Inspection on 05/04/06 for Greetwell House Nursing Home

This inspection was carried out on 5th April 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Greetwell House Nursing Home 04/02/10

Greetwell House Nursing Home 26/08/09

Greetwell House Nursing Home 04/09/08

Greetwell House Nursing Home 05/09/07

Greetwell House Nursing Home 07/11/06

Greetwell House Nursing Home 16/01/06

Greetwell House Nursing Home 13/10/05

Greetwell House Nursing Home 09/03/05

Greetwell House Nursing Home 13/05/04

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

CARE HOMES FOR OLDER PEOPLE Greetwell House Nursing Home 70 Greetwell Close Lincoln Lincs LN2 4BA Lead Inspector Jill Clifton Unannounced Inspection 5th April 2006 09:15 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 Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 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. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Greetwell House Nursing Home Address 70 Greetwell Close Lincoln Lincs LN2 4BA 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) 01522 521830 Dr Sharaf Abd El Monem Salem Mrs Patricia Wilson Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (1) of places Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service user in the category of PD is on a named basis and is aged 62 years and over. 16th January 2006 Date of last inspection Brief Description of the Service: Greetwell House Nursing Home is a privately run, twenty-five bedded, Gothicstyle property situated in a quiet residential area in the centre of Lincoln, opposite Lincoln County Hospital. There is a regular bus service into the city and a shopping centre within half a mile. The Home is a two-storey, Victorian building, which has been adapted and extended to provide personal and nursing care for up to twenty-five people of both sexes over the age of 65 years. The home is currently accommodating one resident over the age of 60 years with a physical disability. The residents are accommodated in sixteen single rooms, of which are ensuite and six shared rooms, of which are ensuite. Two staircases and a passenger lift give access to the upper floor. Communally, there are three bathrooms, a shower room and three toilets. There is a small garden to the side of the property and a limited car parking area to the side and rear of the property. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a 6 hour period with the assistance of the registered manager. The fire officer was also undertaking an unannounced inspection following a referral from the inspector. The main method of inspection used was called ‘case tracking’ which involved selecting 3 service users and tracking the care that they received through the checking of their records, discussions with them, the care staff and observation of care practices. The inspection also included a tour of the building, speaking to 6 service users and 3 staff members. What the service does well: What has improved since the last inspection? What they could do better: There are a number of requirements made in this report and a significant number, which remain unaddressed from the last inspection and in some cases previous to that. Issues identified include lack of instruction for staff to carry out identified care, lack of social assessments to ensure there are appropriate opportunities for social stimulation, shortfalls in knowledge and procedures associated with safeguarding vulnerable adults, lack health and safety risk assessments including fire risk assessment, maintenance issues such as the Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 6 bathroom floor being in need of repair and compromising service users ability to see from the lounge window due to damaged window seals. Staff records do not meet the standard, which supports safe recruitment of staff, and staff have not received supervision training to support their development and identification of individual training needs. 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. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 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 Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Shortfalls in recording of pre assessment information mean that service users needs may not be identified and therefore are able to be met by staff. Intermediate care is not provided by this home . EVIDENCE: Two newly admitted service users care notes were checked as part of case tracking and there was no written pre assessment of needs. The third service user who was case tracked had a pre assessment record but this was not signed or dated. The manager said that individual needs had been assessed but not recorded. The manager has a newly developed pre assessment format that she will use for future admissions. There was no written confirmation to the service users seen on file confirming that the home can meet the individual service users needs. The manager has a draft letter, which will be sent out for future admissions. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 7,8,9 and 10 Shortfalls in care plan instructions and risk assessments could place service users at risk. Medication was administered and stored satisfactorily which helps keep service users safe EVIDENCE: Care plans did not give adequate details and instruction for staff to carry out individual care. The care plans of three service users were checked as part of case tracking. The admission details did not identify which staff member had completed this. Social history was very brief. Moving and handling assessments were not detailed and had not been reviewed. Waterlow scores which determine a persons risk to pressure sores have been completed and recorded monthly; however all three service users had a score which was of ‘high risk’ but there was no recorded evidence of how this risk was managed, the care plan action stated that staff should observe skin for redness or a break which is poor pressure care management. Advice should be sought from