Inspection on 01/08/05 for Elvy Court Nursing Home

This inspection was carried out on 1st August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Elvy Court Nursing Home 29/04/09

Elvy Court Nursing Home 04/01/07

Elvy Court Nursing Home 20/12/05

Elvy Court Nursing Home 23/02/05

Elvy Court Nursing Home 21/06/04

Elvy Court Nursing Home 09/02/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Elvy Court 204 London Road Sittingbourne Kent ME10 1QA Lead Inspector Sally Hall Unannounced 01 August 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Elvy Court Address 204 London Road Sittingbourne Kent ME10 1QA 01795 437449 01795 437490 nil Southern Cross Healthcare Services Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) nil Care Home 57 Category(ies) of Care Home with Nursing - 57 registration, with number of places Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Patients detained under the Sections of the Mental Health Act may not be admitted to the home. Date of last inspection 23 February 2005 Brief Description of the Service: Elvy Court Nursing Home is a purpose built nursing home set over two floors. The home is situated on the main A2 road with Sittingbourne town centre being approximately ¾ mile distance. A bus stop is located nearby with the nearest railway station being in the town centre. Parking is available to the front of the home. Service users are accommodated on two separate units within the home. Each unit has separate lounge and dining rooms. Specialist bathing facilities and additional specialist equipment, for example hoists, are provided. There is a garden for use by service users. The home has a full time activities coordinator. A hairdresser visits the home on a regular basis. The grounds that surround the building give a pleasant aspect for residents to enjoy and view from the home. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection at Elvy Court took place on 1st August 2005 at 10am. The Inspector agreed and explained the inspection process with the Deputy Manager. Documentation and records were read, including care plans. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. A tour of premises was also undertaken. The focus of the inspection was to assess Elvy Court in accordance to the National Minimum Standards for Older People. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. What the service does well: What has improved since the last inspection? What they could do better: The home should be involving the residents and /or their families in the formation of the care plan on at least a six monthly basis. This is when a re assessment needs to be made and new care plan should be written. The home could consider the replacement of carpet for easily washable flooring in resident’s rooms where incontinence is likely to be an ongoing problem. The home needs that all staff have formalised two way supervision that is recorded at least six times per year. Meetings should be held in the home for staff as Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 6 part of the quality assurance system. The home needs to ensure that all documentation, including and policies and procedures are kept up to date. 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. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-5 Service users have the information they need to ascertain whether the home can meet their needs. Service users rights are largely protected by a written contract / statement of terms and conditions which requires some minor amendments. Prospective residents have the benefit of a trial period at the home to assess whether the home can or cannot meet their needs. EVIDENCE: The inspector viewed the current information available to prospective residents The Statement of Purpose and Service Users Guide for Elvy Court was seen to include the information as outlined in the Standards. The deputy manager reported that a copy of the previous inspection reports are made available to residents and their families on request. A written contract / statement was available outlining residents’ rights, responsibilities, and conditions of placement is in place, some minor amendments were seen to be needed. Each service user has been provided with a copy. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 9 In the residents’ files sampled the inspector saw that all residents are assessed prior to coming in to the home for the trial period. Residents are also reassessed if they spend a period of time in hospital. These assessments cover the requirement of the standard and are detailed. During the inspection staff were asked about the specialist training that they had had to help with the care a specific residents in there care. Staff confirmed that amongst the list of specialist training were courses on Peg feeding and dementia for example. The other training records showed that staff are given the skills to care for residents and the that care staff are doing NVQ’s in Care, with nurses being offered courses to remain current. The inspector found from talking to both staff and residents in the home that residents are encouraged to visit the home and spend time at the home prior to staying for a trial period. Staff explained that this time is also used to how well the prospective resident gets on with the other residents already living at the home. Staff also explained that if the prospective resident feels comfortable and wants to come to the home then they do so on a twenty-eight day trial, during which time the assessment continues. A review is held at the end of this time with all the interested parties and if the trial has gone well the resident can choose to be come permanent. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7-10 The care of residents is promoted by the care planning procedures used by the home, however this would be further enhanced if the residents and/or families had an active role in the formation of the plan. The residents are protected from harm by the home’s policy and procedures with regard to the administration and dispensing of medication though the recording of medication needs to be improved. Resident’s benefit from being treated with respect and dignity and their independence is promoted by the home. EVIDENCE: The residents’ plans of care seen detailed the actions required in order to meet the service users’ needs. The deputy manager confirmed these had been formulated using the assessment information. Care plan information, in the examples seen, included statements on service user’s disabilities and assessed needs, goals of care allocated to each need and progress or otherwise on how care needs are being met. In the daily reports seen it was noted that the staff are recording the time that they write the report rather than the time events and care is administered. The deputy manager was advised that more detail is needed in some of these reports giving a true picture of the amount of care that is provide for an individual resident. With more detail it would be possible Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 11 to see how the resident independence is being promoted for example. Evidence of regular monthly reviews with outcomes was also noted. However there was no evidence seen that a six monthly review