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Inspection on 23/08/07 for Clarence Park Nursing Home

Also see our care home review for Clarence Park Nursing Home for more information

This inspection was carried out on 23rd August 2007.

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.

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

What the care home does well

Clarence Park continues to provide a good level of care and support for the people using the service in a friendly and caring manner. People spoken to were very pleased with the care they received. Comments received included ` they are always ready to help,` ` the staff are always cheerful and work hard.` A visitor/advocate stated that they `felt they could leave the home and know that their friend was well looked after.` One relative said that they were `more than happy with the care provided and had no problems with being informed of changes or being involved in care issues.` One particular area that people commented on was the meaningful activities they can choose in the home. `We are pleased we can go to communion.` `The multi national day was really good.` One person stated that they `preferred to remain in their room but always had plenty to do.` Staff were observed to have a caring and open approach, talking to residents when passing and including them in conversations. They are encouraged to maintain their understanding of current trends in care through both external and in house training. Clarence Park is a well maintained and well decorated home. People using the service are encouraged to personalise their rooms with pictures and memorabilia.

What has improved since the last inspection?

Following the requirements made at the last inspection the manager has worked hard to introduce a person centred approach to writing care plans. Staff are working towards implementing this approach in the home. People using the service are more involved in agreeing a plan that adequately meets their needs. Care plans are now in place for specific needs such as catheter care, or temporary problems such as a chest infection. A review of the medication documentation and administration showed that staff now adhere to the homes policies and procedures. The manager now follows a robust recruitment procedure ensuring that all references are obtained direct from the referee.

What the care home could do better:

No requirements have been made as a result of this inspection. We have made 5 good practice recommendations. We noted that care plans lacked consistency as some contained the new approach to person centred care, whilst others still contained generic care plans that did not reflect the individual needs of people using the service. We also commented on the need to include the triggers that could cause aggressive behaviour for one identified person. We discussed with the manager the need for training in specific areas to be reviewed. The implementation of person centred care planning has resulted in some staff feeling they need to receive further training. Manual Handling training is also carried out with the use of a video. Staff need to receive training that enables them to observe and practice techniques in a safe environment.

