Inspection on 03/08/05 for Hollybush House Nursing Home

This inspection was carried out on 3rd August 2005.

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

Hollybush House Nursing Home 17/10/06

Hollybush House Nursing Home 14/12/05

Hollybush House Nursing Home 20/12/04

Hollybush House Nursing Home 14/07/04

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

CARE HOMES FOR OLDER PEOPLE Hollybush House Nursing Home Corbett Hospital, Vicarage Road Stourbridge West Midlands DY8 4JB Lead Inspector Amanda Hennessy Announced 3 August 2005 rd 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 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. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hollybush House Nursing Home Address Corbett Hospital, VIcarage Road, Stourbridge, West Midlands, DY8 4JB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01384 442782 01384 444734 Shaw Healthcare (Homes) Ltd Care Home 24 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (22) of places Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20 December 2004 Brief Description of the Service: Hollybush House is a purpose built, single storey nursing home for the elderly with dementia. Hollybush is privately owned by Shaw Homes. The home has a large open lounge and dining area, a small quiet lounge, activities room and activities kitchen. Televisions and a stereo system are provided in the main lounge, with televisions also available in some service users’ bedrooms. The home has a secure garden with patio area, which is available for all service users. The home is welcoming with flowers, pictures and ornaments on display. A qualified nurse is on duty twenty-four hours a day, with a Registered Nurse (mental health) available usually on at least one shift during a twentyfour period. The home was designed with service users possible disabilities in mind, and includes wheelchair access, handrails, assisted baths and other adaptations. A full laundry service is also provided free of charge. The home is located in the grounds of Corbett Hopsital and has car parking available at the side of the home. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection undertaken by one Inspector. Total time spent at the home was 6.5 hours and included a review of records, talking to visitors, service users and staff. Care records were reviewed as part of the “case tracking” of four residents. Hollybush Nursing Home is privately owned by Shaw Homes, The home currently has no registered Manager since the previous manager has moved to manage another Shaw Home. Mr David Lo is the Deputy manager and is currently working as the Acting Manager. Three of the previous eight requirements were found to have been addressed, five new requirements were made as a result of this inspection. What the service does well: The home offers care and support for residents who have dementia, have very limited comprehensive and may have challenging needs. Visitors to the home say that they are always made welcome. Relatives say that they appreciate Staff providing them with appropriate information about services and facilities at Hollybush and changes to the health of their relative. All prospective residents have a comprehensive assessment of their needs prior to the home agreeing that they can come to Hollybush, and ensuring that their needs may be met at the home. Relatives all stated that the home provides excellent care for residents. Residents are treated with respect and ensure that their privacy is upheld. Staff support residents’ right of choice as much as possible. The home has appropriate policies and procedures for the safe storage and administration of medicines and with all medicines being administered by qualified nurses. The homes policies demonstrate an open ethos and a positive stance to complaints and the protection of vulnerable people. The home is clean free from any offensive odour, pleasantly decorated and well maintained with good quality furnishings and furniture. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 6 The home has sufficient and appropriately skilled staff to meet the needs of residents. Staff training is actively supported both from within the company and the within the home, with comprehensive induction, foundation and mandatory training available for all staff. Recruitment and selection procedures within the home are robust and safeguard its residents. It is also very positive that staff turnover is low. Relatives said that the Acting Manager is very approachable and they would have no hesitation in raising any concerns with him. 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. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 The home provides appropriate information in relation to what service the home can provide and whether the home will be able to meet their needs. EVIDENCE: The home has a detailed statement of purpose and service user guide or “Welcome booklet”. All new and prospective resident’s relatives are given a copy of the “Welcome booklet” which gives information about day-to-day life at Hollybush and about the facilities and services that the home can offer. Copies of both the statement of purpose and welcome booklet are available in the reception area of the home, alongside the most recent inspection report for the home. Reference to where the most recent inspection report can be located needs to be incorporated into the welcome booklet. Care records of three newly admitted residents were reviewed. Each resident had had a detailed assessment of their needs before they had been admitted to Hollybush. Relatives of recently admitted residents spoken to, confirmed that they had been consulted by staff on their relatives needs and had had an opportunity to visit the home prior to their relative coming to live at Hollybush. The (Acting) Home Manager writes to the prospective resident confirming that Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 10 the home is able to meet their needs should they wish to come and live at Hollybush Nursing Home. The pre admission assessments of residents is undertaken by either the Acting Manager or a senior member of staff. