Inspection on 26/02/08 for Collingwood Court

This inspection was carried out on 26th February 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Collingwood Court Front Street Chirton North Shields Tyne & Wear NE29 0LF Lead Inspector Anne Brown Key Unannounced Inspection 10:00 26 and 28th February 2008 th 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 Collingwood Court DS0000070541.V360042.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. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Collingwood Court Address Front Street Chirton North Shields Tyne & Wear NE29 0LF 0191 257 8118 0191 257 9119 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) Southern Cross OPCO Ltd Mrs Margaret Harrison Care Home 63 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (40) of places Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP, maximum number of places 40 Dementia, over 65 years of age, Code DE(E), maximum number of places 23 The maximum number of service users who can be accommodated is : 63 26th July 2007 2. Date of last inspection Brief Description of the Service: Collingwood Court is a purpose built home, built within the last three years. The home is situated on a main road in Chirton, near to the town of North Shields. It is close to local shops, doctors, public houses and transport networks. It is also close to the Northumbrian coast and the nearby countryside. It is registered to provide personal care to 63 residents, the categories of registration are for 40 older people and 23 older people with memory loss. Bedrooms are all for single occupancy and have en-suite facilities, they are situated over three floors. There is a large lounge and a smaller lounge and separate dining room on each floor as well as the necessary number of lavatories and bathrooms containing equipment that can be used to assist with getting in and out of the bath. A statement of purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees payable for living in the home at the time of inspection vary between £400.99 and £492.00. Additional charges are payable for hairdressing, private chiropody, personal toiletries and personal newspapers. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 26th July 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • • An unannounced visit was made on 26th February 2008. A further visit was made on 28th February 2008. During the visit we: • • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. Attended two meetings arranged by the staff for the people living in the home to discuss the activities programme. We sent questionnaires to the home to issue to ten people who live in the home, ten members of staff and ten relatives. We told the provider what we found. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 6 What the service does well: The staff team are committed to ensuring the health, rights, welfare and safety of the people living in the home. All areas in the home are clean, pleasant and decorated and furnished to a high standard. Bedrooms are comfortable, well maintained and suit the individual needs of the people living in them. There is a homely and lively atmosphere around the building. Good relationships were observed throughout the home and staff were seen to be talking to the people living in the home and seeking their opinions. There are systems in place to review quality, which ensures consistent good care practices. Comprehensive policies and procedures are in place and reviewed on a regular basis. The management are committed to staff training and development to help make sure the individual needs of the people living in the home are met. The health care needs of people living in the home are very well met and recorded. The menus are varied and nutritious and alternatives are always available. The people living in the home stated that the food is very good and special diets are catered for. People living in the home and their relatives knew how to complain and felt their complaints would be taken seriously. There is a range of activities taking place in the home and outings are arranged on a regular basis. People have the opportunity to pursue their religion if they wish to. Feedback from people living in the home and their relatives was positive. Comments included:‘The staff are very good and respect my privacy’ ‘Wonderful caring staff, extremely kind and considerate, who help to keep your dignity at all times’ ‘I liked going out to the shops’ Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 7 ‘I enjoyed making scones’ ‘I enjoyed every minute of everything’ ‘I feel I am well cared for’. ‘Good and helpful staff’ ‘I love the staff, they are very kind’ ‘Nothing is a bother to the staff’ ‘They always have time to talk to me’ Relatives said:‘Care – first class. Standard of care truly excellent with dedicated members of staff from the cleaners to the home manager’. ‘As far as my mother is concerned, I believe she is well looked after and cared for, the staff take their job seriously’. What has improved since the last inspection? Detailed information about the social needs of the people living in the home is now being collected to ensure staff can provide the necessary levels of care and support to the person. The social history of people living in the home is being completed and they are given the opportunity to complete a document called ‘Its my Life’ to collect this information. This is particularly helpful for people with memory loss and their relatives are invited to contribute. Photographs and memorabilia have been used to decorate the communal areas and hallways of the memory loss unit to aid orientation. This is proving successful. Monthly meetings and consultation with people living in the home now take place on each floor. Tea and coffee making facilities are available for people living in the home and their visitors. A new activities coordinator has been employed in the home. She is introducing new activities and more outings are taking place. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 8 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. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 9 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 Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 10 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Needs are assessed prior to people moving into the home, to help ensure their needs can be met. People are able to visit and spend time in the home to decide whether they want to move in. EVIDENCE: The service continues to carry out a thorough assessment before people are admitted. The person using the service and relevant people who know them are involved in this process. The staff at Collingwood Court carry out their own assessments that lead to detailed care and support plans for the people who live there. Copies of assessments were available on the case files that were examined. The Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 11 assessment form refers to gender, culture, religion and social histories. There are also risk assessments for pressure sores, nutrition, falls and moving and handling. This information helps to ensure that the staff are able to meet the needs of the people living in the home. The staff are now in the process of introducing a document called ‘This is my life’. The people living in the home and their relatives, are given the opportunity to complete this document to record information regarding their past lives. This will help the staff to meet their social needs more effectively. People are able to visit the home and spend time there before they make a decision to move in. This helps to ensure that the home can meet their needs. One person confirmed that they had visited the home with their family before they moved in. