Inspection on 18/06/08 for Elm Royd Nursing Home

This inspection was carried out on 18th June 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Elm Royd Nursing Home 19/06/07

Elm Royd Nursing Home 23/05/06

Elm Royd Nursing Home 13/01/06

Elm Royd Nursing Home 05/07/05

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Elm Royd Nursing Home Brighouse Wood Lane Brighouse West Yorkshire HD6 2AL Lead Inspector Paula McCloy Key Unannounced Inspection 18th June 2008 08:50 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 Elm Royd Nursing Home DS0000061813.V366345.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. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elm Royd Nursing Home Address Brighouse Wood Lane Brighouse West Yorkshire HD6 2AL 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) 01484 714549 01484 711400 elmroydoffice@tiscali.co.uk Philip Bennett (Elmroyd) Ltd Mr Keith Derek Wilson Care Home 50 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (35) of places Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person 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 admisson to the home are within the following categories; Old age, not falling within any other category - Code OP and Dementia - Code DE The maximum number of service users who can be accommodated is: 50 19th June 2007 2. Date of last inspection Brief Description of the Service: Elm Royd Nursing Home offers nursing care, personal care and accommodation for up to 50 older people. This includes 15 places registered for people with dementia. The home is located in a residential area of Brighouse just a short distance from the town centre and near to the bus routes between Brighouse, Elland and Halifax. The current fees range from £475 - £650 per week. Hairdressing, chiropody and personal items are not included. Elm Royd Nursing Home DS0000061813.V366345.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 star. This means the people who use this service experience good quality outcomes. The last key inspection took place in June 2007 and the service was assessed as being adequate. Since then there have been a number of changes at the home. The home has now been split into three units, each with its own accommodation and staff team. There is a 15 place dementia unit, a 15 place intermediate care unit and 20 place nursing care unit. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted 14 hours over 2 days. During the visit we spoke to 10 people living in the home, 9 members of staff, the manager and 4 relatives. We also observed staff delivering care, looked at various records and looked around the home. The home completed a self assessment form which provided us with some information about the service. We have used some of that information in this report. Comment cards were sent to 10 people living in the home, 10 relatives, 10 staff and 5 health care professionals; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Five people living in the home, six relatives, seven members of staff and two health care professionals wrote to us with their comments. Their comments have been used in this report. What the service does well: Anyone thinking of moving into Elm Royd can go and look around and get written information about the home within the Service User Guide. If they decide to move in, staff from the home will carry out an assessment to make sure that they can meet that person’s needs and arrange a day for admission. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 6 Staff are quick to involve GPs and other health care professionals to make sure people’s health care needs are met. People living in the home and/or their relatives are involved in the care planning process. This means that they have a say about the care and support they receive. The medication system is well managed. This means that people get their medication at the right times. Relatives and friends are made to feel welcome and can visit at any time. There are activities on offer for people to join with if they want to. Improvements to the environment are ongoing. People living at the home like the staff. Staff are well trained and competent to do their job. We asked people what they thought the home does well. These are some of their comments: ‘The staff run the home very efficiently.’ ‘The home provides a safe and relaxed environment. Very homely.’ ‘Staff stay at the home and this makes a difference to the quality of care.’ ‘My mother is happy at Elm Royd.’ ‘Staff work as a team and there is a good attendance rate.’ What has improved since the last inspection? What they could do better: They need to make sure that details of the fees payable, the bedroom number and if the bedroom is for single or double occupancy is added to the contracts and terms and conditions of residence document. This will make sure that people are fully aware of their rights and responsibilities. Everyone living at the home should be able to see a chiropodist, to make sure their podiatry needs are met. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 7 Some of the bedrooms smelt of stale urine. This odour is unpleasant and needs to be eliminated so that people live in a pleasant environment. The manager needs to make sure that staff are following infection control procedures. This will make sure that the risks of staff spreading any infection are addressed. All staff must have up to date training in moving and handling, infection control, first aid, fire safety and health and safety. This will make sure that they are working safely. 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. Elm Royd Nursing Home DS0000061813.V366345.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 Elm Royd Nursing Home DS0000061813.V366345.