Inspection on 13/09/06 for Devonia House Nursing Home

This inspection was carried out on 13th September 2006.

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

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

Other inspections for this house

Devonia House Nursing Home 08/10/07

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Devonia House Nursing Home Leg O`mutton Corner Yelverton Devon PL20 6DJ Lead Inspector Fiona Cartlidge Unannounced Inspection 13th September 2006 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 Devonia House Nursing Home DS0000067360.V301602.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. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Devonia House Nursing Home Address Leg O`mutton Corner Yelverton Devon PL20 6DJ 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) 01822 852081 01822 852081 Mr Anthony John Bloom Miss Jean Sherriff Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (10), Physical disability over 65 years of age of places (32) Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for a maximum of 32 service users in the category Physical Disability over 65 years PD(E) Registered for a maximum of 10 service users in the category Old age OP 22nd November 2006 Date of last inspection Brief Description of the Service: Devonia House is a converted Victorian house situated in the rural village of Yelverton. The home is on the edge of Dartmoor National Park. Yelverton village is within walking distance of Devonia House and has a church, newsagents, post office and bank. There is a bus stop nearby which has routes to Tavistock (4 miles) and Plymouth (10 miles). The home has been owned by Mr and Mrs Bloom since 1992 and Managed by the same registered Nurse – Jean Sherriff since 1987. The home is registered for 32 Service Users of either gender over the age of 65 who require nursing and/or personal care. Accommodation is presented on 2 floors with level access to most of the rooms. It provides 23 single rooms, 17 with en-suite facilities, 4 double rooms all with en- suite. There is a dining / lounge area and one smaller lounge. The home has well-maintained gardens and some of the rooms are afforded scenic views over Dartmoor and Walkham Valley. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The field visit of this inspection visit took place over 4hours and 45 minutes and was unannounced. A partial tour of the home took place when some bedrooms and all communal living rooms were viewed. Personal records of care of 3 residents and personnel records of 3 members of staff were inspected. The inspector spoke with 12 residents, 2 visitors, 2 staff members, the manager and administrator. Written feedback was received from 8 residents, 3 care workers, 2 General Practitioners and a community Nurse. The homes manager had also submitted answers to a pre-inspection questionnaire supplied by the Commission. What the service does well: The admissions process is safe, a good level of information about people’s conditions and needs is received to enable the nurses in the home to make a professional judgement about if/how each person’s needs will be met. When possible i.e. if the person being admitted is geographically accessible, the staff visits the person in their existing setting to perform a full needs assessment in addition to receiving documentation from other social and health care professionals. The registered manager promotes and maintains residents’ health and ensures access to health care services to meet assessed needs; The commission received written feedback about this home from 2 General Practitioners when asked what in their opinion does the home do best? Their comments included – ‘provides high quality nursing care and good quality communication with our practise’, ‘excellent level of patient care, excellent continuity, excellent use of and liaison with primary care, this home is held in high regard in the local health community’. Both rated the homes management of health and personal care as excellent. A community nurse commented ‘ the home is well run; matron is always available for information. Staff respond quickly to help and seem happy. The level of care given is of a high standard and they liaise well with the GP and community nurses’. Residents are able to maintain contact with family and friends and exercise choice and control over their lives. The people living in the home told the inspector they were happy with the visiting arrangements, visitors said they feel welcomed into the home and are able to visit their relative/friend in private or socially. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 6 Residents receive a wholesome appealing diet and there is always a choice of meals available; Feedback about the meals served in the home was extremely good. Residents and their relatives/friends know how to make a complaint. People are safe living in this home; The complaints procedure is communicated to residents and/or their representatives, the information is in enough detail to ensure people have the means to refer a complaint to the Commission at any time. Residents told the inspector if they had issues or concerns they would speak to the matron who is ‘very approachable’, and asks regularly if residents have any problems. The environment is safe and adequately maintained and is clean and hygienic; Resident’s rooms contained personal items of furniture and ornaments and pictures. All of those spoken to said they liked their rooms. There are sufficient numbers of staff with appropriate skills and knowledge to meet the needs of residents in this home. Comments received during the inspection included ‘the staff are very good’, ‘the nurses are kind and very hard working’, ‘the staff are very busy, but are always polite and helpful’ ‘the staff are absolutely lovely’ ‘the staff are excellent’. Eight residents provided written feedback, when asked are the staff available when you need them? 5 indicated ‘always’ and 3 ‘usually’ when asked – Do you receive the care and support you need all 8 indicated they ‘always’ do and one commented ‘I have been here quite along time and am being well looked after, I have no complaints’. The inspector found the residents looked physically well cared for. The registered manager for this home has been in post since 1987 and shows a commitment to provision of high standards of care. The registered provider shows a responsible attitude toward promoting and protecting the health, safety and welfare of residents and staff. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 7 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. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 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 Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admissions process is safe. This home does not provide intermediate care. EVIDENCE: The inspector examined the personal records held on behalf of 3 recently admitted residents. These documents provided evidence that a good level of information about people’s conditions and needs is received to enable the nurses in the home to make a professional judgement about if/how each person’s needs will be met. When possible i.e. if the person being admitted is geographically accessible, the staff visits the person in their existing setting to perform a full needs assessment in addition to receiving documentation from other social and health care professionals. The Commission received written feedback about the home from 8 Service users, when asked – did you receive enough information about this home Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 10 before you moved in so you could decide if it was the right place for you? ALL 8 said ‘yes’ . One resident told the inspector that they had been unable to visit the home themselves before making a decision about their admission, however their relatives had visited and chosen their accommodation and the resident was pleased they had and said they felt it was the right decision for them. Residents said they had heard about the home by word of mouth saying it has a good reputation locally. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are set out in an individual plan of care. The registered person promotes and maintains residents’ health and ensures access to health care services to meet assessed needs. The homes medication system protects the medical welfare of residents. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: The inspector examined the personal records held on behalf of 3 residents; in all of these documented assessments were seen and provided information about physical needs, emotional/mental needs, carers needs, outcomes being sought and who will help and how. This information generates the plans of care, which provides the basis for the care to be delivered. There was evidence that the plans had been reviewed on an at least monthly basis and that where Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 12 possible residents and or their representatives had been involved in the planning and review of the care provided to them. Records are maintained for all visits to the home by social or health care professionals, all residents are registered with a GP. Records provided evidence that visits are made by General Practitioners, specialist nurses and chiropodists. Records of outpatient appointments show that visits to community and hospital health resources are enabled. 8 residents provided written feedback; all 8 confirmed they ‘always’ receive the medical support they need. The commission received written feedback about this home from 2 General Practitioners when asked what in their opinion does the home do best? Their comments included – ‘provides high quality nursing care and good quality communication with our practise’, ‘excellent level of patient care, excellent continuity, excellent use of and liaison with primary care, this home is held in high regard in the local health community’. Both rated the homes management of health and personal care as excellent. A community nurse commented ‘ the home is well run; matron is always available for information. Staff respond quickly to help and seem happy. The level of care given is of a high standard and they liaise well with the GP and community nurses’. Registered nurses manage the medication system; the inspector looked at storage and recording – controlled drug stock was checked against records and was accurate. The medication system is well organised. The medication is administered from a purpose built trolley directly to the residents on a 1:1 basis. Disposal of unused medication is safe. Residents told the inspector that the staff respect their privacy and dignity, the inspector observed that when personal care was being provided this was done behind closed doors, the staff spoke to residents in a polite manner and most were witnessed to knock on the doors to private accommodation before entering. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some effort is made by the home to provide social interaction/stimulation for residents. Residents are able to maintain contact with family and friends and exercise choice and control over their lives. Residents receive a wholesome appealing diet and there is always a choice of meals available. EVIDENCE: During the visit the inspector saw that most residents spend most of the time in their own accommodation with lunch in the dining room being the only social time for residents, when 11 residents were seen to enjoy conversation among themselves while eating their lunch. Those spending time in their rooms were observed receiving visitors, reading, listening to music or watching television. Records seen did not include individual activity plans or evidence of attendance at organised social events. 8 residents provided the Commission with written feedback via a survey. When asked –Are there activities arranged by the home you can take part in? 1 indicated ‘always’, 2 ‘usually’ and 1 ‘sometimes’ and the other 4 commented – Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 14 ‘I do not wish for any’, ‘I have no wish to take part in any activities’, ‘I do not wish to participate’, ‘I am bedridden and cannot attend’. Feedback about the meals served in the home was extremely good. During the inspection lunch was served, most residents had gammon ham served with vegetables and potatoes followed by egg custard those who did not like the set menu were provided with alternatives. All of those spoken to told the inspector they had enjoyed their meal. 11 residents were seen to eat their meal in the dining room others had their presented on trays in their own accommodation. Of the 8 residents who returned surveys, 5 indicated they ‘always’ like the meals at the home and the remaining 3 that they ‘usually’ like the food comments included – ‘the meals are well cooked and well presented but the quality of the meat and chicken at times leaves a little to be desired’, ‘they will cook different meals for me if I do not like what they have cooked’. The people living in the home told the inspector they were happy with the visiting arrangements, visitors said they feel welcomed into the home and are able to visit their relative/friend in private or socially. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and their relatives/friends know how to make a complaint. People are safe living in this home. EVIDENCE: The complaints procedure is communicated to residents and/or their representatives, the information is in enough detail to ensure people have the means to refer a complaint to the Commission at any time. Residents told the inspector if they had issues or concerns they would speak to the matron who is ‘very approachable’, and asks regularly if residents have any problems. The inspector examined the homes record of complaints, all had been made verbally and had been recorded, identifying the issues and any action taken and outcomes, 3 of the 6 complaints have been reported as substantiated. Of the 8 residents who returned surveys to the commission all indicated they ‘always’ know who to speak to if they are not happy’. Notices found in the staff room indicated that they are aware of the homes policy regarding the protection of vulnerable adults and whistle blowing. Staff training records evidence that staff have received training on the protection of vulnerable adults and a notice advertising update/further training on this subject was seen to be in place for more training in the near future. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 16 Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 17 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): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment is safe and adequately maintained. The home is clean and hygienic. EVIDENCE: A tour of the home provided evidence that the provider maintains an attractively presented environment for residents and staff the provider was seen to be redecorating a bedroom at the time of the visit. Maintenance and associated records provided to the Commission indicate that Fire equipment, Moving and handling equipment (including passenger lifts) and gas and electrical installations are checked and serviced regularly. Resident’s rooms contained personal items of furniture and ornaments and pictures. All of those spoken to said they liked their rooms. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 18 Following a requirement being made at the time of the last inspection, the laundry has been redecorated and was clean at the time of the site visit however the carpet in the laundry was in a poor state and the flooring needs more attention to ensure it is safe and practical. A notice now warns people of the step from the door way, which poses a risk of injury if staff are carrying laundry baskets that hamper their view as well as people who live in the home falling if they open the door without realising there is an immediate step. One of the washing machines had a notice on it explaining it was out of order staff confirmed this had needed repair/replacement for some time. The home appeared well equipped to meet the needs of those residents identified with moving and handling risks and disabilities that affect their capability to bathe. Specialist mattresses were seen in place for those residents requiring them, as were height adjustable beds. The communal areas of the home were fresh and clean in their appearance; Hand washing facilities are available throughout the home. The grounds of the home were neat, tidy and attractive and work was being undertaken at the time of the inspection to re-paint the exterior of the building. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff with appropriate skills and knowledge to meet the needs of residents in this home. The homes recruitment practise has improved and offers protection to residents from being placed at risk of harm or abuse. EVIDENCE: Comments received during the inspection included ‘the staff are very good’, ‘the nurses are kind and very hard working’, ‘the staff are very busy, but are always polite and helpful’ ‘the staff are absolutely lovely’ ‘the staff are excellent’. The staff spoken to on the day of the inspection told the inspector they like working at Devonia House and have access to training and all the equipment they need to carry out their roles effectively. The individual training records seen show that staff do have access and are actively encouraged to attend training initially including a 6 week induction and then on going training on fire safety, protection of Vulnerable adults, and health and safety. Staff records did show that the staff have a wide range of qualifications and experience to enable them to care for current residents needs. Planned /future training includes First Aid, Infection control, Fire safety and management of a syringe driver. Three staff completed and returned questionnaires to the Commission all 3 staff members said the home provides funding and time for them to Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 20 receive relevant training. 9 staff (75 of care staff excluding qualified nurses) have obtained National Vocational Qualifications (NVQ) at level 2 one carer commented ‘ I was funded for NVQ2 but would have to fund myself for any further NVQ’s’. The inspector examined the personnel files of 3 members of staff the records showed an improved commitment to safe recruitment practises, files contained application forms, references, Criminal Record Bureaux checks and interview notes. Eight residents provided written feedback, when asked are the staff available when you need them? 5 indicated ‘always’ and 3 ‘usually’ when asked – Do you receive the care and support you need all 8 indicated they ‘always’ do and one commented ‘I have been here quite along time and am being well looked after, I have no complaints’. The inspector found the residents looked physically well cared for. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 21 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, 33, 35, 38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The registered manager for this home has been in post since 1987 and shows a commitment to provision of high standards of care. Personal money is not held in the home on behalf of residents. Systems of quality assurance are informal. The registered provider shows a responsible attitude toward promoting and protecting the health, safety and welfare of residents and staff. EVIDENCE: The manager has worked at the home for well over a decade. People living in the home made comments such as ‘matron does her rounds every morning to make sure all is well’, The inspector found that this informal system of quality assurance is currently the main process used for assessing the quality of the Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 22 service along with regular verbal communication with visitors to the home. The manager confirmed that she does intend to do a satisfaction questionnaire and was positive about working on a formal quality self assessment process in the future. The inspector was informed by the manager that residents manage their own personal money or their family/representatives the home does not have any involvement with personal allowances. A small safe is available in the administration office, if residents want valuables secured for them. The inspector-examined records held in regard of health and safety issues in the home, these provided documentary evidence that the fire safety equipment including emergency lights and fire alarms and hoists and lift are regularly serviced and maintained. Requirements and recommendations communicated from previous inspections have been acted upon. Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X N/A X X 3 Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations To ensure the social needs of residents are recognised and met, each resident should have an individual activity plan and records should be kept of attendance at organised social events as well as individual social activity that is undertaken. The carpet in the laundry was in a poor state and the flooring needs more attention to ensure it is safe and practical. The washing machines which is out of order should be repaired/replaced. Systems of quality assurance should be formalised. 2 OP19 3 OP33 Devonia House Nursing Home DS0000067360.V301602.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Devonia House Nursing Home DS0000067360.V301602.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. Re-publishing this information is in breach of the terms of use of that website. 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