Inspection on 12/12/06 for Cottingley Hall Nursing Home

This inspection was carried out on 12th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Cottingley Hall Nursing Home 05/02/09

Cottingley Hall Nursing Home 04/12/07

Cottingley Hall Nursing Home 23/11/05

Cottingley Hall Nursing Home 12/07/05

Cottingley Hall Nursing Home 03/11/04

Cottingley Hall Nursing Home 27/04/04

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Snydale Care Home

Larchfield Manor

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

CARE HOMES FOR OLDER PEOPLE Cottingley Hall Nursing Home Bradford Road Bingley West Yorkshire BD16 1TX Lead Inspector Nadia Jejna Unannounced Inspection 09:40 12 December 2006 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 Cottingley Hall Nursing Home DS0000019866.V315794.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. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cottingley Hall Nursing Home Address Bradford Road Bingley West Yorkshire BD16 1TX 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) 01274 592885 01274 562563 N/A www.bupa.com BUPA Care Homes (BNH) Limited Ms Susan Lowe Care Home with nursing 51 Category(ies) of Old age, not falling within any other category registration, with number (51), Physical disability (51) of places Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Cottingley Hall Nursing home is on the outskirts of Bradford between Saltaire and Bingley. It can provide care with nursing for up to fifty-one older people or people with physical disabilities. At the time of this visit a decision had been made that care would be provided to a maximum of thirty-eight residents as some of the double bedrooms were being used as single rooms. The home is an adapted, period property that has been extended in keeping with the style of the original building. It has it’s own grounds with car parking areas and pleasant gardens. Accommodation is provided in thirty single and five double bedrooms, most of which provide pleasant views of the gardens and surrounding area. All except one have en-suite facilities and there are communal toilet and assisted bathing facilities throughout the building. There are two lounges, two dining rooms and a library that have been tastefully furnished and decorated. Information about the home is given to all residents in information files that are kept in every bedroom and the reception areas. Copies of this information and the homes brochures are given to people who call to look round and can be posted out on request. At the time of writing this report the cost of staying at the home varies from £110 to £140 per night. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two visits were made on 12th and 15th December 2006. The home did not know that this was going to happen. Feedback was given to the manager during and at the end of the visits. The purpose of the visit was to make sure the home was being managed for the benefit and well being of the residents. Before visiting the home the inspector asked for information from the manager (the pre inspection questionnaire – PIQ) which asks about what policies and procedures are in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Comment cards were sent to the home to be given to residents, their relatives and other visitors to find out what their views of the home were. The views of doctors and district nurses who visit the home were also asked for. At the time of writing this report nineteen resident, four relatives and one doctor’s responses had been returned. In order to find out how well staff knew residents, care plans were looked at during the visit and residents, visitors and staff were spoken to. Other records in the home were looked at such as staff files, training records and complaints received. What the service does well: Information about services provided by the home is available and lets residents and their relatives decide if the home will be suitable for them. They can make trial visits to the home if they want to. The home is well maintained and there is a continual programme of redecoration and refurbishment. It has been tastefully decorated and furnished to provide residents with a pleasant, comfortable and homely place to live. Residents said that they can bring in their own belongings to personalise their rooms and that the home was always clean and tidy and it did not smell. They said that the food was good, they enjoyed the meals and alternatives to the planned menu are offered if they want them. They said they could choose how and where to spend their time and whether or not they want to join in with planned activities. Visitors said that they could visit the home at any time and they were made welcome. They said that staff kept them informed and up to date with any changes in their relatives care needs, and that they were satisfied with the services provided by the home. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 6 Relationships between staff and residents were warm and friendly. Residents said that the staff were pleasant, friendly and caring. They said that they respected their privacy and would listen to and act upon what they said. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have enough information about the home to decide if it will meet their needs. EVIDENCE: Information for residents and visitors is available in the reception areas and can be posted out on request. Files of useful information are in every bedroom. The Statement of Purpose has been produced on a company template. It uses technical jargon and makes references to company policies that mean nothing to people outside of the organisation. This document should be reader friendly and in plain English. The manager was advised to look at guidance available on the CSCI website. Residents and visitors said that they received enough information about the home when they came to look round and they were offered a trial visit. They Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 9 said that contracts were in place setting out the terms and conditions of living at the home and the services that would be provided. Before a resident comes to live at the home a pre admission assessment is carried out to make sure that the home will be suitable for them. Two were looked at which identified basic needs. These would have been better if they were more detailed, and showed clearly that the information had been used to identify that the homes facilities and skill mix of staff would meet the individuals needs. The manager said she was aware of this and was looking at the form used to improve the information requested and recorded. Information from the doctor’s survey said that staff made appropriate decisions when they could no longer meet an individual residents care needs. Some residents in the home have dementia. The manager was advised to review their care plans in order to assess if their main reason for needing care was because of the dementia. If this is the case steps should be taken to make application for a variation in registration. The manager said she has identified that staff need training around understanding dementia and dealing with challenging behaviours and plans were in place to provide this early in 2007. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and personal care needs are met and their privacy is respected. EVIDENCE: The manager has been at the home since June 2006. Since then she has worked with the deputy manager looking at the care plans and assessing if they provide staff with the information they need to meet individuals residents needs. She said that she had identified that the care plans needed to be more detailed and individual and that the standard of record keeping generally was not as good as it should be. Nursing staff have had update sessions about care plans and record keeping. She also said that in the New Year the organisation was introducing new care plan documents and that staff would be trained how to use them. Three care plans were looked at and two of the residents they were about were spoken to. The information seen confirmed what the manager had said. It was agreed that work on the plans could wait, but where important Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 11 information was missing it would be added straight away. For example: * Additional information about what type of pressure relieving equipment was being used and what setting it should be on for one resident. * Information about eating and drinking was generalised and did not always state what the individuals preferences, likes and dislikes were. * There was no information seen that a resident who had been assessed as being at high risk of falling and had fallen while in the home had been referred to the falls prevention team. * There was no care plan for a resident with dementia showing what type of dementia they had, how it affected them and how staff could help them. The relatives had been involved with the care planning process but not all of them showed that the resident had been. The manager said that she was making links with the tissue viability nurse, the falls prevention team and the palliative care team. Individual nurses were going to take the lead as link nurses making sure that they attended training sessions, sharing information with staff and making sure that appropriate action was taken for residents with these specialised care needs. Information from talking to residents and surveys returned said that: * They got the care and support they needed, including medical support. They had been able to keep their usual GP if they had not moved out of their allocated areas. * Staff listened and acted on what they said. * Staff respected their privacy. * Staff were very friendly and caring and give 100 . Information from relative’s surveys said that they were kept informed about changes and matters involving their relatives, and were consulted about their care. They said they were happy with the standards of care provided. Residents can self medicate if they want to providing they are safe to do so. The manager said that nobody is self-medicating at the moment. The manager said that the medication management systems have changed this month. They have a new chemist who has provided staff with training about medicines safety and using the new system. Staff were seen safe practise when administering medications. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s lifestyle in the home matches their expectations and they are helped to exercise choice and control over their lives. EVIDENCE: Residents are helped to make choices about how and where they spend their time. When the visits were made it was clear that most liked to spend time in their own rooms, they said they could watch what they wanted on their televisions, listen to radio programmes or music or just sit quietly reading. They said that staff would ask regularly if they wanted to go to the communal areas and it was up to them if they had their meals in their own rooms, the dining room or one of the lounges. The home has made links with local churches and monthly communion services are held for those who want to receive it. The activities coordinator left recently and the manager said she would be advertising for a replacement in the New Year. The staff were continuing to help provide the planned festive activities and a local florist had been in to help Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 13 residents make floral table arrangements and an entertainer was singing on the second day of the visit. The manager said that some staff had completed an in house training programme about social activity and stimulation and that over the next few months all staff