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 7,8,9,10 Residents care plans do not always identify their mental health and social needs and are not always reviewed at least monthly. Incomplete plans of care and infrequent review gives no assurance that residents’ needs are met. Procedures in relation to medicines are generally satisfactory and safeguard residents. Staff respects Resident’s privacy and dignity. EVIDENCE: All residents care records seen contained care plans and care risk assessments. There are assessments for the risk of pressure sores, moving and lifting of residents, continence, falls and for the use of bedrails. A nutrition risk assessment was not available for one resident whose care records were seen. Care plans were found not to include information about the resident’s mental health and social needs and require further development to address this. Care plans were also not reviewed monthly as required. Relatives confirmed that they are kept up to date with how their relative is doing, although this is not always recorded within the review of the plan of care. Records seen show staff contact other specialist nurses and health professionals such as dentists, chiropodists and opticians for advice on residents health and well being. Records are not always easy to determine Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 12 when the resident last had chiropody or were seen by a dentist. Residents are generally weighed monthly with appropriate actions should their weight and health give reason for concern. It was noted that new residents are not weighed as soon as possible following admission with two residents whose weight was a concern not weighed for 10 and 11 days respectively. The Acting Manager highlighted that this was because some residents are unable to sit to be weighed; alternative equipment may be required to safeguard residents and ensure that they receive the appropriate care. The home has appropriate policies and procedures for the safe handling and administration of medicines. Qualified nurses administer all medicines. The Acting Manager has the responsibility for the ordering and checking of repeat prescriptions to required standards. Staff check the minimum and maximum drugs fridge temperatures daily to ensure that medicines are safely stored. Liquid antibiotics which when opened should be used within one week of opening had no opening date recorded. On the day of the inspection the treatment room was found to be very warm and it was advised that staff check and record daily the treatment room temperature to ensure that the medicines stored there are stored at a safe temperature. The storage and administration of controlled drugs was checked and all was found to be appropriate. The medication administration records were checked and were found to be completed appropriately, with no gaps seen. Sadly due to the level of dementia of the Hollybush residents, residents are unable to effectively communicate but observations made and discussions with visitors during this and previous inspections show that staff treat residents with respect. Staff have a comprehensive induction which includes information on privacy and dignity of residents. Staff are also appropriately supervised on a day by day basis to ensure that the home’s values of privacy, dignity and respect are met by all staff. Five relatives were spoken to during the inspection, all had nothing but praise for the home, the staff and the care that their loved one / friends receive comments made were “ the staff are fantastic and can’t do enough” that “my relative would have died if I hadn’t moved them here, staff here spend time and are patient with my relative to ensure that they eat their meals”. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 12,13, 15 Activities are available but as residents social needs and recreational needs are not fully explored there is no assurance that social and recreational needs are met. Food served is nutritious and well balanced and offers a healthy and varied diet for residents. EVIDENCE: Daily routines are varied and flexible to meet service users needs, this was confirmed by relatives spoken to during the inspection and comment cards forwarded directly to the Commission for Social Care Inspection. Unfortunately due to the nature of advanced dementia the service users ability to express choice is very limited and relates to simple choices such as personal activity and nutritional requirements. The home has two Activity Therapists who assist service users in a number of day to day activities as well as planning social events, games and crafts. Information about resident’s life history and preferred leisure interests has been sought from relatives and was available in two of the three care records seen. The Activity Organisers identify individual’s suitability for different activities such as reminiscence therapy but the frequency that staff