Inspection on 07/06/05 for Gorton Parks Nursing Home

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Gorton Parks Nursing Home 21/04/08

Gorton Parks Nursing Home 18/12/07

Gorton Parks Nursing Home 03/10/07

Gorton Parks Nursing Home 20/06/06

Gorton Parks Nursing Home 02/03/06

Gorton Parks Nursing Home 11/11/04

Gorton Parks Nursing Home 01/06/04

Gorton Parks Nursing Home 23/02/04

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

CARE HOMES FOR OLDER PEOPLE Gorton Parks Nursing Home 121 Taylor Street Gorton Manchester M18 8DF Lead Inspector Geraldine Blow Unannounced 07 June 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Gorton Parks Nursing Home Address 121 Taylor Street Gorton Manchester M18 8DF 0161 220 9243 0161 230 7439 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) BUPA Care Homes (CFH Care) Limited Responsible Individual - Ms Sue McLean Margaret Reeves CH Care home N Care home with nursing 150 Category(ies) of Old age, not falling within any other category registration, with number (OP) (88) of places Dementia (DE) (60) Physical disability (PD) (2) Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The number of persons requiring nursing care at any one time shall not exceed 90 patients of either sex aged 60 years or over, with the exception of two named service users requiring care by reason of physical disability. This accommodation is in Sunny Brow, Debdale and Abbey Hey Houses. 2 A maximum of 60 places in Delamere House and Melland House are registered for older people with dementia who require personal care only. 3 Registration is subject to compliance with the minimum nursing staffing levels indicated in the Notice dated 9 October 2000 served in accordance with Section 25(3) of the Registered Homes Act 1984. Date of last inspection 10 November 2004 Brief Description of the Service: Gorton Parks Nursing Home is owned by BUPA Care Homes. The home is a purpose built building. It consists of 5, 30 bedded units. At present the home provides accommodation for up to 90 residents assesed as requiring nursing care and 60 residents with dementia assessed as requiring personal care. However, at the time of writing this report one of the nursing units has been closed and the home has applied to the Commisson for Social Care Inspection to register it as a unit for residents with dementia assessed as requiring nursing care. Each unit is a single storey building with a lounge, dining area, a conservatory, a smoke room and a kitchenette. All 150 bedrooms are single and all rooms provide a wash hand basin and a mrror. There are no en-suite facililties available. Accessible toilets and bathrooms, with aids and adaptations for those resident who are wheelchair bound or with poor mobility are located near to bedroom an living rooms. The home is located in the residential area of West Gorton in the North of the city centre of Manchester. Local amenities, including a market, banks and shops are all within easy walking distance. Public transport is accessible. There are ample parking facilities at the front of the building. An administration building houses the main kitchen, hairdressers, laundry and offices. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, conducted by 2 inspectors and took place over the course of 7 ½ hours on Tuesday 7 June 2005. During the course of the inspection time was spent talking to the registered manager, residents and several members of staff to find out their views of the home. Time was spent examining records, documents, residents and staff files. A tour of the building was also conducted. The majority of requirements from the previous inspection had been addressed and there was evidence that this home was working hard to develop the service. During this inspection only a selection of the key National Minimum Standards were assessed therefore in order to gain the full picture of how the home meets the needs of residents this report should be read with the previous and any future reports. What the service does well: Prospective residents have a pre admission assessment to ensure that the home can meet their needs. The home was nicely decorated and furnished. Each unit is set out in the same way but is individually decorated. Each unit consisted of a lounge, dining area, a conservatory, a smoking area and a kitchenette. One resident spoken to said, “I like my bright and airy bedroom”. The home has large well maintained garden areas and a small sensory garden at the centre of the home. The manager wants to extend the sensory garden because it is so popular with residents and visitors. The home appeared to treat residents with respect and dignity. One resident spoken to said that staff knock on doors before coming into the room. Another resident said that her visitors were able to come and visit her whenever they wanted. Several residents who live at the home said that the home was nice and one resident said, “the staff show you respect”, another resident said, “staff knock on the door before coming into the room”. One resident said, “you can see a GP whenever you want”. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 6 During the inspection, it was obvious that the manager was very visible and approachable. The manager was friendly and spoke to residents and visitors as she walked past. Staff spoken to said the manager was very supportive and always tried to sort out any problems that the residents or staff had. Meals served were nutritious, well balanced and residents have a choice of meals. Comments from residents was positive and included comments like “you can have a tea or coffee whenever you want” and “the food is really nice”. During the inspection, the inspector spoke to a couple who were visiting the home hoping to find accommodation for their relative. They said that the member of staff on reception was very helpful and gave them all the information they needed. The home employed an activity organiser who arranged group activities and individual activities for the residents. What has improved since the last inspection? What they could do better: The home had the required numbers of staff but one member of staff said it would be nice if there were more staff so that time could be spent sat talking to residents or more time could be spent talking to the visitors and relatives. The home must continue to improve the plans of care for each resident to make sure that all their care needs are met. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 7 All medication for residents must be signed for when it is received by the home. Eye drops for individual residents must have a label attached by the pharmacy. In addition the home must make sure that the G.P. gives specific instructions for the administration of medication. 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. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 6 Residents are only admitted to the home after a full assessment of needs has been undertaken. This ensures that residents’ care needs can be met. . EVIDENCE: A pre-assessment form was in use, to ensure prospective residents are only admitted on the basis of a full assessment. The assessment included the involvement of the prospective resident, his/her representatives and any relevant professionals. The registered manager and/or the person in charge of the individual units undertook the pre-admission assessment. For those residents with dementia the Behavioural Assessment Scale of Later Life (BASSOLL) was undertaken. For residents who are referred through Care Management arrangements the home obtains a summary of the Care Management Assessment prior to admission. On admission the residents have a further assessment period during which time the home formulates its own care plan. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, & 10 The home had continued to make progress in improving the care planning process to ensure it could meet residents’ needs. However some areas of health and personal care needs required improvements. The systems and procedures for dealing with medicines needed some improvements to protect residents. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 11 EVIDENCE: The home had a policy on care planning which was kept on each unit for all staff to access. It was commendable that the home had continued to make improvements to the care planning process. However further work was required to ensure that all the assessed needs of residents are met. The manger conducted care plan audits on a regular basis in an effort to ensure the required standard is met. It was recommended that each individual file contain an up to date photograph of the residents for easy identification. Each resident had an Individual Plan of Care, which had been generated from a needs assessment. They were found to be reviewed on a monthly basis however, not all of the plans of care had been updated to reflect the changing needs of the resident identified in the monthly review. It was also noted that reviewed and rewritten care plan, for one resident, had not been dated. Each file contained a daily progress report, which cross-referenced to each identified problem. The manager reported that BUPA had set up a working party on the care planning process and subsequent documentation. The residents care plan included appropriate risk assessments and regular review dates were in place. It was noted that if a service user had been risk assessed as requiring bed rails, consent had been obtained for their use. All bed rails in situ were seen to have protective bumpers. It was encouraging to note that the maintenance person carried out a monthly service check on all bed rails. Where appropriate the resident/representative had been involved in the development of the care plans. Each resident was registered with a General Practitioner and evidence was seen of referral to other specialised services according to residents assessed needs for example District Nurses, Tissue Viability Nurse, Dentist, Dietician and Chiropodists. In the main the personal and oral hygiene of residents had been assessed. However in one instance where the resident was fed via a gastrostomy this assessment had not been completed. In addition the same resident had 2 fluid balance charts for the same day that had been completed by 2 separate members of staff, which documented differing amounts of fluids that had been given. Therefore it was impossible to determine if the resident had received the required amount of fluids over the 24-hour period. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 12 The 2 requirements from the last inspection in relation to wound care planning had been met. The plans of care were found to be detailed with wound measurements and photographs in place. Consent had been obtained to take the photograph. Equipment necessary for the promotion of tissue viability and the prevention or treatment of pressure sores was viewed during the inspection. The home had a comprehensive medication policy. The medication policy indicated that verbal orders should not be accepted by the home unless supported by a fax, a homely remedy policy and a self-medication policy. This included an assessment of the service users’ capabilities prior to selfmedication commencing. The NOMAD medication system was in operation. Medication was stored securely in the treatment room, which was kept locked when not in use. The medication trolley was kept locked and secured to the wall in the treatment room when not in use. When staff administer medications the trolley would be taken to the resident and the medication given. The drug fridge was situated within the treatment room and daily temperature recordings were seen. It was noted eye drops that had been dispensed in 2 containers had a label on the outer container only and staff had hand written the details on a sticky label and attached it to the inner container. In the case of multiple containers, each container should be labelled. For medications which have an inner container and an outer box the label should be applied to the item instead of, or as well as the outer container. Records were seen in relation to medicines being returned to the dispensing chemist and these were signed for by the person collecting them. It was confirmed during the inspection that the dispensing chemist had a certificate for the waste disposal of medication for nursing homes. The requirement from the last inspection that the nursing staff must ensure that they sign for the receipt of all medications received into the home had not been met. Staff had made clinical judgements in some instances with regard to medication, as evidenced by the hand written administration times on the Medication Administration Record (MAR) sheets. For example the General Practioner had prescribed cream “to be applied when required” and the staff had hand written the administration time of 10pm. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 13 The manager must have up to date records of all medication prescribed for residents. The manger stated that she would, in the future, keep a copy of the General Practioner’s prescription forms to enable nursing/care staff to check them against the items ordered before they are submitted to the dispensing chemist. The medication file was found to contain photographs of the residents to aid identification at the time of medicine administration. The home appeared to treat residents with respect and dignity. One resident spoken to said that staff knock on doors before coming into the room. Another resident said that her visitors were able to come and visit her whenever they wanted. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 15 The home provided a good environment for the residents who live there with some activities available. Residents were able to maintain contact with family and friends and were able to exercise choice and control over their lives Meals served at the home were nutritious, well balanced and offered a healthy and varied diet for residents. EVIDENCE: Evidence of activities, including a VE Day celebration in the form of photographs were seen during the inspection. On the day of inspection a number of residents were seen enjoying a game of bingo. The home employed a full time activity organiser and a vacant post of part time activity organiser had been advertised. Group activities and individual activities had been organised for residents. A summer fete had been arranged for 9 July 2005. The activity organiser kept a record of all activities. The home had an open visiting policy and visitors could be seen in the privacy of residents own room or in any of the communal areas. Residents spoken to confirmed this. The menus had been developed on a 4 weekly basis taking into account residents likes and dislikes. The menus appeared to offer a varied, wholesome and nutritious diet. A choice of alternative meals was available. Staff Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 15 consulted residents on a daily basis for their preferred meals for the next day. Positive comments were made by the residents spoken to in relation to the quality, quality and choice of meals served. The home provided dining areas on each unit or residents could have their meals in the privacy of their own rooms if they so wished. A large supply of food stock, including fresh fruit and vegetable, was viewed during the inspection. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were assessed at this inspection. EVIDENCE: Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 The premises are safe and the homes environment including the standard of hygiene was well maintained both internally and externally. EVIDENCE: The home felt comfortable and homely. All areas of the home were tastefully decorated and furniture was of a domestic nature and of a high standard. The home had a programme of routine maintenance and renewal of the fabric and decoration. Redecoration and refurbishment of some areas of the home had taken place since the last inspection. The home provides large, attractive, well maintained grounds with a variety of garden areas which are accessible to those residents who are wheelchair bound. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 18 The home was divided into 5 separate houses, each house accommodated 30 residents and the home had an administration building. At the time of inspection 1 bungalow had been closed. Therefore accommodation was provided over 4 bungalows, 2 housing 30 service users with dementia who require personal care only and 2 bungalows housing 30 service users requiring nursing care. Each accommodation building was set out in the same way but was individually decorated. Each unit consisted of a lounge, dining area, a conservatory, a smoking area and a kitchenette. Since the last inspection a door had been fitted that screened off smoking area and included an extractor fan, for the added comfort of the none smoking service users. The Commission for Social Care Inspection has received an application to vary the homes conditions of registration. It is proposed that the closed house be re-registered to provide accommodation for residents with dementia and assessed as requiring nursing care. The application is currently being processed. A tour of the unit was conducted during the inspection. Laundry facilities were sited in the administration building and the layout allowed for the separation of clean and dirty linen. The laundry provided 3 washing machines, 2 dryers, a steam iron and rotary irons. Sluicing facilities were provided on the washing machines. Each unit’s laundry was washed separately and the laundry staff went to the units to personally hang the clothes in each service users wardrobe to try and minimise any mix up with clothing. Policies were in place for the control of infection. Appropriate facilities were in place for the disposal of clinical waste. It was encouraging to note that the domestic’s trolleys had a locked compartment to ensure that residents could not get access to the cleaning material. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 The numbers and skill mix of staff appeared to be sufficient to meet the needs of the residents. The homes recruitment policies and procedures promoted the safety and wellbeing of the residents. EVIDENCE: The numbers and skill mix of the staff, at the time of inspection appeared to be sufficient to meet the needs of the number of residents accommodated. The staffing rota included staff names, a key to identify which staff were on duty during the day and night and in what capacity. A sample of staff files inspected contained all the information and documents listed in Schedule 2 of the Care Home Regulations 2001. Evidence was seen of Criminal Record Bureau (CRB), Protection of Vulnerable Adult (POVA) and Personal Identification Number (PIN) checks. Each member of staff had an individual training and development programme, which also included certificates of achievement. This was confirmed with staff spoken to. However, on inspection, not all of the staff had attended the mandatory training and some of the training programmes required updating. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 38 The home has a quality monitoring system in place, which includes obtaining views of residents and their relatives. The home was seen to promote the health, safety and welfare of the residents and staff. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 21 EVIDENCE: To monitor quality within the home BUPA sent out questionnaires to residents and relatives to seek their views and opinions on the service delivered. An independent company had collated the questionnaires and generated an independent report “Care Home Resident Satisfaction Survey 2005”. The report was very encouraging and the home overall had scored 69 , which in the report rated them as “excellent/very good”. The responsible individual completed a monthly report, in line with Regulation 26, that was provided to CSCI and a copy had been retained for inspection at the home. Evidence was seen that the manager ensures the health, safety and welfare of the residents and staff are protected at all times Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x x x x 3 Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 Requirement Timescale for action 1/8/05 2. 8 12 3. 8 17 Schedule 3&4 4. 9 13 The individual plan of care must set out in detail the action staff must take to ensure that all aspects of residents health, personal and social care needs are met. Care staff must assess and 1/8/05 maintain the personal and oral hygiene of each resident and wherever possible, maintain and support the residents own capacity for self-care. The manager must ensure that 1/8/05 accurate and updated records of fluids/food intake are reocrded to ensure that adequate hydration and nutrition is maintained. 1. Medications dispensed in 2 1/8/05 containers must be labelled on the inner and/or both containers. 2. The nursing staff must ensure that they sign for the receipt of all medication received into the home. 3. Medication must be administered to residents in strict accordance with the prescribers directions. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 24 5. 30 18 Each member of staff must have an up to date individual training and development programme. 1/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 7 Good Practice Recommendations It is recommonded that the residents individual file contain an up to date photograph for easy identification. It is recommonded that when care plans are re-written they are dated. Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 9th Floor, Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Gorton Parks Nursing Home F55 F05 s21678 Gorton Parks V231639 D070605 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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