Inspection on 10/10/05 for Coplands Nursing Home

This inspection was carried out on 10th October 2005.

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 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

Coplands Nursing Home 11/07/07

Coplands Nursing Home 16/05/06

Coplands Nursing Home 11/08/05

Coplands Nursing Home 25/01/05

Coplands Nursing Home 11/05/04

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE Coplands Nursing Home 1 Copland Avenue Wembley Middx HA0 2EN Lead Inspector Mr Ram Sooriah Unannounced Inspection 10th October 2005 10:00 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 Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 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. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coplands Nursing Home Address 1 Copland Avenue Wembley Middx HA0 2EN 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) 020 8733 0430 020 8733 0450 coplands@lifestylecare.co.uk Life Style Care Plc Mrs Tidziwe E L Nyirenda Care Home 77 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (46), of places Physical disability (16) Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No more than 77 persons in need of nursing care may be accommodated at any one time. Categories of care are Elderly Mentally Ill, Elderly Frail and YPD Minimum staffing notice applies Temporary variation agreed for one named individual (Mr SS) aged 59 years for the duration of his stay 11th August 2005 Date of last inspection Brief Description of the Service: Coplands Nursing Home is a purpose built care home, which belongs to Lifestyle Care Plc, a national provider of care homes. It is situated at the junction of Coplands Avenue and the Harrow Road. As such it is accessible by buses, which pass on the side of the home. The home has a large parking area at the back. It is close to Wembley and to Sudbury, where shops and local amenities can be found. The front of the home is paved and has a small garden area with shrubs and bushes. There is also a back garden and patio area, which are accessible to service users. The home has accommodation for 77 service users in single bedrooms, which are en-suite. It caters for service users with a range of needs and is divided in 5 units. The Falcon unit is situated on the ground floor and has 16 beds for young physically frail service users. The Owl unit also on the ground floor has 9 beds for frail elderly service users; the Hawk unit situated on the 1st floor also caters for the needs of frail elderly service users (20 beds) and the Eagle unit (15 beds) accommodates elderly service users with dementia. The Kestrel unit (17 beds) specialises in the care of frail elderly Asian service users. There were 74 service users in the home at the time of the inspection. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second statutory inspection for the period 2005-2006. It was prompted by an anonymous complaint. It started on the 10/10/5 at 1025, continued on the 11/10/5 and lasted for about eight hours. The inspector visited each unit briefly but concentrated on the Kestrel, Falcon and Hawk unit. During this inspection, the inspector looked at the national minimum standards, which have not been assessed during the inspection on the 11th August. He toured some of the premises, inspected a sample of records and talked to some service users, visitors, the manager and some of her staff. During this inspection an immediate requirement was imposed on the home to provide an action plan with timescales with regard to addressing the redecoration of bedrooms and of the home; and the replacement of fixtures and fittings, which were not in good order. This was met within the timescale He noted that the manager had started to address the requirements, which were imposed on the home during the inspection of the 11th August. The inspector did not check for compliance with all of these, as they were still within the timescale to be met, but he noted the willingness of the management of the home and its staff to comply with the requirements and to improve standards in the home. The inspector would like to thank the service users, the manager and her staff for her cooperation and support during the inspection. What the service does well: What has improved since the last inspection? The ceiling lights in the corridor of the ground floor have been replaced. This now makes that area much brighter, welcoming and airy. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 6 The manager has put systems in place to ensure that breakfast start being served at 9:00 am on all the units. All service users receive three meals and those who wish for a snack in the evening is provided one. 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. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 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 Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were inspected. EVIDENCE: The key standard 3 was assessed during the inspection on the 11th August 2005. The home does not provide intermediate care. