CARE HOMES FOR OLDER PEOPLE
Dove`s Nest Nursing Home 17/19 Windsor Road Clayton Bridge Manchester M40 1QQ Lead Inspector
Geraldine Blow Unannounced Inspection 6th March 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 Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Dove`s Nest Nursing Home Address 17/19 Windsor Road Clayton Bridge Manchester M40 1QQ 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) 0161 681 7410 0161 681 7410 Dove`s Nest Limited Ms Jane Rawsthorne Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (2) of places Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Nursing or personal care may be provided for a maximum of 31 service users of either sex aged 60 years or over. Two named service users are currently accommodated and receiving nursing care by reason of physical disability. Should these service users no longer require the accommodation offered by Dove’s Nest the service user category will revert to OP (old age). At any one time one younger adult aged 18 - 60 years can in addition be accommodated for nursing care / personal care, by reason of physical disability for respite care for a period of no longer than 3 weeks. Registration is subject to compliance with the minimum nursing staffing levels indicated in the Notice previously served in accordance with Section 13 of the Care Standards Act 2000 and dated 11th March 2005. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing for the service users assessed as requiring personal care only must comply at all times with the minimum levels set out in the Residential Forum guidelines`Care Staffing in Care Homes for Older People`. 21st September 2005 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Dove’s Nest is a nursing home providing 24-hour accommodation for up to 31 older persons. The home is owned by Doves Nest Limited. The Responsible Individual, is Ms Helen Claffey The home is situated in the North of the City of Manchester. Local facilities and bus routes are within easy walking distance. Parking to the side of the property is available. The building is an extended and converted detached house set in its own grounds. Accommodation is provided on two floors, served by a passenger lift and the home is accessible to wheelchair users. Bedroom accommodation is on the ground and first floor. The third floor provides office space. There are 21 single and 5 double rooms. All rooms,
Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 5 with the exception of one single room, are provided with a wash hand basin. There are no en-suite facilities available. The double rooms have strategies in place for the maintenance of privacy. There are 3 lounges, a hair dressing room and conservatory/dining room, which is designated as a smoking area. The conservatory has patio doors leading out on to a small patio area, overlooking a wooded garden area, which enables service users to sit outside in warm weather. A seperate house situated within the grounds of the home is currently being converted into an administration and training centre. The work is nearing completion and part of the building is in use. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on the 6th March 2006. During the inspection time was spent talking to the responsible individual, the registered manager, several of the residents and some members of staff to find out their views of the home. In addition residents files, records and other relevant documentation were examined. At the time of this inspection 2 double bedrooms and a bathroom were being completely renovated. As identified at the last inspection the home was considering an extension to the property and a possible change to the conditions of registration. At the time of this inspection a definite decision had not been made. Since the last inspection the CSCI has not received any complaints about the service. As this inspection only looked at a limited number of standards the report should be read together with the previous and any future reports to gain a full picture of how the home is meeting the needs of the people living there. What the service does well:
The atmosphere of the home felt relaxed and peaceful. The residents appeared well dressed, happy and settled. Through discussions with the responsible individual and the manager it was obvious that the home was committed to improving the service delivered to residents. The manager and staff demonstrated that they were knowledgeable and sensitive to residents’ individual care needs. Staff were seen to have good relationships with the residents and appeared kind and sensitive in their approach. The manager was very visible and approachable during the inspection and she took time to stop and speak to all the residents that she passed. The home encourages and support carers to undertake National Vocational Qualification (NVQ) level 2 and level 3 training. The home employed 15 care staff, 3 of those staff have successfully completed level 2 and a further 3 were currently undertaking the study. One member of care staff had successfully completed NVQ level 3 and 1 member of staff was currently undertaking level 3. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 7 From the systems in place it appeared that the financial interests of residents are safeguarded. What has improved since the last inspection?