CARE HOMES FOR OLDER PEOPLE Clarence Park Nursing Home 7 / 9 Clarence Road North Weston Super Mare North Somerset BS23 4AT Lead Inspector Juanita Glass Unannounced Inspection 09:30 23 August 2007 rd 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 Clarence Park Nursing Home DS0000040907.V350694.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. Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clarence Park Nursing Home Address 7 / 9 Clarence Road North Weston Super Mare North Somerset BS23 4AT 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) 01934 629374 01934 626207 www.notarohomes.co.uk Notaro Homes Ltd Ms Sally Brotherton Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 35 Patients aged 50 years and over requiring nursing care. Manager must be a RN on parts 1 or 12 of the NMC register Staffing levels detailed in the letter to Mr N Notaro from the CSCI dated 7th September 2004 apply. 11th July 2006 Date of last inspection Brief Description of the Service: Clarence Park provides care and support to older people who have nursing needs. It comprises of two houses joined together and extended close to the seafront in Weston super Mare and opposite Clarence Park. Local shops and amenities are close by and the town centre is just under a mile away. Inside, the home is well laid out, level throughout with ramps and lifts giving access to the upper floors. Twenty-one of the single, and all four of the shared bedrooms have en suite facilities. With a small garden at the front, the rear has been laid as patio around a central water feature. Current fees range from: £524 to £700 Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day with a total of 6 hours spent in the home. The deputy manager was present through out the inspection. A meeting was arranged with the manager on her return from holiday. Evidence to support this inspection was gained through 1-1 discussions with eight residents, two relatives and three members of staff. Eight surveys were returned. The records for five people using the service and four members of staff were reviewed as well as medication, maintenance, health and safety checks and a tour of the premises. What the service does well: Clarence Park continues to provide a good level of care and support for the people using the service in a friendly and caring manner. People spoken to were very pleased with the care they received. Comments received included ‘ they are always ready to help,’ ‘ the staff are always cheerful and work hard.’ A visitor/advocate stated that they ‘felt they could leave the home and know that their friend was well looked after.’ One relative said that they were ‘more than happy with the care provided and had no problems with being informed of changes or being involved in care issues.’ One particular area that people commented on was the meaningful activities they can choose in the home. ‘We are pleased we can go to communion.’ ‘The multi national day was really good.’ One person stated that they ‘preferred to remain in their room but always had plenty to do.’ Staff were observed to have a caring and open approach, talking to residents when passing and including them in conversations. They are encouraged to maintain their understanding of current trends in care through both external and in house training. Clarence Park is a well maintained and well decorated home. People using the service are encouraged to personalise their rooms with pictures and memorabilia. Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Clarence Park Nursing Home DS0000040907.V350694.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 Clarence Park Nursing Home DS0000040907.V350694.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5. 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission to the home only takes place if the service is confident that they can meet the assessed needs of the person intending to move in. People intending to use the service are given the opportunity to visit the home prior to taking up residence. EVIDENCE: We reviewed five individual care plans they evidenced that preadmission assessments were being carried out prior to admission to the home. We also saw copies of hospital and social services assessments and care plans. The pre admission assessments were very concise and showed that people were not admitted to the home unless the manager and staff felt they could meet their needs. One friend/advocate spoken to said that the preadmission assessment had been quite thorough and they felt the home had kept them well informed Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 9 throughout the process. This means staff will be ready to meet peoples needs before they move into the home. People intending to use the service and their representatives are able to visit the home prior to admission; this enables them to make an informed choice. One visitor spoken to confirmed that they had visited the home on behalf of their relative. They felt they had been given enough information and time when deciding whether to advice their friend to move into the home. Clarence Park Nursing Home DS0000040907.V350694.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. 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 evidence including a visit to this service. The manager has implemented a person centred approach to care planning but staff fail to use it consistently. This means that some people using the service may not have their personal needs met People using the service have access to healthcare services both within the home and the wider community. People who use the service feel respected and treated with privacy and dignity. Staff adhere to the homes policies and procedures for the administration of medication. EVIDENCE: We reviewed the care plans for five people using the service. Since the last inspection the manager has introduced a person centred approach to completing care plans. We saw care plans that showed this model in use. They stated clearly the personal likes and dislikes of the person using the service. Care plans were written from their point of view saying how they would like their care to be carried out and the consequences if the Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 11 interventions failed. There was evidence of interviews with the activities organiser who wrote a life map and asked what their dreams and aspirations were. These would have been commendable if they had been consistent. Other care plans reviewed showed that the old style generic plans were still being used. Staff were not implementing the new documentation on review. Some staff spoken to did not feel they had had adequate training in the new care plans. The manager however said that training had been in place and a guide to Person Centred Care was available for all staff to follow. The document contains clear guidelines for staff and was available in the home. It was evident that a small core group of staff did not understand the principles behind person centred care. This means that some people using the service may not receive a consistent approach to delivering the care they need. Since the last inspection care plans for specific needs are now in place. One care plan for aggressive behaviour states ‘staff to be aware of what triggers the behaviour and try to avoid.’ It does not give staff any indication of what the triggers may be. This does not support an understanding of the diverse needs of residents with aggressive tendencies. Some people spoken to said they had seen their care plans and had been consulted on their content. It was difficult to evidence this as very few were signed by the person using the service. Despite the poor record keeping, people in the home said that staff knew their needs and met them appropriately. All people spoken to said staff were caring , friendly and professional. One visitor said that staff always knew about the person they wished to discuss and would always ‘give an honest answer.’ Records reviewed showed that people were assisted in accessing healthcare services within the home and in the community. Records showed attendance at dentists, opticians and the chiropodist. People using the service were also assisted to attend outpatients’ and physiotherapy appointments. The home has a very clear policy and procedure for the receipt, administration and disposal of medication. On reviewing the records it was noted that there were no errors. Staff were observed administering medication and followed the procedures appropriately. People spoken to said they felt they were treated as individuals and that staff respected their privacy and dignity. One person stated that staff always knocked on her door and asked if it was ‘ok to go in.’’ Through out the inspection staff were observed to have a friendly cheerful approach with residents. One person who was slightly confused and asked the same question over again was treated with utmost respect and patience by all the staff on duty. Clarence Park Nursing Home DS0000040907.V350694.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Outcome in this area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are offered appropriate meaningful activities of their choice. They are encouraged to maintain contact with family, friends and their local community. Visitors state there are no restrictions and feel welcomed. A nutritious, appealing and varied menu is made available. EVIDENCE: We spoke to people using the service and the activities organiser. They confirmed that a full programme of meaningful activities was made available. The activities organiser stated that due to staffing levels recently she had been working more in her care role than her activities role and it had been difficult to provide all the activities advertised. Records showed that residents had taken part in reminiscence, board games, music and sing-along, painting, garden games, musical movements and trips out. A trip to Wells had been arranged on the day of the inspection. Earlier in the year staff had held a multi national day. Residents were shown the different cultures of staff working in the home. They also had a chance to experience national food. People spoken to said there were plenty of activities to take part in and they Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 13 were given the choice of whether to attend or not. Care plans for the most recently admitted showed that the activities organiser spoke with them about their hobbies and preferences regarding activities. Surveys said that the activities in the home were good. Visitors spoken to said that they were welcomed at any time during the day to visit friends and relatives. People using the service said they were openly encouraged to maintain contact with their family and friends and were assisted to go out whenever possible. One relative survey said that they were glad they could come and attend communion with their relative. People using the service said they felt they could continue to exercise choice and control over their lives. Records showed that people got up at varied times during the morning. During the day people were observed exercising their own choice as to whether they joined in with the main community, or remained in their room. Those who chose to remain in their room were noted to have magazines books and various puzzles. One lady said she did not like taking part in the organised activities but had plenty to do in her own room. A revised menu is in place. Lunch is a three-course meal with the provision of fresh fruit and vegetables. All care plans now contain nutritional assessments. One care plan identified weight loss and the diet was altered to improve the calorie intake. All the people using the service said that the meals in the home were good; they confirmed that they were given a choice of menu on the day. The mealtime observed was carried out in pleasant surroundings and at a leisurely pace. Residents were offered assistance when necessary and those residents who chose to eat in their own rooms were accommodated. The home can cater for residents with either cultural or medical dietary needs; the cook displayed an awareness of residents’ individual likes and dislikes. Clarence Park Nursing Home DS0000040907.V350694.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure, and clear guidance for the protection of vulnerable adults; all staff spoken to demonstrated a clear awareness of adult protection issues. EVIDENCE: The home has a complaints procedure, which is included in the revised service user guide and can be seen on request. The complaints book contained seven complaints since the last inspection. These complaints had been dealt with appropriately and a full record maintained of the complaint, action taken and the outcome. All surveys received stated that they knew of the homes complaints procedure. People using the service said they could always talk to the manager The home has a whistle blowing policy, which staff were aware of. All staff spoken to were also aware of the policies and procedures for reporting suspected abuse and harm. They were aware of the local authority’s policies and procedures if they felt they could approach management. The manager has dealt with an adult protection issue in the appropriate way protecting residents from abuse Clarence Park Nursing Home DS0000040907.V350694.