Inspection on 10/01/07 for Holmwood Nursing Home

This inspection was carried out on 10th January 2007.

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

Holmwood Nursing Home 15/12/08

Holmwood Nursing Home 20/10/05

Holmwood Nursing Home 26/05/05

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

CARE HOMES FOR OLDER PEOPLE Holmwood Nursing Home 53 The Avenue Tadworth Surrey KT20 5DB Lead Inspector Deavanand Ramdas Unannounced Inspection 10 January 2007 10:30 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 Holmwood Nursing Home DS0000062689.V326966.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. Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holmwood Nursing Home Address 53 The Avenue Tadworth Surrey KT20 5DB 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) 01737217000 Robert William Kibble Mrs Urmila Kumar Care Home 48 Category(ies) of Dementia (13), Mental disorder, excluding registration, with number learning disability or dementia (13), Old age, of places not falling within any other category (48) Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. From time to time the home may admit service users under the age of 65. 20th October 2005 Date of last inspection Brief Description of the Service: Holmwood is registered with the Commission for Social Care Inspection as a care home with nursing for forty-eight service users. The home is located in Tadworth in Surrey and close to public amenities and other facilities. Accommodation is provided on two floors and comprises of an office, lounge, dining area, kitchen, bathrooms, toilets, showers, laundry and bedrooms with en-suite facilities. The home has an attractive garden which is private and accessible to service users. The range of fees charged by the home is £750 to £850 per week. The registered manager is Mrs. Urmila Kumar. Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes site visit as part of the key inspection process by the Commission for Social Care Inspection henceforth referred to as the CSCI and carried out by Mr. D. Ramdas. The inspection commenced at 11:30 hrs and finished at 17:00 hrs and included a tour of the premises, interviews with staff and service users, and a review of documents and care records. The inspector noted some service users have memory impairment with communication difficulties and judgements were made about them based of their mood, behaviour and information given by staff. The inspector would like to thank the provider, deputy matron, staff, service users and relatives for their contribution to the inspection. What the service does well: The home has a registered manager with a professional nursing qualification who provides management stability, leadership and direction to the staff team. During discussions a member of staff stated ‘‘the management is very good, very approachable and caring’’. The premises are excellent with an excellent standard of décor and good quality furniture and fittings. A relative recorded ‘‘the home has a very friendly and happy environment, always clean and at the right temperature’’. Assessment and care planning are good and reflect the health, personal and social care needs of service users. A relative recorded ‘‘my father has been in Holmwood for over one year now and the care has always been excellent’’. Meals at the home are good and offer variety and choice. A relative recorded ‘‘the home has recently employed a chef to prepare all the meals fresh each day’’. Activities at the home are organised and the home employs an activities co-ordinator to promote social activities in the home. During discussions a relative commented ‘‘the activity co-ordinator is very good’’ and a service user recorded ‘‘staff are polite and will sit and talk to us’’. The arrangements for handling complaints are good. A relative recorded ‘‘the owners and senior staff always listen to any concerns I have and will do their best to help’’. The environment is clean and hygienic for the enjoyment of service users. During discussions a relative stated ‘‘the home is always very clean’’ and a relative recorded ‘‘the home never smells unpleasant’’. The home has good quality assurance and use questionnaires to obtain feedback about the home. During discussions a relative stated ‘‘I would recommend this place to anybody’’ and a relative recorded ‘‘my observation when visiting are that this is an excellent nursing home’’. The home values equality and diversity, staff have value based training and individual care plans reflect the unique needs of individual service users. A relative recorded ‘‘staff are sensitive, caring and all service users retain their Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 6 dignity’’ and a service user commented ‘‘staff look after me well and leave me to sit quietly as I am a private person and does not like too much fuss’’. 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. Holmwood Nursing Home DS0000062689.V326966.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 Holmwood Nursing Home DS0000062689.V326966.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): 1,3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s brochure needs updating to reflect the range of fees charged by the home to ensure prospective service users have up to date information on which to make decisions about admission to the home. The arrangements for assessing needs are good ensuring the needs of prospective service users are assessed, identified and met. EVIDENCE: The home had a statement of purpose and a brochure with information about the home which was written in plain English, nicely presented and available for information. Following discussions with the provider a requirement has been made for the home’s brochure to include information about the range of fees charged by the home. The provider stated the home had a policy on assessing needs and registered nurses assessed the needs of prospective service users to the home. The inspector sampled records and noted the home had a dependency profile and Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 9 other assessments which covered personal care, health needs and social support. Further evidence confirmed where appropriate joint assessments have been undertaken to promote the welfare of service users. The deputy matron confirmed the home did not provide intermediate care and this standard was not assessed. Holmwood Nursing Home DS0000062689.V326966.