Since the last inspection numerous bedrooms have been re-decorated and new bedroom furniture was on order. The main ground floor corridor and 1st floor corridor had been re-decorated making it much lighter and airy. Major refurbishment has commenced on 2 double bedrooms and a bathroom that was not previously used. During the previous inspection the home was required to ensure that 2 written references were received before any member of staff started to work at the home and that staff files contain an up to date photograph. Evidence was seen that these requirements had been met. The home has appointed designated carers to work as activity coordinators and records were kept of the activities undertaken. Time must now be spent with residents finding out what interests or hobbies they have and the activities they wish to participate in both individually and as a group. Since the last inspection the home has employed the services of an Independent Clinical Audit Consultant who will undertake an audit of the care plans and the medication procedures. After reviewing the results of the audits she will then determine the individual training needs of staff. Also, the home has employed the services of Business Process Engineer who will be looking at and reviewing all the documentation used by the home, including all the policies and procedures. He will be working closely with the home’s manager and the responsible individual. The home was in the process of completing ‘Build the Better Business’ programme. This is a 19-week programme that leads into undertaking The Investors in People Award. This award is based around valuing staff and actively encouraging training and development. The home had sent out quality audit questionnaires in October/November 2005 to some residents, relatives and representatives in order to gain their opinion of the service. There had been a poor return, however a meeting had been arranged to discuss some of the issues raised. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 8 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgements were made at this inspection EVIDENCE: The home did not provide an intermediate care service. The other core standard was assessed during the previous inspection. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 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 Each resident had an individual plan of care. However, some areas of documentation required improvements to ensure that all residents’ health, personal and social care needs are fully met. These shortfalls have the potential to place residents at risk. EVIDENCE: A random sample of care files were inspected. As already stated in this report a number of shortfalls were identified in the files inspected which are detailed below: • Evidence could not be provided that all of the care plans had been drawn up, where possible, with the involvement of the resident or their representative. This requirement was made at the previous inspection and has been reiterated in this report. Although the plans of care had been reviewed on a monthly basis they had not been updated accordingly. For example one review had consistently stated, “requires thickened fluids,” another review stated “requires 2 hourly toileting” these had not been incorporated into the care plan.
DS0000021641.V279187.R01.S.doc Version 5.1 Page 12 • Dove`s Nest Nursing Home • • • • • During discussions with the manager it was identified that 1 resident would, with encouragement, sit in his own chair that had a head support that was needed due to poor sitting balance. This had not been incorporated into his care plan. A number of care plans had not been signed or dated. A nutritional risk assessment identified that the resident required feeding. This identified need had not been incorporated into the plan of care. An activity of daily living assessment had identified that the resident required assistance with personal hygiene. This identified need had not been incorporated into the plan of care. A requirement made at the previous inspection was that restraints such as bed rails and the use of the ‘Kirton’ chair must be risk assessed. Evidence was seen that this had not been completed in all instances. The requirement has been reiterated in this report. The requirement made at the previous inspection that all prescribed medication must be signed for had not been met. A number of creams and dressings had not been signed for. The requirement has been reiterated in this report. The home had stopped recording medication that was to be sent for destruction. In order to provide a complete audit trail the records must be complete and accurate. This is in order for the home to demonstrate that all medication is both accounted for and administered as prescribed. The temperature of the drug fridge had not been completed for a number of days as the thermometer had broken and the manager was awaiting a replacement. Daily temperature recordings must be maintained. It is commendable that the home has employed the services of an independent clinical audit consultant that will be auditing the medication procedures and the care planning process. The manager and the responsible individual said that the prescriptions come to the home for signing prior to being sent to pharmacy and the home keeps a record of the prescribed medication, which meets the requirements made at the last inspection. The recommendation that the drug administration file contain an up to date photograph of all residents to aid easy identification was in the process of being implemented. At the previous inspection it was discussed that within the proposed refurbishment the home would provide telephone facilities, which are suitable for the needs of residents and make arrangements to enable them to use such Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 13 facilities in private. The refurbishment was not complete and therefore this requirement had not been met. The other core standard was assessed during the previous inspection Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgements were made at this inspection EVIDENCE: The previous inspection report recommended that the home employ the services of an activity co-ordinator. The manager and the responsible individual said that designated care staff had been given the responsibility to act as activity co-ordinators. However, the requirement made that the home must provide evidence that residents are consulted regarding the planning of activities, outings and entertainment had not been met. The requirement has been reiterated. The remaining core standards were assessed at the previous inspection. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 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): No judgements were made at this inspection EVIDENCE: As required at the last inspection the complaint procedure had been updated to remove reference to NCSC and include a 28-day time frame. All residents were due to be issued with the updated version. The home had a copy of the Manchester and Cheshire Multi-Agency Adult Protection Procedures. However, the home does support residents who are placed by different local authorities and they did not have the necessary contact details for making adult protection referrals. These contact numbers must be easily accessible at all times. Some of the staff, as part of their NVQ training had received Protection of Vulnerable Adult (POVA) Training. However, a number of staff spoken to said that they had not had any training. In order to protect the residents living at the home all staff must receive POVA Training, which includes the actions to be taken in the event of an allegation of abuse. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgements were made at this inspection. EVIDENCE: As already stated in this report, several areas of the home had been redecorated and some refurbishment was being undertaken. The requirements from the last 2 inspections that locks must be provided on resident bedrooms suited to their capabilities and accessible to staff in emergencies and that a lockable storage space must be provided had not been met. The responsible individual stated this had not been addressed due to the proposed refurbishment. The requirements have been reiterated in this report, as they must be included in the proposed plans. In addition the requirement from the last 2 inspections that the freestanding wardrobes in residents private accommodation must be secured to the walls in an effort to reduce the possibility of avoidable accidents had not been met. The requirement has been reiterated in this report.
Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 17 In order to reduce the risk of cross infection the recommendation that the home should ensure equipment such as the hoist is cleaned in between each use had been met and the home had purchased alcohol gel for staff to use. In addition the manager said that the home had a number of hoist slings on order that would enable each resident to have their own individual sling. The recommendation that Personal Protective Equipment (PPE), which includes gloves, aprons and wipes should be made available in residents’ bedrooms, toilets and bathrooms to facilitate the management of personal care had not been met and has been reiterated in this report. An updated infection control policy should be developed and implemented to include the above issues. As referenced at the previous inspection the home was considering an extension to the building and a possible application to change to the conditions of registration. However at the time of the inspection no final decisions had been made. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 30 Staff have access to the training and learning they require to support the residents accommodated at the home. EVIDENCE: The home demonstrated that every effort has been made to meet the National Minimum Standard that 50 of care staff are trained to NVQ level 2. The home employs 15 care staff, 3 members of staff have successfully completed NVQ level 2 and a further 3 members of staff were currently undertaking the training. One member of staff had successfully completed NVQ level 3 and 1 member of staff was currently undertaking level 3. Evidence was seen of a computerised training matrix for all staff demonstrating that appropriate training had been undertaken, with the exception of POVA training, and systems were in place to ensure that all staff undertake the mandatory training. It is recommended that this information is given to the home manager so that an individual training and development plan can be produced for each member of staff and be discussed and updated during supervision. The home has a structured Induction process. The Induction is currently based on the TOPPS guidance. However, the organisation that set the standards of training for all social care services and workers recently introduced new guidance on what an induction programme for new staff should include. These new standards will be compulsory in September 2006. The responsible
Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 19 individual is aware of this new development and is currently reviewing the Induction programme to make sure that it meets the new standards. The requirement made at the previous inspection that staff files must contain an up to date photograph and that 2 written references must be obtained before appointing a member staff had been met. The remaining core standards were assessed during the previous inspection. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 The manager has the experience to manage the home. A quality assurance system has been developed to seek residents’ views and the systems for managing residents’ money appeared to protect their interests. EVIDENCE: The residents in the home benefit from a committed, caring manager who is registered with CSCI and has the necessary nursing experience to manage the home. As already stated in this report the home has a quality audit system of sending out questionnaires in order to obtain feedback on the service provided. It has been recommended that the questionnaire be sent to visiting professionals in order to gain that opinion of the service being delivered. The results of the quality audit and the feedback from the proposed meeting scheduled with the
Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 21 relatives to discuss some issues that have arisen must then produce an action plan for the further development of the service provided. It is commendable that the home has recently purchased the services of a Business Process Engineer who is to review all the homes documentation including the policies and procedures. He is to work closely with the responsible individual and the homes manager and a meeting is planned for the 8/3/06. These will be assessed at the next inspection. The home has developed a system where personal allowances and other benefits are held in a resident’s bank account. Money is withdrawn as required and computerised records of transactions and receipts are maintained. The responsible individual and the manager both said that a format for formal supervision had been developed and was due to be implemented. Staff should receive formal supervision 6 times a year and supervision should cover: • All aspects of practice • Philosophy of care in the home • Career development needs Evidence was seen that the home ensures the health, safety and welfare of the residents and staff are protected at all times. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 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 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X x x x x x x x x STAFFING Standard No Score 27 X 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 x 3 Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 13,15,17 Sch 3 Requirement 1. The plan of care must include detailed risk assessments with particular attention to the use of restraints i.e. bed rails and Kirton chairs. 2. The plan of care, where possible, must be drawn up with the involvement of the resident in a style accessible to the resident. Once agreed it must be signed for by the resident whenever possible and/or their representative. (Previous timescale of 1/11/05 had not been met) 3. Residents care plans must be updated following any reviews and be written with sufficient and accurate detail to provide clear guidance to staff of the actions to be taken to meet the residents health and welfare needs. 4. All care plans must be dated and by the person completing them and dated.
Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 24 Timescale for action 30/04/06 2. OP9 13 In order to provide a complete 31/03/06 audit trail the medication records must be complete and accurate. This is in order for the home to demonstrate that all medication is both accounted for and administered as prescribed: 1. All prescribed medication must be signed for by the person administrating them. (Previous timescale of 1/4/05 and 1/11/05 had not been met) 2. A record must be kept of medication to be disposed. 3. Daily temperature recordings must be maintained for the drug fridge. Within the proposed refurbishment the home must provide telephone facilities, which are suitable for the needs of service users and make arrangements to enable service users to use such facilities in private. (Previous timescale of 30/4/05 had not been met) 3. OP10 16 01/07/06 4. OP12 16 1. Evidence must be provided that residents are consulted regarding the planning of activities, outings and entertainment. 30/04/06 5. OP18 13 (Previous timescale of 30/4/05 and 1/11/05 had not been met) 1. Up to date contact numbers 30/04/06 for POVA referrals must be easily accessible for making referrals to the appropriate local authority. 2. Evidence must be provided that all staff have received Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 25 6. OP24 23 Protection of Vulnerable Adult training which includes the actions to be taken in the event of an allegation of abuse. Within the proposed refurbishment the responsible individual must ensure that: 1. Locks are provided on residents’ bedrooms to respect privacy and dignity. The locks must be suited to their capabilities and accessible to staff in emergencies. The provision of keys must be the result of the risk management process. 2. All residents are provided with a lockable storage space. (Previous timescale of 30/4/05 and 30/4/05 had not been met) 01/07/06 7. OP24 13 The responsible individual must ensure that the freestanding wardrobes present within the service user’s private accommodation are secured to the walls in an effort to reduce the possibility of avoidable accidents. (Previous timescale of 30/4/05 and 30/11/05 had not been met) 31/03/06 8. OP30 18 9. OP33 24 The home must develop an induction programme based on the Skills for Care Common Induction Standards. The home must develop an action plan for the further development of the service provided based on the views of residents, their representatives and visiting professionals. 01/09/06 01/07/06 Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 26 10. OP36 18 The responsible individual must ensure that all staff are appropriately supervised. 30/04/06 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 OP26 Good Practice Recommendations It is recommended that: 1. Personal Protective Equipment (PPE), which includes gloves, aprons and wipes should be made available in residents’ bedrooms, toilets and bathrooms to facilitate the management of personal care. 2. The home should develop and implement an updated infection control policy. 2. OP30 It is recommended that the computorised record of staff training be given to the manager in order for her to develop an individual training and develoment plan for each member of staff and to facilitate supervison. Dove`s Nest Nursing Home DS0000021641.V279187.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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