the tissue viability nurse to aid assessment following risk assessment. Care plans did not show that service users had been involved in the planning process or review, although a new format was being introduced whereby Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 10 service users were being asked if they would like to take part in their review. A service user spoken to was unaware that there was a care plan in place, staff had not spoken to her about this. Where bedrails had been placed on service users beds there was no risk assessment to support this decision. A care plan for a service user who has memory impairment did not detail how staff would provide assistance. One care plan for a service user with complex nursing needs had no supporting documentation to demonstrate that this care had been reviewed. Some specific medical needs had been identified in the plan of care but there are shortfalls in assessing and planning for general health needs relating to chiropody, eye testing and dentistry. A visiting outreach nurse said that staff are co operative and communicated if there are any problems related to the care of a service user, the only times when communication was not clear was when agency staff had been employed. It was unclear from care plans, which service users were in the category of receiving only personal care rather than nursing care. The home had a statement regarding privacy and dignity. Care plans were not clear in demonstrating service users preferences and choice. Locks were not evident on bedroom doors for those who may prefer to loc their room. Lockable facilities in bedrooms were not yet provided. A pay phone was not provided to maintain contact with friends and family. A service user who was in a shared room did not know whether she would have to share the bedroom in future, staff hadn’t mentioned this. Medication systems were checked and found to be appropriate, although one service user medication sheet for morning medications had not been signed as administered. The medication policy had not been reviewed or updated for a number of years, the manager acknowledged this and is going to review it. The manager was advised to keep an up to date British National Formulary (BNF) a guide to medications, dosages and side affects in the home as the current one in use was dated 2003. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12,13,14 and 15 Social activities are provided but these are not individually assessed to take into account service users preferences or abilities. Visitors are welcomed into the home. Service users are offered choices is at all meal times. EVIDENCE: Care plans did not contain a social assessment, which would make staff aware of service users individual preferences. An activities organiser works 4 hours per week and activities have been group sessions. Two service users said that the activities were a big improvement. Another service user stated that she wasn’t bothered about bingo or crafts. Because of staff sickness there were no activities taking place at the time of inspection because the coordinator was covering a care shift. Care plans did not demonstrate how choice was offered to service users. A service user confirmed that she was offered a weekly bath but was unsure if she would be allowed to have more that one per week. Some service users are able to access the kitchen to make their own hot drinks but this was not written in the care plans nor supported by a risk assessment. A service user Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 12 said that it would be nice to have a pay phone in the home to keep in touch with family. There were no visitors in the home at the time of inspection, but the manager was able to give an example of how a service user relative was able to have an evening meal each teatime and is able to make a drink from the kitchen. A service user accessed adult education and a community club other links with the community need to be developed. There is a choice of food at each mealtime and this was evidenced by the menus, observation of the lunchtime meal and asking service users. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 16 and 18 There are shortfalls in systems for which service users are able to voice their concerns or complaints. Shortfalls in staff awareness of safeguarding adult procedures could put service users at risk EVIDENCE: The complaints procedure was displayed in the entrance of the home and within the service user guide, which was available in each bedroom and communal area. There had been no complaints recorded since February 2005. Service users spoken to were unsure what they would do if they had a complaint. There are very little opportunities for service users to express their opinion or concerns because there are no residents meetings; care plans did not demonstrate that service users were consulted about care received. Staff have undergone training in the protection of vulnerable adults but the homes procedure conflicted with the policy and procedures of the Local Lincolnshire Policy for which the manager recognises and will amend accordingly. The manager was not able to demonstrate the correct procedure for dealing with an allegation of suspected abuse. A staff member demonstrated her recognition of abuse and had no hesitation in reporting this but again was unsure of the procedure to follow. This needs to be discussed with staff but supervision was not yet established and the first staff meeting was taking place today. