Inspection on 26/04/05 for Dunwood Manor Nursing Home

This inspection was carried out on 26th April 2005.

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

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

Other inspections for this house

Dunwood Manor Nursing Home 03/01/08

Dunwood Manor Nursing Home 06/02/07

Dunwood Manor Nursing Home 07/09/05

Dunwood Manor Nursing Home 23/11/04

Dunwood Manor Nursing Home 19/08/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Dunwood Manor Nursing Home Dunwood Manor Nursing Centre Sherfield English Romsey SO51 6FD Lead Inspector Tim Inkson Unannounced 26th April 2005 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 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. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dunwood Manor Nursing Home Address Dunwood Manor Nursing Centre, Sherfield English, Romsey, SO51 6FD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01794 513033 01794 519700 Sentinel Health Care Limited Mrs Anne McCulloch CRH - N 52 Category(ies) of DE(E) 2, OP 52, PD 10, PD(E) 52, TI 10, TI(E) registration, with number 52 of places Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A total of 25 service users may be accommodated at any one time in the categories of PD and TI between the ages of 18-65 years Date of last inspection 23rd November 2004 Brief Description of the Service: The home is owned by Sentinel Healthcare Ltd and is one of a group of four homes in the locality. Dunwood Manor is a large Victorian country house and was converted for use as a nursing home. It is set in extensive grounds with panoramic views of the surrounding countryside. It is located in Sherfield English within easy reach of the market town of Romsey. The home benefits from a mini-bus service. The building has 2 storeys and has been improved and refurbished over time. The east wing was extended and some accommodation upgraded in 2004. Adjacent to Dunwood Manor and on the same site is the sister care home, Waverley Lodge Nursing Home. Dunwood Manor is registered to accommodate 52 service users who require nursing care. It has 34 single and 9 double bedrooms, and 19 bedrooms benefit from en-suite facilities. The communal facilities comprise 3 lounges and a separate dining room. Other facilities include assisted baths, a laundry and full board. There is also a hydrotherapy pool in the grounds of the home and the resource is available to all service users and also to service users from 3 other nursing homes in the area also owned by Sentinel Healthcare Ltd. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first of two inspections of the home that must be undertaken every year. It was unannounced and started at 09:05 hours and finished at 16:35 hours. The inspection included a tour of the premises, examination of documents and records and observation of staff working practices where possible. The registered manager was present throughout the visit to provide assistance and information and the views of residents (13), staff (9), and visitors (4) were obtained. At the time of the inspection the home was accommodating 50 residents, 19 were male and 31 were female and their ages ranged from 43 to 100 years. What the service does well: What has improved since the last inspection? The environment had been greatly improved. The completion of a large extension to the building had resulted in the number of shared/double bedrooms being reduced enhancing the privacy afforded to service users. Other bedrooms had been refurbished and more rooms had the benefit of ensuite WCS. In addition more assisted baths, level access showers and a new Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 6 quiet lounge were available. Residents were pleased about the changes to the home. 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. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 5 The home had good admission procedures, that included providing information about the home and assessing the needs of potential service users and facilitating visits and trial stays in the home to enable individuals to decide whether to move in. EVIDENCE: A copy of the home’s Service Users Guide was available in every service users rooms. Service users and their visitors and/or representatives said that they had received information about the home and that they had the opportunity to visit the home to view its facilities. • “I chose the home, I visited and my husband came separately, I also had a brochure” (visitor) • “We visited before I moved in” (Service user) The records of 4 service users were examined and it was apparent from the documentation and what service users and relatives/visitors said that the needs of potential service users were identified by the home before they moved in. In addition that the home confirmed in writing to potential service users that it could meet their assessed needs. • “We visited the home and matron visited my sister-in-law”(Visitors). Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 9 • “Someone came to see me and see what I could do and what help I needed before I came here” (Service user) Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 The home had good, clear systems in place that ensured that staff were able to meet the social and healthcare needs of service users. There was evidence of effective multi-disciplinary working arrangement. Some poor staff working practice resulted in service users privacy and dignity not always being promoted. EVIDENCE: The care plans of 4 service users were examined. The documents were detailed and set out the actions staff had to take and where necessary what equipment was needed to meet the assessed needs of the individuals concerned. Discussion with service users and staff and observation confirmed that the help service users received was in accordance with their agreed plans of care. A number of service users were able to describe the contents of their care plans and there was evidence that these plans were regularly reviewed. Records were kept of visits by and to healthcare professionals for service users. The manager and several service users spoke about regular and twice weekly visits to the home by doctors from a local surgery. An ambulance was observed calling at the home to convey a service user to a specialist outpatient clinic. Service users said that the home would make whatever arrangements were necessary for their health care needs. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 11 • “I am going for a blood transfusion tomorrow” (service user) • “I know that they will take care of me” (Service user) • “I see a chiropodist every 6 weeks” (Service user). Service users records included among other things assessments of mobility, nutritional need, continence and the risk of developing pressure sores. Where a need was identified this was linked directly to a specific action plan. Hoists and slide sheets, pressure relieving equipment, continence products and specific plans monitoring the progress with treatment of sores were seen. The home had access to remedial therapy assistants employed by Sentinel Healthcare Ltd and they were able to implement prescribed plans of treatment including the use of the hydrotherapy pool located in the grounds that was highly regarded by many service users. • “Its nice in the pool” (Service user) • “Its great to be weightless, I feel so much better after a session in the pool”(Service user) • “She was in the hydro-pool she said afterwards that it was brilliant” (Visitor) The home had been extended during 2004 and consequently the number and proportion of shared bedrooms had been reduced, thereby improving the ability of individuals’ privacy to be maintained. Service users said that staff promoted their privacy and dignity and that care and treatment was provided in their own bedrooms, including chiropody. • “The chiropodist comes to my room” (Service user) Both good and poor practice was observed with staff knocking on bedroom doors and waiting for a response as well as some walking straight into occupied bedrooms without attempting to knock. One service user commenting about staff working practise aid “some knock and some don’t”. Service users said that staff used their preferred term of address, which in the case of some was a chosen nickname. The matter of some staff failing to knock on the doors of bedrooms was discussed with the registered manager. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Service users experienced a stimulating and varied life in the home, with visitors being encouraged, activities organised in which they could participate and good meals offering choice, variety and catering for special dietary needs. EVIDENCE: A sample of 4 service users records and care plans were examined and the leisure interests of individuals were noted. The home had employed 2 activities organisers and they were observed engaging with groups and individual service users throughout the day. This included encouraging discussion of current affaires with several service users in one of the home’s lounges in the morning and playing board and card games with individuals during the afternoon. One service user who was bedfast said she would like to be taken to activities and know in advance what activities were on offer and available. Several service users said that they enjoyed going out in the home’s minibus. • “We have lovely times when we go out in the mini-bus” Visitors also commented about the activities organised by the home. • “The fetes are well organised” Service users said that they were able to exercise choice about a range of things including food and also their preferred routines and lifestyles. • “I have always been an early bird and I also like to go to bed early, the staff all know this and put me to bed early, they are good to me”. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 13 “The chef comes around every day and we can choose for a number of different dishes”. Visitors and service users said that there were no restrictions on visiting arrangements and visitors specifically commented about the warm and friendly reception they received from staff. • “I have visited the home at different times of the day ……… they are always nice to visitors”. (Visitor) • “They never let a visitor come without offering them tea or coffee” (Service user) • “We are always made very welcome” (Visitor). All service users said that the food the home provided was good and they confirmed that there was a wide choice and variety, that they had three main meals and could have snacks and drinks at other times. Jugs of fruit juice and water and fresh fruit was noted in communal areas and fluids were also provided and accessible for individuals too frail too leave their rooms or who