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Inspection on 05/12/06 for Heatherdene Nursing Home

Also see our care home review for Heatherdene Nursing Home for more information

This inspection was carried out on 5th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides full information on the services and facilities provided. Residents and visitors spoke highly of the home and the care provided by the care staff with comments including `Staff are genuinely very caring and the activities are good and provide stimulation to all residents` `I am very satisfied indeed the staff are very caring and very nice to my mother` `I am entirely satisfied with the care she receives. The staff are all attentive and kind towards her`.Care documentation confirmed that the medical and health care needs of residents are fully assessed and responded to. The home promotes resident`s social interaction and stimulation through a well-organised activities programme. Heatherdene Nursing Home is a converted premise that provides a home like environment that is pleasant and well decorated. The home manager has an approachable manner and is responsive to residents, visitors and staff views.

What has improved since the last inspection?

Staff training has progressed since the last inspection and a number of carers have now achieved a qualification in caring. A good system for quality monitoring and service improvement has been established that takes into account resident`s views. All doors have been fitted with door guards that allow doors to be held open but respond to fire alarm system automatically.

What the care home could do better:

The care documentation needs to be improved to ensure residents receive appropriate and person centred care that meets their assessed needs and should include the recording of individuals consent as necessary. Although the communal areas are attractive and well used they need to be enlarged to meet the needs of all the residents in the home. The recruitment practice needs to be further improved with appropriate referencing and a clear record of prospective staff previous employment so this can be checked. Staff records also need to include recent photographs to ensure residents are safeguarded.