would do it. She also said that the work started on individual social and life histories by the coordinator who had left would be continued. It is important that this is done, as only two of the three care plans seen had social care plans in place which were generalised and not specific about what each resident liked to do. Information from talking to residents and survey forms returned showed that: * Activities were arranged by the home and they could choose whether or not to join in. * Their visitors could come at any time and were always welcomed into the home and offered refreshments. * They enjoyed the meals provided and some commented that the food was very good. One said that they had gained 2 kilograms in weight since they had come to live at the home. * One resident wrote ‘as a long term resident it is my home from home and the staff are my family’. New menus have been introduced after asking residents for their ideas and taking their likes and dislikes into account. The chef attends residents meetings to talk about food and visits new residents to find out what their preferences are. They are offered a three-course lunch and two courses at teatime. There are choices available at all meal times and alternatives are offered if they do not want what is on the menu. The kitchens were clean, tidy and well organised. Records of cleaning schedules, food delivery and serving temperatures and fridge temperatures are kept. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that any concerns they might have will be listened to, taken seriously and acted upon. EVIDENCE: The organisations complaints procedure is in place and is included in the information files in resident’s rooms. It is clear and easy to follow. Since the last inspection the home has investigated six complaints. Two were about care related issues; two were about equipment and maintenance issues and one about services brought into the home and one about a work experience placement. Records showed that these were investigated, responded to and appropriate action taken in three cases where the complaints were founded. The manager has referred two other concerns to the adult protection unit, which they were happy for the manager to investigate and deal with. From information received since the manager came into post it is clear that any concerns raised and identified are taken seriously, investigated and dealt with appropriately. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 15 Copies of the organisations adult protection procedures and the local authority adult protection procedures are kept in the manager’s office. Most staff have received training around abuse and adult protection over the last six months and plans are in place to make sure all staff receive it. The manager has also applied to do the local authority two day managers course about adult protection. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 16 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, 20, 21, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable, clean and well maintained home that is suitable for their needs. EVIDENCE: The home was very clean, tidy and well maintained. It has been furnished and decorated in a very comfortable, smart style. Since the last inspection the staff toilet has been refurbished, two bedrooms have redecorated and new carpets fitted. The manager said that there is a continual programme of redecoration and bedrooms are done routinely when they became vacant. A room was on the first floor was being redecorated at the time of the visit. There are two large, comfortable lounges, a sun room, a dining room and a library which provide residents with pleasant sitting areas along with views of the gardens. The gardens are attractively planted, and have been provided Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 17 with garden furniture so that residents can enjoy being outside in better weather. There are thirty single bedrooms, twenty-nine of which are en-suite and five double bedrooms with en suite facilities. Six communal toilets, three bathrooms and two showers have been provided which are suitable for older people with disabilities. The bedrooms seen were spacious, clean and comfortable. It was clear that residents can bring in their own belongings to personalise their rooms. Residents said that they were pleased that the home was always clean and there were no smells. They said that the housekeeping was first class. The last fire safety officer’s visit was in April 2006 and an agreement was made that any work listed in the report would be completed by April 2007. The home employs a maintenance man who makes sure that all minor repairs are carried out and that regular safety checks of all hot water outlets are carried out. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 18 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. Residents are in safe hands and are protected by the homes recruitment policy and practices. EVIDENCE: Two weeks duty rotas were seen during the visit. These showed that there were enough staff on duty to meet the needs of residents. Information from residents and their relatives confirmed this. There was a comment made that sometimes it appeared there might not be enough staff on duty at weekends. The manager said that this would be because there was no receptionist on duty at weekends to answer phone calls and open the door to visitors. Three staff files were looked at which showed that the recruitment process was thorough and safe. The manager was advised to make sure that a full employment history is asked for and that any gaps are accounted for. Pre employment checks had been carried out which included two satisfactory written references and enhanced Criminal Records Bureau checks. Where staff were from overseas the manager had proof of identity as well as evidence that they can work in the United Kingdom. Induction training files were seen that showed new staff were enrolled on Skills for Care common induction training when they started working at the home. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 19 The manager carried out an audit of training staff had received when she started at the home in June 2006. She found that the training given and records kept were not up to date. She has looked at all the staff files and identified what training is needed and put plans in place to make sure it is provided. Every member of staff has been given an individual training and development file, which has prioritised what training they should receive. For example nearly all staff have now done abuse awareness, first aid, catheter care, moving and handling updates and fire safety training. Staff are also working through distance learning workbooks provided by the organisation about health and safety, safe cleaning and infection control. The manager said that training about dementia was planned early in the New Year. She was advised to make sure that training about specialist needs of residents was given to staff such as stroke, physical disabilities and spinal injury. She has asked specialist healthcare professionals to provide teaching sessions about diabetes, falls and wound care. Out of twenty two care staff ten have achieved NVQ (National Vocational Qualification) level 2 and there are plans for all staff to do this training. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed and run in the best interests of residents. EVIDENCE: The manager is a very experienced registered nurse and has successfully completed the registration process with the CSCI. She has successfully completed the registered managers award, which is equivalent to NVQ level 4 and is waiting for this to be confirmed. The home has successfully kept the investors In People quality assurance award. The organisation carries out an annual survey of residents views of the home. Questionnaires were sent out in the autumn and the results for 2006 are not available yet. The results of last years survey are available from the reception area and the managers’ office. Action plans had been put in place to Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 21 deal with any issues raised and the outcomes had been discussed at residents meetings. The manager said that residents and their relatives meetings are held every three months and a newsletter is produced afterwards. Copies of these are given to each residents and posted out to the relatives. The manager said she has an open door policy and is available to residents, visitors and staff when she is on duty. Information from residents and relative’s surveys said that they thought the home was well managed and run. Staff meetings are held every week to discuss any issues, training and to introduce new staff to the team. Staff said these were helpful and that the manager was accessible and supportive. Policies and procedures in place revised and updated by organisation as needed and when laws change. Copies are kept in managers office and nurses station and easily accessible to staff. Information from the PIQ showed that safety and maintenance checks of equipment and installations in the home were carried out and were up to date. Records of checks made on fire safety systems and equipment were up to date. Residents or their relatives deal with financial matters. The home will keep small amounts of money in safekeeping for residents and records of all monies received and returned are kept. Since starting at the home the manager has made sure that all staff have received formal one to one supervision. Records are kept and the information is used in the individual learning and development plans. Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X X 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 23 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. 1. Standard OP7 Regulation 15 Requirement The registered person must make sure that when the new care plan documents are put into use and staff have received training on how to use them properly, all residents have detailed care plans that clearly show how their personal social and health care needs will be met. The manager must make sure that training provided to staff about maintaining the health, safety and welfare of residents and themselves is continued. This must include making sure that training about specialist care needs of residents such as dementia, dealing with challenging behaviour, stroke, physical disability and spinal injury. Timescale for action 30/06/07 2. OP30 18 30/06/07 Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 24 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 OP1 Good Practice Recommendations The Statement of Purpose and Service User Guide should be revised in order to make sure that it is in plain English and reader friendly for the client group that will need to understand the information in it. The pre admission assessments should be more detailed and the information in them used to make sure that the home can meet the assessed needs of residents. The registered person should make sure that residents admitted to the home have assessed needs that fall within the homes agreed registration categories and that staff have received appropriate training in order to meet them. The application process should be revised so that a full employment history is asked for and any gaps are accounted for. The manager should make sure that a copy of the certificate for the registered managers award is sent to the CSCI when she receives it. 2. 3. OP3 OP4 4. 5. OP29 OP31 Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Cottingley Hall Nursing Home DS0000019866.V315794.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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