refer to Standard OP12 OP15 OP28 OP30 Good Practice Recommendations The registered person should keep a record of all activities provided and which residents take part in them. The registered person should provide a choice of meal. The registered person should ensure that 50 of staff have completed National Vocational Qualification level 2. The registered person should keep a record of what training staff have and what is required. Church Farm Nursing Home DS0000065731.V328529.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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