Inspection on 17/10/06 for Hawthorne Court Nursing Home

This inspection was carried out on 17th October 2006.

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

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

Other inspections for this house

Hawthorne Court Nursing Home 26/06/07

Hawthorne Court Nursing Home 01/11/05

Hawthorne Court Nursing Home 07/06/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hawthorne Court Nursing Home Hawthorn Court Nursing Home Coldeast Way Sarisbury Green Southampton Hampshire SO31 7LX Lead Inspector Gina Pickering Unannounced Inspection 10:00 17th October 2006 & 2nd November 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 Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hawthorne Court Nursing Home Address Hawthorn Court Nursing Home Coldeast Way Sarisbury Green Southampton Hampshire SO31 7LX 01489 556720 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) Hampshire County Council Mrs Victoria Ann Biggs Care Home 80 Category(ies) of Dementia - over 65 years of age (50), Old age, registration, with number not falling within any other category (30) of places Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: Hawthorn Court is a purpose built nursing home for 80 older persons managed by Hampshire County Council Social Services Department. It was registered 24 February 2005 and commenced admitting residents on 5 March 2005. The home is located within the former grounds of Coldeast hospital Fareham. There are good parking facilities and a large enclosed garden. Accommodation is provided on two floors serviced by two passenger lifts. There are 8 units each comprising of a lounge/dining room, kitchenette and ten single bedrooms with en-suite toilet facilities. Other facilities include a visitor’s lounge, activities lounge, hairdressing salon, smoking lounge and medical rooms. Fees for accommodation and care at the home are inline with Hampshire County Councils fees of £435 per week. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process fieldwork visits to the service were undertaken on the 17th October and 2nd November. The process included a tour of the service when a number of the bedrooms, communal areas, kitchen, bathrooms and laundry were viewed. Staff practices were observed; service users and staff records were examined. As part of the case tracking a number of the service users, relatives and staff views were sought. At the time of the fieldwork visits there was eighty service users accommodated. Other information that contributed to this report included information that the Commission for Social Care Inspection (CSCI) have received since the last inspection on 1st November 2005, such as the pre inspection questionnaire completed by the service and service users and visitors comment cards. What the service does well: What has improved since the last inspection? Hampshire County Council’s care planning procedures have now been implemented. Hampshire County Council’s quality assurance system has been implemented, an example of how the service has responded to the results of is that service user and relatives meetings now take place. Fire doors are no longer held open, unless with an approved device linked to the alarm system. Staffing levels are such that home can now be fully occupied. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 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. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality outcome in this area is good. This judgment has been made using available evidence including a visit to the service. The good practice of assessment ensures that when a person moves into the home their needs can be met. The home does not offer intermediate care. EVIDENCE: Service user’s documents contain assessments that are performed prior to their admission to the home. The assessment covers aspects of the person’s physical, social and emotional needs. Visitors at the home said that the assessment process for their relative had been comprehensive, they had been made aware of the service provided at the home and that care staff have the information to meet their relative’s needs when admitted to the home. The manager said that all people expressing an interest in the home receive a brochure detailing the services provided at the home, incorporated into the Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 9 brochure is the statement of purpose and a sample of terms and conditions of residency at the home. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality outcome in this area is adequate. This judgment has been made using available evidence including a visit to the service. Despite care plans generally comprehensively detailing action needed to meet persons holistic needs, some inconsistencies in the completion and reviewing of care plans does has the potential of not ensuring the wellbeing of all persons living the home are met. The service works with the Nursing and Midwifery Councils guidelines for the administration of medications; but the welfare of the service users would be further protected by a relevant medication policy. The aims and objectives of the home reinforce the importance of treating residents with respect and dignity. EVIDENCE: Care plans were sampled for five service users. Care plans are personalised, detailing the action needed to meet the health, personal, social and emotional care needs of the person living at the home. Plans are reviewed monthly and revised as needed to reflect the current care needs and support required by the person. One care plan had not been completed for a gentleman that had Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 11 been admitted one month ago. Conversation with his relatives did not indicate there were any concerns with his needs being