CARE HOMES FOR OLDER PEOPLE
Farrant House Nursing Home 44 Farrant Road Longsight Manchester M12 4PF Lead Inspector
Geraldine Blow Unannounced Inspection 20th June 2007 09:40 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 Farrant House Nursing Home DS0000021642.V339332.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. Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Farrant House Nursing Home Address 44 Farrant Road Longsight Manchester M12 4PF 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) 0161 257 3323 0161 225 9920 www.schealthcare.co.uk Southern Cross Healthcare Services Limited Grace Kasonde Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (4) of places Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. A maximum of 44 service users will be accommodated. The home can accommodate up to 24 service users requiring nursing care on the ground floor and up to 20 service users requiring personal care only on the first floor. All service users will be aged over 60 years of age except where a variation has been granted in respect of age for a named individual. One named service user requires personal care only, out of category by reason of age. If this service user no longer resides at the home or their primary reason for requiring care changes, the service user category will revert to OP (old age). 15th January 2007 2. Date of last inspection Brief Description of the Service: Farrant House Nursing Home provides accommodation with nursing care for up to 44 older people. The home is situated in the Longsight area of Manchester close to a main public transport route, a local market, shops and a supermarket, public houses and other social facilities and amenities. The home is a purpose built, two-storey home set in its own small, wellmaintained and accessible grounds. The home offers accommodation in 40 single and 2 double bedrooms. 18 bedrooms, including both double bedrooms, have en-suite facilities. Access to the home is at ground level. A passenger lift is provided. The front door is digitally locked for security reasons and exit could be achieved by pressing a switch at the side of the door. CCTV covered the homes entrances and grounds. The home provides smoking and non-smoking areas for the residents. The homes hairdressing salon and the administrators office are situated in the reception area. Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the last inspection on 15 January 2007 and supporting information received in the Pre Inspection Questionnaire submitted by the home prior to this visit as well as 15 returned resident comment card. This unannounced visit forms part of the overall inspection process and took place on Wednesday 20 June 2007. The opportunity was taken to look at all the core standards of the National Minimum Standards (NMS). This inspection was also used to decide how often the home needs to be visited to make sure that it meets the required standards. As part of the visit time was spent talking with the home’s deputy manager, several people living at the home, some members of staff and several visitors to the home. Time was also spent observing how staff work with the residents, assessing relevant documents and files and a tour of the premises was undertaken. What the service does well:
Staff were seen to be kind and patient with residents when carrying out their duties. The atmosphere in the lounge was relaxed and staff and residents were seen to have good relationships and sharing jokes together. Residents said that staff were generally nice and kind. One visitor said, “The staff are excellent and can’t be faulted.” A clean and pleasant environment was provided for the residents who live there and there is a small, safe enclosed garden for residents to use. The garden had some summer furniture and the residents said they had enjoyed using the garden in the nice weather. The residents and visitors spoken confirmed that the home was always clean and tidy and the majority of returned comment cards also confirmed this. A pre admission assessment of needs is carried out before a resident is admitted to the home to make sure that the home can meet all their needs. The home has an open visiting policy, which was confirmed by the staff, residents and visitors spoken to. One member of staff said that she always tells visitors that they can visit when they like “as the service never closes.” The visitors said that they are always made to feel welcome when they do visit. Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 6 The menus seen indicated that a wholesome, varied diet was provided. Staff were seen assisting residents, who required help, to eat their meal in a sensitive, unhurried manner. The residents and staff spoken to said that there was always a choice of meals at each mealtime and the head cook said that they would prepare any reasonable alternative if residents did not want what was on the menu. Residents spoken to were complimentary about the standard of the meals and residents and staff spoken to confirmed that drinks and snacks were available on request. Systems were in place to support residents or visitors to make a complaint and the manager encouraged people to raise any concerns or worries they had directly with her. A ‘managers surgery’ was held once a week where the manager made herself available for people to drop in for a chat with her. The home encouraged and supported staff to do training to ensure that they had the necessary skills to meet the needs of the residents accommodated and carried out a robust recruitment procedure to ensure the staff employed are safe to work with residents. What has improved since the last inspection?