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 19 and 26 There are no risk assessments undertaken to check that the environment is safe and well maintained. EVIDENCE: The manager stated that environmental risk assessments had not been undertaken. A number of concerns regarding fire prevention were noted on an inspection last month therefore the inspector undertook this inspection at the same time as the fire prevention officer was inspecting the building, some of the issues include that the home does not having a current fire risk assessment, the front door which is a fire exit is kept locked and is reliant on a key, which is kept on a hook above the door. The designated fire door in the large lounge is reliant on a key to be unlocked. The gas fires in the dining room and small lounge, which are used (when required) are not guarded. The fire door to the dining room has a bolt lock attached to the top, the manager stated that this was to prevent a service user from fiddling with table settings. There are a number of bedrooms, which are wedged open. The fire officer will write to the home with Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 15 his findings and a timescale in which the home must comply with the required actions. Ho water outlets accessible to service users have not been regulated by thermostatic valves. Hot water pipes are exposed in the entrance hall and in an upper floor bathroom. The bathroom to the upper floor had an unsafe floor; the manager thought that the floorboard had rotted underneath. Cupboards in this bathroom were unlocked and contained stored items such as toiletries and razors. Although the window in the upper floor shower room had privacy glazing there was no additional privacy screening. The double glazing unit to an upper floor bedroom and the large lounge needs attention as the majority of these windows were condensed in the inside of the seal, when mentioned to two service users in the lounge they said they thought it was their eyesight and were relieved to know that it was the windows that were impeding their vision to see outside. The home was clean and tidy and a cleaner on duty confirmed that supplies and equipment was satisfactory, however cleaning hours had been cut due to occupancy levels. The Chef acknowledged that keeping the kitchen clean was difficult because of the hours allocated but he hoped that a weekly cleaning rota could be implemented when a weekend Chef started soon. The manager could not find a policy/procedure to support infection control within the home. There was evidence of positive cross infection prevention within the care being delivered to a service user and staff spoken to were able to clearly demonstrate the procedure in use and why this is necessary to deliver care in this manner to a specific service user. The manager needs to review the current dirty laundry storage and open sluice facilities together with there being no sluice cycle on either washing machine. The home had a clinical waste contract in place. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Staff are working within the minimum staffing levels required. Shortfalls in staff recruitment procedures may place service users at risk. EVIDENCE: Staff are working within minimum staffing levels and the staff group is stable. Staffing levels should be kept under review particularly as there are a number of service users who require added assistance due to memory impairment. Two Health and Social Care students were on placement at the home, they are both under the age of 18 and confirmed that they did not undertake any personal care duties. All recruitment details had been undertaken by the College and not the home. The manager stated that 50 of staff have obtained a National Vocational Award in care level 2 or above. Three staff recruitment files were checked. One of the staff members had commenced working in the home prior to a CRB clearance, the manager stated that a POVAFirst check had been undertaken and that the staff member was supervised until the CRB check had been received but there was no records indicating that a POVAFirst check had been sent for or received. There are shortfalls noted in checking gaps in employment history and obtaining satisfactory and relevant references. A reference for one staff member had been accepted but the place of work and position had not been declared on the previous employment history. References had been accepted when they were Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 17 addressed to ‘whom it may concern and no date of when written. These are unsafe practices. Staff have recently undertaken training in safeguarding adults (abuse), challenging behaviour and dementia care. A staff member said that she would need more knowledge and skills in dementia training to feel confident in undertaking this care. Staff did not have supervision or appraisals undertaken therefore it is unclear as to how the manager assesses individual training needs. The manager is asked to forward a training plan for 2006 to the Commission. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 There are unclear systems for leadership in the home due to the manager’s hours of work. There are shortfalls in service user involvement in the day to day running of the home. The home is awaiting advice regarding safe system of protecting service users monies when there is no family involvement. There are shortfalls in risk management which may affect the safety and welfare of service users and staff. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 19 EVIDENCE: The manager is not going to undertake the Registered Mangers Award because she is giving consideration to retirement. She updates herself clinically by reading nursing supplements, care magazines and via the internet. The manager is very open to the inspection process. Recent training has included protection of vulnerable adults, challenging behaviour and dementia training. The manager works 3 days per week and is then available on call if needed but has no named deputy in her absence. The nurse in charge takes responsibility for the running of the home. This is affecting the leadership of the home in terms of staff development and being clear in how improvements can be made and carried forward. There have not been staff meetings previous to the one held today. Staff supervisions are not held, although the manager is trying to address this. There are no clear and ongoing communication systems, which demonstrate that