CARE HOMES FOR OLDER PEOPLE Heatherdene Nursing Home The Highlands Bexhill on Sea East Sussex TN39 5HL Lead Inspector Melanie Freeman Key Unannounced Inspection 5th December 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 Heatherdene Nursing Home DS0000047280.V321785.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. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heatherdene Nursing Home Address The Highlands Bexhill on Sea East Sussex TN39 5HL 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) 01424 224518 01424 212800 heatherdene01@btconnect.com Zeenat Nanji Tasneem Osman Stianand Baichoo Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The maximum number of service users to be accommodated is 23. That the care home provides general nursing care to older people over the age of 65. That rooms 5 and 15 are the only rooms used as shared rooms. That the communal space is improved to meet the pre commission Heath Authority standard by June 2005. That the bathing facilities are improved by June 2005. Date of last inspection 27th September 2005 Brief Description of the Service: Heatherdene was originally a family home and has been greatly extended and adapted to its present use over the last 20 years. Heatherdene is registered to provide personal and nursing care for older people up to a maximum of 23. The home has 21 bedrooms 2 of which can be used for sharing and 6 of the single rooms have en-suite facilities. Heatherdene Nursing Home is situated on the outskirts of Bexhill on Sea, in a private residential road in an elevated position facing towards the sea, with attractive gardens on all sides. Heatherdene is owned by a family partnership that also owns and manages another care home in East Sussex. The home provides care and support to residents who are both privately funded and those who are funded by Social Services. The home’s fees as from 01 October 2006 range between £450.00- £565.00 per person per week. Additional costs are charged for hairdressing (approximately £11.50), chiropody (approximately £11), newspapers and magazines. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Heatherdene Nursing Home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. The unannounced visit was facilitated by the registered manager who was working in the home, and the feedback from this was received by him, and the registered owner who was in the home giving staff training. On the day of the home visit the inspector spent most of her time meeting with residents, visitors and observing practice in the home. A tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, the provision of terms and conditions of residency, duty rotas, medication records, and recruitment files. In addition the care documentation pertaining to three residents was reviewed in depth along with a number of policies and procedures and records relating to health and safety. The inspector was able to eat a midday meal with the residents in the communal dining room. Service users surveys were given to 10 residents or their representatives and 5 staff surveys were left in the home for staff to complete and return. The inspector received all 7 service users/representatives surveys and 1 staff survey was returned, information contained in the returned surveys has been incorporated into this report. What the service does well: The home provides full information on the services and facilities provided. Residents and visitors spoke highly of the home and the care provided by the care staff with comments including ‘Staff are genuinely very caring and the activities are good and provide stimulation to all residents’ ‘I am very satisfied indeed the staff are very caring and very nice to my mother’ ‘I am entirely satisfied with the care she receives. The staff are all attentive and kind towards her’. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 6 Care documentation confirmed that the medical and health care needs of residents are fully assessed and responded to. The home promotes resident’s social interaction and stimulation through a well-organised activities programme. Heatherdene Nursing Home is a converted premise that provides a home like environment that is pleasant and well decorated. The home manager has an approachable manner and is responsive to residents, visitors and staff views. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Heatherdene Nursing Home DS0000047280.V321785.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 Heatherdene Nursing Home DS0000047280.V321785.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from the provision of comprehensive and well-presented documentation, which enables prospective residents to make an informed choice about whether to move into Heatherdene Nursing Home. Residents are provided with a clear contract/terms and conditions of residency. All residents are assessed prior to an admission being agreed to by a competent person. Residents are only admitted to the home if their needs can be met. Intermediate care is not provided. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 9 EVIDENCE: The home has a detailed Statement of Purpose and Service Users’ Guide in place. Both are kept on display within the hallway of the home for residents and visitors to see, alongside a copy of the most recent inspection report. Both the Statement of Purpose and Service Users’ Guide were found to be detailed and comprehensive covering: the home’s philosophy of care, the facilities provided, complaints procedure, and health and safety aspects. Both these documents have been kept up to date and have been reviewed this year. Two residents and three relatives spoken to confirmed that the home provided them with relevant information about the home before they visited the home, all were clear on the financial arrangements and what they were paying for and those who had an increase in fees had been notified of this in writing. A review of the admission process included the review of the last three admissions to the home. This confirmed that all these residents had clear terms and conditions of residency a signed copy of which had been retained within the personal records for each resident. Each resident had been fully assessed by the home manager in hospital prior to his or her admission to the home being agreed. Although a letter is sent to the prospective resident or their representative following this assessment this does not confirm that the home is able to meet the needs of the prospective residents and this was raised with the home manager who confirmed that the letter sent would be amended accordingly. A review of the homes documentation and discussion with the manager confirmed that intermediate care is not offered or provided at Heatherdene Nursing Home. Heatherdene Nursing Home DS0000047280.V321785.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although care documentation provides a framework for the provision of care it needs to be extended to cover the individual care needs and promote person centred care. Resident’s care needs are met taking into account resident’s dignity with evidence of regular input from health care professionals as necessary. Procedures and practice in the home allow for the safe administration of medicines. EVIDENCE: The care documentation pertaining to three residents were reviewed in depth as part of the inspection process. These on the whole were found to be full and comprehensive and to provide clear guidance to staff on how to meet the care needs of residents however they need to be developed further to promote a person centred approach rather than providing standards plans of care. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 11 There was evidence within the care documentation that confirmed that the care provided is reviewed regularly and discussed with the resident or their representative. Relatives spoken to confirmed that they were given the opportunity to discuss individual plans if care and were kept up to date with any changes. All feedback received from residents, relatives and visitors confirmed a satisfaction with the care provided and comments received included ‘I am entirely satisfied with the care mother receives’ ‘the medical attention given to my relative cannot be faulted. Medical problems have been spotted quickly and dealt with accordingly’ ‘We have gone through her care plan and feel the care is fantastic’ ‘Staff provide appropriate and responsive care’. The documentation clearly records the health care specialist involvement including Physiotherapist, Tissue Viability Nurse, Speech and Language Therapist, and the regular input from the Doctor. Risk assessments are being used to inform the care practice and are an integral part of the care documentation. The issues relating to resident consent and capacity need to be further developed and clearly documented and this was raised with the home manager. The medicine procedures and records were found to be clear and accurate. The medicine administration observed was found to be completed in a safe and appropriate manner. All medicines are administered and monitored by the registered nurses working in the home and the storage area was found to provide good facilities for all medicines. Observations confirmed that residents were clean and well looked after and that they were treated as individuals by the carers looking after them. Two relatives spoken to said how they were impressed with the attention taken to ensure each resident is well turned out in accordance with what they would of wanted. ‘I am very satisfied indeed the staff are very caring and very nice to her my mother is always well turned out and I am satisfied’. Heatherdene Nursing Home DS0000047280.V321785.