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&10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning need strengthening to safeguard the health and welfare of service users. The systems for health care are good ensuring service users have access to health care services to meet assessed needs. The management of medication is good and promote health. The arrangements for privacy and dignity are good ensuring service users are treated with respect and their right to privacy is upheld. EVIDENCE: The provider stated the home had individual care plans based on best practice. The inspector sampled individual care plans which included risk assessments pertaining to nutrition, pressure areas and the prevention of falls. Further evidence confirmed individual care plans set out in detail actions to be taken with regards to health, personal and social care needs. Following discussions with the provider a requirement has been made for individual care plans to be reviewed at least monthly, dated and signed by staff to reflect the changing Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 11 needs of service users. A relative recorded ‘‘my father has been in Holmwood for over one year now and the care has always been excellent’’. The home has arrangements for meeting the health care needs of service users who are registered with a local GP (general practitioner) to promote accessibility. Further evidence confirmed the home had input from a consultant psychiatrist, occupational therapist, district nurse and continence nurse advisor to promote the health of service users. The deputy manager indicated referrals are made to the tissue viability nurse and dietician through the GP, if required with arrangements in place for dental and chiropody care. The home has a policy on medications and registered nurses have responsibility for administering medications. Observations confirmed the home had adequate storage of medications and the home kept a record of medications received by the home. Further evidence indicated the home has a service level agreement with an approved contractor for the disposal of medications and a local chemist supplied medications to the home. The inspector sampled medication record sheets which were dated and signed by staff with a recent photograph of the service user attached for information. Controlled drugs were appropriately stored with the controlled drugs register up to date and correct. Following discussions with the provider recommendations have been made for handwritten prescriptions on medication record sheets to be dated, signed and witnessed by a second member of staff and medication in the form of solutions and suspensions to be dated and signed on opening to promote good practice. The home has a policy on privacy and dignity and staff have training in privacy and dignity. Observations confirmed staff addressed service users by their preferred names and knocked on doors before entering service users bedrooms. Further evidence confirmed service users received visitors in their bedrooms to promote privacy and a relative recorded ‘‘staff are sensitive, caring and all service users retain their dignity’’. The inspector noted a service user recorded ‘‘staff look after me well and leave me alone to sit quietly as I am a private person and does not like too much fuss’’. Holmwood Nursing Home DS0000062689.V326966.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&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 social contact and activities need strengthening to satisfy the recreational, social and leisure needs of service users. Community contact is good ensuring service users maintain links with family and friends. The systems for autonomy and choice are good ensuring service users are helped to exercise choice over their lives. Meals at the home are good and offer variety and choice. EVIDENCE: The provider stated the home had a programme of daily activities to meet the social and recreational interests of service users. The inspector sampled records and noted the home employed a full-time activity co-ordinator who worked five days a week to promote activities in the home. The range of activities included art and craft, music and movement, games, puzzles and exercises. Following discussions with the provider a requirement has been made for the activity programme to be in a format which is understandable to service users with a memory impairment. A service user recorded ‘‘staff are polite and will sit and talk with us’’. Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 13 The provider stated the home promoted community contact and the inspector noted the home had no restrictions on visiting times. Observations confirmed relatives visited the home and service users are able to receive visitors in private. The provider stated the home had contact with charitable organisations and a local vicar visited the home to promote community links. During discussions a relative commented ‘‘I like the fact you can visit the home at anytime’’. The home has a policy on service users’ money and service users have power of attorney to safeguard their financial interests. The provider commented service users are able to bring personal possessions to the home and observations confirmed service users had personal possessions including furniture in their bedrooms for their enjoyment. The home has a service level agreement with an approved caterer to provide catering and meals at the home. The inspector sampled menu plans which offered variety, choice and healthy eating options. On the day of the inspection service users had spaghetti Bolognese with garden peas and sweet corn for lunch and dessert was apple and cinnamon sponge cake with hot and cold drinks available. Meals were nicely presented and mealtime was relaxed and unhurried. A relative recorded ‘‘the home has recently employed a chef to prepare all the meals fresh each day’’ and observations confirmed staff offered assistance to service users to eat their meals and promote health. Holmwood Nursing Home DS0000062689.V326966.