Inspection on 09/08/07 for Firbank Private Nursing Home

This inspection was carried out on 9th August 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 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

Firbank Private Nursing Home 19/09/06

Firbank Private Nursing Home 16/02/06

Firbank Private Nursing Home 18/07/05

Firbank Private Nursing Home 22/02/05

Firbank Private Nursing Home 27/07/04

Firbank Private Nursing Home 23/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Firbank Private Nursing Home 81 Fir Road Bramhall Stockport Cheshire SK7 2JF Lead Inspector Mrs Fiona Bryan Unannounced Inspection 9th August 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Firbank Private Nursing Home DS0000017294.V346870.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. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Firbank Private Nursing Home Address 81 Fir Road Bramhall Stockport Cheshire SK7 2JF 0161 440 8725 0161 439 8828 firbank@smallwoodcarehomes.co.uk www.smallwoodcarehomes.co.uk Smallwood Homes Ltd 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) Mrs Sarah Catherine Regester Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (21) of places Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service user may be received in the home who is less than 50 years old, male/female. 19th September 2006 Date of last inspection Brief Description of the Service: Firbank Nursing Home is a care home that provides 24 hour nursing care and accommodation to 21 adult service users. Many of the residents accommodated at the home have high physical dependency needs. The home is privately owned by Smallwood Homes Ltd. Firbank Nursing Home is situated on a quiet, leafy, residential road in Bramhall. Bramhall village, local shops, churches and Bramhall Park are close by. Local bus services are also available. A small driveway leads to a car park and the main entrance to the home. Outside, to the front and rear of the home, there are pleasant garden areas which are accessible to service users. The home is a two storey building, converted some years ago to a care home. Fifteen bedrooms are single rooms and three are shared rooms. Two single bedrooms and one shared room have en-suite facilities. Assisted bathing facilities are available on both floors. There is one lounge, which also provides a small dining table. A separate dining room is not available. Residents have a choice of spending time in their rooms or in the lounge. Well maintained enclosed gardens at the rear of the home are accessible from doors off the lounge. A variety of adaptations and aids are provided to assist in the nursing of the service users and this includes a passenger lift and hoists. The current weekly fees range from £495.00 to £670.00. Further details regarding fees are available from the manager. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection, which included a site visit, took place on Thursday, 9th August 2007. The manager was not told beforehand of the inspection visit. All key inspection standards were assessed at the site visit and information was taken from various sources, which included observing care practices and talking with people who live at the home, the manager and other members of the staff team. Three people were looked at in detail, looking at their experience of the home from their admission to the present day. A partial tour of the building was conducted and a selection of staff and care records was examined, including medication records, employment and training records and staff duty rotas. Before the inspection, comment cards were sent out to residents and relatives/ carers asking what they thought about the care at the home. Information from these has also been used in the report. We also sent the manager a form before the inspection for her to complete and tell us what she thought they did well, and what they need to improve on. What the service does well: People living at the home appeared well cared for and content. People spoken to said they liked living at the home and got on well with the staff. Staff were seen to treat residents as individuals and spoke to them in a warm and relaxed manner. This made the atmosphere within the home pleasant and calm. Comments included, “Staff are very good and treat me well. They co-operate with whatever I want” and “I can’t think of anything I would change. This is a home”. The manager had undertaken her own satisfaction surveys and comments from these included “staff are very interested in the residents as individuals”, “the home is always clean and comfortable”, “staff are always helpful and friendly” and “(the home is) small and friendly. Staff are always helpful and do anything that is asked of them”. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 6 The manager is approachable and fosters an open and honest relationship with people living at the home and their families. This means that people feel they can raise any concerns and are confident they will be dealt with properly. The home is committed to giving people living at the home the opportunity to say what they think and they hold regular meetings with everyone so they can give their views. Staffing levels in the home were appropriate to meet the dependency levels of the residents. More than half the care staff team had a NVQ level 2 qualification. Staff spoken with were positive about working in the home and said that they worked well as a team. Staff asked the residents when they came into the home about what care and help they needed and included them in discussions about their health. What has improved since the last inspection? What they could do better: Although staff have been working on increasing the information they get from new residents about their previous interests, family contacts and social histories, this information is still not used as effectively as it could be to develop a meaningful social care plan that suits individual residents. More accurate information also needs to be provided to residents before they come into the home about the type of activities and events actually on offer so they are not disappointed when they enter the home due to high expectations that may not be met. Many rooms in the home still need refurbishment. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 7 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. Firbank Private Nursing Home DS0000017294.V346870.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 Firbank Private Nursing Home DS0000017294.V346870.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 is not applicable. Quality in this outcome area is good. Detailed assessments are undertaken before people come into to the home so they can feel confident that their needs can be met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Three residents were case tracked. Detailed assessments had been undertaken for all residents prior to their admission to the home. Assessments and care plans from Social Services had also been obtained. Risk assessments for falls, nutrition, moving and handling and risk of pressure ulcers had been completed. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 10 Staff were very knowledgeable about the residents’ care needs and could describe their usual daily routines and preferences. Staff stated that they received a handover report at the beginning of each shift and used these occasions to discuss individuals’ changing care needs. Staff said that before a resident was admitted to the home the manager would undertake an assessment and then discuss the person’s care needs and abilities with staff so that they were aware of the care they needed to deliver. Firbank Private Nursing Home DS0000017294.V346870.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 and 10 Quality in this outcome area is good. Physical and health care needs were well met, with evidence of good multidisciplinary working taking place on a regular basis. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Three people were case tracked. Care plans had been written for each person, which addressed the care needs identified during the assessment process. All care plans were detailed and provided specific information relevant to the individual resident. All care plans and risk assessments had been reviewed monthly and there was evidence that actions stated as being required in the care plans were carried out in practice, for example, the care plan for one person said that they should be weighed weekly and this had been done. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 12 There was evidence that the views of residents had been taken into account when their care plans were reviewed. For example, the care plan for one resident stated that bed rails were needed to reduce the risk of them falling out of bed; however, this had subsequently been amended as the resident did not want bed rails and further risk assessment had indicated that they were not necessary. Staff were knowledgeable about the care needs of the residents and were able to describe individuals’ preferred daily routines and abilities. Records showed that residents had seen GP’s, opticians and dentists and some had attended hospital out-patient appointments. Nurses were designated as link nurses for wound care, continence and infection control to attend training and meetings and make sure that all staff got any up to date information about new treatments or developments. Although all residents were weighed regularly, as stipulated in their care plans, weights had been recorded in one book and had not always been recorded in each person’s own file. Records should be kept in individuals’ own files so that all relevant information is readily available when staff review the care plans. Residents said that staff asked their GP to visit if they were unwell and felt that they received good care at the home. During the site visit staff were observed to be very patient and kind to residents, and were also thoughtful, asking people if they wanted to go into the garden and offering extra cups of tea when they noticed that someone had finished their drink. The manager had undertaken a satisfaction survey, and comments from residents and relatives in the returned surveys included “staff are very interested in the residents as individuals”, “staff are always helpful and friendly” and “(the home is) small and friendly. Staff are always helpful and do anything that is asked of them”. The procedures for managing medicines within the home were generally satisfactory. The records for several people were examined and indicated that medicines had been administered correctly. A small stock of medicines was stored safely. Firbank Private Nursing Home DS0000017294.V346870.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 and 15 Quality in this outcome area is adequate. Staff are aware of the need to provide opportunities for social stimulation and interaction for people living at the home but this area could be developed further. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The main entrance of the home had various information posters and leaflets displayed. Minutes from the last Resident’s Forum meeting, held on 1st August 2007, were displayed and an events schedule for August included activities such as painting, floor games, videos, armchair exercises and a visit to Bramhall Park. Roman Catholic and Church of England communion services were regularly arranged and a special tea and sherry buffet was planned for the August Bank Holiday. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 14 The home does not have a designated activities organiser and staff said they did not always have time to undertake activities that may have been planned but tried to spend some time with residents, chatting and encouraging them to entertain themselves with word puzzles, reading and knitting. The manager said that two pupils from a local school had arranged to start working at the home for a short time each week from September, as “work experience”. Pupils had previously worked at the home under this scheme and it had proved to be successful. The manager said the young people would be asked to help residents read and write letters and would spend time undertaking one-to-one activities with people. Care plan records of social needs were available but did not always fully use all the information that the resident or their relatives had provided about what their previous interests and hobbies had been, etc., and this is an area that could be further developed. The manager had undertaken a satisfaction survey and of five people who answered the question, two had said the level of activities provided was always acceptable whilst three had said it sometimes was acceptable. People’s diverse needs also could be better thought about, for example, the majority of residents were female and staff should consider whether this had any impact or raised any particular needs for the men who were in residence. The manager should also review the home’s statement of purpose to make sure that it fully reflects the opportunities actually available to residents for social interaction and stimulation, as one resident reported being quite disappointed on admission to the home, that some of the activities stated as being available were not in reality currently provided. Residents said they were able to choose how to spend their day; one resident was spending the day in bed because they said they were “feeling lazy”. Staff were observed asking residents where they would like to sit in the lounge and had a very pleasant manner, joking and laughing with residents and engaging in conversation. Residents said that their visitors were made welcome at the home and could visit whenever they wished. Since the last inspection the manager has carried out a survey amongst residents to ask their opinions about the food provided by the home and to seek suggestions for meals the residents would like to see on the menu. The manager had also undertaken a satisfaction survey and of seven people who returned it, six rated the food as “good”, whilst one rated it as “satisfactory”. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 15 Menus were displayed in the reception area of the home and in the lounge/ dining room. On the day of the site visit the meal was sausages, steak pudding or cheese salad, although all the residents seen appeared to have chosen sausages. The meal looked and smelled appetising and residents said they enjoyed it. Staff were assisting those people who needed help discreetly and without rushing them and were responsive to residents’ needs, offering extra drinks and encouraging those residents who had poor appetites. The home is very limited in space, as it only has one communal room that has to be used both for sitting and dining. No residents sat at the dining table, although one was available in a corner of the room; all residents were served their meals on bedside tables, where they sat, so there was little opportunity for residents to enjoy their meal as part of a sociable occasion. This was discussed with the manager who has, since the site visit, rearranged the room to accommodate some residents who chose to sit together at the dining table. The manager said she would also like to try allowing the staff to eat their lunch with the residents to encourage conversation and foster the relationship between staff and residents and the “family” feel of the home. Hot drinks and home made cakes were served in the afternoon, which staff said was a regular occurrence. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. People feel that their views are listened to and acted upon. Arrangements for protecting people from abuse are satisfactory. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A copy of the complaints procedure was available in the home and the manager keeps a record of any complaints received. Residents said that the manager of the home was “round and about all the time” and all said they would be happy to speak with her if they had any concerns. The manager had undertaken a satisfaction survey and all eight people who responded said that they felt any complaints would always be dealt with properly. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 17 Since the last inspection some staff have undertaken training in safeguarding adults and the manager saw it as a priority to ensure that all staff attended the training as places became available. Staff spoken to were aware of the procedures to follow if they suspected abuse. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. Residents live in a clean and tidy home which needs redecoration and refurbishment. This judgment has been made using available evidence, including a visit to the service. EVIDENCE: A partial tour was conducted and the home was clean, tidy and free from odours. Residents said that the cleaning and laundry arrangements in the home were good. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 19 Firbank Private Nursing Home is not a result, there are areas within the home space is limited in the home, especially used and, as a result, bathrooms double they are not in use. purpose built care home and, as a that are cramped. This means that when equipment such as hoists are as storage areas for the hoists when It was reported that the owner was sent details of any minor maintenance jobs each week and he arranged for these jobs to be completed. A maintenance person comes routinely every Friday to check the building and equipment in respect of health and safety matters. A lovely garden at the back of the house provided an enclosed and private area for residents to sit outside with a patio area, tables, chairs and benches overlooking a well kept lawn and pond. Since the last inspection one of the double rooms on the ground floor has been changed to a single room. The home still has three double rooms as an additional double room has been created on the first floor instead. All bedrooms seen were clean and tidy and had been personalised with residents’ own photographs, ornaments and small items of furniture. Many do need redecoration and the manager said as rooms became vacant she was trying to refurbish them. Prior to the site visit, comments cards were sent to residents and relatives. One relative who responded commented that the home was “ always clean and comfortable”. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Recruitment vetting practices, staffing levels, training and skill mix were appropriate to meet residents’ needs and promote their health and safety. This judgment has been made using available evidence, including a visit to the service. EVIDENCE: Staff and residents generally agreed that staffing levels within the home were usually satisfactory, although staff did say that they found it difficult at times to spend time with the residents fulfilling the social care function of their role. Staff duty rotas indicated that staffing levels were satisfactory, in the main. Examination of two staff files showed that staff had been recruited via a robust procedure that ensured that all the information and documents required to confirm their suitability was available. Records showed that some staff had received training in moving and handling, COSHH, optical care and the management of medicines since January 2007, although some staff had not attended any training for the year to date. The manager reported that she was hoping to install an IT system that would record all staff training and flag up when refresher training was due. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 21 NVQ training was well established in the home, over 50 of the staff had the level 2 qualification. A number of staff also had NVQ level 3. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The manager has the skills and knowledge to properly manage the home and systems in place create an open and consultative atmosphere, promoting active involvement from staff and people living at the home to build a positive home for people to live in. This judgement has been made using available evidence, including a visit to this service. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager is registered with the CSCI and has completed the Registered Manager’s Award. Further evidence was also available that the manager attends training to maintain her knowledge and skills. Residents were very positive about the manager and felt she did a good job. Comments included “she is really good – she knows what I like and what I don’t like – she’s a goodun”, “She’s one of the best” and “The manager is around the home all the time and is very good”. Staff felt they were well supported by the manager and said that the staff team worked well together and there was a good morale in the home. Staff said that they held meetings, usually on an adhoc basis, and the owner had attended one. A residents’ forum has been in operation for the last four years and last held a meeting on 1st August 2007, with another planned for October 2007. Minutes of the meeting were displayed in the reception area and a representative from Age Concern had been invited to attend to give residents information about Powers of Attorney. The manager undertakes her own audits to ensure that staff are following the home’s policies and procedures and to identify any areas for improvement. Resident satisfaction surveys are also conducted every year in which residents are asked to give their opinion about the cleanliness of the home, the food, the attitude of staff, the care they receive and how complaints are dealt with. Feedback from the last survey had been mainly very positive. Relatives usually help residents with their finances and leave small sums of money in safekeeping at the home for sundry expenses. Records and receipts are kept of all transactions. Theses were not examined at this site visit. The manager said she had audited them about two weeks previously and found them to be satisfactory. Routine checks are made weekly or monthly in relation to health and safety aspects of the building and equipment. In information provided by the manager prior to the site visit, she confirmed that all equipment and fire prevention and detection systems had been regularly serviced and maintained. Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The registered person should ensure that staff further consider the information obtained from residents about their social interests and history and take into account people’s diverse needs to develop with them a meaningful plan to meet their social care needs. The registered person should ensure that all staff attend one of the ‘Alerter’ training courses provided by Stockport Social Services. The registered person should ensure that internal redecoration and refurbishment continue to be undertaken. 2 3 OP18 OP19 Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road, Old Trafford 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 © 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 Firbank Private Nursing Home DS0000017294.V346870.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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