Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/09/07 for Elmwood House Nursing Home

Also see our care home review for Elmwood House Nursing Home for more information

This inspection was carried out on 3rd September 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide a full range of activities appropriate for the developmental abilities of the service ours. The inspector from Experts by Experience stated service users and residents had warm welcomed him. The home works with very high staffing levels. The home provides good training opportunities for staff. The home continues to provide good facilities for services users, in particular service users bedrooms.

What has improved since the last inspection?

The majority of the requirements from the previous key inspection have been complied with by the time of this inspection. There have been no major service changes.

What the care home could do better:

CARE HOME ADULTS 18-65 Elmwood House Nursing Home Elm Street Hollingwood Chesterfield Derbyshire S43 2LW Lead Inspector Nancy Bradley Key Unannounced Inspection 3rd September 2007 09:30 Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 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 Elmwood House Nursing Home DS0000002055.V341966.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 Adults 18-65. 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. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elmwood House Nursing Home Address Elm Street Hollingwood Chesterfield Derbyshire S43 2LW 01246 477077 01246 477111 devoncourt@elmcare.wanadoo.co.uk 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) Elmcare Limited Mrs Susan Patricia Durrant Care Home 40 Category(ies) of Learning disability (40) registration, with number of places Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD Learning disability not falling within any other category Date of last inspection 2nd August 2006 Brief Description of the Service: Elmwood House provides care for up to 40 younger adults with learning disabilities (some of whom also have physical disabilities). The home is organised into four houses, each having 10 beds, namely The Lodge, The Villa, The Cottage and The Penthouse. There is 75 single room accommodation and 25 shared. Each house has separate lounge and dining facilities, together with suitably equipped bathroom and toilet facilities. There are no en suite bedrooms. Kitchen and laundry facilities are centralised. There is a small kitchen in the Cottage, which service users can access under supervision to prepare snacks and drinks. There is also a ‘white room’ located in the Cottage with snoezelen equipment in place. The Registered Manager has the support of a Deputy Manager, both of whom are Registered Nurses Learning Disabilities, together with a team of Registered Nurses. Each house has its own care staff team, with Registered Nurses currently working across two houses. There is access for service users to outside healthcare professionals, including that of routine health care screening and also specialist needs as well as advocacy services. A variety of activities are organised on a daily basis both in and outside the home. As well as accessible sitting areas externally, a workshop area has been developed at the rear of the premises and garden areas are used for growing vegetables and fruit as well as keeping hens and ducks. At the time of this inspection visit the scale of charges at the Home ranged from £667.58.to £1070.65. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place over a total of eight hours. An inspector from Experts by Experience accompanied the inspector from the Commission for Social Care Inspection and was present for three hours of the inspection. During the site visit both inspectors made a tour of the home and spoke with several residents and staff. The inspection activity during this site visit was to assess the service against the key National Minimum Standards and these are identified through the report. There were forty service users in the home on the day of the inspection; the home currently has no vacancies. Additionally, time was spent in preparation for the visit, looking at the service history, the previous inspection report and the Annual Quality Assurance Assessment questionnaire. Records were examined relating to the service users and the general running of the home. The Commission for Social Care Inspection send out the forty “Have Your Say” questionnaires. The Commission for Social Care Inspection received twentyeight completed questionnaires, from services users who confirmed they were happy at the home and were looked after by the staff. However several did state they were unsure how and to whom they could make a compliant. The Homes Statement of Purpose, Service user Guide were displayed in the main entrance to the home. The previous report from the Commission for Social Care Inspection was not directly available; this is kept in the Registered Managers’ office. What the service does well: What has improved since the last inspection? Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 6 The majority of the requirements from the previous key inspection have been complied with by the time of this inspection. There have been no major service changes. 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. The summary of this inspection report can be made available in other formats on request. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that service users’ needs are fully assessed and met prior to admission. This ensures that all potential service users holistic needs are appropriately met. EVIDENCE: The majority of the service users who are admitted to the home have their needs assessed by social workers or through the care management system. The single assessment then forms part of the planned care service users receive. Also the home undertakes their own individual comprehensive needs assessments. This was in accordance with a recognised care model and provides a person centred record of their individual needs, including identified strengths and needs, long-term goals, and evaluation. As discussed with the Registered Manager this could be developed further to include the service user’s life story and by personalising service user’s care needs. There was evidence on record to show that care management were reviewing the care needs assessment. However, the Registered Manager stated that some Authorises are not pro active in returning care needs review documentation. The Registered Manager agreed to look into this as a matter of urgency. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, which ensures that service users individual needs are met. However service users’ could be further supported to achieve an independent lifestyle and participation in all aspects of the life. EVIDENCE: During the visit care plans of four-service users were examined. The care plans have been compiled by the staff on each service user and evidence was seen of care plans being reviewed on a regular basis. All service users case tracked had a comprehensive care plan, which was in accordance with their assessed need and formulated within a risk assessment framework. All care plans were very detailed and comprehensive including services users’ individual lifestyle preferences and choices; the interventions prescribed by outside healthcare professionals were appropriate. Daily records are also maintained on each service user. Not all care plans had been signed by service users or their representatives. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 10 There was evidence to show that care plans are being reviewed on a regular basis. The inspector from Experts by Experience discussed with the Registered Manager about making care plans more personal and in a more easily understood format. The inspector did find the care plans difficult to understand and a more Personal Centred Planning approach could run in tandem with the present clinical model. Care plans could be in different formats such as DVD, CD or pictures and include their lives, favourite things, and wishes for the future. Service users confirmed that they have access to an independent advocate who visits the home on a regular basis. Information about the service is display on an information board within the home. Service users stated that they discuss with the Advocate things that affect their lives. One service user stated he would like to make more friends. Service users’ files also contained a wide range of related risk assessments in such areas as behavioural/psychological issues, matters affecting physical health, tissue viability, nutrition, mobility, risks associated with health and safety and social activities. Activity timetables were included on care files. Risk assessments were also monitored and updated as required. All service users have a named nurse and key-worker. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were arrangements in place to enable service users to maintain and develop appropriate relationships. The home provides a well-balanced and nutritious diet to ensure that service users requirements are appropriately met. EVIDENCE: The care records of four service users provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. Service users have access to IT however this is in the Registered Manager’s office and service users spoken with would like to have wider access. There was a variety of activities on the day of the visit including caving, cooking, gardening and music. Other activities include swimming, helping Park Rangers, monthly trips to local nightclubs in the area for people with learning difficulties. Service users stated that they liked all the activities offered. The relationships observed between care staff and service users appeared open and good-humoured. The service users are encouraged to take pride in Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 12 their appearance and their preferred style of dress is respected. During the tour of the home the inspector did hear staff openly talking about service users in front of others service users and referring to them, as “some of these people are naughty”. This was raised with the Registered Manager at the conclusion of the site visit. The daily routines are flexible with the service users being able to make their own decisions about how they spend the day. The majority of the service users are unable to work due to their level of disability, however some are able to attend the farm, which is adjacent to the home. The service users’ personal goals, choices and preferences were identified and properly recorded risk assessments were in place for each service user in relation to the activities they were engaged in. Information on service users’ records indicated that contact with family and friends were appropriate. Any restrictions on contact are recorded in care plans. Service users wishing to speak with family and friends by telephone have to use the one in the main office. Service users are encouraged to participate in the running of the home, and several service users indicated they would like to take a more active role in daily household tasks and routines. From examination of the menus the home is providing a healthy well-balanced and nutritious diet. The service users made positive comments about the meals and the cook takes their preferences into account before compiling the weekly menu. The inspector from Experts by Experience joined the service users for lunch. Service users are given a choice of menu. Currently the cook compiles the menu and then discusses this with service users. The fridge temperatures were seen and were within a safe range. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and health care support in a way, which promotes their independence and is in accordance with their preferences and beliefs. EVIDENCE: Many of the service users were not able to express themselves verbally and to directly contribute to the site visit. During the tour of the home several service user from the Penthouse unit who are more independent spoke with the inspector from the Experts by Experience and said “I chose the decoration in my room.” Also that “all the staff are good,” and “ I do the lottery.” Those service users who were less able to express themselves looked relaxed, and were involved in the day’s activities. Service users were all dressed in clothes appropriate to their age and personal preference. From records examined and from discussions with staff, service users’ health and personal needs were being met Service users were generally healthy and records showed that staff promptly contacted the appropriate medical services. All service users attended services within the community including doctor’s optician, podiatry, dentist, and audiologist. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 14 Records examined showed that specialist advice and relevant reviews were routinely obtained from Ash Green Community Hospital for people with learning disabilities. The home operates and monitors service users’ medication. None of the service users are able to administer their own medication. Only qualified nursing staff administers medication and there were clear systems in place for the ordering and disposal of medicines. Administration records viewed were up to date and filled in correctly. There were separate arrangements for the storage and recording of any controlled drugs. There were no residents self medicating. A list of authorised staff signatures needs to be kept with medication records. The Registered Manager agreed to address this. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to safeguard service users’ welfare and ensure that their concerns are listened to and acted upon. EVIDENCE: Service users are made aware of the home’s complaints procedure through the service user guide and via their key worker. A copy is displayed on the service users’ notice board. The Registered Manager has developed a user-friendly complaint form for service users. Any concerns and complaints made by service users are investigated within the agreed time scales. The Registered Manager maintains a record of all complaints made by service users, details of the investigation action and outcome. The procedure contains the current contact details of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaints process if they wish to do so. Service users spoken with during the visit stated they would speak to family if they had any concerns or “were having any trouble.” Records seen indicated that no complaints had been received from service users or their representatives about their care since the last inspection. The home’s policy on protection had been revised and makes reference to the Safeguarding of Adults and to local procedures operated by Derbyshire County Council Social Services Department. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 16 The Registered Manager stated that Safeguarding of Adults is covered in the staff induction programme. Staff training records examined and discussions with the Registered Manager confirmed the majority of the staff have undertaken training in the Safeguarding of Adults. There has been no reported incident of Safeguarding of Adults since the last inspection. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home needs to address areas within the home to ensure the service users live in a clean, safe and well-maintained environment. EVIDENCE: The Inspectors carried out a full tour of the home, accompanied by the Registered Manager and service users. All communal areas were inspected together with staff facilities. Service users’ bedrooms were inspected with their agreement and all rooms had been decorated and furnished to their personal choice and were being personalised. Communal areas were generally bright airy and well lit however some main corridors were dark and only had emergency lighting on. The Registered Manager stated that they had a rolling programme for refurbishment of the home and had identified areas, which required attention. Several parts of the home had received on going “wear and tear “from service users. A concern was raised with the Commission for Social Care Inspection regarding the flooring in a bathroom. This was inspected and found to be satisfactory. The Registered Manager stated that a new floor had been fitted. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 18 The home has extensive grounds providing sitting areas for service users, and an area for growing vegetables and flowers. The home also has ducks; hens and geese in a suitable enclosed area. During a tour of the home several areas of had a smell of urine, this was brought to the attention of the Registered Manager. The home has a well-equipped laundry, and two staff are employed to manage all services users’ personal laundry. The home has satisfactory hygiene procedures in place. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust recruitment and selection procedures in place to ensure that the appropriate staff are employed to care for vulnerable people EVIDENCE: The home has a good percentage of staff who hold a NVQ level 2 or above. The home has registered with the Skills for Care Council national data set. The home operates with fourteen staff each day, and this includes qualified nurses were nursing care is required. Staffing levels at the home were examined and remain satisfactory and meet the needs of the service users. There are currently no staff vacancies. The home has a robust recruitment procedure in place, which ensures that their staff are suitable to work with vulnerable people. Several staff personnel records were examined which confirmed that thorough employment checks were carried out. All new staff are required to provide two references, a full employment history, have a clear Criminal Records Bureau clearance and complete a three-month probationary period. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 20 The records contained all required information has detailed in Schedule 2 of the National Minimum Standard, Care Homes for Adults 2001. The staff personnel records were well presented and organised. The Annual Quality Assurance Assessment documentation confirmed that new recruitment procedures have been introduced, which involve service users participation in the interview process. From discussions with the staff and from examination of records the home is providing good training and development opportunities. Details of staff training together with training planned were provided by way of the Annual Quality Assurance Assessment questionnaire. The staff are currently completing an on line course in the Mental Capacity 2007. All new staff undergo a twelve-week induction programme as set out by the Skills for Care Council. Records examined and discussions with the staff confirmed that the home has a formal structure for supervision of staff. Annual appraisals are undertaken. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that service users’ have a voice and their views are listened to EVIDENCE: The Registered Manager has a number of years experience in the care sector, and has gained a Recognised Manager’s Award. Examination of her personnel records confirmed she had a contract and relevant job description detailing her role and responsibilities. The home has a policy and procedures for assessing its quality of care. The Regulation 26 visits by the Registered Provider to the home include details of consultation with service users and staff. Questionnaires are given out to both staff and service users as part of the homes quality assurance procedures. The Registered Manager reviews the home’s aims and objectives and compiles an annual report for the Registered Provider. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 22 The home consulting and seeking views from family, friends or stakeholders about the services it provides could further develop quality assurance procedures. The information on the home’s health and safety procedures and maintenance was provided by way of the Annual Quality Assurance Assessment questionnaire. This confirmed that all the relevant checks had been undertaken Elmwood House Nursing Home DS0000002055.V341966.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 3 X X 3 X Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 24 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 YA18 Regulation 122 Requirement Staff must maintain service users privacy and dignity at all time, especially when discussing services needs The home must ensure that the home is free at all times of any unpleasant smells and odour. Timescale for action 30/09/07 2 YA24 23 30/09/07 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 YA6 YA7 YA12 Good Practice Recommendations The home should consider Personnel Centred Planning as ways of developing service users’ involvement in their care. The home should consider ways service users could access the telephone as means of contact. The home should look at ways of giving service users full access to IT. Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Elmwood House Nursing Home DS0000002055.V341966.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!