Inspection on 08/03/06 for Hatfield Peverel Lodge Residential and Nursing Home

This inspection was carried out on 8th March 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

Hatfield Peverel Lodge... 23/10/06

Hatfield Peverel Lodge... 27/02/06

Hatfield Peverel Lodge... 08/11/05

Hatfield Peverel Lodge... 24/05/05

Hatfield Peverel Lodge... 02/02/05

Hatfield Peverel Lodge... 16/11/04

Hatfield Peverel Lodge... 24/08/04

Hatfield Peverel Lodge... 17/08/04

Hatfield Peverel Lodge... 25/11/03

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Claremont House

Oak Ridge

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Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Hatfield Peverel Lodge Residential and Nursing Home Crabbs Hill Hatfield Peverel Chelmsford Essex CM3 2NZ Lead Inspector Francesca Halliday Final Mallard House - Unannounced Inspection 8th – 28th March 2006 09:45 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 Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.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. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hatfield Peverel Lodge Residential and Nursing Home Crabbs Hill Hatfield Peverel Chelmsford Essex CM3 2NZ 01245 380750 01245 380906 Address 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) www.bupa.co.uk BUPA Care Homes (CFCHomes) Limited Ms Pervine King Care Home 71 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (8), of places Physical disability over 65 years of age (41) Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mallard House Persons of either sex, aged 65 years and over, who require nursing care by reason of dementia (not to exceed 30 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 2 persons) Kingfisher House Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 41 persons) Persons of either sex, aged 65 years and over, who only fall within the category of old age (not to exceed 8 persons) The total number of service users accommodated must not exceed 71 persons 24th May 2005 2. 3. Date of last inspection Brief Description of the Service: Hatfield Peverel Lodge has two separate houses. Kingfisher House is registered to provide nursing and care for up to 41 people over the age of 65, although only 40 beds are in use. Mallard House provides nursing and care for up to 30 people over the age of 65 with dementia. Both houses are two storey buildings with passenger lifts. The home has 67 single rooms, with two shared rooms on Mallard House. Hatfield Peverel Lodge is located approximately half a mile from the centre of Hatfield Peverel village and about one mile from local shops and facilities. There is a bus stop within a quarter of a mile of the home and Hatfield Peverel is on the main London to Colchester train route. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was to Mallard House only. The unannounced inspection visit took place on 8th March 2006. The inspection lasted 9 hours 30 minutes. The inspection process included: discussions with 6 residents (although advanced dementia made communication difficult with many of the residents), 5 relatives and 4 members of staff (including the head of care of Mallard House and the registered manager). The premises and a sample of records were inspected. The GP for Mallard House was spoken with on 27th February 2006 during the inspection on Kingfisher House, and 2 relatives were telephoned following the inspection. A discussion was held with the manager on 28th March 2006 and this concluded the inspection process. The last inspection took place on 24th May 2005. An additional inspection was carried out on 6th October 2005 to follow up on progress being made with the requirements from the previous inspection. 23 of the 38 standards were inspected at this visit: 12 met the standard, 8 standards had minor shortfalls and 3 standards were not met. The judgements made within the report are based on the observations and evidence gathered during this inspection. What the service does well: What has improved since the last inspection? Some relatives said that high turnover of staff had been a problem in the past, but that this had improved and staffing was now more settled. The visiting GP considered that the management of challenging behaviour and staff interaction with residents had improved. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.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 Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.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): 1 and 3 (standard 6 not applicable) Information provided enables prospective residents and their representatives to make informed choices about the suitability of the home. The home generally has a good assessment process prior to admission, but some information is not collected in a systematic way EVIDENCE: The statement of purpose had been revised since the last inspection. The home had a good range of information for prospective residents and their representatives. The home used the BASOLL assessment (Behaviour Assessment Scale of Later Life) as a pre-admission assessment tool. Assessments sampled were generally well completed, but additional information (such as some of the information specified in standard 3.3 and details of wounds or pressure sores) was not always collected. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.