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and homely environment, which is appropriate to the needs of the resident group. Specialist aids are provided where necessary. People using the service are encouraged to personalise their rooms. The home is clean tidy and free from offensive odours. EVIDENCE: We carried out a tour of the premises looking at all communal areas and the rooms of people who did not mind us looking in. Clarence Park Nursing Home maintains a high standard of cleanliness, people using the service commented on the hard work the ancillary staff put in to maintaining such a pleasant atmosphere. One visitor stated they had never seen the home untidy at any time of day. Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 16 People using the service said they liked their rooms and many contained personal items including pictures and photographs. Residents have access to safe well-maintained gardens and the community areas are well lit and ventilated. Staff showed an awareness of the homes policies and procedures to prevent cross infection. The manager can access outside advice if necessary. Clarence Park Nursing Home DS0000040907.V350694.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using the service do not benefit from adequate numbers of staff who are competent and trained to meet their individual needs. This puts people at risk of inconsistent care. The home is working to meet the 50 NVQ trained staff. Robust recruitment procedures protect residents from abuse. EVIDENCE: 50 of Surveys received stated that staffing levels could be improved. Staffing records reviewed, people using the service and staff spoken to confirmed that there has been a shortage of regular staff recently. The activities organiser has had to work care shifts to maintain staffing cover in the home. This puts people using the service at risk of inconsistent care. Despite this people said they received excellent care from dedicated staff. During the inspection staff were observed to carry out their duties in a relaxed and unhurried manner although call bells did not get answered immediately. People using the service said that they sometimes had to wait a while for a reply but they realised staff were working hard. This means the service is not always able to respond to the individual needs of people using it. Following discussion with the manger and deputy manager a recruitment programme has been started and adverts placed. Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 18 Staff records showed that the company encourage training and personal development either within the home or from outside agencies. The manager is currently encouraging care staff to take up the NVQ level 2 and 3 training. People spoken to with specific needs stated that they felt staff had an understanding of their diverse needs. Manual handling training is regularly up dated with the use of a video. This is not adequate training. Staff need to attend training that enables them to experience practical demonstrations and the chance to practice techniques shown. Training includes safeguarding adults and dementia care. Comments from staff regarding training for person centred care planning were discussed with the manager. She felt that enough training and guidance was available but agreed to revisit the principles with the qualified staff. A review of staff personnel records showed the manager adheres to a robust recruitment procedure. This ensures people using the service are protected from abuse. All required checks and documentation had been obtained for new staff before they commenced work. The manager had also confirmed ‘To whom it may concern’ references, which is good practice. Clarence Park Nursing Home DS0000040907.V350694.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the required qualifications and experience to run the home. The ethos is open and inclusive resulting in people feeling that they do have a say in the management of their care. Residents’ financial interests are protected through a robust system. Staff are regularly supervised providing continuity of care for residents. The home has sound policies and procedures and works to a clear health and safety policy. EVIDENCE: The manager is a qualified nurse with experience in management. She has completed the Registration process with the CSCI. Both people using the service and staff spoken to stated that the manager was always ready to listen Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 20 to them and spend time with them. One person using the service said it was nice to be able to see and speak to the manager each day. She felt she could raise any issues. One advocate/visitor said that she was a very open and approachable manager, ‘a pleasure to talk to.’ An easy and friendly rapport was noted through out the inspection. Systems are in place for people using the service, visitors and relatives to comment on the running of the home, copies of questionnaires seen from the previous years survey showed that residents and relatives are happy with the running of the home. This years survey has been started but has not been collated yet. The Notaro group maintains a secure system for safeguarding residents’ finances. All staff carry out an induction within the first week of the start of employment. A supervision agreement is signed and the responsibility for staff supervision is cascaded down from the manager through senior staff. Evidence of regular formal and clinical staff supervision was seen on the day of inspection. Staff spoken to felt they did get adequate support and supervision both from qualified staff and the manager. This promotes a feeling of continuity of care in the home. All health and safety checks were in place and up-to-date. The fire risk assessment for the building is available for inspection and the firelog showed that all recommended checks were being carried out. Service records showed that regular checks were being carried out following current guidelines. This ensures people using the service; visitors and staff are protected by robust health and safety policies and procedures. Clarence Park Nursing Home DS0000040907.V350694.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 OP7 OP7 OP26 OP30 Good Practice Recommendations The manager needs to ensure that all staff consistently implement the person centred care approach to care planning. Triggers that may result in aggressive behaviour must be documented on care plans. The manager needs to review staffing numbers to consistently meet the needs of people using the service. Manual Handling training needs to include practical demonstrations and give staff the chance to practice the techniques in a safe environment rather than rely solely on video training. The manager needs to provide further training in the implementation of person centred care planning. 5 OP30 Clarence Park Nursing Home DS0000040907.V350694.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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