Inspection on 10/06/08 for Duncote Hall Nursing Home

This inspection was carried out on 10th June 2008.

CSCI found this care home to be providing an Good service.

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

Duncote Hall Nursing Home 15/06/07

Duncote Hall Nursing Home 13/10/05

Duncote Hall Nursing Home 09/05/05

Duncote Hall Nursing Home 01/11/04

Duncote Hall Nursing Home 26/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Duncote Hall Nursing Home Duncote Towcester Northants NN12 8AQ Lead Inspector Mrs Carole Burgess Unannounced Inspection 10th June 2008 11:00 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 Duncote Hall Nursing Home DS0000012612.V366205.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. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Duncote Hall Nursing Home Address Duncote Towcester Northants NN12 8AQ 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) 01327 352277 01327 359168 duncotehall@aol.com Minster Care Management Limited Mrs Janice Knock Care Home 41 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (41) Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission are within the following category: Old age, not falling within any other category - code OP. Dementia - code DE and code DE(E) (Maximum number of places 10). 2. The maximum number of service users who can be accommodated is 41. 15th June 2007 Date of last inspection Brief Description of the Service: Duncote Hall Nursing Home is set in 8 acres of grounds on the edge of the small hamlet of Duncote. Many of the residents are elderly frail and/or mentally frail and most residents require nursing care. There are qualified nurses are on duty at all times. Accommodation is mostly in single rooms, with a small number of double rooms available, all of which have en-suite facilities. There are three general sitting rooms, a dining room and conservatory, and extensive gardens with a gazebo. All meals are freshly prepared on site. The Statement of Purpose, Service Users’ Guide & Inspection Report are available on request (these provide information on how the home is organised and what services they provide). The Statement of Purpose and Service Users’ Guide are provided for all new residents. At the time of the site visit the Registered Manager stated that weekly fees were: £550 (shared room) - £625 (single room). Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. ‘We’ as it appears throughout the Inspection Report refers to ‘The Commission for Social Care Inspection.’ The focus of the inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. Planning for the inspection included reviewing the Annual Quality Assurance Assessment (AQAA), which is a self assessment tool completed by a representative of the service, reviewing the previous inspection report, assessing notifications of significant events, any complaints about the service and reviewing the home’s service history to date. The site visit was unannounced and took place over five hours. We selected three residents and tracked the care they received through a review of their records, discussion with them (where possible), other people who use the service, the care staff, and observation of care practices. We spoke with staff members regarding training and support. Surveys sent to people who use the service indicated that this is a good service and that residents are well cared for by caring staff. One person wrote, “They provide a caring, welcoming atmosphere, a choice of menu, good food and a homely, friendly feel”, A number of residents and a relative spoken with said that the home was comfortable and clean and that they were well cared for. They also said that, generally, the food was good and that there was always a choice. The Registered Manager and other staff spoken with were positive and helpful during the inspection. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Requirements & Recommendations This is what the home must do to improve. Requirements: All staff, including Registered Nurses and ancillary staff, must be provided with ‘safeguarding vulnerable adults’ training to ensure that they have knowledge of current, local policies and procedures that safeguard people who use the service. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 7 Recommendations: The Statement of Purpose and Service Users Guide should be updated to include all of the required information in The Care Homes Regulations 2001, schedule 1, including updated contact details for Social Services and the area CSCI office. All contracts should include all of the information as detailed in the Care Homes for Older People, National Minimum Standards, Standard 2, specifically the room/s to be occupied. The resident’s care plan should be drawn up with the involvement and agreement of the resident and signed by the resident and/or their representative. A bound a numbered Controlled Drugs (CD) Register should be used to fully comply with current guidance for the safekeeping of controlled medication. An annual, mandatory staff-training programme should be implemented to ensure that staff have the skills to meet the changing needs of the residents. 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. Duncote Hall Nursing Home DS0000012612.V366205.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 Duncote Hall Nursing Home DS0000012612.V366205.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good information about the home, and have their health, welfare and social care needs assessed, so that they can be fully met once they move into the home. EVIDENCE: The home provides prospective residents and their relatives with a Statement of Purpose and Service Users Guide (both give information about the home) to help them decide if the home is the right one for them. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 10 The Statement Of Purpose and Service Users Guide requires updating to include all of the required information in The Care Homes Regulations 2001, schedule 1, and the providers should be mindful to update contact details for Social Services (who manage complaints) and the CSCI so that residents and their relatives or representatives have the correct information. This information also needs to be included in the complaints policy and procedure. Signed copies of private residents’ Terms and Conditions (contracts) were kept on file, and residents, or their relatives, were provided with a copy. Two residents said that they had been provided with a contract when they moved to the home. Although stated in the care plan the Terms and Conditions did not state which room was to be occupied by the resident. This should be included in the Terms and Conditions so that residents are secure in the knowledge that the nominated room was permanently theirs. The four residents’ care plans reviewed contained a detailed pre-admission assessment to show that the home could meet their specific health, welfare, and social care needs. Qualified nurse carry out the assessment either in hospital or the prospective resident’s home. The assessment included personal details, relative and GP contact numbers, past and present medical history, current health care requirements, medications and a social history. This informed the resident’s plan of care to ensure that all of their needs were met. The surveys sent to people prior to the inspection showed that people were given good information about the home and were, “most helpful” and provided “professional advice”. The home does not provide intermediate care. Duncote Hall Nursing Home DS0000012612.V366205.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. 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. Residents are well looked after in respect of their health, personal and social care needs. EVIDENCE: Three residents’ care plans were checked. All were detailed and provided the nurses and carers with thorough information about the health, personal and social care needs of the residents. All had been reviewed and updated on a regular basis to ensure that residents received the care they required. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 12 The care plans were being revised using a Roper-Logan-Tierney model of nursing that will provide nurses and care staff with a more person centred approach to daily care. The home is recommended to make sure that all new care plans are seen, agreed and signed by the resident or their representative to ensure that nothing is missed when preparing a resident’s new plan of care. Contact with healthcare professionals such as GP’s, District Nurses, hospitals, and Chiropodists were recorded in the care plans to ensure that healthcare needs and treatments were addressed. Medication policies and procedures were sound. The controlled medication was checked and it was recommended that a bound and numbered Controlled Drugs (CD) Register be used to fully comply with current guidance for the safekeeping of controlled medication prescribed for residents. Residents were able to continue to self medicate, as one resident was doing, following an appropriate risk assessment to ensure that they were safe to do so. The trained nurses administered all other medications. The Registered Manager carries out informal checks and a formal medication audit every three months to ensure that medication administration was well monitored. One nurse said that she had not received any updated medication training since joining the home about twelve months ago but another nurse said that they receive yearly, updated training to ensure that residents’ medicines were administered safely as prescribed. Observation during the inspection showed that staff had a good awareness of how to protect residents privacy and dignity. Staff spoke to residents in a respectful, friendly, quiet and supportive way. Residents and a relative said that staff were friendly but polite, although they though some carers appeared a little brusque at times; they thought this may be ‘a language problem’ because the staff came from other countries. Also, two residents mentioned that they sometimes have to wait to be taken to the toilet, usually for only a few minutes, but nevertheless this was uncomfortable and distressing for them. The Registered Manager said that she was aware of these concerns and was implementing a key worker system to make sure residents had a nominated carer to address any concerns which they might have, and that she had employed part time staff at meal times to enable care staff to be free to provide personal support for the residents at these times. The surveys sent to people prior to the inspection showed that people felt that their needs were met; one stated that her continued good health was due to good food, good management and friendly staff. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 13 One relative said that her mother was looking and feeling much better since she moved to Duncote Hall and the resident confirmed that she was better and well looked after. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff and activities organisers work hard to ensure that residents experience a safe, stimulating and homely life style. EVIDENCE: The home employs two part time activities organisers who, between them, provide 40 hours per week. There were posters displayed in the home about forthcoming activities. On the day of the site visit residents were listening to music, watching television, doing crosswords, one resident was sewing a tapestry with the help of the activities organiser. A vicar and an organist visited in the afternoon to give a Church of England service. A resident said that these were regular events that she and a number of other residents enjoyed. A Roman Catholic priest also visits residents on an Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 15 individual basis: One resident had been by supported by the Registered Manager who had accompanied her on a trip to Rome to see the Pope. Carers were also seen helping residents to walk in the garden and enjoy the warm weather. Also in warmer weather staff organise cocktails on the patio and residents can enjoy a horse racing game. Occasional trips were arranged i.e. visits to near by Towcester, to a local garden centre, shopping in Milton Keynes, visit to the local pub. Birthdays, Festival and special days were also celebrated. One resident commented that being able to get their hair done by a good hairdresser “boosted morale”. There were monthly residents meetings and the Registered Manager was arranging a separate relatives meeting at their request. Minutes of meeting are provided and a newsletter was posted on the notice board in the reception hall for residents and relatives to see. Residents said that they were able to have visitors at any time and a number of people came to visit during the course of the site visit. Staff support residents with making choices in their everyday lives. All residents spoken with said they got up and went to bed when they wished, were able to choose what they wanted for their meals and were well supported by caring staff. All meals were prepared in the home’s kitchen by the cook. A cooked breakfast was available if required and there were choices at all main meal times. Omelettes and jacket potatoes were always available for residents who did not want the choices of the day. Coffee, tea and biscuits were provided in the morning and there were biscuits, cake and fresh fruit in the afternoon and residents have a snack and bedtime drink. Snacks and additional drinks were provided throughout the day as requested. Residents also enjoy the occasional fish and chip supper bought from the chip shop in Towcester. Special diets such as diabetic and soft diets were catered for. Residents have a nutritional assessment in their care plan to ensure that their dietary needs are being met. Staff provided discrete assistance for residents who required help with feeding. The surveys sent to people prior to the inspection showed that people felt that the home provided a sufficient choice of activities, and supported people individually with activities and trips out, and respected people’s privacy and preferences when they did not choose to join in. Two residents spoken with said that the meals were good and that there was always a choice and the staff would always provide something else if you did not want the meals offered. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 16 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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for receiving and responding to complaints are sound resulting in satisfactory protection of residents’ rights. EVIDENCE: Residents and staff comments showed that people feel safe and at ease discussing any concerns with the staff. Neither the CSCI nor the home has received any complaints since the last inspection in June 2007. The home’s complaints process reflects the local ‘Safeguarding Vulnerable Adults’ policies and procedures. Although they were clear that they would report concerns to the Registered Manager some staff were unsure of correct safeguarding procedures, such as and the role of Social Services and others, in safeguarding residents. All staff Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 17 should receive updated training as soon as possible to ensure that they have the correct information and knowledge to enable them to safeguard residents. It was recommended that information regarding advocacy services was made available in the reception area for residents who may need additional, independent support and/or advice. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 18 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 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable, clean, safe and good standard of accommodation is provided for the residents. EVIDENCE: The home was clean, safe and well maintained with adaptations to suit residents’ specific needs. It was decorated and furnished to a good standard that created a comfortable and homely environment. Residents also have access to attractive safe, well maintained gardens. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 19 All residents’ rooms had en-suite facilities, including a bath, and all had ‘nurse call’, and were clean and well decorated. Residents were able to bring items of their own furniture and possessions with them and all residents’ rooms that were seen were well personalised, some with resident’s home furnishings. Residents were also able to keep small pets at the discretion of the management. There were sufficient toilets, bathing and assisted bathing facilities in addition to the en-suite facilities for residents who required extra help with bathing. Residents and a relative said that the home was always kept clean. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 20 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are trained and sufficient in number to meet the residents’ needs. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 21 EVIDENCE: There were thirty-six residents at the time of the inspection most of which required nursing care. Staffing levels, at the point of inspection, were in line with those suggested by the Department of Health Residential Forum Guidelines and were sufficient to meet the residents’ needs. There are trained nurses on duty throughout the day and night. During the day there were six carers on the early shift, five on the late shift and three carers at night. In addition, during the day, there are cooks, cleaners, kitchen and laundry staff and a maintenance person. Residents and a relative said that there seemed sufficient staff on duty but less at the weekend. However, this may be a matter of perception as there are the same numbers of care staff, but less ancillary staff, at the weekend. Four staff files were checked during the inspection and showed that there was a satisfactory recruitment process to ensure that residents are well protected. Registered Nurses’ Personal Identity Numbers (PINS) were checked to ensure that they were in date and that the nurse was ‘fit’ to practice, as a further safeguard for residents. New staff carry out an induction training programme under the supervision of an experienced member of staff. Staff files indicated that some staff had had training in the care of pressure ulcers, first aid, food hygiene and challenging behaviour; all staff had received recent fire safety and moving and handling training. The Registered Manager said that five care staff had also completed National Vocational Qualification (NVQ) in Care. It is recommended that all staff should receive mandatory, annual updates in specific, in identified key areas. A planned programme of annual, mandatory updated training would ensure that staff continued to have the necessary skills to give safe care to the residents. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 22 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, 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 provides supportive leadership to staff, ensuring that residents receive a good standard of care. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Registered Manager is a carer with many years of experience and works in a supervisory and management role in addition to the nursing and care staff numbers. Good interaction between staff, residents and residents’ relatives ensures that there is a culture of openness and friendliness in the home. The Registered Manager has implemented a quality audit (satisfaction survey) for residents and staff completed in May 2008. The results will collated and actioned so that the comments from residents and visitors help to improve the service. The home does not keep money on behalf of residents. Residents manage their own finances or, if they are unable, then a relative will do this for them the home providing receipts for items purchase. The Registered Manager has commenced regular, recorded staff supervision (regular review of staff’s personal and training needs in relation to their work) and appraisals to ensure that they have the necessary skills to provide a good service for the residents. Health and Safety Policy and Procedures, such as regular recorded fire drills and fire alarm tests are completed, to ensure the health and safety of the residents and staff. The surveys sent to people prior to the inspection comments indicated that the home was well managed. One stated, “I cannot fault the care home and there is both management and medical experience that I trust completely”. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 24 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 x x x x x x 3 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 3 X 3 X X 3 Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 25 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 OP18 Regulation 18 (1) (a) Requirement All staff, including Registered Nurses and ancillary staff, should be provided with ‘safeguarding vulnerable adults’ training. Timescale for action 11/07/08 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 It is recommended that The Statement of Purpose and Service Users Guide be updated to include all of the required information in The Care Homes Regulations 2001, schedule 1, including contact details for Social Services and the area CSCI office. It is recommended that all contracts include all of the information as detailed in the Care Homes for Older People, National Minimum Standards, Standard 2, and include the room/s to be occupied. It is recommended that the resident’s care plan should be drawn up with the involvement of the resident and signed by the resident and/or their representative. It is recommended that a bound a numbered Controlled DS0000012612.V366205.R01.S.doc Version 5.2 Page 26 2. OP2 3. 4. OP7 OP9 Duncote Hall Nursing Home 5. OP30 Drugs (CD) Register be used to fully comply with current guidance for the safekeeping of controlled medication prescribed for residents. It is recommended that there is an annual, mandatory staff training programme to ensure that staff to have the skills to meet the changing needs of the residents. Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Duncote Hall Nursing Home DS0000012612.V366205.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!