Inspection on 06/02/06 for Comberton Nursing Home

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Comberton Nursing Home 22/03/10

Comberton Nursing Home 03/11/09

Comberton Nursing Home 11/09/08

Comberton Nursing Home 15/05/06

Comberton Nursing Home 09/08/05

Comberton Nursing Home 24/01/05

Comberton Nursing Home 06/09/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Comberton Nursing Home King William Street Amblecote Stourbridge West Midlands DY8 4EP Lead Inspector Mrs Cathy Moore Unannounced Inspection 6th February 2006 07:15 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 Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 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. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Comberton Nursing Home Address King William Street Amblecote Stourbridge West Midlands DY8 4EP 01384 262027 01384 76943 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) Mr. Jayantilal James Bhikhabhai Patel Margaret Farrington Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (8), Terminally ill (8) of places Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 09/08/05 Brief Description of the Service: Comberton Nursing Home is located near to Stourbridge town centre. The home is sited in an attractive residential area. The home itself is a large detached property that has been converted and extended to its present form a 36 bedded nursing home. The home comprises of three storeys. Bedrooms are located on both floors. The main living areas, kitchen, offices, laundry and a shower room are on the ground floor, further bedrooms , the bathroom, toilets and the treatment room on the first floor. The lower ground floor accommodates the office and staff room. The home has well maintained gardens to the front and rear and a good sized car park at the front. Comberton is registered to provide care to a maximum of 36 residents who have nursing needs. Additional conditions of registration have been approved allowing the home to provide care to, within this 36, 8 residents who have a physical disability and 8 residents who have been diagnosed as having a terminal illness. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on one day between 07.15 and 13.00 hours. The inspection was conducted by one inspector and one pharmacy inspector. The inspection was carried out as the home’s second routine inspection for this inspection year. The inspection primarily focussed on core National Minimum Standards for Older people that were not assessed during the first inspection and previous requirements made. To this end three resident files, three staff files and the medication management were assessed. Records pertaining to health and safety, training were examined along with policies and procedures. The kitchen and laundry were partially assessed. Five residents’ one staff member and one relative were spoken to. The business manager and registered manager were involved in parts of the inspection process. The registered owner visited the home during the inspection. Not all standards were assessed during this inspection for a full overview of service delivery this report should be read together with the previous report dated 9 August 2005. What the service does well: Comberton is a detached property located in a pleasant residential area. It has generous size gardens and car parking facilities. The home overall is maintained to a good standard. Routine maintenance is on-going. The home offers a range of aids and adaptations to enhance mobility, independence and safety. The registered owner has a number of other homes’ offering support networks. A number of staff have worked at the home for some considerable time providing stability and consistency of care. Food provision at breakfast time was of a good standard and offered a wide range of choices of hot and cooked food. There was a good hand over of shift process from night staff to day staff. Residents’ made many positive comments about the home which included the following; “ It is not as good as being at home apart from that it is excellent. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 6 All care assistants are so helpful. Much better than the home I was in before”. “I like it. I love the staff and girls very much- they are lovely they look after me- excellent-its like a family. I am very, very happy”. One relative said;” They do the best for him”. What has improved since the last inspection? What they could do better: Documentation to demonstrate daily personal care delivery must be produced and implemented. Where residents’ have been assessed as being at risk nutritionally or there is concern about their food intake then this must be monitored with records maintained. The home must be able to demonstrate at all times that residents’ or their chosen representatives have been involved in their assessment of need and care planning processes. Mediation and medication systems remain a cause of serious concern. Which at the present time potentially place residents’ at risk. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 7 Staffing levels must be maintained as per the home’s assessed numbers needed detailed in the home’s statement of purpose. When staff are off sick or absent their hours must be covered by a suitable other. Comments about low staffing numbers were made by staff and one other person who said; “ Some days the care is better than others because of staffing. The home at times is short staffed”. 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. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 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 Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Nil No standards in this section were assessed during this inspection. EVIDENCE: No standards in this section were assessed during this inspection. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9. Care plan documentation and maintenance have improved since the last inspection ‘fine tuning’ in some areas is still required. Although evidence of healthcare provision was apparent, improvements are needed in some areas of recording. Medication systems and management continue to be cause concern potentially placing residents’ at risk. EVIDENCE: Three care plans were examined. It was pleasing that these have improved both in terms of presentation and content examples being; pressure area prevention and catheter care. Care plans were dated and signed by the person who had produced them. There was again however, a lack evidence that the resident or their chosen representative had been involved in the care planning process. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 11 Evidence of healthcare input was apparent for example; a new form has been produced and has been put into operation since September 2005. It is disappointing that to date no concise records of what personal care is being provided on a daily basis are being maintained. Improvements have been made in some aspects of medication management. The home has recently changed to a monitored dosage system (medication is pre-packed by the supplying pharmacy into a blister pack) for the administration of medication, which has helped ensure medication audit can be undertaken and that medication is administered following a calendar style system. Stock levels were appropriate for the requirements of the residents’. Concerns continue in terms of overall medication management, concerns include the following; Nursing staff need to improve medication documentation to ensure that medication records are a reflection of what medication has been prescribed and administered. Signature gaps were identified in medication records. ‘Ticks’ were used on 2 medication records instead of a recognised code. The home does not have an up to date medication policy revised in the last 12 months. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Residents’ are helped to exercise choice and control over their lives. EVIDENCE: It is pleasing that written information pertaining to external advocacy services is on display in the home and also referenced in the home’s statement of purpose. The manager confirmed that all residents’ have the opportunity to vote if they wish to at local/general election times. This was confirmed by a resident spoken to. Residents’ can bring into the home personal belongings if they wish. One resident said; “ I could bring in things from home but I don’t as my son is still living at home”. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Processes are in place to enable residents’ and their relatives to complain, these however, require further development. ‘Fine tuning’ of prevention of abuse systems is needed to enhance abuse prevention. EVIDENCE: The home has a complaints procedure which has been produced in standard size print only which may not be understandable to residents’ with poor eyesight or other conditions. The procedure does not detail a 28 deadline for responding to complaints. The complaints procedure is on display in the front entrance hall. No complaints have been received by the home for some time. One resident said; ” I would tell a member of staff if I was not happy about something”. The home has its own policies and procedures in respect of protecting vulnerable adults. These include missing persons procedures and abuse reporting. The home is utilising video abuse awareness training which is watched in a group and discussed then a paper is set to determine understanding. The home has available Dudley MBC adult protection policies and procedures titled’ Safeguard and Protect’. Unfortunately, there was a lack of contact names and telephone numbers/flow chart for staff to refer to if an incident or Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 14 allegation of abuse were to occur and there was no evidence available to demonstrate that staff had read these policies and procedures. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 Generally, the home is clean and hygienic however, improvements are needed in some areas. EVIDENCE: It is positive that the laundry since the last inspection has been redecorated. This area has been cleared of clutter and looks better organised. The laundry still lacks up to date policies and procedures aimed to ensure that clean and dirty laundry is stored separately and prevention of contamination. Three bathroom/toilets were viewed. Two were reasonable the third on the first floor highlighted at the time had a strong odour. Material towels and personal care items were seen in this room. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28. Residents’ needs are not always met by the numbers of staff. The home has nearly met the 50 ratio of staff attaining N.V.Q. Greater diligence is needed in respect of staff recruitment. EVIDENCE: As on previous inspections comments were made by staff and relatives to suggest that staffing levels are not always as they should be. During handover on the day of the inspection it was identified that one resident had to go to an appointment and that a staff escort was needed. Staff appeared distressed when it was determined that one care staff member had not reported to work that morning as she should have done this placing an additional burden on staff. Similarly there was only one registered nurse on duty who was expected to attend to nursing tasks including medication administration. It transpired that the second nurse had phoned in sick however, her shift was not covered. Similarly the nurse from the previous day shift had been told that the absent carer would not be at work the next day. The nurse had not covered the shift and had not passed this information on. The home’s updated statement of purpose states the following staffing levels; 07.15-14.30 hours 2 nurses. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 17 07.15-14.30 8 carers. These staffing levels were not provided on the morning in question. Comments from staff suggested that the days staffing shortage was not an isolated incident. A person made the following comment; ” Some days the care is better than others’ because of staffing. The home is at times short staffed”. The home has 43 of its care staff who have attained N.V.Q level 2 or 3. Other staff are working towards these qualifications. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,36. The manager has been approved by the CSCI as a fit person to manage. EVIDENCE: The manager was approved by the National Care Standards Commission The former care home Regulating organisation. The manager confirmed that she has nearly completed her Registered Managers Award – well done. A number of residents’ money is held in safekeeping by the home. This money can only be assessed by two nominated members of staff. Records are maintained of each transaction. It was noted however, that there were not against all transactions two signatures to verify. Two residents’ monies were checked against balances, these were found to be correct. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 19 It is positive that evidence was available to demonstrate that staff are receiving one to one supervision. The content of which is quite comprehensive. The frequency of these sessions however, does not amount to 6 times per year each. No supervision matrix was available to confirm supervision dates and frequencies. Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 20 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 x x x x x x x 2 STAFFING Standard No Score 27 2 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 2 2 x 2 Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 21 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(1)(2) Requirement The registered person and manager must ensure that the resident or their representative are involved in the production of their care plan and or consulted with about any changes or review of their plan. ( Timescale of 09/08/05 not fully met). Where residents are unable to sign care plans and have no relatives to undertake this task then this must be documented on the care plan. Timescale for action 06/03/06 Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 22 2 OP8 12(1)(a) The registered person and manager must ensure that evidence is available at all times to demonstrate that the full spectrum of personal care has been provided to each resident depending on needs (personal cleansing, oral care, foot care etc). (Timescale of 01/09/05 not fully met). 06/03/06 3 OP9 13(2) The registered person and manager must ensure that the medication administration record MAR) charts are accurate and correspond to the pharmacy label. Timescale of 09/08/05 not met. 06/03/06 4 OP9 13(2) The registered person and manager must ensure that all medication administration records are signed immediately after medication has been administered or an appropriate code used where medication has been refused or omitted. Timescales of 24.1.05 and 09/08/05 not met. This was highlighted to the manager by the pharmacy inspector during the inspection. 06/02/06 Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 23 5 OP9 13(2) The registered person and manager must ensure that the date of opening of containers is recorded to ensure an audit trail of medication can be undertaken. Timescale of 09/08/05 not met. This was highlighted to the manager by the pharmacy inspector during the inspection. 06/02/06 6 OP9 13(2) The registered person and manager must ensure that medication details including changes are documented and recorded in the residents care plans. Timescale of 09/08/05 not fully met. 28/02/06 7 OP9 13(2) The registered person and manager must ensure that the amount of tablets administered where the dose is one or two is documented. Timescale of 30/09/05 not met. This was highlighted to the manager by the pharmacy inspector during the inspection. 06/02/06 Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 24 8 OP9 13(2) The registered person and manager must ensure that the medication policy is reviewed and accurately reflects the current practice of the home. Timescale of 30/09/06 not met. 06/03/06 9 OP9 13(2) The registered person and manager must ensure that two staff check and countersign the hand-written Mar charts. Timescale of 09/08/05 not met. This was highlighted to the manager by the pharmacy inspector during the inspection. 06/02/06 10 OP9 13(2) The registered person and manager must ensure that all staff are fully aware of the medication instructions and side effects of each medication they administer and that instructions are fully complied with. Timescales of 24.1.05 and 09/08/06 not fully met. The registered person and manager must ensure that the homes pharmacy provider assists in the revision of the medication policy/procedures. Timescales of 12.1.05 and 09/09/05 not fully met. 01/03/06 11 OP9 13(2) 01/03/06 Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 25 12 OP15 12(1a13(4 The registered person and c)17(2S4 manager must ensure that 13 where it has been assessed as being required a food consumption/ fluid input chart is in operation for each resident. These charts must then be completed diligently and consistently detailing all food/ fluids consumed over each 24 hour period. Timescale of 01/09/05 not fully met. 25/02/06 13 OP16 22(2) The registered person and manager must ensure that the complaints procedure; Is produced in a format which is ‘appropriate to the needs of the residents’ for example large print; pictorial format. Details a 28 day deadline for responding to complaints. The registered person and manager must ensure that the flow chart contained within Dudley MBC protection procedures ‘ Safeguard and Protect’ is completed to ensure that all staff have at hand contact names and telephone numbers. That all staff read, sign and date Dudley MBC adult protection guidelines ‘ Safeguard and Protect’. The registered person and manager must ensure that risk assessments are carried out in respect of the laundry concerning equipment and for the prevention of contamination between clean and dirty DS0000060514.V281412.R01.S.doc 06/03/06 14 OP18 13(6) 06/03/06 15 OP26 13(3) 23(2)(d) 06/03/06 Comberton Nursing Home Version 5.1 Page 26 washing. These must be displayed in the laundry together with appropriate management instructions. Timescale of 20.2.05 and 26/09/05 not fully met. 16 OP26 13(3) The registered person must ensure that; Personal care items are used for individual residents’ only and are returned to their bedrooms after use. That material hand or bath towels are not left in bathrooms to prevent communal use. 17 OP27 18(1)(a) The registered person and manager must ensure that sufficient staffing hours are provided at all times in accordance with Department of Health guidance and Regulations. The DOH guidance must be obtained. Timescales of 20.2.05 and 15/09/05 not fully met. This includes times when staff are off sick. 18 OP29 13(6) 19(2) The registered person and manager must ensure that a record is made of all interview questions and answers. Timescale of 09/08/05 not met. 19 OP33 24 The registered person and manager must implement fully the newly purchased quality DS0000060514.V281412.R01.S.doc 20/02/06 20/02/06 25/02/06 01/04/06 Comberton Nursing Home Version 5.1 Page 27 assurance/ monitoring system. Timescale of 01/10/05 not fully met. Evidence was available to demonstrate that significant work has been carried out in respect of quality assurance systems. 20 OP35 13(6) 17(2) The registered persons must ensure that two signatures verify all transactions in relation to resident money held in safe keeping. The registered persons must ensure that Care staff receive formal supervision at least 6 times per year. A supervision matrix must be produced to aid this process. The registered person and manager must ensure that appropriate forms of transport are available within the home that: Promote safety with footrests. Timescale of 01/09/05 not fully met. Although more wheelchairs are being used. It was observed a resident being pushed/pulled backwards in a wheelchair that had no footrests. The registered person and 20/02/06 manager must ensure that food is stored correctly in the fridge to prevent contamination between cooked/uncooked foods. Staff entering/ working in the kitchen must be fully trained and knowledgeable about food hygiene requirements. DS0000060514.V281412.R01.S.doc Version 5.1 Page 28 20/02/06 21 OP36 18(2) 01/03/06 22 OP38 13(3,4c) 23(2) 01/03/06 23 OP38 16(2)(j) Comberton Nursing Home RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 29 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Comberton Nursing Home DS0000060514.V281412.R01.S.doc Version 5.1 Page 30 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!