service users have a say in the day to day running of the home. A recent survey included responses from 7 service users all of whom had varying opinions on the management of the home but there was no action plan to address or explore these issues further. Comment received included that there was no pay phone in the home, toilets could be tidier and the meals were poor, more outings required and social activities could be improved. The proprietor has forwarded to the Commission a report of his visit in February regarding the running of the home, which can act as a quality assurance tool. Two of the three service users who were case tracked had their personal allowance monies audited and these were found to be appropriate, where possible the signature of the service user should be obtained to show that they have been consulted about any transactions made. The manager is awaiting advice from Social services regarding the safest means of protecting service users personal allowances when there is no active family involvement. The manager must review all policies and procedures to ensure that staff have access to current good practice and information. Oxygen is stored in the manager’s office but there is no sign on the door to indicate that the cylinders are stored here, which assist the fire brigade in the event of a fire. Two of the three cylinders were not secured appropriately. There are no environmental risk assessments or fire risk assessment. The manager confirmed that all equipment was up to date in terms of being tested and maintained. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 20 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 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 1 X 2 X X X X X STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 2 Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 14 Requirement The manager must demonstrate that all service users needs have been assessed and recorded prior to being offered a place within the home. Care plans must give clear and detailed instructions as to the care that is to be delivered to a service user taking into consideration health needs, social stimulation, personal choice and preferences of the individual service user The registered person must ensure that a programme of activities and events for residents is based upon individual assessed needs and preferences. It is acknowledged that activities are provided and recorded but there are no individual social assessments Outstanding since 12/12/05. The manager must ensure that the policy and procedures relating to the safeguarding of vulnerable adults is understood DS0000002600.V288299.R01.S.doc Timescale for action 30/05/06 2. OP7 15 30/05/06 3. OP12 16(2) (m) (n) 30/06/06 4. OP18 13(6) 30/05/06 Greetwell House Nursing Home Version 5.1 Page 22 5. OP19 13 (4) 6. 7. 8. 9. OP19 OP19 OP19 OP21 23 (1) 13(4) 23 (1) 23 (2) 10. OP25 13.3 11. 12. OP30 OP37 18 (1) (a) 17 and cascaded to all staff. The homes policy and procedure must reflect that of the Local Lincolnshire Policy. The manager is responsible for the health and safety of the people who visit, live or work in the home and therefore must ensure that risks have been identified and actions plans are in place as an ongoing process. Repair bathroom floor to upper floor as a matter of urgency Risk assess content of bathroom cabinets in order to keep service users free from injury. Repair seals to double glazed units in large lounge and an upper floor bedroom. Review the infection control within the home by assessing whether open sluice facilities and lack of sluice cycles are adequate to prevent cross infection from occurring. Provide a policy and procedure to support infection control. Risk assessments must be in place to support how service users will be kept safe from the risk of scalding where accessible hot water outlets are above 43 degrees Celsius. Outstanding from 22/02/06 The manager must forward to the Commission a training plan for 2006. The policies and procedures of the home must be updated and all other records, including maintenance, must be kept upto-date as required in Schedule 4. (Timescale not met at previous inspections and 12/12/05 and 30/04/06.) The registered person must DS0000002600.V288299.R01.S.doc 30/06/06 09/05/06 09/05/06 09/06/06 09/06/06 30/05/06 30/05/06 30/06/06 13. OP38 23(4) 30/05/06 Version 5.1 Page 23 Greetwell House Nursing Home 14. OP29 19 provide a fire risk assessment and follow the requirements made by the fire officer following his visit to the home on 5.04.06 Remains outstanding from 28.02.06 Staff records must contain the items as required in Schedule 2.1-7.which includes satisfactory references and evidence of POVAFirst check being obtained prior to a staff member working in the home in the interim period of a satisfactory CRB check. This remains outstanding since 28/02/06 Residents whose finances are overseen by the manager and kept in a communal bank account must be given their annual, earned interest on the savings. This remains outstanding since 28.02.06 Regular staff supervision must be in place to support staff to safeguard the residents. (Timescale not met at previous inspections and 12/12/05 and 30/04/06) 30/05/06 15. OP35 20 30/05/06 16. OP36 18(2) 30/06/06 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 OP9 OP10 Good Practice Recommendations Replace the BNF for a current edition. Service users bedrooms should have a lockable draw or facility for which personal items or monies can be stored. DS0000002600.V288299.R01.S.doc Version 5.1 Page 24 Greetwell House Nursing Home 3. 4. OP16 OP36 The manager should ensure that service users have opportunities to raise issues, concerns and complaints. It is recommended that staff supervision should take place six times per year. Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Greetwell House Nursing Home DS0000002600.V288299.R01.S.doc Version 5.1 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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