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. There are good arrangements in place to ensure that the health needs of the people living in the home are met. People are well supported by staff and care plans show the amount of care and support that is provided. EVIDENCE: New care plans are being introduced to the home. The previous style of care plan is being used until the new plans are fully completed. Personal support needs are well documented and give clear instructions to staff on how to support people. People are encouraged to remain independent with tasks such as bathing, dressing and feeding. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 13 Care plans are reviewed and amended as necessary on a monthly basis. The people living in the home and their families or representatives are involved in the process. The manager ensures that reassessments are carried out by care managers from the Local Authority, if it is felt the home can no longer meet people’s needs. The care records showed that people living in the home have access to external health care services. GPs are regularly consulted for advice and treatment. Records showed community nurses visit the home as required and were visiting during the inspection. People are supported to use chiropody and optical services in the community. The staff on duty were aware of the individual needs of the people living in the home. They were observed to be treating them with respect and good relationships were observed. People are able to access their own bedrooms at any time and can choose how to spend their time. All staff were observed to be respecting peoples’ privacy and dignity. Comments from people living in the home include:‘The staff are very good and respect my privacy’ ‘Wonderful caring staff, extremely kind and considerate, who help to keep your dignity at all times’ A monitored dosage system is used in the home. It is made up and delivered weekly by the community pharmacist, which reduces the amount of handling of medication by staff. A sample of records was examined and found to be in accordance with the pharmacy guidelines. All medications were stored appropriately. All staff who administer medications have received appropriate training. Secure storage facilities are provided for people who are able to keep their own medications. Collingwood Court DS0000070541.V360042.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. This judgement has been made using available evidence including a visit to this service. A variety of activities are available to people living in the home and they are supported to maintain contact with family and friends as they wish. EVIDENCE: Since the last inspection a new activities coordinator (40 hours per week) has been employed in the home. Regular activities include video afternoons, singa-longs, manicures and pampering, arts and crafts, exercise, bowling, quoits, beetle drives, dances, card games, dominoes, skittles and bingo. Recently some people living in the home had enjoyed baking scones. Various parties are also arranged and relatives and friends are encouraged to attend. The home has become established in the local community and receives visitors from local churches and schools. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 15 Staff support people to visit local shops and cafes. Some people have been support to use the local bus service instead of paying for taxis. One lady said ‘I had a lovely day going to a supermarket on the bus and having a snack in the café’. The manager and staff are planning to make one lounge into a games room containing a pool table and dart board as they felt some people would benefit from this. Recently some activities have been held in the early evening and people felt this was a nice change. The staff have introduced some memorabilia and photographs in the hallways and communal areas of the first floor to help with orientation of people with memory loss. A number of people were seen to be taking notice and discussing the photographs during the inspection. One gentleman was very interested in photographs of local places, ‘then and now’. The staff confirmed that the photographs have proved to be successful and intend to introduce more. Meetings are held every month on each floor to discuss activities with the people living in the home. These were taking place during the inspection. The activities coordinator asked for people’s views of the activities which had taken place during the previous month and for ideas for the next month. Photographs of each activity were provided to help remind the people with memory loss. Comments included:‘I liked going out to the shops’ ‘I enjoyed making scones’ ‘I enjoyed every minute of everything’ Some people requested that bingo continues as they really enjoyed this. Two people said they prefer to read or watch TV in their bedrooms. Others said they enjoyed going to tea dances in the community. A relative commented ‘more entertainment at weekends as it is too quiet’. The manager confirmed this would be followed up with the activities coordinator. Four weekly menus are in place and these are reviewed on a regular basis. A choice is available for every meal and alternatives can also be requested. The staff were observed to be consulting the people about their choice of meal at lunchtime. Lunch was being served during the inspection. The food was well presented and the portion sizes were ample. The atmosphere was relaxed and unhurried. The people living in the home confirmed that they enjoyed the food Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 16 served in the home and drinks are available throughout the day and night. Some people said they were informed of the lunch time menu each morning and asked to make a choice. One person said they preferred not to be told as they enjoyed getting a surprise as all the food was very good. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 17 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. Complaints are taken seriously and the people living in the home are protected from abuse. EVIDENCE: The home’s complaints procedure is available in the information pack provided to people before they are admitted to the home. This procedure is also displayed in the home so it is available to relatives and visitors. Contact details are provided for outside agencies in case people felt uncomfortable bringing any complaints or concerns to the attention of staff within their home. A record of complaints is kept by the manager which includes details of the investigation and the outcome. No complaints have been received since the last inspection. The questionnaires confirmed that people knew how to make a complaint. Comments included:‘I think my mother would speak to one of the carers if she was not happy’ Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 18 ‘If I wanted to complain my daughter would do this’ ‘I never have anything to complain about’ ‘I have never had any concerns about the care my mother receives’ The manager confirmed that all staff have received training on the protection of vulnerable adults. The staff on duty confirmed that they had attended this training and were aware of the procedure to follow if they observed any bad practice within the home. The manager was very aware of the need to refer care workers considered unsuitable to work with vulnerable adults to the appropriate register. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 19 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, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People enjoy living in a homely, comfortable and safe environment that is clean and hygienic. EVIDENCE: A tour of the premises was carried out and a sample of bedrooms were looked at. All areas were very clean, well decorated with a very good standard of hygiene. There is a programme for redecoration and improvements around the home. A maintenance person is employed to address any problems on a daily basis. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 20 The people living in the home all have their own bedrooms with en suite facilities. They are encouraged to bring personal belongings and to individualise their bedrooms with small items of their own furniture if they choose to. Some people confirmed they could spend time in their own room and see their visitors in private. A smoking room is available on the ground floor, which is fitted with an extractor fan. Tea and coffee making facilities are available for people living in the home, where appropriate, and their visitors. A new fridge has been ordered to replace the one on the second floor. Comments included:‘Very pleasant and clean surroundings’ ‘The home is always very clean’ ‘The staff keep everything clean’ ‘The home is always very nice. I am happy with my bedroom’ ‘The staff do everything to keep the place nice’ Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by the home’s recruitment policy and procedure. The staff are competent, skilled and committed to meeting individual needs. EVIDENCE: On the day of the inspection the following staff were on duty:Manager Three senior care assistants. Five care assistants. One activities coordinator Three domestic assistants One laundry assistant One maintenance assistant One kitchen assistant One chef The home also employs a deputy manager and are in the process of recruiting a full time administrative assistant. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 22 Four staff files were examined. Criminal Records Bureau checks had been carried out and two written references obtained. This helps to protect the people living in the home. The majority of staff have obtained a National Vocational Qualification (NVQ) Level 2 or above. The domestic staff are undergoing this training. Training programmes are in place to ensure all staff receive regular mandatory health and safety training and specialist training to meet the individual needs of the people living in the home. The manager stated that the staff team are soon to attend a training course on dementia called ‘Yesterday, Today, Tomorrow’. The staff on duty confirmed that they receive appropriate training to carry out their roles efficiently. The people living in the home were very complimentary about the staff. Comments included:‘I feel I am well cared for’. ‘Good and helpful staff’ ‘I love the staff, they are very kind’ ‘Nothing is a bother to the staff’ ‘They always have time to talk to me’ Relatives said:‘Care – first class. Standard of care truly excellent with dedicated members of staff from the cleaners to the home manager’. ‘As far as my mother is concerned, I believe she is well looked after and cared for, the staff take their job seriously’ During the inspection the staff were observed to be caring for people in a kind and sensitive manner. They were polite and pleasant. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 23 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 good. This judgement has been made using available evidence including a visit to this service. People live in a home that is well run and managed for their benefit and their health and safety is promoted. EVIDENCE: The registered manager is experienced in managing care homes and holds appropriate qualifications. Discussion and observation maintain that she puts the needs of the residents first and promotes an ethos amongst staff of involving staff and people living in the home in decision making. The staff and residents confirmed that the manager is supportive and very approachable. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 24 A newsletter is produced each month to inform people of things that are taking place and any changes that are being considered. All money deposited by people living in the home is held in a pooled account and each person has a virtual account within it. It is totally ring fenced from all other Southern Cross accounts. The interest is calculated on a daily basis and apportioned to people on a monthly basis. An interest payment will appear automatically on the person’s personal allowance record on the computer system in the home. Comprehensive health and safety policies and procedures were in place. Health and safety checks are carried out by the maintenance person on a regular basis. Appropriate maintenance contracts are in place. All accidents are recorded. However the accident form does not provide much space to record details of the accident and does not include a space to record witnesses. Systems are in place for the review and development of the service. Comments include: ‘The home does everything well’. ‘The home responds well to the needs of people for their overall rights and well being’. ‘I think Collingwood Court is a fine care home, that always seems to be trying to improve itself’. Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 25 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 4 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 2 Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 26 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. Refer to Standard OP12 Good Practice Recommendations Progress should continue to decorate and personalise the memory loss unit with photographs and memorabilia that may help people in their orientation. The provision of more activities for people living in the home at weekends should be explored. The accident record form should be expanded to ensure accidents can be fully recorded and include any witnesses present. OP12 OP38 Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI Collingwood Court DS0000070541.V360042.R01.S.doc Version 5.2 Page 28 - 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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