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&18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaint process is good with complaint information available to staff, service users and relatives. The arrangements for safeguarding adults are good protecting service users from harm. EVIDENCE: The provider stated the home had a complaint policy and the inspector noted information about complaints displayed in the foyer. A review of records at the CSCI confirmed one complaint recorded about the home with appropriate management action taken. The home kept a record of complaints and a relative recorded ‘‘the owners and senior staff will always listen to any concerns I have and will do their best to help’’. The home had a policy on safeguarding adults and a whistle blowing policy to protect service users from harm. Further evidence confirmed staff have training in safeguarding adults and dementia awareness training to ensure physical and verbal aggression by service users is understood and dealt with appropriately by staff. A review of records at the CSCI confirmed one incident investigated under safeguarding adult procedures with appropriate management action taken. Following discussions with the provider a recommendation has been made for the home to have a copy of the local authority (Surrey County Council) procedures on safeguarding adults to promote good practice. Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 15 Holmwood Nursing Home DS0000062689.V326966.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The premises are excellent and provide a comfortable environment for service users. The arrangements for hygiene are excellent ensuring the home is clean, pleasant and hygienic for service users. EVIDENCE: The home is suitable for its stated purpose with a programme of routine maintenance, renewal and decoration. The inspector noted the home had a fire safety risk assessment carried out by the local fire service and the provider confirmed management action will be taken, if required to safeguard the welfare of service users. The gardens are attractive, well maintained and accessible to service users for their enjoyment. Observations confirmed the home had an excellent standard of décor with good quality furniture and Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 17 fittings and a relative recorded ‘‘the home has a very friendly and happy environment, always clean and at the right temperature. The home had a policy on infection control and staff have training in infection control to prevent the spread of infection in the home. A review of records confirmed the home employed two domestic assistants to maintain the cleanliness of the and observations confirmed the home was clean, hygienic and free from mal odour. Further evidence indicated the home had adequate laundry facilities with industrial dryers and washing machines with a sluicing facility. During discussions the laundry assistant commented ‘‘I have been here fourteen years, I am in seventh heaven’’. The inspector noted staff practiced infection control measures by washing their hands regularly and the home had gloves, aprons and hand wash to promote good hygiene. A relative recorded ‘‘the home never smells unpleasant’’. Holmwood Nursing Home DS0000062689.V326966.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29&30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing are good ensuring adequate numbers of staff on duty to meet the needs of service users. Training and development of staff is good ensuring service users are in safe hands at all times. Recruitment practices are good safeguarding the welfare of service users. Induction training is good ensuring staff are competent to do their jobs. EVIDENCE: The provider stated the home employed a registered manager, registered nurses, care assistants, domestic assistants, a laundry assistant and maintenance staff to meet the needs of service users. The inspector sampled the homes duty roster which reflected the numbers of staff on duty including two registered nurses, six carers, a laundry assistant, domestic assistant and two catering staff. Further evidence confirmed the home allocated one registered nurse and three carers to meet the needs of service users during the night. During discussions a relative commented ‘‘the provider is accessible all the time’’. The provider stated the home is committed to staff training including NVQ training for care assistants. A review records indicated the home employed twenty-two care assistants and five care assistants have NVQ qualification with six care assistants enrolled on the NVQ programme. Following discussions with the provider a recommendation has been made for the home to do an action Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 19 plan with timescales outlining progress towards achieving NVQ training targets for staff to ensure service users are in safe hands at all times. The provider stated the home had a contract with an external consultancy to offer advice and support on human resource matters. The inspector noted the home had a policy on staff recruitment and employees are vetted before being employed by the home. A review of staff recruitment files confirmed staff have completed applications forms, written references, statement of terms and conditions, job descriptions, CRB (criminal record bureau) disclosure information and a recent photograph of the employee. Following