work with residents in these groups was not identified and Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 14 no evaluation of the residents contribution was seen in their care records. There is a need to combine the life history and the leisure interests into a social plan of care. Families spoken to say that they are encouraged and enjoy, taking part in the various social events that the home holds, the home had recently had a barbecue and open evening to celebrate the home being open for fifteen years. The home actively supports ongoing contact with service user’s friends and relatives. The home had a steady flow of visitors throughout the day, all visitors spoken to state that they are always made welcome by staff. Relatives say that they are regularly updated in relation to any changes/incidents involving service users. There is a choice of areas that visitors can visit their relatives. A notice regarding visiting is on display and states that there is no restriction in relation to visiting times, visiting arrangements are also included in the Statement of Purpose and Service User Guide. The home also has a regular and active relatives and friends group, families all receive letters inviting them to attend the meeting, minutes of these meetings are recorded and are sent out to all families. The local Church of England Vicar visits the home every fortnight. The home has limited kitchen facilities available. Meals are prepared and cooked by an outside caterer and brought into the home on a “cook chill basis”. The home has recently changed its provider of meals, with staff feeling that meals and choices available are much improved. The home has a four weekly menu, which offers choice and tasty and nutritious food with normal, soft, purred and diabetic diets available. Breakfast is served from 7.45 until approximately 10.30 am Lunch is served from 12.45 to 13.30. Evening meal is served between 17.00 and 18.00. A milky drink with a light snack is available for supper. Residents and their families are asked for the residents preferences whenever possible. On the day of the inspection there was: Roast chicken. Fish pie with potato topping or beef and onion pie with creamed potatoes and various vegetables, For pudding there was coffee sponge and custard, yoghurts, rice pudding or tinned fruit and ice cream. For tea there was chunky chicken and mash, or ham salad, with soup and a selection of sandwiches yoghurts, mousse or jelly was also available. Staff were seen to offer discreet assistance to residents cutting up their food and feeding those residents who are totally dependent. It was also nice to see several visitors visited at lunch time and assisted in feeding their relative. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 16,18 The home has appropriate policies and procedures to highlight concerns and complaints, to safeguard residents from abuse. EVIDENCE: The home has a detailed complaints procedure, which is displayed in the reception area of the home and is also in the service user guide. No complaints about the home have been received by the Commission for Social Care Inspection in the previous twelve months. Residents and their families spoken to said if they had any concerns they would not hesitate to discuss them with the Home Manager. The home also has appropriate policies for staff to highlight concerns whilst feeling safe to do so. The Adult Protection policy meets current guidance identified within the “No Secrets” legislation. The home also has appropriate policies to ensure that staff who are not suitable to work with vulnerable people do not do so by robust recruitment and selection procedures. A programme of Protection of Vulnerable Adults training has been identified and is ongoing for all staff. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 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 standard(s) 19 The home is pleasant, homely and generally well maintained with no offensive odours. A review of the environment of the home is required to ensure that the home meets the needs of people with dementia. EVIDENCE: A tour of the home was undertaken. The home has an ongoing refurbishment, plan and is clean, homely and welcoming. There is a large lounge/ dining room with smaller areas off the main lounge a small quiet lounge is also available. The home has a full nurse call system and a variety of aids and adaptations such as grab rail assisted baths and a wheel in shower available for dependent residents. There is a small-enclosed garden with a patio, patio furniture and pots containing plants at the back of the home. The home was found to be clean and free from any offensive odour throughout. A need to explore the use of pictorial signs (for toilets and bathrooms etc) and colour was discussed with the Acting Manager to ensure that the needs of people with dementia are met. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 17 Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 The home has sufficient and appropriately skilled staff to meet resident’s needs. The home has robust recruitment and selection to safeguard its residents. EVIDENCE: The home is staffed with the following: 07.00-14.30 1 trained nurse and 4 care staff (total of 5 staff) 14.30-21.30 1 trained nurse and 4 care staff (total of 5 staff) 21.00-07.00 1 trained nurse and 3 care staff Additional domestic, catering and laundry staff are also available. The home has fourteen of the twenty two care staff with National Vocational Qualification (NVQ) level two or above (63 ). This demonstrates a commitment by staff and the registered company for training and development and more than meets the requirement of at least 50 of care staff with NVQ level 2 or above. There is a low turnover of staff with just two new staff employed since the previous inspection in December 2004.The staff records of the two newly appointed staff were reviewed and generally meet the requirements of the regulations, although a photograph of staff members was not available as Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 19 required. Recruitment and selection procedures within the home are robust and safeguard its residents. All new staff receive induction training and foundation training to National Training Organisation specifications as required. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 38 The home does not currently have a registered manager. Staff generally receive appropriate supervision to meet the requirements of their roles within the home. The health safety and welfare of residents and staff is promoted and protected EVIDENCE: The home is currently without a registered manager. Mr David Lo the Deputy Manager is currently acting as manager. Mr Lo is a registered mental health nurse and has his National Vocational level four in management. Mr Lo has been the Deputy Manager at Hollybush for over ten years. All visitors spoken to state that Mr Lo is approachable and that the home is well managed. An application for a home manager for Hollybush must be forwarded to the Commission for Social Care and Inspection. All staff now receive formal supervision, although not all staff (particularly night staff) receive supervision as regularly as required. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 21 The Acting Manager has worked hard to ensure that all staff receive appropriate mandatory training in fire safety, food hygiene, moving and handling, risk assessment, health and safety, infection control and first aid with dates identified for those staff that require updates. Maintenance service contracts and checks on hot water temperatures were also checked and found to be satisfactory. David Lo has a Health and Safety responsibility within the home and has received additional training to support him in this role. Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x 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 Standard No 16 17 18 Score 3 x 3 2 x x x x 2 x 3 Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 23 Yes Are there any outstanding requirements from the last inspection? 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 1 Regulation 5 Requirement The service user guide is expanded to include all required information identified within regulation 5 and standard 1. Partially met- need to identify within the service user guige ( known as Welcome booklet) where a copy of the most recent inspection report can be seen. Care plans must identify mental health needs and must be reviewed monthly or as clinically indicated. Involvement of service users or their representative must be evidenced in the drawing up and review of the care plan wherever possible. Partially met- care plans do not always identfy mental helath needs and are not always reviewed monthly Staff must receive training in the awareness of abuse. Partially met- a training programme for all staff in the awareness of abuse has been identified. To implement a formal supervision system, ensuring care staff receive a documented supervision session at least six Timescale for action 30/9/05 2. 7 15 30/9/05 3. 18 13(6) 31/10/05 4. 36 18 31/10/05 Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 24 5. 38 18(1) 6. 7. 8. 9. 7 8 9 29 15 15 13(2) 18(1)(a) times every year Partially met- A supervision system has been identified and has been commenced but not all staff receive supervision regularly . Staff must receive training in the care of people with dementia, management of violence and aggression de-escalation techniques and first aid. Partially met- but needs to be recommenced for all staff. All residents have a plan of care for their social needs All new residents must be weighed as soon as possible following admission. A date of opening must be recorded on all short life items. 30/11/05 30/9/05 With immediate effect With immediate effect 30/9/05 10. 31 9 To obtain and hold information and documents in respect of records to be kept of each member of staff as listed in Schedule 2 & 4 (6) of Care Homes Regulations 2001.- With a need to ensure that a photograph is available of all members of staff The registered provider must 31/10/05 forward a proposal for a registered manager at Hollybush. 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. 3. Refer to Standard 8 8 9 Good Practice Recommendations A summary of visits by made Health Professionals is recorded (this already undertaken for GP visits). A review of the suitability of the current weighing scales for the needs of the residents is undertaken. The treatment room temperature is recorded daily. E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 25 Hollybush House Nursing Home 4. 22 The use of pictorial signs (for toilets and bathrooms etc) and colour for people with dementia is explored.aqa Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Mucklow Office Park Mucklow Hill Halesowen B62 8DA 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 Hollybush House Nursing Home E55 S4877 Announced Hollybush House V235824 030805 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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