met. But all service users must have a care plan that gives clear direction to how their needs are to be met. Some visitor’s said that they provide information about their relatives social and personal life to assist with the development of care plans, and that they think they could have input into the rest of the care planning if they wished to. The statement of purpose states that relatives and service users are invited to be involved in an annual review of the care plans. Conversations with staff, visitors and residents suggest changes in care are discussed with residents. There are risk assessments for moving and handling, nutrition and tissue viability. The results of these are incorporated into the individuals care plan. All residents are registered with a local GP service through which they access the multidisciplinary health care team. Detailed records are kept of all contacts the resident has with health care professionals. Medication administration record (MAR) sheets were seen for five service users. Trained nurses administer all medications at the home. Medications are stored in secure cabinets in a clean and orderly fashion. The ordering and receiving of medications is documented. There is not a policy for the administration of medications at the present time; the manager said that this policy is in the process of being developed by Hampshire County Council. She stated that all nurses are referring to the Nursing and Midwifery Council’s guidelines for the administration of medications. There is not a copy of the Royal Pharmaceutical guidelines for the administration of medications in care homes available at the home; the manager said she would obtain a copy of this. The home has assessed that there are problems in the documentation of administration of altering doses of certain medications and have sought advice from relevant practitioners to rectify this problem and ensure that these medications are being administered in a manner that meet legal requirements. Staff members were observed giving support to residents in a sensitive and friendly manner. Residents spoken with said that the staff are friendly, nice and caring and will generally go out of their way to help you. This was also illustrated in conversations held with visitors. Staff knock on residents doors before entering their rooms; this was observed and confirmed during conversations with service users. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 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): 12, 13, 14 & 15. Quality outcome in this area is good. This judgment has been made using available evidence including a visit to the service. The service acknowledges the present and past interests and the social background, though at present there is not a consistent provision of activities for all those living at the home. The practices and attitudes of the staff team give residents the opportunity to remain as independent as they can be and make their own choices about daily life. The home management enables service users to retain contact with family and friends. Service users benefit from a balanced menu that is continually being reviewed. EVIDENCE: Information is obtained during the assessment process and development of care plans about a persons past and present interests and social history. Each wing of the home is responsible for the planning of activities for the service users. Because of this, it is dependant on the skills and ability of individual staff members as to how activities are organised in each wing. Staff said that Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 13 because of this there is no uniformity in the activities across the home, but activity ideas are discussed and shared by the staff teams. Notice boards detail the activities happening in the wing and craftwork is displayed in the wings. Because of the size of the home and the manner in which activities are organised there is no uniformity in the home about the activities service users are able to take part in. It is recommended that there should be a member of staff dedicated to organising and coordinating activities. Residents are able to receive visitors at any time and can choose where to receive their visitors. Visitors spoken to during the site visits said that they are welcome into the home at any time and that staff keep them informed of there relatives condition and care needs. The Hampshire County Council’s catering department, HC3S, provides for catering at the home. There is a large kitchen at the home where the meals are prepared and cooked by HC3S The menu plan is developed by the head office of HC3S the present 3-week rotating menu is due to replaced with an improved 4-week rotating menu. The manager said that comments about the menu plan are acted upon by head office. An example of this is that at present on a Friday lunchtime there is a choice of two fish dishes with no identified choice for those that would prefer not to have fish. The manager said this is being revised by head office. Speaking to catering staff indicated that they can always provide alternative choices at meal times and that they have the resources to cater for persons with special catering needs such as health or religious dietary needs. Service users spoken with said that they enjoyed the meals provided at the home. A mealtime was observed in one of the wings. It was observed to be a relaxed social event with assistance being given to those needed it with sensitivity. Service users confirmed that they have the choice to take meals in the dining areas or in their bedrooms. Facilities are available in each lounge/dining area of each wing for care staff to make simple snacks for the service users. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 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 & 18. Quality outcome in this area is adequate. This judgment has been made using available evidence including a visit to the service. Service users and their representatives are able to express concerns and are confident that their concerns will be addressed promptly. Some staff member’s lack of clarity about adult protection procedures has the potential to hinder the protection of those living at the home. EVIDENCE: A complaints procedure is in place that details the time scales that complaints will be responded to. A record is kept of all complaints received by the home and the outcome of the investigation into the complaints. Service users and visitors all indicated that they would have no concerns to voice complaints or concerns to staff at the home and that these concerns/complaints will be dealt with effectively and promptly. Adult protection policies and procedures are in place. All staff attend training about the protection of vulnerable adults, some staff certificates were seen to evidence this. But discussing with some staff members indicated some lack of clarity about the adult protection procedures. Some ancillary staff said that they could not remember having had training about the protection of vulnerable adults. It is required that all staff have a clear understanding of Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 15 adult protection procedures. The manager is due to attend further training about the protection of vulnerable adults in the next month. Discussion with the manager evidenced that she has a clear understanding of the protection of vulnerable adults. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 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 & 26 Quality outcome in this area is good. This judgment has been made using available evidence including a visit to the service. Residents live in a home that has a well-maintained environment, which provides aids and equipment to meet their needs. The well being of those living at the home is protected by good hygiene and infection control practices. EVIDENCE: Hawthorn Court is a purpose built care home that was oened in February 2005. Living areas are divided into eight separate units each accommodating ten residents. Each unit has a lounge/ dining room with facilties for staff to make snacks and drinks for the service users. In addition there are three quiet lounges, a smoking lounge and activitiy rooms. Furniture and soft furnishings are in good order. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 17 Each bedroom has en-suite toilet and hand washing facilities appropriate to meet residents needs.There are also sufficient communal bathing and toilet facilities to meet residents needs. The enclosed garden area is landscaped with level walking areas and appropriate seating. A patio door was in the process of being fitted during the site visits to allow for better access into these areas. Bedrooms are individually and naturally ventilated with windows conforming to recognised standards. Central heating is under floor with residents having the ability to control the temperature. At the time of the visit the premises were clean, hygienic and free from offensive odours throughout. A team of cleaners have responsibility for maintaining the cleanliness of the home. Discussion with cleaners indicated that they believe they have sufficient staff and equipment to keep the home clean and tidy. Systems are in place to control the spread of infection. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored or prepared. The laundry area was clean and tidy during the fieldwork visits reducing the risk of any cross infection. Suitable hand washing facilities are provided for staff and the residents, protective equipment such as gloves and aprons are readily available for staff members. Several staff members have attended courses about the control of infection and further staff are due to attend such training, ensuring staff have a good understanding about control of infection in a care home. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 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): 27, 28, 29 & 30. Quality outcome in this area is adequate. This judgment has been made using available evidence including a visit to the service. Service users have confidence in the staff team that care for them. The service cannot demonstrate that recruitment procedures are always followed. Staff training is not clearly documented; it is not clear whether a well-trained staff group supports service users. EVIDENCE: Staff delivering care at the home are allocated to one wing that accommodates two 10 bedded units. Within in this group of staff there is a senior nurse, nurses and care staff. Staff absences due to sickness and staff vacancies are covered by permanent staff or by the use of agency staff. The service tries to employ regular agency staff to promote continuity of care for the service users. Service users spoken with said that generally they believe there are enough staff at the home, this was confirmed in conversations with visitors. Call bells were noted to be answered promptly indicating that there are sufficient staff to respond to service users requests for assistance. A member of the cleaning staff is allocated to each wing daily. As stated in the daily life and social activities section it is recommended that service users would benefit from having a designated activities co-ordinator supernumerary to care staff. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 19 A sample of ancillary staff and caring staff files were looked at to evidence the recruitment procedure. In some files in both of these staff groups there was information needed for the recruitment process missing. In some files it was evidence that CRB checks had taken place in others it was that satisfactory references had been received. The central Human Resources Department of Hampshire County Council holds this information, but there must be records kept at the home to evidence that the recruitment procedure has been followed correctly. Staff spoken to said that ‘loads of training’ is provided. The central human resources department holds the training records for all staff. Records at the home do not clearly identify the training received by staff. It is difficult for staff to evidence the training they have received as Hampshire County Council are no longer providing staff with certificates for courses attended. A clear record of the training received by all staff members must be available at the home. Service users and visitors spoken with did not indicate any concerns that staff did not have the skills to deliver care and support. No concerns have been raised with the commission that would indicate that staff have not received the training to equip them with the skills to support and care for the service users. At present 41 of care staff have NVQ level 2 in care or above. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 outcome in this area is good. This judgment has been made using available evidence including a visit to the service. The service is managed by a competent manager. The service responds to suggestions by service users, their representatives. Quality auditing systems assist the service to put systems in place to improve the service. Clear procedures protect resident’s finances. The home has a good record of meeting relevant health and safety requirements and legislation. EVIDENCE: The manager, Mrs Biggs, has been employed at the home since it opened in March 2005. A clear organisational structure promotes effective Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 21 communication between all staff members. Positive working relationships were evident between residents and staff on duty. Hampshire County Council has implemented a quality auditing system. The manager discussed this process and illustrated how the use of it has influenced the running of the home such as the introduction of service users and relatives meetings. Discussions indicated that generally relatives manage residents’ financial interests. The service acts as appointee for two service users. For this purpose they use Hampshire County Councils procedures and clear records of the service users financial transactions are kept and made available for the service user and their representatives to view. The home’s health and safety file was available. Staff are provided with a copy of the health and safety policy and advised of it’s content as part of the induction process. No unsafe practices were observed during the inspection. Certificates were available for required checks of systems and equipment. Risk assessments where necessary have been completed. Staff have received training in first aid and moving and handling. A sample of service certificates were viewed evidencing that services and equipment are maintained according to the manufacturers recommendations. A requirement was raised resulting from the previous two inspections to improve the ventilation in the nurse station areas. The inspector was informed that since Hampshire County Council assessed the temperature levels prior to the previous inspection no work has been carried out. The situation is compounded in that doors to the nursing stations are not fitted with automatic closing devices linked to the alarm system. These doors were found to be wedged open during the previous inspection process when the weather was hot which compromised fire safety precautions. This practice has now stopped. This requirement will no longer stand as the service has taken action and reported the matter to Hampshire County Council and at the time of the fieldwork the ventilation was not a problem. However this situation will continue to be monitored through the Commission’s inspection process. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 8 9 10 11 3 X X X X X X 3 2 3 2 3 X STAFFING Standard No Score 27 3 28 3 29 2 30 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Requirement The registered person must ensure that service users have a care plans that sets out in detail the needs of the service users and action to be taken by carers as to how the assessed needs will be met. The registered person must ensure that there is a medication policy that details the procedures for the recording, handling, safekeeping, safe administration and disposal of medications received into the home. The registered person must ensure that all persons working at the home have a clear understanding of the procedures that protect vulnerable adults form the effects of abuse. The registered person must ensure that evidence is available at the home that all checks including CRB and POVA have been obtained for all staff prior to employment The registered person must ensure that records of training DS0000062645.V312726.R01.S.doc Timescale for action 30/12/06 2. OP9 13(2). 30/12/06 3. OP18 13(6). 30/12/06 4. OP29 19. 30/12/06 5. OP30 17(2). 30/12/06 Hawthorne Court Nursing Home Version 5.2 Page 24 received by staff are available at the home. 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 OP12 OP30 Good Practice Recommendations It is recommended service users would benefit from having a designated activities co-ordinator supernumerary to care staff. It is recommended that staff receive certificates for trainings attended. Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Hawthorne Court Nursing Home DS0000062645.V312726.R01.S.doc Version 5.2 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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