Inspection on 22/07/08 for Elizabeth Fleming Nursing Home

This inspection was carried out on 22nd July 2008.

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

Elizabeth Fleming Nursing Home 09/05/07

Elizabeth Fleming Nursing Home 24/10/06

Elizabeth Fleming Nursing Home 24/01/06

Elizabeth Fleming Nursing Home 26/04/05

Elizabeth Fleming Nursing Home 05/10/04

Elizabeth Fleming Nursing Home 26/05/04

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOMES FOR OLDER PEOPLE Elizabeth Fleming Nursing Home Off Market Street Hetton Le Hole Houghton Le Spring Tyne & Wear DH5 9DY Lead Inspector Eileen Hulse Key Unannounced Inspection 22nd July 2008 08:30 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 Elizabeth Fleming Nursing Home DS0000018191.V364656.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. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elizabeth Fleming Nursing Home Address Off Market Street Hetton Le Hole Houghton Le Spring Tyne & Wear DH5 9DY 0191 526 2728 0191 526 6187 elizabethfleming@highfield-care.com 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) Southern Cross Care Homes Limited Manager post vacant Care Home 36 Category(ies) of Dementia (9), Dementia - over 65 years of age registration, with number (28), Mental disorder, excluding learning of places disability or dementia (8), Mental Disorder, excluding learning disability or dementia - over 65 years of age (29), Old age, not falling within any other category (1), Physical disability over 65 years of age (9) Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. During the day 1 x RMN and 3 care staff on the 20 place nursing unit, 1 x 2nd level Nurse and a care assistant on the 8 place nursing unit and 1 senior care assistant and a care assistant on the 8 place personal care unit. During the night will be 1 x RMN and 3 care staff. These staffing levels will be exclusive of any additional staffing arrangements agreed in individual service users contracts. The manager will be supernumerary to the staffing complement and an RMN will be on duty throughout the 24 hour period. The DE service user category includes one place for one particular service user The MD(E) service user category includes one place for one particular service user. One service user over 65 years may reside within the MD unit. 2. 3. 4. 5. Date of last inspection 9th May 2007 Brief Description of the Service: The Elizabeth Fleming Nursing Home is a 36-place bungalow style home. The home provides personal and nursing care for older and younger people with either dementia type illnesses or mental health needs. Originally the Elizabeth Fleming nursing Home opened in 1994, as a 40-place home for older people with dementia type illness that required nursing care. In February 2002 the registration changed so younger adults could be cared for and during this process five places were de-registered and could not be used. Two 8-place units and one 20-place unit have been created. The home is now registered as one unit, which can provide care for 8 younger adults who have nursing needs and a mental health or dementia-type illness. One unit can provide care for 8 older people with personal care needs and mental health need or dementia-type illness. The 20-place unit can provide nursing care for older people with a mental health need or dementia-type illness. The home is at the top of Market Street, not far from the main part of Hettonle-Hole. It is opposite the post office and a range of shops. A bus stop is close Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 5 to the home. The home has developed a Statement of Purpose and Service User Guide that informs people of the aims and objectives of the home. These are readily available in the home. The current fee ranges for this home are from £417:00 to £614:00. The nursing care element is extra and is set nationally. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. How the inspection was carried out:Before the visit: We looked at: • Information we have received since the last key inspection on 9th May 2007 and a pharmacy random inspection on the 3rd June 2008. • How the service dealt with any complaints & concerns since the last visit • Any changes to how the home is run • The provider’s view of how well they care for people • The views of people who use the service, their relatives and staff. The Visit: An unannounced visit was made to the service on 22nd July 2008. During the visit we: • observed staff practice and talked with people who use the service, relatives, staff and the Manager • looked at information about the people who use the service & how well their needs are met • looked at other records which must be kept • checked that staff had the knowledge, skills & training to meet the needs of the people they care for • looked around the parts of the building to make sure it was clean, safe & comfortable • checked if any improvements had recently been made. We told the Manager what we found. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: The care plans need to include more information for staff to make sure the care needs for people are met and have not changed. The content needs to have up to date information included, to make sure staff understand how to carry out tasks so that all the care needs are met. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 8 The activity records should be completed with the necessary information so that planned activities meet the expectations of people living in the home. At mealtimes the independence of service users could be further promoted by having drinks that they choose. The carpet in the YPD unit must be replaced so that service users live in a pleasant home. All staff should have the necessary training when moving service users who require staff help and support. 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. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 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 Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre admission assessments from the care manager and the service, which form the basis of the care plan’s ensure that the home knows that it can meet prospective service users needs. EVIDENCE: Prior to an admission, the home manager will ensure the home receives a personalised care plan from the care manager, which helps to form the basis of the person’s care. Referrals are made to the home from care managers and families and when a referral is made, the home manager or deputy manager will visit the prospective service user to carry out an assessment of need either in hospital or in their own home. This information is recorded on an assessment sheet and Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 11 the care plan will be based on this information and placed within the plan of care. Following the visit, a place is offered to the person in writing and a date for admission is arranged that is suitable to both the service user and the home. Prospective service users are invited to visit the home to have a look around or an overnight stay can be arranged. Some people decide to spend some time there to meet other service users and to decide if they would like to live there. After six weeks, a review meeting is then held between representatives of the home, service user, family and care manager to discuss if the service user wants to live in the home permanently and to make sure the home can meet all of the care needs. All prospective service users are given information about the service to help them to decide if they would like to live there. Service users spoken with felt they had good information prior to moving into the home and their comments included: ‘Most people have lived in this village all of their lives so I knew people living here before I moved in’. ‘My daughter dealt with everything but told me everything I needed to know’. ‘I always said if I needed to live in a home I would move into this one’. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have a plan of care but they do not always include enough information for staff to follow to ensure all the care needs of people are met at all times. Service users health and welfare is actively promoted and medication procedures are followed by staff to ensure that medication is given safely. EVIDENCE: All service users have a plan of care that is followed by staff to meet the care needs. The care plans are organised with information easy to access. Of the care plans looked at, although the needs and aims are clearly identified, the planned care does not always give staff the information they need to ensure people’s needs are being met. One care plan stated ‘staff will encourage (name) to get baths or showers on a regular basis’. This detail does not inform staff how often this person requires this or what the choices of this person are when referring to bathing matters. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 13 Another care plan states ‘(name) will be reminded about what diet they have to eat because of a health issue’ . The care plan does not state what the diet consists of or what the service users likes and dislikes are around what they can or cannot eat. One of the care plan aims is to manage escalating challenging behaviour but there is no information as to how it will be managed. Healthcare is accessible to all service users regardless of their needs or abilities. All service users have their choice of GP following admission into the home and other healthcare professionals are brought into the home when they are required and they include specialist consultants, chiropodists, dieticians and dentists. A member of staff escorts service users to attend hospital/doctor appointments if family members are not available. The home has a detailed policy and procedure on the administration of medication. The medication administration records for individual service users are well maintained, completed and signed. A medication audit confirmed the records and medication were correct. All service users are given the option to store and administer their own medication and all the bedrooms have lockable facilities to accommodate this. At this time nobody living in the home has chosen to administer their own medication. In discussions with service users living in the home, they made the following comments: ‘I am very happy with the care provided’. ‘I like to talk with the people I live with’. ‘If I need the Doctor staff will make sure they ask him to call’. ‘I like the staff to give me my medicines’ . Elizabeth Fleming Nursing Home DS0000018191.V364656.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines are flexible and a range of activities are available and families and friends can visit anytime. This enables service users to make choices on how they prefer to spend their days. Service users are offered and receive varied and nutritious meals that positively contribute to their general health and wellbeing. EVIDENCE: There is lots of information on the notice board in the main corridor to inform people of future events taking place, such as, pool tournament, wine and chocolate afternoon and local pub visits. The notice board also includes photographs and names of staff and a planned weekly activities programme. The home completes activity records on a daily basis, however, the records do not reflect the amount or detail of activities taking place. The format of the records is set and does not enable the activity co-ordinator to record new ideas. It states the date, the persons name, and each activity is recorded as a Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 15 key letter in a code so it does not detail what the actual activity involves. It also records if anyone has been asked and refused to take part or what the outcome was for the people taking part. Service users made the following comments: ‘The staff are nice and keep us informed of what is going on’. ‘It’s a smashing home, I can go out on my own using my bus pass, really I can do anything I want’. ‘Staff are wonderful couldn’t get better’. ‘I have a lovely room, I have everything I want and need’. During the visit, lunch was taken with the service users. Tables were set with tablecloths, cloth serviettes and flowers were put onto each table however, there were no condiments on any of the tables. Service users were offered juice with their meal and staff stated that tea and coffee was offered, although this was not witnessed during or after the meal and there were no milk jugs or sugar basins on the tables. There was good staff support during the lunchtime meal. Help was given to those service users who required it in a respectful and dignified way and they were given sufficient time to sit and enjoy their meal without being hurried. Comments about the meals throughout the day included: ‘Sometimes I think the meals could be more varied’. ‘The food is excellent we get four meals a day’. ‘The meals are good but I wish we got a hot drink with them sometimes’. ‘We get choices at both dinnertime and teatime’. ‘The girls are great and help me at the table’. Elizabeth Fleming Nursing Home DS0000018191.V364656.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the information they need to make a complaint and are confident their complaints will be dealt with effectively. Good adult protection procedures are available that help to protect service users should an abuse situation arise or be suspected. EVIDENCE: The complaints procedure details how to make a complaint about the service and the information is accessible and made available to service users, families and any visitors to the home. Details about making a complaint are written in the Service User Guide and further information is made freely available to people. Any complaints made about the service are clearly recorded and complaints are dealt with efficiently within the homes timescale. The home have received five complaints since the last inspection and all were recorded in detail and dealt with effectively to the complainant’s satisfaction. CSCI have received no complaints about the service since the last inspection. Service users and relatives spoken with knew how to make a complaint and who to speak to if they have an issue or a concern they were unhappy about. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 17 They stated: ‘I have never had to complain but I would go to the manager if I wasn’t happy about something’. ‘Some of the staff are very good and always asking us if we are alright’. ‘I visit the home three times a week and have never felt the need to complain’. ‘I think the home is champion, my relative has been here two years and I have never been concerned about anything’. ‘The staff are all wonderful and work very hard to make sure we are all alright’. The safeguarding procedures are in the home and accessible to the staff team. All of the staff regardless of their roles within the service receives accredited safeguarding training and all of the staff team have now received up to date training in safeguarding. There have been no safeguarding issues reported either to CSCI or to the home to date. Elizabeth Fleming Nursing Home DS0000018191.V364656.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of accommodation offering service users a comfortable, homely and safe place to live. EVIDENCE: Elizabeth Fleming Nursing Home is a purpose built property with accommodation provided in a single storey building that has been developed into three separate units. Bedrooms and communal areas are accessible to meet the mobility needs of the people who live there. Bedrooms are furnished and personalised with photographs, ornaments and other personal possessions to suit their individual choices and tastes. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 19 Recent refurbishment and decoration in some areas of the building has been completed. The YPD unit and the north and central corridors have all been redecorated. Lounge chairs and the flooring in the smoking room has been replaced. However, the carpet in the YPD unit is very stained and worn and in need of replacement. There is a maintenance worker employed at the home for twenty five hours a week and a maintenance schedule is carried out, which ensures that all building and equipment checks and repairs are carried out efficiently on a dayto-day basis. Most of the staff team have completed ‘Infection Control’ training. Domestic staff work hard to keep the home to a good standard of cleanliness and free from odours. Elizabeth Fleming Nursing Home DS0000018191.V364656.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good staffing levels, competent and qualified staff and robust recruitment procedures ensure that service users needs are met and they are kept safe from potential harm. EVIDENCE: There are good staffing levels and this was confirmed with a copy of the staff rota. At the time of the visit, there were five care assistants on duty plus two registered nurses and a senior carer over three units. Most of the staff team now hold NVQ in levels 2-4 and the home has achieved over 71 of the staff gaining a qualification in care. Staff are very positive about the service and in discussions with some of the staff on duty made the following comments: ‘I love working here, I have done some training including fire safety and health and safety’. Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 21 ‘I enjoy my job and the training we get helps us. I have completed NVQ level 2, care of the dying and all my mandatory training ’. ‘It’s a very friendly home and the management are very approachable’. ‘It’s a great home like one big happy family’. Elizabeth Fleming Nursing Home DS0000018191.V364656.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is currently managed by a person acting in the role of manager who is experienced and qualified and this helps to ensure the service is run in the best interests of the service users and the risks to the health and safety of service users, visitors and staff are minimised. EVIDENCE: The Acting Manager has a lot of years experience in caring work and has worked at the home since 2003 as deputy manager. He has been acting manager since June 2007 and recently attended a fit person interview with the registration team at CSCI to become the registered manager of the service. He is a level one registered nurse and has updated his knowledge and skills by Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 23 completing a number of training courses that includes Safeguarding of Adults, “Behaviour Which Challenge” and bedrail safety training and is currently completing the Registered Managers Award which he expects to complete in August of this year. Staff training and staff fire drills were up to date and well maintained and observation throughout the day showed that staff observe health and safety practice most of the time. However, one member of staff was observed to move someone from the dining room in a wheelchair without checking the footrests. The persons feet were not on the rests and was wheeled away after catching the persons feet on a nearby dining chair. Staff must use moving and handling equipment correctly at all times. Elizabeth Fleming Nursing Home DS0000018191.V364656.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 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 2 Elizabeth Fleming Nursing Home DS0000018191.V364656.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 OP7 Regulation 15(1) Requirement Care plans must include sufficient information for staff the enable care needs to be met. The records detailing activities offered to service users must be detailed to ensure they match the social needs of service users The dining arrangements must be reviewed to take account of the needs and wishes of service users The carpet in the YPD unit must be replaced to ensure a comfortable environment for service users All staff must be trained and competent when using moving and handling equipment to ensure the safety of people Timescale for action 12/11/08 2. OP12 16 (2)(N) 12/11/08 3. OP15 16(4) 12/11/08 4. OP19 13(4) 12/11/08 5. OP38 13(4)(B) 12/11/08 Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 26 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 OP9 Good Practice Recommendations It is recommended that the sink in the treatment room be replaced with a stainless-steel unit with a draining facility Elizabeth Fleming Nursing Home DS0000018191.V364656.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. 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