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 The standard of care documentation is improving and relatives are involved in regular reviews on residents’ behalf. Residents’ health needs are met, but communication about health needs could be improved. Medicines management needs to be improved. Staff generally uphold residents’ dignity, but a number of residents’ nails needed attention. EVIDENCE: The care plans were generally of a good standard, but did not contain all aspects of care identified in discussions with staff and relatives. The care plans would benefit from being more resident centred. An evaluation of care and care needs was not always documented at the monthly review. Relatives confirmed that they were invited to the monthly review, as the residents’ advocate. Some care plans demonstrated that relatives’ comments and suggestions had been incorporated into the care plan. Other valid suggestions for improving care had not been incorporated. Staff confirmed that one resident who had previously had broken skin was on a pressure relieving mattress and cushion, but there was no evidence of this in the records. (See standard 38 about the recording of accidents). Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 10 Relatives spoken with were happy with the health and nursing care provided. Staff considered that residents had good access to local health care services and good support from the home’s GP. There was a range of risk assessments in place, which had been regularly reviewed. Standardised risk assessments, which had not been personalised to the individual resident, were still in use. The GP spoken with considered that the management of challenging behaviour had improved, and that staff made fewer requests for sedation. She also considered that staff interaction with residents had improved. However, she said that she had “serious concerns” about the communication of one of the nursing staff. The manager confirmed that this had been addressed following the inspection. Some relatives were happy with communication about health issues, but a few considered that staff communication with them and with each other still needed to be improved. The medicine administration charts sampled were well completed. The Controlled Drugs (CDs) and homely remedies stock levels were correct. However, since the last inspection two CDs had not been recorded correctly in the CD register. The temperature of the clinical room and the drugs fridge had been regularly monitored. The temperatures seen were within safe limits for the storage of medicines. However, staff were regulating the room temperature by opening the window, which compromised the security of the medicines. Some medicines were only labelled on the outer box and not on the inner container, which increased the potential risk of errors or cross infection if the outer carton was mislaid or the medicine was placed in the incorrect carton. The suction machine was in working order, but there were no suction catheters by the machine for use in an emergency. Relatives considered that staff were much better at upholding residents’ privacy and dignity than in the past. However, a number of residents had extremely chipped nail varnish, and one resident had very long fingernails and toenails that needed attention. Staff said that the resident sometimes refused to have their nails cut, but there was no evidence of this in the care records. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.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 Activities are improving, but some staff still need training in this aspect of care. Relatives feel very welcome in the home, and links with the community are being developed. Residents’ choices and independence is encouraged, and a balanced diet is offered. EVIDENCE: A range of activities was being provided, both in small groups and one to one. One relative said that they had come to Christmas dinner at the home and joined in the celebrations, and described the day as “excellent”. Another relative very much appreciated the activity coordinator’s input, and said, “She’s a big help keeping him (the resident) occupied”. Staff interaction with residents was noted to have improved. Some care staff had not had any training in the range of activities suitable for residents at different stages of dementia. Relatives said that they were always made to feel very welcome when they visited. The home has been developing links to the local community. Some of the residents from Mallard House go over to Kingfisher House, when children from a local school visit. Members of the Salvation Army come to the home, and volunteers visit on a regular basis to play music. Staff said that they would be having an open day in the summer. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 12 There was evidence that staff were better at promoting residents’ independence and encouraging them to exercise choice. A number of residents were having a lie-in at the start of the inspection. Residents who could express a view said that the food was good. Relatives confirmed that the menu was varied and nutritious. There was evidence that staff were better at ensuring that residents were given choices at mealtimes, and also given their preferred drinks. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.