Since the last inspection visit nurses and care staff have received training in the care planning process and further improvements have been made to residents individual plans of care. The requirement made in the last inspection report in relation to the care plans had been met. The care files were well organised, well maintained and divided into relevant sections, which made them easy for staff to use daily as a working tool. The plans of care were found to set out the action that needed to be taken by staff to ensure that the health and personal care needs of the residents are met. The requirement and the recommendations made in the last report in relation to medication had been met and residents were safely receiving their medication as prescribed by the GP. The lounge on the ground floor has been redecorated, had a new carpet and new flooring in the dining area. A partition between the dining area and the lounge area had been build and a small bar has been built in the lounge. The flooring in the upstairs dining room has been replaced and the lounge chairs have been cleaned. New menus had been developed since the last inspection visit which offered more choice for residents. The menus had only been in place for 4 weeks and the head cook said that some alterations were going to be made at the request of the residents. A bar chart was on display in the main reception showing the nutritional content of the meals provided. Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 7 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. Farrant House Nursing Home DS0000021642.V339332.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 Farrant House Nursing Home DS0000021642.V339332.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): 3 (Standard 6 intermediate care is not provided at Farrant House Nursing Home). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs are assessed prior to them being admitted to the home to ensure that their needs can be met. EVIDENCE: The files of three residents were examined. Two of the residents were newly admitted to the home and one resident had been re-assessed as requiring nursing care. A pre admission assessment form is in use to ensure that prospective residents are only admitted on the basis of a full assessment and evidence was seen that for residents who are referred through Care Management arrangements the manager obtains a summary of the Care Management Assessment.
Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 10 An intermediate care service is not provided at Farrant House. Farrant House Nursing Home DS0000021642.V339332.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents had an individual plan of care, however some areas of the care plans required improvement to ensue that residents’ mental health needs are fully met. EVIDENCE: Since the last inspection visit nurses and care staff had received care planning training. The care plans examined were easy to use and contained appropriate assessments and a care plan of how to meet the physical health and personal care needs those residents. The care plans were found to be person centred and had been reviewed monthly, or more frequently if needed, to reflect any changes in care needs. Evidence was seen of resident/relative involvement where possible. However it was noted that some identified mental health needs of residents had not generated a plan of care. For example it was documented that one resident was “withdrawn and evidence of self neglect.” No care plan was in place as to how best manage this. To ensue that all
Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 12 residents’ mental health needs are met a care plan must be developed as to how these needs are best met. In one care file photographs had been taken of pressure sores. This is considered good practice as it aids the reviewing process of pressure sores. However it is recommended that consent be obtained either from the resident or their representative for any photographs t be taken. A formal review of residents is undertaken either every 3 months or every 6 months, depending on needs and residents and their representatives are invited to attend and this involvement is recorded in the residents file. Staff were observed delivering appropriate care and support to a number of residents in the home and it was evident that staff had a good understanding of individual care needs. From observations made during the inspection and from talking to residents it appeared that the nurses and care staff treated the residents with respect and dignity and choice around their day to day lives was encouraged. One visitor spoken to said, “The staff are excellent and I can’t fault them.” The requirements and the recommendations made in the previous inspection report had been met and the medication records examined were appropriately completed, with one exception, which is detailed below. Medication was appropriately stored and the deputy manager said that any medication carried over from the previous month would be documented on the MAR sheet. One MAR sheet examined identified that the resident had been prescribed a drink thickener, which is used to thicken drinks and soups for residents with a swallowing impairment. This had been signed for on the MAR as being given 4 times a day. The deputy manager confirmed that this did not accurately reflect the number of thickened fluids given to a resident and that this was record on the fluid record sheet. However on examination of this record not all fluids given had been recorded as being thickened and therefore there was no accurate recording of the amount of thickened fluids given to the resident. The recommended consistency of the thickened fluids given by the Speech and Language Therapist (SALT) had been detailed in the residents’ individual plans of care. Farrant House Nursing Home DS0000021642.V339332.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Only limited activities were provided but residents were able to exercise some control over their day-to-day. EVIDENCE: The home had an open visiting policy and residents and visitors to the home confirmed this and visitors commented that they were always made to feel welcome. The staff were seen to have a good rapport with visitors present during this inspection visit. There was an activity board on display in the main reception and included activities such as bingo, art group, nail care and films. The deputy manager said that a senior carer was employed 15-20 hours per week to act as an activity co-ordinator. She said that the coordinator recorded what residents were attending what activities and that she did keep a record of consultations with residents regarding what activities they would like to do. However these records were unavailable on the day of this visit. Some of the care files examined had an activity record sheet but had not been completed.
Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 14 The majority of the returned resident comment cards indicated that activities were only sometimes provided. The residents and visitors spoken to said that not enough activities were provided in the home. From observations and discussions with residents and staff during the inspection visit it was evident that residents are encouraged to exercise choice and control over their lives if it is not detrimental to their care. Where able residents were seen freely moving around the home. The home had implemented a system called “Nutmeg”. This consists of the nutritional value of the meals being calculated, to ensure that it is satisfactory to meet resident’s needs. A bar chart is then produced, which is on display in the main reception, next to a copy of the menu. This is considered good practise. The menu offered a variety of wholesome and nutritious meals, which included home made cakes mid afternoon, platters of fruit and a selection of suppers. New menus had been in place for 4 weeks. The new menus offered more choice for residents and the head cook said due to residents likes and dislikes the menu was to be changed slightly. For example many of the residents do not like herrings so this is to be changed to cod or plaice and beef olive is to be changed to beef casserole. A choice of meals was offered and snacks and drinks were given on request. Staff were seen offering assistance to residents, where required, in an appropriate and sensitive manner. The residents spoken to were compliantly with regard to the quality and quantity of food, with the exception of one resident. The majority of returned comment cards indicated that the meals provided were nice Farrant House Nursing Home DS0000021642.V339332.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefited from having policies and procedures in place for managing complaints and protecting residents from abuse. EVIDENCE: There was a complaint procedure, in the Statement of Purpose, which was available in the reception area. The completed pre inspection questionnaire documented that there had been 3 complaints made in the last 12 months. The manager had a complaint file that contained details of complaints made and some staff statements. However the file was poorly organised and is was impossible to identify and track the 3 complaints that had been made. In addition, since the last inspection, concerns had been raised with the manager regarding the care of one particular resident. Copies of correspondence regarding this concern were not in the file, apart from one file note. The unit manager, from the first floor, said that a meeting and taken place, although he was unsure as to who the meeting was with, to discuss the issues and he thought the issues had been resolved. No information regarding this meeting, any investigations or conclusion was available. It is recommended that the complaint file be organised in such a way that information is filed in a systematic order and that a written record of all events/actions is maintained to record the full involvement of the home’s management and staff when a concern has been raised.
Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 16 Details regarding a weekly managers ‘surgery’, where the manger is available to see anybody who would like to speak to her, was on display in the main reception. The deputy manager said that the manger encourages people to raise concerns so that they can be dealt with immediately. The residents and visitors spoke to said that they knew how to make a complaint but had never made one. All returned comment cards indicated that people knew how to make a complaint. Corporate policies and procedures relating to Adult Protection are available in the manager’s office and on each floor of the home and evidence was seen that POVA training has been provided for all staff to attend. Farrant House Nursing Home DS0000021642.V339332.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clean, comfortable, well maintained environment was provided for residents EVIDENCE: The accommodation is well furnished and is suitable for the residents living there. On the day of this visit the home was odour free and was found to be clean and tidy which created a pleasant environment for the residents and their visitors. Redecoration and refurbishment was continuing on an ongoing basis. The garden is well maintained and safe and accessible for residents to use. Residents, visitors and staff spoken to confirmed that the home was always kept clean and tidy. The majority of returned resident comment cards indicated that the home was always clean. Many of the bedrooms had been personalised with resident’s own belongings. One bedroom did not have a light shade and the deputy manager was asked to
Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 18 address the situation. The laundry was situated away from residents living and eating areas. Soiled linen did not come into contact with food storage, preparation, cooking, serving or dining areas. The home provided adequate toilet and bathroom facilities. Toilets were conveniently located in close proximity to bedrooms and communal areas. A variety of bathing facilities were provided to meet a range of needs. Farrant House Nursing Home DS0000021642.V339332.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Adequate numbers of staff are provided and the recruitment and selection process protected residents from potential abuse. EVIDENCE: A the time of this inspection visit the home accommodated 22 residents in receipt of nursing care and 16 residents in receipt of personal care only. On the day of this visit from examining staff rotas and talking to staff the numbers and skill mix of staff appeared to be sufficient to meet the needs of the residents accommodated. The majority of returned resident comment cards indicated that staff were always available when needed. Twenty six care staff are employed at the home, 9 of those have achieved NVQ Level 2 and 6 have achieved NVQ Level 3. A further 3 members of care staff are currently undertaking NVQ Level 2 and 2 members of care staff are undertaking NVQ Level3. Three staff files were examined. The staff had all started work since the last inspection. The staff files contained all the relevant documentation and records
Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 20 such as application forms, references, clear CRB disclosures and identification documentation. The Induction Programme for new staff is undertaken over a 3-month period. Each member of staff then has to complete the induction training which is a programme develop by Southern Cross. Since the last inspection an update, accurate staffing Matrix has been completed and each member of staff has an individual training record. Evidence was seen of a 6 month staff training plan which included Fire Safety, Moving and Handling training, Supervision, Communication Skills, Infection Control, Documentation and Record Keeping, COSHH, First Aid and Safe Handling of Medication. Evidence was seen that following some of the training a competency assessment is undertaken in the form of a questionnaire to ensure that staff have understood the training provided. . Farrant House Nursing Home DS0000021642.V339332.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in the best interest of residents who live there. EVIDENCE: The manager has been in post since March 2006 and is registered with CSCI. On the day of this visit she was annual leave. There is a corporate ‘opinion questionnaire’ that is available in the reception area and the administrator sends them to relatives on a regular basis in an attempt to gain peoples views of the service provided. The completed questionnaires go straight to head office for analyses and are then sent to the home manager for her attention. The administrator said that the response
Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 22 rate was poor. In addition to this formal tool feedback regarding the service delivery is obtained via the managers and staff discussions with relatives, visitors and visiting professionals on a 1:1 basis. Resident/relative meeting are held, although the inspector was told that these are poorly attended and the last one held was in August 2006. Feedback was also obtained via the manager’s weekly ‘surgery’ and notes of these discussions were taken and seen in the compliant file. As detailed in previous inspection reports there is a clear and transparent system for managing and recording the personal finances of residents. All transactions and documentation was available for inspection. Evidence provided in the Pre Inspection Questionnaire demonstrated that the appropriate service contracts were in place for equipment and installations used in the home and that servicing is undertaken at the required intervals to ensure the safely of residents. Farrant House Nursing Home DS0000021642.V339332.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) Timescale for action Residents individual plans of care 31/07/07 must include any mental health needs of to ensure that all assessed needs are met. Activities must be provided for 31/08/07 residents to suit their preferences and capabilities inside and outside the home to provide opportunities for social and recreational stimulation. Accurate records must be kept of 30/06/07 all complaints and concerns made. Requirement 2. OP12 16 (m) (n) 3. OP16 22 (3) 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. Refer to Standard OP7 OP9 Good Practice Recommendations It is recommended that consent be obtained for photographs to be taken. It is recommended that the MAR should clearly cross reference to where there is a signed accurate recording of thickened fluids given to residents.
DS0000021642.V339332.R01.S.doc Version 5.2 Page 25 Farrant House Nursing Home 3. OP12 It is recommended that the activity sheets are kept up to date and the activity co-ordinator keeps an accurate record of her consultations with the residents. 1. It is recommended that the complaint file be organised in such a way that information is filed in a systematic order. 2. It is recommended that a written record of all events/actions is maintained to record the full involvement of the home’s management and staff when a concern has been raised. 4. OP16 Farrant House Nursing Home DS0000021642.V339332.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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
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