discussions with the provider a recommendation has been made for staff to have copies of the GSCC (general social care council) code of conduct to safeguard the welfare of service users. The home has an induction and foundation programme and staff have induction and foundation training. The inspector sampled induction records which were dated and signed by the employee and supervisor and covered safe working practices, role of the worker and principles of care. Further evidence confirmed the home had an agreement with an approved provider for mandatory training and staff accessed a local college for specialist training in dementia awareness and medications. Following discussions with the provider a recommendation has been made for the homes induction programme to reflect Skills for Care common induction standards. During discussions a member of staff stated ‘‘I enjoy the job’’. Holmwood Nursing Home DS0000062689.V326966.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35&38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for the day to day management of the home is good ensuring the home is run by a person fit to be in charge of the home. The systems for quality assurance are good ensuring service users and relatives participate in the review of the home. The arrangements for service users’ money are good and safeguard the financial interests of service users. Health and safety needs strengthening to safeguard the welfare of service users and staff working in the home. EVIDENCE: The home has a registered manager who has a professional nursing qualification and provides management stability, leadership and direction to Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 21 the staff team. During discussions a member of staff stated ‘‘the management is very good, very approachable and caring’’. The provider stated the home is committed to good quality assurance and a review of records confirmed the home used questionnaires to obtain feedback about the home. Further evidence confirmed the home had reviewed and updated policies and procedures and met the requirements made by the CSCI to improve practice at the home. The provider is in the process of evaluating information from questionnaires dated January 2007 and a relative recorded ‘‘my observation when visiting are that this is an excellent nursing home’’ and during the inspection a relative commented ‘‘I would recommend this home to anybody’’. The home has a policy on service users money and as previously stated in this report service users have power of attorney to safeguard their financial interests and affairs. The inspector noted the provider acted as appointee for one service user with records kept of financial transactions for information and correct. The home has a policy on health and safety and COSHH (Control of Substances Hazardous to Health). A review of records confirmed staff have training in health and safety, fire safety, first aid, food hygiene and manual handling. Further evidence indicated the home had a gas safety certificate with service inspection records pertaining to fire equipment, fire alarms and hoists up to date and valid. The kitchen appeared clean and hygienic and fridge and freezer temperatures were within normal limits to promote food safety. Following discussions with the provider a requirement has been made for the home to have a legionella risk assessment to safeguard the welfare of staff and service users in the home. Holmwood Nursing Home DS0000062689.V326966.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 2 x 3 x x N/A 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Holmwood Nursing Home DS0000062689.V326966.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 OP1 Regulation 5(1)(b) Requirement The registered person must ensure the home’s brochure includes the range of fees charged by the home to ensure prospective service users have up to date information on which to make decisions about admission to the home. The registered person must ensure individual care plans are reviewed at least monthly, and dated and signed by staff to safeguard the health and welfare of service users. The registered person must ensure information about activities at the home is in a format which is understandable to service users with a memory impairment to satisfy their social and recreational interests. The registered person must ensure the home has a legionella risk assessment to promote the health and safety of staff and service users in the home. Timescale for action 20/02/07 2 OP7 15(2)(b) 28/02/07 3 OP12 16(2)(m) 01/03/07 4 OP38 12(1)(a) 01/03/07 Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations The registered person shall consider ensuring handwritten prescriptions on medication record sheets are dated, signed and witnessed by a second member of staff to promote good practice. The registered person shall consider ensuring medication in the form of solutions and suspensions are dated and signed by staff once opened to promote good practice. The registered person shall consider ensuring the home has a copy of the local authority (Surrey County Council) procedures on safeguarding adults to promote good practice. The registered person shall consider ensuring the home has an action plan to meet the requirements for staff training in NVQ to promote good practice. The registered person shall consider ensuring staff have copies of the GSCC (General Social Care Council) code of conduct to promote good practice. The registered person shall consider ensuring the home induction programme reflect Skills for Care common induction standards to promote good practice. 2 3 OP9 OP18 4 5 6 OP28 OP29 OP30 Holmwood Nursing Home DS0000062689.V326966.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. Extracts may not be used or reproduced without the express permission of CSCI Holmwood Nursing Home DS0000062689.V326966.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. 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