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 Relatives are confident that concerns and complaints are taken seriously. Staff do not always follow appropriate procedures when residents have been injured. EVIDENCE: The home has a complaints policy, which was on display. A number of relatives said that staff responded very promptly to any concerns raised with them. There was evidence that staff were better at documenting verbal concerns/complaints, as well as the action taken to address the issues raised. Staff spoken with had an understanding of the types of abuse that could occur, and what to do if they suspected any abuse. All staff received an introductory session on the protection of vulnerable adults (POVA), but a few staff (mainly bank staff) still needed POVA training. A resident was noted to have bruising on their arms. There was no record that this had been investigated, documented or reported appropriately. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.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 The manager is addressing the redecoration and refurbishment needed. The home is generally very clean but odour control needs some attention. EVIDENCE: The lounge/dining room had new carpets fitted and some new chairs since the last inspection. Further redecoration was planned, and some other damaged chairs were due to be replaced. The manager said that the home would be installing an air conditioner in the lounge/dining area, as the temperature in the communal rooms was extremely hot at times last year. Relatives considered that the home was generally kept very clean. However, on the day of inspection a few areas of Mallard House had an unpleasant odour. The manager said that carpet cleaning was carried out one a week Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 15 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 Relatives are generally happy with the staff, but feel that supervision of resident could still be improved. Residents are protected by thorough recruitment practices. Training is given a high priority, and the manager is addressing training needs. EVIDENCE: Staffing levels were generally 7 in the morning, 6 in the afternoon/evening and 4 at night. Relatives were generally very satisfied with the care provided, although one relative did consider that the home needed more staff. Some relatives said that the supervision of residents was good, and was better than it had been in the past; others thought that it still could be improved. One relative considered that there should be two staff in the communal area “at specific times when residents get agitated”. The personnel records were inspected at the time of the Kingfisher House inspection. The home had sound recruitment practices, with evidence of checks with the Criminal Records Bureau, Protection of Vulnerable Adults register and with the Nursing and Midwifery Council. The head of care was the only mental health nurse on Mallard House. However, two of the general nurses were undertaking an extended dementia course at the time of inspection. The manager said that other general nurses would also be doing the course. Twelve care assistants had completed National Vocational Qualification (NVQ) level 2. Six staff had completed a Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 16 three day dementia course, and a number of other staff had received an introduction to dementia care. The manager said that other staff would be undertaking the three day course. A number of staff had not received training in the management of challenging behaviour. The head of care was a trainer in the management of challenging behaviour and breakaway techniques. The manager said that once another member of staff was also trained as a trainer, the remaining staff would receive the training. The manager confirmed that all the nurses were in the process of receiving training in wound care, and the prevention and management of pressure sores. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 17 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, 32, 33, 35 and 38 The home has an open style of management, in which staff respond positively to feedback from residents and relatives. The reporting and investigation of accidents needs to be improved. Training in safe working practices is being given a high priority. EVIDENCE: The manager was an experienced registered nurse, who had completed the NVQ level 4 in management. She encouraged an open, positive and inclusive style of management. The home had a quality assurance programme with systems in place to regularly monitor the quality of services and care. A number of staff were in the process of undertaking a “personal best” course. The course encouraged staff to reflect on the care and services they were providing, and to identify areas where they could improve and provide their personal best. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 18 The manager said that the home did not handle residents’ monies and that services such as hairdressing and chiropody were billed directly to the residents’ representatives. Accident records were not always completed, when residents had been injured. A resident was reported as being very distressed when their door was closed at night, to meet fire regulations. None of the doors had automatic self closures. There was evidence of good systems for servicing and maintenance of equipment. No obvious hazards were noted during the inspection. All staff had received moving and handling training, although a few staff were due an update. The majority of staff had received fire safety training. A number of staff needed health and safety, infection control and food hygiene training. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 19 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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 1 Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 20 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 15(1)(2) Requirement Timescale for action 08/03/06 2 OP8 14(2) 3 OP8 12(1)(a) The registered person must ensure that care plans cover all care needs, ensure that a monthly evaluation of care and care needs is carried out and ensure that relatives’ contributions are incorporated. Informed at the time of inspection. Requirement in previous reports - timescales of 24/08/04, 16/11/04, 24/05/05 and 6/10/05 not met. The registered person must 08/03/06 ensure that risk assessments are personalised to the individual residents’ needs and perceived risks. Informed at the time of inspection. Requirement in previous report – timescale of 6/10/05 not met. The registered person must 01/05/06 ensure that staff receive training on communication, particularly on the importance of good communication with relatives of persons suffering from dementia. Informed at the time of inspection. Requirement in previous reports - timescales of 01/08/05 and 01/12/05 not met. DS0000015350.V285901.R01.S.doc Version 5.1 Hatfield Peverel Lodge Residential and Nursing Home Page 21 4 OP9 13(2) 5 OP9 13(2) 6 OP9 13(2) 7 OP9 13(2) 8 OP10 12(4)(a) 9 OP12 16(2)(m) (n) 10 OP18 13(6) The registered person must ensure that nurses follow the correct procedures for recording the administration of Controlled Drugs. Informed at the time of inspection. The registered person must ensure that medicines are labelled on the container as well as, or instead of the outer packaging. Requirement in a previous report - timescale of 01/08/05 not met The registered person must ensure that the method of controlling the temperature in the clinical room does not compromise the security of the medicines. Informed at the time of inspection. The registered person must ensure that equipment such as suction machines are ready to use in an emergency. Informed at the time of inspection. Requirement in previous reports - timescales of 26/08/04, 16/11/05 and 24/05/05 not met. The registered person must ensure that staff assist residents to maintain a smart and groomed appearance when they are unable to do this for themselves. Informed at the time of inspection. The registered person must ensure that all staff receive training in the range of activities and stimulation appropriate for older people at different stages of dementia. Requirement in previous reports - timescales of 1/03/05, 1/10/05 and 01/01/06 not met. The registered person must confirm that all staff have received training in the protection of vulnerable adults DS0000015350.V285901.R01.S.doc 08/03/06 01/05/06 08/03/06 08/03/06 08/03/06 01/07/06 01/05/06 Hatfield Peverel Lodge Residential and Nursing Home Version 5.1 Page 22 11 OP26 23(2)(d) 12 OP27 18(1)(a) 13 OP30 18(1)(a) 14 OP30 18(1)(a) 15 OP38 17(1)(a) 16 OP38 23(4)(c) 17 18 19 OP38 OP38 OP38 13(4) 13(3) 13(4) (POVA). The registered person must ensure that carpet cleaning is of sufficient frequency to eliminate unpleasant odours. Informed at the time of inspection. Requirement in previous report timescale of 6/10/05 not met. The registered person must ensure that there are sufficient staff supervising residents in the lounge/dining room when needs are high. Informed at the time of inspection. The registered person must confirm that all staff have received training in the management of challenging behaviour. The registered person must ensure that all staff have received a minimum of one days training in dementia care, and confirm progress toward the target of all staff undertaking the three day course. The registered person must ensure that all bruising is noted in the care records, the source of the bruising investigated, and an accident form completed. Informed at the time of inspection. The registered person must review the need for automatic door closures on bedroom doors so that residents have the choice of an open door, can be supervised when needed and still be safe in the event of a fire. The registered person must ensure that all staff receive health and safety training. The registered person must ensure that all staff receive infection control training. The registered person must ensure that all staff receive food DS0000015350.V285901.R01.S.doc 08/03/06 08/03/06 01/05/06 01/06/06 08/03/06 01/05/06 01/06/06 01/07/06 01/07/06 Page 23 Hatfield Peverel Lodge Residential and Nursing Home Version 5.1 hygiene training. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations The registered person should ensure that the preadmission assessment process covers all aspects of standard 3.3. Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Hatfield Peverel Lodge Residential and Nursing Home DS0000015350.V285901.R01.S.doc Version 5.1 Page 25 - 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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