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 9 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): 9 and 11 The management of medicines was not as safe as it should have been. Care plans did not always contain information about managing the death of service users. As a result there is no guarantee that the death of service users will be appropriately managed. EVIDENCE: Standard 9 was partly assessed on this occasion. It was judged not to have been met during the inspection of the 11th August 2005. While tracking the care of a service user, the inspector noted that the painkiller for a service user, which was a controlled drug, was being stored in a fridge and not in a controlled drug cupboard as is required. Upon mentioning that to the nurses, the medicine was transferred to the CD cupboard, but the incident showed a lack of knowledge about medicines and about the principles of medicines administration. If nurses are not sure about a particular medicine they must check the medicine in the reference books as necessary to ensure that they are familiar with the side effects and indications of the medicines. Without this, service users can be put at risk, from unsafe practices. The inspector had noted a deficit in the knowledge of nurses with regard to medicines during the inspection on the 11th August 2005, but at the time a recommendation was imposed as no poor practice was noted. Because poor practice was noted on Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 10 this occasion, a requirement is imposed on the home. The registered person must therefore ensure that nurses in the home have training on medicine administration and that the nurses are familiar with the NMC guidance on Medicines Administration. The inspector looked at three care plans. He noted little information in the care plans with regard to the wishes and instructions of service users with regard to end of life care and funeral arrangements. The manager stated that service users’ representatives have been sent a form to complete requesting the information with regard to managing that aspect of care. Some of the forms have been returned and staff were in the process of placing this information in the care plans. At the time of the inspection, the standard was therefore assessed as almost met. The inspector was informed that some trained nurses have had short courses in Palliative Care and some carers have also had a one-day training in Palliative Care. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 The home in the main provides appropriate recreational and leisure activities for service users. EVIDENCE: The home has a number of activities coordinators, some part-time and some full time. He noted that the activities coordinators on duty on the day of the inspection were interacting with service users. All the units in the home were visited at some point by an activity coordinator who carried out some form of communal activity. In the morning, a movement to music session was carried out on some of the units. In the afternoon, the inspector observed some service users busy knitting on the Falcon unit, while others went to the multisensory room. Each unit has its own activity programme. The activities coordinator who works on the Asian unit works three days a week. The manager stated that when the activities coordinator on the Asian unit is off, service users on the Kestrel unit are able to attend communal activities on the other units. She added that she has arranged for the notice boards in all the units to contain details of all the activities being arranged in the home and that service users can choose which activity to attend. Conversation with staff and service users on the Kestrel unit showed that very few service users choose to attend activities in other units, preferring to stay on their own unit. For example on the day of the inspection, although there Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 12 were activities in the Falcon unit, service users from the other units did not attend. During his visit to the Kestrel unit, the inspector noted that a few service users stayed in their rooms, while those who were in the lounge watched an Asian programme. The inspector concluded that there were activities being arranged on the Kestrel unit and in the home, but to ensure that the activities meet the needs of the service users, he recommends that the manager carry out a survey in relation to the quality, quantity and type of activities on the Asian unit. The inspector visited the Asian Kitchen and the main Kitchen. The kitchens were generally tidy and clean. The flooring in the main kitchen has been recently changed and this has improved the overall environment of the main kitchen. All records were being kept as appropriate in both kitchens. Since the last inspection there has been an improvement in the time that breakfast is served to service users. In addition to the three meals provided by the home, there was evidence that snacks were provided to service users after the suppers. The inspector also noted that fresh fruits were sent to all the units in the morning. Water jugs were noted in the bedrooms of service users and these were being replenished daily. Comments from service users and visitors about the meals provided by the main kitchen were positive. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 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 Complaints are taken seriously and are dealt with appropriately. EVIDENCE: The inspector looked at the complaints book and noted that all complaints received into the home were appropriately recorded. The management of the home takes complaints seriously and carries out appropriate investigations. This inspection was prompted by an anonymous complaint. The inspector spent some time in the home looking at the elements mentioned in the complaint. He concluded that one element of the complaint was not substantiated and that the other was inconclusive. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 A few issues were noted which could prevent the home from offering a safe and comfortable environment for service users. EVIDENCE: The front of the home was maintained and tidy. The back of the home was mostly tidy. Since the last inspection the porch of the reception area has been repainted. The manager stated that she now plans for the reception area to be redecorated. The lights fittings have been changed in the main corridor making this area much brighter and more welcoming. On this occasion, the inspector spent some time and concentrated on looking at the premises. Bedrooms were on the main tidy. However, there were holes in the walls in a few of the bedrooms, where the beds have knocked against the wall. A number of other bedrooms were in a poor decorative state. The main lounge in the Falcon unit had some cracks in the ceiling, making it unsightly. A few items of furniture were damaged and the carpet in a number of bedrooms was stained/worn/torn. There was however evidence that the carpet in some areas has been changed and that some bedrooms have been Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 15 redecorated. The manager had a book where she was recording areas, which needed redecoration and those that have been redecorated. She stated that she would address the redecoration of some bedrooms as they become vacant and the decoration of the units. There were however on each unit some areas which needed urgent attention. Although, the manager has started to address the issues in relation to redecoration and refurbishment, a clear redecoration and refurbishment plan is required to maintain and improve the current environment where necessary. As a result, an immediate requirement was imposed on the home with regard to carrying out a comprehensive audit of all the premises, fittings and fixtures and to prepare a comprehensive action plan with clear time scales to deal with the issues identified in an order of priority. Without this the environment might continue to deteriorate and be less than adequate for service users. It is for this reason that standard 19 and 24 have been assessed as almost met. The immediate requirement was met within the timescale and a plan was produced which appropriately dealt with issues raised in the immediate requirement. The home has a call bell system, which was maintained. The inspector noted that the call bells in the en-suite of the Falcon unit did not always indicate the correct room when it was rung. It sometimes showed the number of the adjacent room. The manager stated that the electrician was in the process of repairing the system and that it would be repaired within a week. The electrician was observed in the home. The inspector noted some issues about the standard of cleaning in the home. There were cobwebs in the falcon unit and some carpets were stained with spillages. The manager stated that the carpet shampoo machine was broken. In the meantime, carpets were not being appropriately cleaned and therefore a clean and hygienic environment to care for service users, was not always being provided. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 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): 28 and 29 The number of carers who are enrolled on the NVQ level 2 programme, suggests that the home would have 50 of its care staff trained to this level by the end of 2005. Recruitment procedures were appropriate to ensure the safety of service users. EVIDENCE: The inspector looked at duty rosters. The units were all covered with the appropriate numbers of staff as per current staffing levels for the home. Sickness or staff holidays were covered mostly by bank staff. The inspector has requested for a review of the staffing on the Hawk unit during the last inspection following a number of comments by staff about the high dependency of service users in relation to the numbers of staff. The personnel files for four members of staff were randomly chosen for inspection. They were all in good order, tidy and comprehensive. Application forms, terms and conditions of employment, references and proof of eligibility to work in the UK were in place. The inspector noted that some employees had references, which were not from their last employers. The manager stated that she was aware of this, and that she always tries to get a reference from the last employer of all new applicants. There was evidence that Criminal Records Bureau checks were received for all new employees in the home. Records of appraisals meetings were in place. The manager stated that she has started a new programme for the supervision of staff and that staff have had training on supervision. Records were shown to the inspector to show that supervision had Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 17 started in the home. From the evidence available at the time, the inspector concludes that the home shows good compliance with regard to standard 29. The manager kindly provided figures, which showed that eleven carers were trained to NVQ level 2 or above and that twenty other carers were on course to complete NVQ level 2 before the end of 2005. The home would therefore be meeting standard 28 by the end of 2005. A training grid was kindly provided by the management of the home. There was evidence that the home has provided training to keep staff updated. Support workers including domestic staff have had training in infection control. He noted that 11 out of 18 trained nurses and 23 out of 43 carers have not had training in PoVA issues; 24 out of 43 carers and 13 out of 18 trained nurses have not had manual handling training/update; 6 out 18 trained nurses and 7 out of 43 carer have not fire training update. The above shows that training has not been as thorough as it should have been particularly with regard to ensuring that all staff are trained in abuse issues and that they all have training in the statutory areas. There was however evidence to show that the home has arranged training in other areas such as managing challenging behaviour, pressure area care, incontinence and wound care, infection control and nutrition and hydration. Staff in general were happy with the amount of training that they receive in the home. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 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): 33, 35 and 38 The home has a quality system in place to ensure a quality service. The personal monies of service users are managed in an appropriate manner. Some practices such as transferring service users on commodes from one area of the home to another might be putting service users at risk. EVIDENCE: The home has a quality system. It is accredited to ISO 9002 and as such has regular audits to ensure that it continuously meets the standards that have been set. Regular monthly visits are undertaken by the provider and reports of these visits show that these are being carried out comprehensively. The inspector looked at the management of service users money in the home. The administrator was responsible for personal monies of service users. The manager of the home is the appointee for a number of service users, whose benefits normally go in one main account. Separate records are then kept about the money belonging to each service user. This account is managed by head office staff, and any money that is needed from that account is requested Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 19 by the administrator, authorised by the manager and dealt with by the Head Office Staff. Smaller sums of money are kept in the home’s safe for other service users for expenditures such as items of toiletries, clothing and newspapers. Records were sampled and were correctly maintained. Receipts were kept for all expenditures. This is good practice. Although, the personal monies of service users seemed to be managed to a high standard by the administrator, the inspector noted the absence of audits of the personal monies by a third party such as by a nominated person from Lifestyle Care. It is therefore recommended that audits of the personal monies be carried out at suitable intervals. The inspector checked the health and safety records in the home. There was evidence of maintenance of the equipment, which was in use in the home. The home had up to date electrical wiring certificate, gas safety certificate and a chlorination certificate for the water system. LOLER certificates were available for the hoists and for the lifts. The home had a health and safety risk assessment of the premises and a fire risk assessment. There was evidence that these were reviewed at least yearly. The inspector noted that the manager was addressing some issues, which were identified during a recent inspection by the Fire Officer. A letter from the Fire officer received after the CSCI’s inspection showed that the requirements imposed by the Fire officer have been met. The inspector observed a service user being taken from the lounge of the Kestrel unit on a commode, which did not have a cover or foot rests. This is a dangerous practice and could put service users at risk. As a result the registered person must ensure that appropriate equipment is used for the transfer of service users at all times. Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 1 10 X 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 2 X X X X 2 X 2 STAFFING Standard No Score 27 X 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 OP9 Regulation 13(2) Requirement The registered person must therefore ensure that nurses in the home have training on medicine administration and that the nurses are familiar with the NMC guidance on Medicines administration. The registered person must ensure that care plans contain details about the instructions and wishes of service users with regard to end of life care and about death, taking into consideration the cultural and religious background of service users. The registered person must ensure that the home is maintained to a high standard to ensure that it provides a suitable environment to meet the needs of service users at all times. The registered person must ensure that all the bedrooms of service users are kept decorated and furnished to a high standard. The registered person must ensure that there is a high standard of cleanliness in the DS0000022924.V257808.R01.S.doc Timescale for action 31/01/06 2 OP11 15(1,2) 31/01/06 3 OP19 23(2)(b) 28/02/06 4 OP24 16(2)(c), 23(2)(b) 23(2)(d) 28/02/06 5 OP26 31/12/05 Coplands Nursing Home Version 5.0 Page 22 6 OP30 18(1)(c) 6 OP38 13(4) home at all times. The registered person must 28/02/06 ensure that all care staff have training in abuse and in statutory areas such as manual handling and fire training. The registered person must 31/12/05 ensure that appropriate equipment is used for the transfer of service users at all times. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The inspector recommends that the manager carries out a survey in relation to the quality, quantity and type of activities on the Asian unit, to ensure that the activities provided on that unit meet the needs of the service users. It is recommended that audits of the personal monies of service users be carried out at suitable intervals. 2 OP35 Coplands Nursing Home DS0000022924.V257808.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. 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