were bedfast. • “The food is very good, I enjoy it” • “I can’t grumble, there is plenty of choice and too much for me” • “It is really very nice, there are different choices” • “Oh! Its very good” • “It is excellent, the most wonderful cheesecakes and a cup of tea first thing in the morning” • “We have never had a meal but it looks brilliant” (Visitor). Details of service users with specific dietary needs were kept accessible in the kitchen and fresh produce was used in the meals on the day of the inspection. Staff were observed in the home’s communal dining room sensitively assisting a number of service users who were unable to feed themselves. • Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home had a satisfactory complaints procedure and service users were confident their views would be listened to. Staff had a good knowledge of adult protection issues. EVIDENCE: The home had a written complaints procedure that was readily accessible to them as part of the home’s Service Users Guide that was in every bedroom. Service users said: • “I am not frightened to say anything, I would tell the matron if I had any complaints” • “If I was unhappy I would speak to matron” • “If I had a problem I would speak to one of the managers” No complaints had been recorded since the last inspection of the home on 23rd November 2004. Staff spoken to all said that they had received training in adult protection matters and were able to demonstrate an awareness of the action to take if they suspected or witnessed abuse of service users. The home had written policies and procedures concerned with adult protection Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 15 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 standard(s) 19,20 and 26 The home’s communal facilities were comfortable, safe and well maintained and the premises were clean and hygienic. EVIDENCE: The home had been subjected to major works and the construction of a large extension during 2004 that had resulted in more single bedrooms, bathing facilities and en-suite WCs, and additional communal space. Sentinel Healthcare Ltd, employed permanent maintenance staff and they were observed working in the home during the inspections. A rolling programme of refurbishment and redecoration had been implemented to improve the older accommodation. This included new furnishings and floor coverings and was to ensure a good standard throughout the home. There was evidence that the building complied with the requirements of the local Fire and Rescue and Environmental Health services. One visitor suggested that a communal WC on the first floor could be more useful to people living in the home if grab rails were installed. This was discussed with the registered manager who said that this was planned. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 16 The home’s communal facilities had been enhanced since the last inspection of the home on 23rd November 2004. There was an additional small quiet lounge as a result of the home’s ongoing programme of refurbishment and improvement. The communal areas were all on the ground floor and comprised, three lounges, a separate dining room and a small smoking room. The furnishings and décor were in good repair. One visitor said, “it appears that they invest in the premises and furniture”. There was level access to the extensive grounds from one of the lounges and there was a level patio area and a large expanse of grass that could be readily used by service users. Service users said that the communal areas were comfortable and also that the accommodation had been enlarged. The communal areas were all being well used at the time of the inspection. House-keeping staff were observed during the inspection undertaking cleaning tasks and ensuring that essential stocks of materials necessary to promote hygiene were replaced and available throughout the building e.g. soap, toilet rolls, protective clothing, etc. Staff were observed using protective clothing appropriately. There were a range of policies and procedures concerned with infection control these included: • Clinical waste • Spillage of bodily fluids • Laundry health and safety There were sluice disinfectors located on both floors of the home. There were no offensive odours throughout the building. Service users said that the home was clean and did not smell. One visitor referred to the cleanliness and said, “in the last place where she was we had to ask them to change her, but not here it is very clean”. The home’s laundry facilities were appropriately sited and equipped. The laundry was in the other home that is located on the same site as Dunwood Manor. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Staff at the home were recruited appropriately and were well trained, supported and employed in sufficient numbers and with the mix of skills essential to meet the residents needs. EVIDENCE: Service users, staff and visitor perceptions with a few exceptions were that there were enough staff on duty at all times to ensure that service users received all the help and care they required. All service users said that the staff were competent and able to care for them appropriately. • “Oh! Yes they are good and they certainly know what they are doing” • “They are very attentive – I am glad to be back because I know they will look after me” • “They know what they are doing and they have a lot of patience, they need it” • “ They definitely have the skills and they have to be very brave to look after me” One service user said, “I think that they are short staffed at times, when everyone wants help at the same time. You could have more staff, but then you would always want more as there is always something to do” The minimum staffing levels maintained in the home for registered nurses and health care assistants was as follows: 08:00 to 14:00 Dunwood Manor Nursing Home 14:00 to 20:00 20:00 to 08:00 Version 1.30 Page 18 H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Registered nurses Health care assistants Total 3 or 4 8 or 9 11 2 or 3 6 or 7 9 2 3 5 The registered manager was supernumerary to the minimum rota 2 days a week from 09:00 to 16:00 hours. In addition to the care and nursing staff the home employed: • A full time administrator 5 days a week • 3 full time domestic staff • 2 Activities organisers • 3 chefs/cooks • 2 kitchen assistants The home also had access to remedial therapists and laundry staff. The records of 3 new staff employed and working in the home since the last inspection of 23 November 2004 were examined. All documents, information and checks required to be obtained and undertaken before a person worked in the home were in place. There was evidence from discussion with staff and also from staff records that all new employees completed a comprehensive induction programme and that the home regarded training as a priority. Registered nurses said that they had attended training courses to ensure that they updated and enhanced their knowledge and skills. All training was appropriate/relevant for the care and support provided by the home e.g. palliative care, continence promotion and catheter care. Other staff referred to moving and handling, health and safety, and abuse. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35 and 36 The home’s management approach promoted a positive, inclusive, relaxed living and working environment in which service users interests were safeguarded. EVIDENCE: Service users, staff and visitors said many positive things about relationships within the home. A lot of good-humoured banter was observed between service users and staff and relatives and staff. Service users and relatives confirmed that regular meetings were held in the home at which they could raise concerns and discuss matters that influenced daily life in the home. Staff also said that they had regular meetings with the home’s management. Visitors also commented about the accessibility and regular presence of senior management from Sentinel Healthcare Ltd in the home. Comments about relationships in the home and the atmosphere that was generated included: • “If I had concerns I would speak to Alison (Sentinel Healthcare Ltd – Operations manager) as she is always around” (Visitor) Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 20 “It’s a homely place, we all mix together” (Service user) “Its very pleasant here, and everyone I have seen seems happy” (Service user) • “I have been here for 5 years and stayed because it’s a friendly atmosphere and the matron is excellent. Communication wit staff is good, we are kept informed of things” (Staff member) • “I am quite happy here, the staff are good I’ve no complaints about them at all” (Service user) • “Staff rapport is good, it seems very casual, and service users are not rushed” (New member of staff with previous experience of working in a home). • “I think they are brilliant … its good from the top boss to the cleaners ..the director is often around .. we can’t praise the place highly enough” (Visitors) • “I get on with the staff …..I insist that they can’t come into my room unless they are smiling ” (Service user) • “I love matron, she is very understanding” (Service user) The home’s staff team comprised a diverse mix of ethnic backgrounds/origins and also considerable numbers of both genders. The home looked after some monies for some service users that was either left at the home by relatives/representatives or because some individuals were too frail to manage their own finances. A sample of records was examined and the balances of monies held by the home accorded with the entries in the documents. Staff said that they received monthly supervision and this was confirmed by a sample of staff records examined. • • Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x x 3 3 x x Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 22 No Are there any outstanding requirements from the last inspection? 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 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. 2. 3. Refer to Standard 10 12 19 Good Practice Recommendations It is recommended that the registered persons enusre that all staff are aware of and promote service users privacy and dignity. It is recommended that the registered persons ensure that all service users be provided with information in advance about any activities organised in the home. It is recommended that all communal WCs in the home are fitted with grab rails. Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 23 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Dunwood Manor Nursing Home H54 S11422 Dunwood Manor Nursing Home V218915 260405.doc Version 1.30 Page 24 - 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. 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