Inspection on 14/08/07 for Frenchay Park Nursing Home

This inspection was carried out on 14th 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

Frenchay Park Nursing Home 24/02/09

Frenchay Park Nursing Home 13/06/08

Frenchay Park Nursing Home 27/02/07

Frenchay Park Nursing Home 13/07/06

Frenchay Park Nursing Home 10/02/06

Frenchay Park Nursing Home 10/06/05

Frenchay Park Nursing Home 03/11/04

Frenchay Park Nursing Home 11/05/04

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

CARE HOMES FOR OLDER PEOPLE Frenchay Park Nursing Home 140 Frenchay Park Road Frenchay Bristol BS16 1HB Lead Inspector Savio Toson Key Unannounced Inspection 14th August 2007 09:00 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 Frenchay Park Nursing Home DS0000034485.V348507.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. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Frenchay Park Nursing Home Address 140 Frenchay Park Road Frenchay Bristol BS16 1HB 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) 0117 9659957 0117 9659957 Ms June Marilyn Phillips Mr Gordon Norman Brooking, Mr Derek Marsh The current manager is not yet registered. Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing notice dated 25/02/2002 applies. Manager must be a RN on parts 1 or 12 of the NMC register Date of last inspection 27th February 2007 Brief Description of the Service: Frenchay Park is registered as a Care Home to take up to 30 residents requiring nursing care. The Home is on the edge of Bristol near to the ring road and motorway junction. It is a short journey away from the high street in the Fishponds district, which is the main shopping area. The home is 4 miles away from the centre of Bristol and can be accessed by car or bus as it is on a main bus route. The home is a converted older property with single and shared bedrooms on two floors. There are two lounges and a separate dining room. There is a passenger lift providing access to all service user areas. All parts of the home are accessible to wheelchair users. The cost per week to live at Frenchay Park Nursing Home will cost from £488 to £510. This weekly fee does not include provision for things such as hairdressing, chiropody, dental, ophthalmic, or audiology services. Prospective residents can get information about the home by looking at the Service Users Guide kept in the main entrance, which gives details of the services and facilities available at the home. The entrance table also has a copy of the most recent inspection. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over 5.5 hours and was completed in one day. I worked with evidence from a whole range of different sources, including: • Information provided by the manager in the pre-inspection questionnaire • Information taken from resident survey forms • Information from the resident’s relatives who filled out a survey form. • Information from professionals who visit the home • Speaking with residents • Speaking to a visitor • Case tracking a number of residents • Speaking with care staff • Walking round the home • Examination of some of the homes records • Observation of staff practices and how they work with the residents. The overall analysis is that the home is an adequate place for people who use the service. I also recognise the management’s commitment and saw a number of improvements, which left me feeling that the home was going in the right direction. What the service does well: What has improved since the last inspection? Residents are now more likely to receive person centred care because the care plans have been re written to give clearer instructions on how the staff should give residents individualised care. Residents can now use furniture which is new and in good condition. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 6 Residents know that they can talk to the manager about any concerns they may have. Residents know that their relatives are encouraged to be involved and be kept informed as to how the home is run. Residents now receive care from staff employed to work in the home and less care from agency staff who did not know their individual needs so well. 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. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 1,3,4,6.Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Potential service users and their representatives may find it difficult to understand information about the home because the statement of purpose and service user guide documents would be difficult to read. Potential service users can enter the home knowing their needs can be met because the home’s staff have the skills to meet their needs. And the service contacts specialist services to help them when it’s needed to give residents the correct up to date care. EVIDENCE: Potential residents and their relatives may find the statement of purpose and service user guide difficult to use. These documents had been photocopied from an original written in green and small writing. Also some of the information like the name of the manager was out of date. And the experience Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 9 and qualifications of the owner, manager and the staff needed to be added to the service user guide. Potential service user’s care needs are assessed prior to them moving into the home. The care records contained the assessment from the referring agency, the home’s pre admission assessment and the initial assessment. The records which were viewed had been completed, dated and signed. Resident’s can enter the home knowing their needs can be met because the home’s staff have the skills to meet their needs. For instance the wound dressing book contained photographic evidence that wounds, pressure ulcers were healing. Also the manger was able to list the specialist services that he accessed to help meet the resident’s needs. Potential residents from ethnic minority backgrounds can expect their individual needs to be considered by a manager who is aware of issues relating to ethnicity and diversity. The home has a significant amount of staff from different cultures and backgrounds. Some of them are eastern European or African Caribbean background. The manager needs to clarify whether the three block beds contracted to Social Services are “interim” beds or is the home providing intermediate care as set out in standard 6 of the national minimum standards for older persons. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): We considered standards 7, 8,9,10,11. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The majority of residents are satisfied with care but not every resident gets treated as an individual in this home. There is still some institutionalised thinking by some staff working in this home. Residents can expect their medicines to be safely administered to them. Resident are involved in planning their end of life care knowing their requests will be meet. EVIDENCE: Residents should receive individualised care from staff using updated care plans which take into consideration their physical social and spiritual needs. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 11 However a few residents said in their written surveys and to me, that they had things “done to them” rather than “for them”. One relative said ”sometimes when agency staff are on, things run a bit differently” also “sometimes agency staff are not always aware of my relatives needs”. Another said “ residents can’t do what they want, as its planned by staff”. Some of this experience expressed by the resident’s was due to the use of agency staff who did not know the resident’s individual needs. The use of agency staff is being resolved because fewer are being used. Those agency staff being used know the home and the home has recruitment more permanent staff. The majority of residents said the service was good. One resident said to me “We are lucky to be in such a nice clean place” and another said “I’m quite satisfied, its quite good here”. Another survey filled by a relative said” the resident staff are excellent in their care”. However another resident said “it’s a poor service for the money I am paying. Sometimes I don’t get my tea.” Residents would benefit from staff who focus on person centred care. I found too many residents(5) in their nightwear after 11am, too many square blankets on resident’s knees and nearly every easy chair had an overbed table in front of it. One resident said “ I don’t want to be in my nightie but they have not got round to dressing me and I can’t help myself”. The manager assured me that my observations were due to the staff’s working practices rather than staff shortages. I was also concerned to find a resident in her nightie without even having her hair combed and being told “I didn’t get her up”. This was unacceptable if a resident needs their hair combed, it should be done. Another lady was wearing a flimsy nightie and sat on her dressing gown rather than an appropriate chair covering. I was also concerned to find some residents without drinks, or cold drinks or drinks out of their reach. And the practice of using commodes as an extra shelf for towels and clothing has to stop because of the risk of cross infection. Some of these practices which I observed, are institutionalised in their nature and reflect that some of the staff are failing to put the resident central in everything they do. Residents live in a home where the staff follow safe medicine procedures. The medicine ordering and disposal of medicine books; also the medicine administration sheets were being filled in correctly. As was the controlled drugs book and a spot check of the controlled medicines showed the stock balance to be correct. The majority of residents said their privacy and dignity is respected by staff. Some described how they were given a choice of meals, others said they were treated well by staff. Two residents told me how they have to accept to wait their turn. This meant they felt they were at the end of a queue because their food was cold or they were still waiting for a bath at 11am. Residents and their families can expect to have their end of life care to be provided by the home. The care plans showed that end of life care had been given serious consideration and detailed information had been recorded. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 12 Frenchay Park Nursing Home DS0000034485.V348507.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): We considered standards 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a range of recreational activities and interests. Residents are supported in keeping contact with their relatives and their community. Residents enjoy wholesome nutritional meals. EVIDENCE: Residents are offered a range of social and recreational activities. The residents become involved in planned activities prepared by the recently recruited activities organiser who has a good understanding of the range of activities to offer residents. Activities are in groups or an individual basis. The activities timetable contained activities which took into consideration a range of interests and abilities. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 14 Residents are entertained by visiting musicians and performers who have regular bookings with the home. Residents go on a range of trips out which are organised by the home and the staff take into consideration the interests and abilities of the residents going on the trips. Resident’s visitors and relatives are encouraged to participate in the running of the home. Relatives and resident’s meetings are held regularly at different times to try and make them accessible to all. Future dates of meetings are on display in the entrance hall as are the minutes of the last meeting. Relatives in the written survey said ”the notice board provides all the details necessary and is kept up to date on a regular basis.” Another said ” we are kept informed with all my father’s care needs”. 13 residents or relatives on their behalf, said the felt they could exercise full choice about the decisions they make on a daily basis. As one resident said “ I make decisions about my food and bathtimes”. However 4 surveys said that they only sometimes felt they could choose how to live their daily routines and one said “I need more say about what goes on in the home”. During this key inspection I also spoke to 3 residents who felt they were not making the choices they wanted. For example, two residents in their nightwear wanted to be dressed. Residents can choose to remain in their rooms or go into the lounge. Residents can also choose their meals from a menu offering two main meals at lunchtime. Residents should now be getting meals prepared by a cook employed to work in the home rather than the temporary cooks who were working in the home. The menus offered residents a choice of meals each day. Residents should have a varied nutritional diet based upon the range of vegetable offered at meal times. Residents views varied, some thought the meals were good whilst others found the meals acceptable but I did not get any negative views about the food. Residents said “the food is beautifully cooked” or “the food was alright”. Frenchay Park Nursing Home DS0000034485.V348507.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): We looked at the following standards 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know they can talk to the manager if they are unhappy and most know about the complaints procedure. Residents live in a home where there are policies and staff trained to protect them for abuse. EVIDENCE: Residents knew who to speak to if they were not happy. As one resident said” I always speak to the manager if I’m not happy”. Another said the “family is aware of the complaints procedure”. A few were not aware of the formal complaint procedure but there were copies of the procedure available to people in the home. The complaints procedure was now out of date and would benefit from being re written and the CSCI address changed. However since the new manager took over there have been no complaints in the home. Residents are protected from potential abuse by a home where the staff receive training on the protection of vulnerable adults and there are policies for Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 16 staff to read. The manger was able to show his understanding of protecting vulnerable people. The whistle blowing policy is also on display in the entrance hall and contains a telephone number for anyone to use. Frenchay Park Nursing Home DS0000034485.V348507.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): We looked at standards 19,21,22,24,25,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well maintained environment. Residents who need manual handling will benefit from the arrival of two new lifting hoists. Residents could have more homely bedrooms if commodes stopped being a central feature in the room and not used for storage. EVIDENCE: Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 18 Residents live in a well maintained environment. The maintenance person visits the home 3 times a week and procedures are in place for staff to following if anything urgent is needed to be done. This inspection confirmed the fabric of the building as satisfactory. Residents use clean and well maintained toilets and bathrooms. The bathrooms and toilets which were viewed during the inspection contained the necessary equipment and furnishings. Residents will benefit from the delivery of new lifting hoists and staff trained on how to use them, on the day of inspection. Residents live in bedrooms which lack a homely atmosphere due to commodes being kept in their rooms and used as shelving for the storage of towels and clothes. Incontinence products were left lying around, sometimes on commodes, some were seen on furniture or on the floor. Residents live in a home where the staff receive training in infection control. The manager showed me his copy of the latest department of health guidance on infection control. However the practice of putting clean towels and clothes on commodes show a lack of understanding in a team unable to move away from this out of date practice. Frenchay Park Nursing Home DS0000034485.V348507.