is held, at which time the resident would be reassessed and the resident and family would be consulted, the care manager being invited to at least one of these annually if appropriate. On care plans reviewed evidence was seen that residents who had been identified as being nutritionally vulnerable were weighed regularly. The Nurse uses an assessment tool for which evidence was seen. The inspector directly observed correct moving and handling techniques used by care staff. The deputy manager described how residents who still have or have just recovered from pressure sores are progressing. Residents are helped to change position every 2 hours, creams used, dressings applied and appropriate enhanced diet is given to help the resident counter infection and recover. A tissue viability nurse from the Primary Care Trust also visits to provide direct input and for the purpose of staff guidance and training. Equipment that helps with the care of people with pressure sores is available. Many residents require incontinence products; the home does use the services of the continence advisor. The deputy manager stated that staff are trained and competent in the application of these products. Care plan records indicated that residents have access to dental, chiropody and optical services. The home has a hairdressing salon. This is used on a regular basis by many of the residents. The inspector did not fully inspect this standard but did make the following observations. The home uses a recognised dosage system supplied by a pharmacy. There are several storage facilities for medication around the home. Those seen were clean and fairly tidy. The inspector asked that medication that is ready for return being kept in a locked cupboard with in the medication room. The Medication Record Sheets seen were in the most part showing all the information that needed to be recorded, however when a medicine was not given it was not always possible to tell why. The Medication Record Sheets did not show the medication that is brought forward from the month before, the staff only record the medication that comes in to the home from the chemist. The home records the drug fridge temperature on a daily basis. The deputy manager confirmed that only nurses give out the medication. One nurse working in the dementia unit described how if a resident refused medication she would attempt to give it again a little later etc. The deputy manager explained that the first aid boxes around the home are now checked on a weekly basis to ensure they remain fully stocked. Most residents have their own single room. In the shared rooms seen there were curtains for privacy. Residents’ privacy and dignity were seen to be considered and protected, and staff were seen knocking on the residents doors before entering even if the door was open. The residents who had their doors Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 12 open when they were in their rooms explained that they like their door open so they can see what is going on. This practice does potentially compromise both privacy and fire containment systems and the home has made this practice subject to risk assessment and fire safety advice that has been sought and is being followed. Residents are normally given their mail, staff helping as necessary. On the dementia unit staff ensure that post is given to the nominated relative/person. Staff were seen encouraging some residents to do what they could for themselves, thereby promoting their independence. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 Resident’s benefit from a suitable range of activities and outings. Residents maintain their independence and exercise their right to choice and control and are encouraged to maintain contact with their family and friends. Whilst the dietary needs of residents are well catered for the practice of the home in this area would be improved if residents’ views and opinions were sought regarding the quality of meals served. EVIDENCE: The home has a dedicated activities co-ordinator who is clearly committed to and proud of the services provided. A varied range of activities has been arranged on a day-to-day basis including outings to the London Eye, seaside, pubs, garden centres and museums. On the day of the inspection the group of residents doing craftwork explained all the things that they do and it was very apparent that they value the chance to be occupied. They were also very proud of the money they had helped to raise at the recent fete. On the morning of the inspection the activity co-ordinator was seen talking to residents on a one to one basis. She explained that not all residents are able to take part in activities so she offers them the opportunity for a chat, a hand massage etc. A record is kept of all the activities and who has been involved. This is monitored to ensure all residents have input on a regular basis. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 14 The arrangements for residents to receive visitors are flexible and staff are accommodating. A visitor was heard to be offered refreshments. Later staff were also heard taking the opportunity to see if they were happy with his relative’s care. Written information about the arrangements to do with visiting the home has been included in the Statement of Purpose and Service Users Guide. The home does hold a small amount of personal money for residents which is kept separately and is well documented. The inspector was told that the home may consider opening a bank account for this money and having a fifty pound float. The home was reminded that residents’ money must not be pooled and must be accessible at all times. The home’s chef has been off for sometime and other staff having been filling in. However, it is hoped that he will return when fit. Menus indicate that a varied and balanced diet is provided. The cook of the day explained that alternatives are provided for residents who do not like what is on offer. The kitchens were well equipped, clean and suited to the purpose. Mealtimes were unhurried. Dietary needs had been assessed and food is provided in a way to meet the need e.g. cut up, liquidised etc. special diets are also provided for diabetics. The home is not however keeping a record of what each resident eats on a daily basis, although some reference was seen to the amount eaten in some daily records. The residents asked about the meals at the home did not seem very impressed, they said things like “it’s Ok”, “its better some days than others”. The inspector asked that this be addressed in the next residents’ meeting. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Service users know that their concerns and complaints are taken seriously. Service users are protected from the risks of abuse, however the procedure needs to reflect recent changes to the local authorities protocol. EVIDENCE: The inspector viewed a copy of the Home’s complaints procedures. The procedure included details of how to complain, timescales for response and information for referring a complaint to the NCSC this needs to be changed to Commission for Social Care Inspection. A copy of the complaints procedure has been provided in the Service Users Guide. The inspector viewed and discussed copies of the Home’s Policy for the Protection of Service Users and staff “Whistle blowing” procedure. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. These procedures do need to be reviewed. In light of the new protocols being supplied by the local authority, changes are required. Full training is provided in adult protection. More courses are planned to ensure all staff receive the training required to protect service users from abuse. Criminal Record Bureau Checks (CRB) have been obtained for all staff. Any staff where their CRB has not been received by the home are supervised at all times. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 16 Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-21, 24-26 The residents live in a safe and well maintained environment, which offers ample indoor and out door communal space. Residents here are encouraged to personalise their personal space. The residents benefit from a clean and odour free environment however for some residents this could be improved if a different type of washable flooring was considered. EVIDENCE: It was evident there is an ongoing programme of maintenance / improvement works. The location, size and design of the home offers residents a suitable environment in which to live. The grounds were ell stocked and offered residents with an attractive outdoor space to enjoy. The home’s communal space is in line with this standard. For instance there is ample space, good quality furnishings and efforts have been made to create a homely type environment in the lounges and dining areas. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 18 Toilet and bathing facilities are in line with the Standard. For instance there are facilities for assisted bathing, en-suite bedrooms, and toilets close to the lounge, dining areas. The home has sluicing facilities. Fixtures and fittings in resident’s bedrooms meet the required standard. Residents are encouraged to personalise their rooms by bringing with them favourite possessions. Pressure relieving mattresses and other aids and equipment has been provided reflecting the residents’ assessed needs. Residents in the home are not able to lock their bedrooms if they wish and this needs to be addressed. The heating, lighting, water supply and ventilation of the home are all in line with the standard. The home has under floor heating and hot water thermostats have been installed effectively reducing the risk of scolding injuries to residents. Many of the rooms have good views of the external grounds. A full time team of domestic staff are employed to take care of cleaning and laundry generated by the home. The housekeeper heads the team up. Laundry facilities were not seen during this visit. In some residents bedrooms there was a strong smell of urine, it was evident that the home does clean its carpets but perhaps for some residents it would be advisable to consider a flooring that while it is homely is also washable and safe. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) not assessed EVIDENCE: Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,36,37,38 Resident’s benefit from living in a atmosphere that is positive and open. Staff at the home are not suitably supervised. The home’s record keeping largely protects resident rights and best interests though some information needs to be up dated. The home provides residents with a safe environment, however residents welfare could be better protected if staff had received all the required training. EVIDENCE: The atmosphere with in the home seemed positive and open. Staff spoken to appeared happy to talk about the home and their work. The inspector saw lots of positive interaction going on between staff and residents, and staff and management. One relative said that they always find the staff friendly approachable and informative. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 21 The home has not yet started formal supervision with its staff six times a year. The inspector went through this requirement with the deputy manager. The deputy manger also confirmed that the home does not have regular staff meetings. Whilst many of the policies and procedures seen were in date this was not the case for all of them. Policies and procedures do need to be reviewed at least annually. The residents’ six monthly reviews are not up to date and this needs to be addressed by the home. The inspector noted that documentation is kept securely within the home. The home carries out risk assessments for each resident and for the environment. In the homes COSHH file there is a data sheet for each of the chemicals used in the home. The current certificates for the Gas, Electric etc were seen and found to be in date. The fire log is kept up to date and regular checks are being recorded, and staff have had training. The staffs training matrix was seen and this indicated that some training is out of date, the administrator confirmed that these training courses have been booked. Courses that do not appeared to have been made available for all staff and are required are Infection Control, First Aid, and Health and Safety. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x 3 3 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x 3 x x x 1 2 2 Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 23 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 OP7 Regulation 13,15 Requirement A service user plan of care generated from a comprehensive assessment(see Standard 3) is drawn up with each service user and provides the basis for the care to be delivered. The registered person shall makearrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home.Regulation The premises are kept clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection, in accordance with relevant legislation and published professional guidance. The registered person ensures that the employment policies and procedures adopted by the home and its induction, training and supervision arrangements are put into practiceThe registered person ensures that the employment policies and procedures adopted by the home and its induction, training and supervision arrangements are put into practice Timescale for action 30th October 05 2. OP9 13(2) 1st October 05 3. OP26 13,16,23 30th November 05 4. OP36 12,13,17, 23,25 start the process by the 1st October and maintain. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 24 5. OP38 25, 41. schedule 4.3 The registered manager ensures so far as is reasonably practicable the health, safety and welfare of service users and staff. ensure staff get the required training and refresher courses.. 1st December 05 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 OP15 OP18 OP37 Good Practice Recommendations Make a point of checking with at the next meeting their views on the quality of the meals etc. Ensure the homes adult protection policy and procedure matches that of the local authority and reflects the new legislation. ensure that all doctument, policies and procedures are kept up to date. Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection The Oast Hermitage Court Hermitate Lane Maidstone Kent, ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Elvy Court H56-H06 S26162 Elvy Court V239824 010805 Stage 4.doc Version 1.40 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!