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, 2, 3 & 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People get written information about the service and can visit to see for themselves if they think it is suitable. No one moves into the home unless staff are sure that they can meet their needs. EVIDENCE: There is a Statement of Purpose and Service User Guide, which gives people information about Elm Royd and the service they offer. Copies of these documents are readily available in the main entrance and there is a copy of the Service User Guide in every bedroom. This means that people get information about the home before they move in. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 10 People told us that they had received enough information about the home before they moved in, so they could decide if it was the right place for them. We asked people living in the home if they had a contract. In the surveys, one person said they had received a contract or terms and conditions of residence document, four said they hadn’t. We talked to the manager about this. He told us that often relatives deal with these, so that some people may not know they have a contract. We looked at some of the new terms and conditions of residence documents. These did not give people information about the bedroom to be occupied. The home also have a number of double bedrooms, some of which people have taken on the understanding that they will use them as a single room. This needs to be explicit in the terms and conditions of residence document. Where bedrooms are occupied as a shared rooms it would be helpful if there was clear information for people about how a vacancy in their room would be approached. There also needs to be clear information in the contract/terms and conditions of residence document about the fees that are payable and who is responsible for the payment. This will make sure that people are receiving information about their rights and responsibilities. A member of staff from the home will go and assess anyone thinking of moving into Elm Royd. There is an assessment document that staff complete, which means that people’s needs are identified and that staff are sure they can meet those needs before people move in. There are designated nurses and care staff running the intermediate care unit. This service is used by people who want to live in their own homes, but need specific, short term support in order to achieve this. Health and local authority staff provide additional support. For example physiotherapists, occupational therapists and rehabilitation staff to work with people to get them back home. We spoke to three people who were using this service. They were very pleased with the support they were receiving and were looking forward to returning home. Elm Royd Nursing Home DS0000061813.V366345.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and personal care needs are met. EVIDENCE: We looked at a selection of care plans because we wanted to see what individual needs had been identified and what action staff are expected to take to meet these needs. We asked people living in the home if they receive the care and support they need and if staff listened to them. From the surveys everyone said that they did. Relatives that completed a survey told us that the home was meeting the needs of their relative. People made the following comments: Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 12 ‘They have contacted me after doctors visits and for illness.’ ‘Good level of communication always.’ ‘Very pleased and satisfied with the level of care provided.’ We asked people living in the home if they receive the medical support they need. All of the people that completed a survey said they did. The two GPs that responded to the survey said that people’s health care needs are being met. One said ‘generally the care is very good.’ We looked at six care plans. We could see from some of the plans that people are receiving health care from a range of people such as doctors, tissue viability nurses, dentists and opticians. Details of any visits are clearly documented in the care plan together with the advice given. In the care plans we looked at there were no details of chiropody visits. Staff told us that anyone living at the home that is a diabetic gets regular visits from an NHS chiropodist, but that other chiropody services are a bit ‘hit and miss.’ The manager is aware of this and is looking at the best way of getting regular chiropody for people. In the surveys relatives told us they were kept up to date with important issues affecting their relative. We could see that relatives have been involved in the reviews of people’s care plans. This means that they have the opportunity to discuss the care and support and any improvements they think can be made. For example in on review a relative had asked for more signs in the home to help her mother find her way around. Staff have done this and this has been helpful. We observed medication rounds in the dementia unit and in the nursing home. Staff spent time with each individual person and explained, when needed, to them what the medication was for. We looked at the medication records and found that these were generally being completed properly. This means that people are getting their medication at the right time. At the moment people using the intermediate care service don’t take responsibility for their own medication, even though some of them do this when they are at home. As this units function is to maintain and/or improve people’s independence people should be encouraged to hold their own medication, following a risk assessment, with support being offered as necessary. This was discussed with one of the senior managers who agreed to look at this with the rapid response team. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are activities on offer to keep people stimulated. Relatives are welcome to visit at any time. EVIDENCE: There was very little information in people’s care plans about their life history or their personal preferences. From observation staff do know a lot about people, their past lives and their interests. It is important that this information is written down as it will help staff who are less familiar with people to support them in an individual and appropriate way. Whilst there is some information about people’s hobbies and interests, there are not always care plans in place about how people’s social care needs will be met. This will also help staff to plan activities that people want to participate in. On the dementia unit the nurse worked with small groups of people engaging them in a quiz and conversation about shared interests. This helped to keep people settled and stimulated. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 14 On the general nursing unit the administrator organised activities on both afternoons of our visit. People were playing giant snakes and ladders and hangman. On the Thursday of our visit there was a church service in the home that was very popular and many people attended this. The relatives we spoke to told us that they can visit at any time and that they are made to feel welcome. People told us that generally they like the meals. We looked at the lunchtime meal being served. The meals are plated in the kitchen and then taken to the dementia unit and intermediate care unit on a trolley. We spoke to the manager about this. It would be better if hot trolleys were used so that staff on these units could serve meals themselves. This would ensure that meals were hot and staff could consult with people about portion sizes. Some people were eating in the lounges, some in the dining room and some in their bedroom. Staff need to work on how to make meal times a social occasion. For example in the general nursing home hot drinks were served before the meal was finished making it feel as if the meal needed to be finished. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Complaints and adult protection issues are being dealt with properly. This means that staff are listening to people and keeping them safe. EVIDENCE: The home’s complaints procedure is included in the Service User Guide, which every person has a copy of in their bedroom. We asked people living at the home, and their relatives, if they knew who to talk to if they are not happy and if they knew how to make a complaint. Everyone said that said they did. We looked at the homes complaints log. The manager has investigated a number of complaints and has responded to these. One person contacted us to tell us that she had not received a written response to her complaint. The records indicate that at the time the complaint was made the arrangement was that meetings would be held on a regular basis to address her concerns. This agreement was not followed up in writing. It would be helpful if following any complaints investigation for the manager to go back to the complainant to Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 16 establish an outcome to the complaint. This will make sure that he knows if the complaint has been resolved or if some further action is needed. Some of the staff at the home have completed adult protection training. This means that they know about the different types of abuse and what they need to do to keep people safe. The manager is aware that the rest of the staff need this training and plans were in place for this to happen, however, the person who should have been giving the training is not available. He is currently trying to make alternative arrangements. Since the last inspection there has been one allegation made on behalf of a person living at the home. This was properly reported and dealt with. Staff are following the procedures and this means that people are being kept safe and protected. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a comfortable and well maintained home. Unpleasant odours in the home need to be dealt with and infection control procedures improved. EVIDENCE: Elm Royd is set in its own grounds. There is car parking to the front of the building and seating for people to use in fine weather. The dementia unit has its own garden and seating area that people can use safely. Staff told us this is very popular on nice days. At the last inspection the kitchen was awarded 5* for hygiene by environmental health. This is the highest award that they can achieve. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 18 People told us that there have been problems with the home being kept clean when the building work was taking place and when the home has been short of domestic staff. On this visit the cleaning staff said that their team was up to full strength and things had improved now the alterations to the building have been completed. We did notice that there were areas of the home that smelt of stale urine. The manager must put measures in place to make sure that all areas of the home are kept clean and fresh smelling. The laundry is on the ground floor and is well equipped. There is a laundry assistant who works during the week who is responsible for returning laundry to the people living in the home. Since the last inspection there has been an out break of diarrhoea and vomiting at the home. Not all of the staff have completed infection control training. We saw some poor practice in relation to infection control. For example staff carrying bed linen with no apron on and staff wearing a lot of jewellery. Staff need to make sure they follow the homes procedures and are vigilant about infection control issues. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff are well trained and competent to do their job. People living at the home like the staff. Staff are properly checked before they start working in the home to make sure they are suitable and safe to work with older people. EVIDENCE: Each of the units has its’ own staff team. Dementia unit (15 places) There is one nurse and 3 care assistants on duty in the morning and one nurse and 3 care assistants in the afternoon/evening. Nursing Unit (20 Places although currently only 18 places are available as two of the double rooms are being used as single rooms) There is on nurse on duty throughout the day with 3 care assistants in the morning and two care assistants in the afternoons/evenings. Intermediate Care (15 places) There is on nurse on duty throughout the day with 2 care assistants. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 20 At night there is one nurse on duty with 3 care staff who cover the whole home. Staff told us that there are enough staff on duty to meets people’s needs. We looked at some of the records relating to recently recruited staff to see if staff are appropriately checked before they start work at the home. Recruitment procedures are good, references are always taken up and checks are always made with the Criminal Records Bureau to ensure that new staff are suitable to work with older people. This means that people who live there are being appropriately protected. There are 17 care staff working in the home, 11 have completed their NVQ (National Vocational Training) level 2 in care. This means that staff are trained and competent to do their job. In the AQAA the manager told us that there was an induction training programme in place. In the surveys staff told us that they had completed an induction course that covered everything they needed to know when they started work at the home. One person said ‘induction was part of a small informal group. It was very informative and helpful.’ Staff also told us that they receive training that is relevant to their job, up to date and that helps them to understand peoples needs. Staff said the following: ‘there are plenty of training opportunities both internal and external.’ ‘The manager is supportive and encourages staff to attend.’ People living at the home like the staff that are looking after them. People described them as being patient and caring. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed and is run in the best interests of the people living there. EVIDENCE: There is a registered manager who is a registered nurse and who has a management qualification. The manager has recently sent out surveys to find out what people think of the service at Elm Royd. When these are returned he needs to publish the results Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 22 so that people can see what the findings were. Residents and relatives meetings are held but the manager reported that attendance at these was poor. Letters are sent out to families and a notice put up in the entrance to inform them of these meetings. Some relatives that contacted us said that they didn’t know when meetings were being held. The manager should continue to try and encourage attendance at these meeting and encourage people to have their say about the way the home is being managed. The home’s administrator holds money on behalf of people living there for safekeeping. We looked at the records and found them to be accurate with receipts for all purchases. The manager has completed a training matrix for all of the staff. This has highlighted the need for some staff to update their training in moving and handling, fire safety, health and safety, first aid and infection control. He is currently looking for suitable courses therefore we have not made a separate requirement. We looked at some of the test certificates for the hoists, gas installation and the fire fighting equipment. All of these were up to date. Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X X 3 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 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP2 Regulation 5 Requirement The contracts or terms and conditions of residence documents must contain details of: a) the room to be occupied giving the number of the room and if it is single or double occupancy b) the fees payable and who is paying the fees. This will make sure that people are aware of their rights and responsibilities. The odour of stale urine must be eliminated from the affected bedrooms. This will make sure that people live in pleasant surroundings. All staff must follow the homes infection control procedures. This will make sure that risks of staff spreading any infection will me minimised. Timescale for action 31/07/08 2 OP26 16 31/07/08 3 OP26 13 31/07/08 Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 25 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 OP2 Good Practice Recommendations Where people are occupying a double room information should be given to them in their contract or terms and conditions of residence document about how the second place in that room will be filled and how they will be consulted about who moves in or if they will be offered a single room. This will make sure that people are fully aware of what the implications of sharing a bedroom are. The manager should follow up any complaint that is made to find out if the complainant is satisfied wit the outcome. This will make sure that any complaint is fully resolved. The manager has identified that staff need adult protection training. He needs to make sure that this is arranged and takes place. This will make sure that all staff know how to keep people in their care safe and protected. 2 3 OP16 OP18 Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 26 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. Extracts may not be used or reproduced without the express permission of CSCI Elm Royd Nursing Home DS0000061813.V366345.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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