Inspection on 10/02/06 for The Hall Nursing Home

This inspection was carried out on 10th February 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

The Hall Nursing Home 21/02/08

The Hall Nursing Home 22/09/06

The Hall Nursing Home 01/07/05

The Hall Nursing Home 10/03/05

The Hall Nursing Home 29/10/04

The Hall Nursing Home 22/01/04

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

CARE HOMES FOR OLDER PEOPLE Hall Nursing Home, The 100 Old Station Road Bromsgrove Worcestershire B60 2AS Lead Inspector Jane Rumble Unannounced Inspection 10th February 2006 10:00 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 Hall Nursing Home, The DS0000004112.V279973.R02.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. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hall Nursing Home, The Address 100 Old Station Road Bromsgrove Worcestershire B60 2AS 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) 01527 831375 01527 873746 Worcestershire Care Group Limited Margaret Anne Green Care Home 43 Category(ies) of Dementia - over 65 years of age (12), Learning registration, with number disability (1), Old age, not falling within any of places other category (43), Physical disability (6), Physical disability over 65 years of age (43), Terminally ill (6) Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. An age limit of 55 - 65 years applies to people with needs in category PD. 10 beds are for the rehabilitation of people over 55 years of age. An age limit of 52 - 65 years applies to the person in category LD. 4. The home may also accommodate 2 people under 65 years with a learning disability and a physical disability. 1st July 2005 Date of last inspection Brief Description of the Service: The Hall Nursing Home is a well-established care home with nursing situated in a quiet residential area close to the centre of Bromsgrove. It is set in attractive, well maintained gardens with paved seating areas which are accessible to residents and their visitors. Accommodation is provided over two floors. A passenger lift provides access to the first floor. In addition to providing long term and permanent accommodation, the home has a selfcontained rehabilitation unit. The home is owned by Worcestershire Care Group Limited, which also owns another establishment, The Meadows Nursing Home in Lydiate Ash. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day and was undertaken by one inspector. Information was gathered in a number of different ways including examination of care and staff records, talking to residents , staff, the manager and deputy manager, observation of care practice and a partial tour of the home. On the day of the inspection 38 people were living at the home. The people currently living at the Home were mostly white European elders. The meals provided reflect the cultural identity of those people living there. One immediate requirement was made at the time of this inspection . The manager committed to putting into place interim measures at the time of the visit to address the matter. Generally this was a positive inspection with some further improvements needed in record keeping. This is the second inspection for this year and the report should be read in conjunction with the report of the previous inspection. What the service does well: The Home benefits from having a registered manager who is supported by a Deputy manager. In addition one of the Directors of the company is based within the home and this enables him to have an overview of the service provided. The home is well maintained . The Organisation has a Quality Assurance programme that involves all staff and enables them monitor their progress towards continuous improvement. The Organisation is committed to staff training, which ensures that staff have the skills they need to meet residents needs. Staff felt that the qualified nurses explained residents’ conditions to them well. Staff were seen to engage in good practice whilst supporting individual residents eat their meals , to enhance the enjoyment of the meal time for individuals . Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 6 Generally staff were seen to practice safe moving and handling techniques to minimise risk to residents or themselves. What has improved since the last inspection? What they could do better: The home needs to further develop their care plans for people living there ensure that they contain specific detail of the care required. Referrals need to be made to other health care professionals for advise in a few cases Some improvement is needed in the recording and administration of medicine to make sure it is given as directed by the Doctor. The records of when a complaint has been investigated by the home need to better, so that residents can be confident that their concerns are taken seriously. The use of colour and signage around the home needs to be reviewed to make it easier for people with memory loss/ dementia find their way around. The way money is held on behalf of one person needs to be reviewed so that the Care Homes Regulations are complied with. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 7 The bolts on the cellar and sluice doors need to be replaced with an alternative lock so that the risk to residents is minimised. 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. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 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 the following standard(s): These standards were assessed at the previous inspection of 1st July 2005. Not inspected at this visit. EVIDENCE: Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 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 the following standard(s): 7,8,9 Care plans need to be expanded to include sufficient specific detail for staff to follow, in order to meet the identified needs of residents. The system for recording prescribed, medication, including creams and supplements needs improving to ensure medication is administered in accordance with the prescribing officer’s instructions. EVIDENCE: Care records of two residents were inspected. Each resident had a care plan that related to his or her individual needs. However, care plans inspected would benefit from further detail to ensure that individual residents needs are fully met. For example: Care plans stated that dietary supplements and thickeners were used, but did not provide any information about the quantity to be added or frequency to be offered. Where it was identified that active and passive movements were to be encouraged there was no detail of what specific exercises were to be encouraged or the frequency that staff were to encourage them. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 11 Where individuals have a low body mass index there was no evidence of a referral to a dietician for specialist advice. The Deputy Manager stated that the home has had difficulty in getting other health care professionals to accept referrals, but could not evidence that any contact had been made with the dietician. One resident’s care plan stated that small meals to be given frequently. There was no system in place to monitor that these had been offered. A random sample of medication administration records (MAR) were inspected. Since the last inspection a system has been introduced where if a MAR is handwritten or amended these should be countersigned by a nurse. One MAR had not been countersigned at the time of this visit. A number of MAR’s were incomplete with gaps with no signature to evidence that the medication was administered, or a code entered to record the reason for none administration. One medication had been signed on two occasions as administered yet was still in the blister pack. Prescribed creams and dietary supplements were not signed as administered, or a code entered to record the reason for none administration. MAR charts did not record details of where prescribed creams and lotions should be applied. This detail was also lacking from care plans. Medication is administered by a registered nurse. Controlled Drugs are stored securely, with robust records to evidence their safe administration. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 12 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): 14,15 Residents benefit from being able to exercise some choice over their daily lives. Residents are well supported by staff to enjoy their food. EVIDENCE: Residents spoken to confirmed that there is some flexibility within their daily routines in that they can choose to eat in their bedrooms or communal areas of the home. There is also flexibility around getting up and going to bed times, within the limitations of the staffing available. Residents spoken to confirmed that they are able to bring personal items into the home if they wish. It is disappointing that the home does not hold residents’ meetings to enable them contribute formally to the running of the home. The manager stated that they had been tried unsuccessfully in the past, as residents were uninterested or unable to participate. The home must be able to evidence that residents are consulted with and where practicable their views taken into account. The serving of the lunchtime meal was observed. Tables were well presented with tablecloths and potted plants. It was pleasing to observe that a glass of sherry was offered with the lunchtime meal, which was well received by the majority of the people dining in the dining room. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 13 It was disappointing that salt, pepper and sauces were not readily available on the tables. Two containers of sachets were available in a cupboard but were not routinely offered by staff. The use of sachets should be reviewed to increase the accessibility of these to people with memory loss and confusion. In addition, salt and pepper were not available to those people who had their meal on a tray in their bedrooms. The meal was fish cakes, mashed potatoes, carrots, peas and parsley sauce, which appeared plentiful and well received. However, no one had an alternative meal offered. The inspector was informed the alternative was a salad but no one wanted it. The manager confirmed that when salad was offered she had also noted that few of the residents wanted it. Consideration should be given to reviewing the menus to ensure that alternatives service users enjoy are offered. The inspector observed that everyone was given a cold drink with their lunch, in plastic beakers. Residents should be offered the choice of a hot or cold drink with their meals, and the use of plastic beakers for everyone must be reviewed. Staff were seen to engage in good practice whilst supporting individuals to eat to enhance their enjoyment of the meal. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 14 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): 16,17,18 Complaints are not well managed and would not give residents confidence that their concerns would be taken seriously. The home supports residents to continue to participate in the political election if they wish. The home protects residents from abuse. EVIDENCE: The home has a complaints procedure available to guide residents and their relatives of what they should do if they wished to make a complaint. A complaints log is available in the home to record any complaints made. Since the last inspection four complaints are recorded within the log. However, errors were observed in the date sequence that complaints were recorded in. Two complaints were reviewed at the time of inspection. It was of concern that the records available did not indicate that a robust investigation had taken place, a record of the outcome of the complaint was not available. In one case agreed actions as a result of the complaint investigations had not taken place. Some of the residents spoken to were aware of their right to participate in the political processes. The home has registered all those residents living at the home, where they have capacity to vote in political elections. This is good practice in supporting people to maintain the same civil rights as others. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 15 The home is proactive in protecting residents from abuse. Staff files sampled evidenced that robust recruitment practices are implemented to ensure that all staff working at the home are suitable to work with vulnerable people. Staff receive training in the protection of vulnerable adults including recognising abuse and responding to allegations of abuse. Written policies are also available for staff. Staff spoken to were aware of their responsibilities to report allegations or incidents of abuse appropriately. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 16 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, Attention needs to be given to the use of colour and signage to help people with dementia orientate themselves better. The home is generally well maintained and clean providing a homely environment for residents. EVIDENCE: A full tour of the home was not undertaken at the time of this visit. Areas inspected were clean warm and generally well maintained. Residents have been supported to bring personal possessions into the home if they wish. The home is registered to accommodate up to 43 people for reasons of old age, physical disability and 12 people with dementia. Observations of the building at the time of inspection was that it is a large rambling building with many corridors and level changes. The Home has clearly been extended. The inspector is of the view that the building would be very confusing to a person with dementia or memory loss, as dementia causes confusion and Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 17 disorientation. There are few visual clues available in the home to assist the person orientate themselves around the home. The use of signage and colour must be considered to make the environment more enabling. It was of concern that the previous inspection identified the need to replace the locks on both the sluice room and cellar to minimise the risk of accidents. This had not been actioned at the time of this visit. The cellar door was not secured throughout the duration of the inspection. The manager advised that this had not been actioned as it was impractical as the laundry is located in the cellar and a risk assessment had been completed to support this. However, the risk assessment available at the time of inspection did not demonstrate that any consideration had been given to the risk of a resident falling down the stairs. An immediate requirement was made to secure the door to minimise the risk of accidents. The installation of radiator guards was ongoing at the time of the inspection to ensure that residents are not at risk of being burnt by hot surfaces. This was also a requirement of the last inspection. Since the last inspection the home has relocated the “rehabilitation” unit. This means that some residents have to access the home using an unheated corridor that also provides storage for the homes freezers. The manager said proposals are in place to create an additional communal space to address this . The home has a pay phone located by the front door. This is fitted at a height that means it is inaccessible for wheelchair users. The inspector was informed that residents have use of the home’s cordless phone if they wanted to make calls in private and the detail of this is included within the homes statement of purpose and service user guide to enable residents have a clear expectation of what is available. The manager was able to demonstrate that additional specialist seating had recently been requested from the Directors of the Company to enable them meet individuals needs. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 18 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): 28 The home is committed to providing staff training to ensure that residents are in safe hands at all times. EVIDENCE: The organisation has a training manager who has provided relevant training courses to staff on a cyclical basis. A training matrix has been developed to evidence the training opportunities afforded staff, and to identify when updated training on mandatory topics is required. On the date of inspection information was available on forthcoming training events for all staff. The home has exceeded the minimum requirement that 50 of staff have achieved an NVQ qualification. Staff spoken to confirmed that they felt the organisation was committed to staff training. It was commented that nursing staff provide them with information in respect of individual health conditions such as diabetes. Trained nurses are currently accessing training provided by the Health Authority on palliative care. The inspector was informed that this learning would be cascaded to care staff. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 19 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): 31,33,35,38 Quality assurance systems ensure that home is able to self evaluate its performance. Money management for one person needs to be done differently. The manager is competent to ensure residents benefit from a well run home. EVIDENCE: The home has a manager and deputy manager who ensure that the home is generally well run. With the exception of one individual the home does not manage individuals monies. A small amount of personal spending money is held by the home in safe-keeping within the manager’s office for some residents. Records of the balance of money held were accurate, and a staff sign to verify receipt of money or expenditure. Records did not evidence that a lot of expenditure from these accounts were being made, some accounts have no withdrawal for Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 20 twelve months. The inspector was informed that the family or the home supply personal toiletries. A Director of the home stated that it is not the homes policy to handle residents money unless unavoidable but they are the appointee for one person at the request of the family. The inspector was informed that the individual’s money is paid directly into the home’s business account. The Directors of the home are aware of the need to open individual bank accounts but in practice have reported that this has been difficult to achieve, but are attempting to so again. The Regulations require that money belonging to a service user is not paid into a bank account unless that bank account is in the name of the service user. It was disappointing that records relating to the management of these finances were not available on the day of inspection at the time requested as only an “electronic record is made”. Access to these records is limited to the Directors and two members of the accounts team. The Director at the home at the time of inspection had a prior commitment . These were subsequently faxed to the inspector for review, from July 2005 . They evidenced income and expenditure, with receipts available to support this . It is apparent that a significant amount of money has accumulated for this individual. It was not possible to evidence that any interest has been credited to the individual for the balance of money held. The home has a quality assurance system that seeks the views of residents, relatives and visiting professionals. A questionnaire survey had been undertaken in December 2005. The responses to these questionnaires had been collated and an action plan was being developed as an outcome that would enable the home to seek continuous improvement. It was pleasing that all staff are involved in the home’s quality assurance process. Quarterly relatives’ meetings are held in the home to enable them voice their opinions of the home and seek information. Observation of practice indicates that staff generally use safe manual handling techniques to ensure the health and safety of residents and staff. However, on two occasions staff were observed not to put the brake on wheelchairs that service users were being hoisted into. This was brought to the attention of the manager at the time of the visit. Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 21 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 3 18 3 2 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 2 Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 22 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 OP7 Regulation 17(1)a m 12(1) 15(1) Requirement Timescale for action 28/04/06 2 OP9 13(2) 17(1)i 3 OP38 13(4) 4 OP35 20(1) a,b Care plans must be further developed to ensure that they record specific instructions for care staff to follow, to ensure that residents needs are met in full. All medication must be 10/02/06 administered as prescribed. Staff must sign for all medicines administered or a code entered to record the reason for home administration. Requirement outstanding from 1/7/05. All prescribed creams and topical lotions must be signed for as administered, or a code to record the reason for none administration. All prescribed dietary supplements must be recorded as administered. Bolts on cellar and sluice doors 11/02/06 must be replaced with a door lock of an appropriate design. Replacement outstanding from 1? 7/05 Money belonging to any service 31/03/06 user must not be paid into a bank account unless the account DS0000004112.V279973.R02.S.doc Version 5.1 Hall Nursing Home, The Page 23 5 OP8 13(1)b 6 OP35 17(3) is in the name of the service user that the money belongs to. The account is not used by the registered person in connection with the carrying on or management of the care home. Referrals to appropriate health 28/02/06 care professionals must be made for individuals with low body mass index scores. The registered person must 11/02/06 ensure that records relating to residents finances are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. A record of any complaint made shall be retained, that includes the details of the investigation. The home must review its use of colour and signage throughout the home to improve the orientation of people with dementia. Advice can be sought from the Alzheimer’s Society. The manager must ensure that condiments and sauces are readily available for all residents who wish to use them. There must be a choice of both hot and cold drinks available at all times. The brakes must be applied on all wheelchairs and hoist whilst manual handling practices are taking place. 01/03/06 31/03/07 7 8 OP16 OP19 22(3) 23(2) 9 OP15 16(2) 01/03/06 11 OP15 16(2) 01/04/06 12 OP38 13(4) 10/02/06 Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 24 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 OP15 OP15 Good Practice Recommendations The use of plastic beakers for all residents, regardless of need and personal preferences must be reviewed. Menus must be reviewed to ensure that they offer choices and alternatives that are desirable for residents. Paper copies of electronic records should be available in the home. 3 OP35 Hall Nursing Home, The DS0000004112.V279973.R02.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Hall Nursing Home, The DS0000004112.V279973.R02.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. 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