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): We considered standards 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. Residents live in a home where the manager distributes staff to meet the resident’s care needs. Residents receive care from a significant number of staff who are trained and receive planned training updates. EVIDENCE: Residents live in a home where the manager is aware of the need to deploy staff to meet the needs of residents. The manager explained how he is trying to recruit staff to cover times of high workload. The home has recently recruited a deputy manager, an activities organiser, a trained nurse and a cook. The staff team is also a mix from different ethnic backgrounds which could help potential service used from an ethnic minority to decide if the home is suitable for them. Residents now get cared for by fewer agency staff, who are also known to the home. The information sent in by the manager, to us, says that only 4 shifts were covered by agency staff in the last three months. On the day of inspection the home was using an agency nurse along with 6 permanent care Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 20 staff. More than 50 of the staff have their national vocational training qualification. Residents receive care from staff who have been through a comprehensive recruitment procedure. The staff records showed evidence that application forms were received, references and criminal checks followed up and returned to the home. Residents receive care from a team which receives regular training. The records showed staff had a attended a number of courses from an external trainer. Training included infection control and protection of vulnerable adults. Frenchay Park Nursing Home DS0000034485.V348507.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): We looked at standards 31,32,33,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home where the manager is working towards planned improvements for the service. Residents live in a home where their views are regularly checked by the manager. Good accounting methods are adopted and policies and procedures are followed correctly when handling residents’ personal money.(from previous inspection) Residents live in a home where the equipment is checked and health and safety audits carried out. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 22 EVIDENCE: Residents are in a home where the manager has been recently recruited and is applying to us to become the registered manager of the home. The application is with us and is being processed. The manager is aware of the need to improve the service provided by the home. The manager was able to explain the lines of accountability and the planned improvements and service developments. This included the recruitment of a deputy manager, introduction of new care plans and planned training sessions for staff. The manager is also aware of the need to consider the six strands of equality and diversity. The manager was able to discuss issues of ethnicity, religion and gender. For instance shared rooms being used by either two women or two men. The manager is trying to develop a staff team from different ethnic backgrounds so that potential service users from ethnic minority backgrounds would recognise and be comfortable with the staff. Residents have their views regularly checked by the manger who visits them every day he is on duty. And residents said “ I speak with the manager”. The manager and deputy manager are very helpful”. However the manager now need to develop an annual development plan for the home for planning to collect the views of residents, take action and review the aims and outcomes for service users. The policy and procedure for holding residents personal money was examined and three individual accounts were looked at. It was evident that good accounting methods are adopted which account for all transactions documented and receipts for sundries were available to see.(from previous inspection) Residents receive care from staff who are regularly supervised. The manger showed the supervision timetable and the notes from a few actual supervision sessions. Residents receive care from staff who have access to a range of polices and procedures. I viewed some of the policies and procedures held in a large folder in the office. Residents live in a home where the environment has safety checks carried out and all the utilities serviced and up to date. The manger showed the generic health and safety checks being carried out in the home and the last service dates of the equipment used in the home. Frenchay Park Nursing Home DS0000034485.V348507.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 2 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 3 X 2 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 3 3 3 Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 24 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 OP1 Regulation 4 (1)(c) Requirement Timescale for action 15/11/07 2 OP26 13 (3) 3 OP10 OP8 12(3) The service must provide a statement of purpose that is easy to read and contains information on the staff’s experiences and training. The registered person shall make 31/08/07 suitable arrangements to prevent the spread of infection by stopping staff using commodes as shelves for towels and clothes. The registered person shall 31/08/07 ensure the proper provision of the care, health and welfare of the residents by ensuring staff give residents person centred care. 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 OP6 Good Practice Recommendations The manager should clarify whether the “interim” care he DS0000034485.V348507.R01.S.doc Version 5.2 Page 25 Frenchay Park Nursing Home 2 OP14 3 4 OP16 OP33 is providing is actually an intermediate beds situation. The registered persons needs to demonstrate how they will monitor the delivery of care to ensure all the residents can exercise choice and receive services planned to meet their individual needs The complaints procedure needs to be reviewed to so that it contains the right information. The manager needs to make an annual development plan for the home, based on a systematic cycle of planning – action – review, reflecting aims and outcomes for service users. Frenchay Park Nursing Home DS0000034485.V348507.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Frenchay Park Nursing Home DS0000034485.V348507.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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