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for activities and the provision of meals are well managed, ensuring that quality in these areas is good and that choice and variation is available. Residents are able to make a range of choices about their lives as well as maintaining links with friends and relatives. EVIDENCE: The activities in the home have been greatly developed and included on the day of the inspection visit a musical entertainer who sang and tap danced in the lounge area and this was really enjoyed by residents attending. Residents said how much they had enjoyed the summer Bar-B-Qs and outings and one comment made said ‘Activities are brilliant most afternoons there is either music, video, or a quiz to celebrate birthdays all residents are given flowers and a tea party for all’. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 13 Relatives had also noted the activities and entertainment and commented on how good they were and on the effort made for Christmas, which included taking residents shopping and to see the lights in a local town. Visiting is very much encouraged and visitors seen and spoken to said that they were made to feel very welcome, could visit at anytime and that the staff were very hospitable and provided beverages and even meals. Links are maintained with local churches and schools who also visit the home. One resident confirmed that the home had arranged for him to continue his regular visits to a day centre. The meal eaten was very good and very much enjoyed by all residents, choices were given and all residents complimented the food saying ‘the food here is always good’. The cook works in the home every day and there is always a cooked main course and a cooked evening meal if wanted. On the day of the home visit residents had a choice of a chicken curry or sausages and chips. Residents confirmed they are able to choose what they want to eat on the day of the meal and comments confirmed ‘they are given a daily menu the cook is good and there is variety in the diet’ ‘High praise for the chef. The meals are well cooked varied and well presented’. Most residents eat their meals in the lounge area on individual tables there is however an attractive separate dining room however space in this room is limited. Heatherdene Nursing Home DS0000047280.V321785.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate systems are in place to ensure that all complaints are handled appropriately and that residents are safeguarded from harm. EVIDENCE: The home has a detailed complaints procedure, and although there had not been any formal complaints recently, there was evidence that complaints had been recorded on complaint forms and responded to appropriately in the past. These records are being stored in a confidential manner and a copy of the complaints procedure is available in the front hallway. Residents and relatives spoken to confirmed that if they had a concern they would speak to the home manager who is very approachable and would be confident that he would deal with the problem. The adult protection procedure is appropriate and on the day of the inspection the Registered Owner gave a group of staff some training on adult protection issues. The contents of this training was reviewed and found to be appropriate. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an attractive home that is well maintained and clean. The space available for comfortable communal activity inside the home is limited and impacts on resident’s choice. EVIDENCE: Heatherdene Nursing home is a converted premise that has retained a home like environment. Accommodation is provided on two floors with disabled access to the first floor via a passenger shaft lift. A tour of the home confirmed that a good standard of decoration is maintained throughout along with a good standard of cleanliness. The home has an attractive garden with disabled access that is enjoyed by residents when the weather allows. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 16 The home has limited communal space and when residents were dining it was noted that the lounge was rather cramped and the homes facilities do not allow for residents to all eat their meals at a dining table. The communal areas are well used and as confirmed within previous inspections these are to be improved in the near future as agreed with the new owners prior to their registration being agreed. The bathing facilities have been upgraded over the past year to meet the needs of the residents as agreed prior to the homes registration. Resident’s rooms were found to be very personalised and individual with many having the resident’s own furniture. All areas of the home seen were found to be clean and hygienic at the time of the inspection visit and two relatives commented on the freshness of the home. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers and skill mix provides a competent staff team that can meet residents health and personal care needs. The homes recruitment procedures followed were found on the whole to be good although improvement is needed with regard to referencing past employment history and the provision of photographs. EVIDENCE: At the time of this inspection 21 residents were living in the home and the staffing arrangements were found to be appropriate to meet the care needs of these residents. A staff rota was available for inspection and confirmed that a registered nurse is working in the home at all times. The manager is not included in the direct care numbers and is therefore available at busy times but has the necessary time to manage the home and co-ordinate the staff training in the home. There are in addition sufficient catering and cleaning staff. All feedback received from residents and visitors confirmed that the staff and the home manager are well thought of ‘the staff are all attentive and kind towards my mother and welcoming at all times to us and visitors’. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 18 ‘The staff come as soon as they can they are very kind and helpful’. ’The staff are exceptionally good always kind friendly and gentle. Staff stability has been established and recognised by residents and relatives who felt this was huge positive for the care in the home. Staff training is an important part of the home and the home manager has confirmed within the pre inspection questionnaire that 33 of care staff have completed a National Vocational Qualification in care level 2 or equivalent and more staff are undertaking the training. During the inspection there was evidence that staff training is well developed and the home is fully aware of the new induction standards to be implemented with any new staff. The recruitment files pertaining to the three most recently employed care staff were reviewed as part of the inspection process and identified that the recruitment practice included an application form, referencing and both Protection of Vulnerable Adults and Criminal Records Bureau checks. It was however noted that recent photographs of staff are not retained and one carer working had not provided clear information on his previous employment and a reference was not obtained from his previous employer. These shortfalls were discussed with the home manager who confirmed that he would follow up these matters. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and ensures the best interests of residents are protected. Quality assurance measures allow for residents and representatives views to be taken in to account and responded to. Systems are in place to ensure resident’s monies are safe and health and safety issues are well managed. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 20 EVIDENCE: Since the last inspection the home manager has completed his Registered Manager Award and National Vocational Qualification in management at level 4. It was clear following discussion with staff residents and visitors that he is well liked and respected and makes time for anyone wishing to speak to him. He is well supported by the home administrator who provides support and advice to residents and relatives. All feedback confirmed a satisfaction with how the home is managed ‘I wish to congratulate the manager and his team for maintaining a well-run nursing home. The home projects a happy working environment and good team spirit with great kindness and care shown towards the patients’. The home has developed a quality assurance system, which uses questionnaires and takes into account the views of residents, relatives, representatives and health care professionals. The questionnaires are audited and reported on and there was evidence that issues identified are responded to. Regular residents/relatives meetings are held and both residents and relatives said how useful these meetings were and that they were conducted in a professional manner and used to gain residents views. The home manager confirmed within the pre-inspection questionnaire that resident’s monies are not dealt with by the home and any extras provided are billed for directly on a monthly basis with receipts. Certificates relating to Health and Safety in the home were reviewed and found to be full and extensive along with procedures followed to protect resident and staffs safety. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 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 15 Requirement That the plans of care clearly identify the individual care needed and provided, and that these are based on a person centred approach to care that promotes residents individuality and choices. Issues around individual consent must be clarified and recorded. That the communal space is improved in accordance with agreement made with CSCI prior to registration Timescale for action 01/02/07 2. OP20 23(2) 01/04/07 3. OP29 19(1) That the registered person 01/01/07 operates a thorough recruitment procedure that includes obtaining appropriate references, checking prospective staff employment history and obtaining up to date photographs. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 23 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 OP30 Good Practice Recommendations That a training matrix is used to demonstrate the staff training arranged and provided. Heatherdene Nursing Home DS0000047280.V321785.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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