Inspection on 21/11/07 for Home Park Nursing Home

This inspection was carried out on 21st November 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

Home Park Nursing Home 17/10/06

Home Park Nursing Home 28/10/05

Home Park Nursing Home 07/04/05

Home Park Nursing Home 21/10/04

Home Park Nursing Home 17/06/04

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

CARE HOMES FOR OLDER PEOPLE Home Park Nursing Home Knowle Lane Horton Heath Southampton Hampshire SO50 7DZ Lead Inspector Pat Griffiths 21 st Unannounced Inspection November 2007 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 Home Park Nursing Home DS0000011428.V350052.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. Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home Park Nursing Home Address Knowle Lane Horton Heath Southampton Hampshire SO50 7DZ 02380 692058 02380 613901 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) Kendalcourt Limited Anthony Jozef Pekarik Care Home 35 Category(ies) of Dementia (35), Dementia - over 65 years of age registration, with number (35) of places Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 50 years of age. Date of last inspection 17th October 2006 Brief Description of the Service: Home Park is a care home providing nursing care for thirty- five residents who have dementia. The home is privately owned and is situated in a quiet rural location in the village of Horton Heath. Residents are accommodated in twenty- three single rooms and six shared rooms. Five of the single bedrooms have en-suite facilities and there are three bathrooms with assisted baths and three separate toilets. There are also three communal lounges and a dining room. Accommodation is provided over two floors with a passenger lift allowing access to each level. A variety of aids and adaptations provided around the home enable residents to move more independently. The current fees are £545 to £630 per week. This information was contained in the pre-inspection questionnaire received in the Commission’s office on 21 September 2006 and was confirmed on the day of the inspection. There are additional charges for hairdressing and chiropody. Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to write this report was gained from a review of the information the provider sent to the Commission for Social Care Inspection (CSCI) and an unannounced visit to the home on 21st November 2007. The information provided included an Annual Quality Assurance Audit [AQAA], which had been completed by the manager and returned to the commission and other information that has been provided since the last inspection, such as accident reports and six completed staff and service user survey forms. During the site visit we spoke with five residents, six visitors, the manager, the deputy manager, the care and domestic staff on duty and the cook. We were able to see different parts of the home, such as the kitchen, dining room, bathrooms, the garden and some of the bedrooms. Documents relating to the residents, staff, policies and procedures and documents regarding the running of the home were also seen during the visit. The manager told us that weekly fees are currently £545 - £630, depending on the room occupied. The fees for hairdressing, chiropody and toiletries are paid separately. What the service does well: What has improved since the last inspection? What they could do better: Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 6 The residents personal care plans need to be reviewed and updated so that there is only one complete care plan for each resident. This will ensure that the staff are better informed about the care and support needs of each resident. The recruitment procedure should be followed to ensure that all checks are made and references obtained before staff start work in the home. Staff training records should be kept up to date to reflect what training has been completed and by whom. The garden should be made safe and accessible for the residents to use it as they wish. The registered manager must complete his registered managers award course. 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. Home Park Nursing Home DS0000011428.V350052.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 Home Park Nursing Home DS0000011428.V350052.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People wishing to use this service benefits from a pre-admission assessment of their needs before moving into the home. The home does not provide intermediate care. EVIDENCE: The manager told us that the home’s brochure and statement of purpose are provided for all new and potential residents and that either he or the deputy manager visits them to complete a pre-admission assessment. The assessment is to determine whether or not the home can meet their needs, and contains information regarding their personal care needs, sight, hearing, mobility and medication. The information that is gathered is used to form the care plan, to ensure that all physical, social and emotional needs are met. The Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 9 forms used by the home are brief with little information written on them and we discussed with the manager how they could be developed and expanded to provide more information about the needs of the person being assessed to ensure that a balanced assessment of needs can be made. The AQAA informs us that the manager aims to take two members of staff with him for each preadmission assessment to obtain a balanced view of the assessment and whether or not the home can meet the assessed needs of the potential resident. The home does not provide intermediate care Home Park Nursing Home DS0000011428.V350052.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 7,8,9,10 Medication administration practices protect the residents, but care plans need to be modified to ensure that residents have all their needs met EVIDENCE: The care plans of three of the people living in the home were looked at during the visit and it was noted that two separate sets of care plans were in each file and parts of both were being used. We were told that staff were not entirely happy with either set, so muddled along with both. We discussed this with the manager and an action point has been raised to ensure that all of the care plans are reviewed and updated so that there is only one, complete, care plan for each resident. This will insure that staff have access to consistent and up to date information, which will enable them to provide the necessary care and support for the residents. Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 11 Staff commented that they felt there was sometimes a lack of information about the residents and their care, as it was often mislaid or forgotten if was being passed on verbally. The care plans currently being used contain information such as the persons past medical history, an assessment of their activities of daily living, risk assessments, their care plans for day and night time, an activities inventory and a record of visits from healthcare professionals. There was written evidence that the care plans have been reviewed monthly and amended as necessary for any changes in the care needs of the residents. The home has medication polices and procedures in place, which cover the ordering, receipt, administration and disposal of medications in the home. We were told that the deputy manager checks stock levels and orders new prescriptions monthly for all of the residents. The medication is received into the home in ‘blister packs’, which are colour coded for different times of day. Additional medicines are received in individual packets or bottles. A sample of the medication administration record [MAR] sheets was looked at and no gaps in recording were seen. These are the records that are kept of all medication received into the home and are also a signed record of when medication is given to residents. It is clearly documented when a resident has not take the medication and the reason why the medication has not been taken. During the course of the day the staff were generally observed being courteous and respectful to the residents, knocking on resident’s doors prior to entering their bedrooms and providing assistance in a sensitive manner. Home Park Nursing Home DS0000011428.V350052.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 12,13,14,15 People who use this service have good quality food and their diverse needs are generally well supported. EVIDENCE: We were told that the home does not have an activities organiser, but one of the carers is responsible for organising activities within the home. She has had some activities training and we discussed other sources of information and training that are available, which could provide more information and greater resources for the particular needs of the people living in the home. We were told that organised activities in the home tend to be one-to-one, as few of the residents like group activities. A record is kept of all activities and participation and residents responses are also noted. The AQAA informed us that the home provides a good overall diet for the residents, who generally maintain their own bodyweight. The cook has worked at the home for many years and told us that she knows the residents likes and dislikes and is able to cater for variety of diets as well as for those residents Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 13 who have swallowing difficulties. Greater attention has been paid to details in menu planning, which has a four-week cycle. The cook also told us that local suppliers deliver the meat and vegetables to the home. The lunch meal was observed on the day of the visit, the meals looked appetising and well presented and residents said they enjoyed it. Help was available for those who needed it and the meal was unhurried. The home has an open visiting policy and visitors were seen coming and going during the course of the day. Those that spoke to the inspector said that they were happy with the care received by their friend or relative in the home. We saw that the visitors register is kept in the main office, which gives the relatives or visitors more contact with the manager. The residents can use the lounges or their own room for entertaining their visitors. Residents were observed making choices about their daily activities, such as whether to join in with activities, whether to sit in the communal areas of the home or spend time in their private bedrooms. Staff were available to provide help or support when or if it was needed. Home Park Nursing Home DS0000011428.V350052.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): Quality in this outcome area is adequate good. This judgement has been made using available evidence including a visit to this service. 16,18 A system is in place to address complaints made about the service and staff are aware of their roles in protecting residents, but some refresher training would enhance this. EVIDENCE: Visitors that spoke to the inspector said that they knew they could talk to the nurses or the manager if they had any concerns and complaints and they felt confident that the matter would be responded to appropriately. The complaints procedure is available on a notice board in the hall way and we were told that there had been no complaints made to the home in the last year. Polices and procedures are in place about the protection of vulnerable adults and the action to take if there is a case of suspected abuse but the manager was unable to demonstrate that staff had received training in adult protection. Discussions with staff indicated that they have an understanding of abuse and will know what to do if they suspect abusive practices in the home, but several were not aware of what might indicate that abuse had occurred, such as unexplained bruising on a residents body. Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 15 Home Park Nursing Home DS0000011428.V350052.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 19,26. People who use this service live in a safe, well maintained, clean, and hygienic home. EVIDENCE: The accommodation in the home is over two floors and includes six double and twenty-three single bedrooms, five of the single room have en-suite facilities. There are two passenger lifts that provide easy access to both floors. There are three bathrooms and three separate lavatories, which have been adapted and equipped to suit the needs of the residents. There are three lounges, two of which are at the front of the home overlooking the garden, and a dining room in each wing. The kitchen and Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 17 laundry are on the ground floor and are not accessible to the residents. The kitchen has had new tiles fitted and been redecorated since our last visit, when it was noticed that several tiles were missing from the walls. The laundry room is situated away from the kitchen and food preparation areas and can only be accessed using a door with a keypad. Some of the bedroom were seen during the day and it was apparent that they had been personalised by the residents and their families with small pieces of furniture, pictures and ornaments. The manager told us that the home is maintained to a high standard and provides a home from home for the people who live there. A programme of regular maintenance is in place, and a handyman is on-site every weekday. On the day of the visit he was painting doorframes on the top floor of the home. During the past year some of the carpets have been renewed, parts of the home have been decorated and the hospital-type beds are being replaced with profiling beds. Specialist equipment, which includes hoists and pressure relieving mattresses, is available for residents who need them. The gardens are at the rear of the building, away from the main road, but the residents cannot use it unless they are accompanied and even then the access is down a very steep slope. There is a very large lawn at the bottom level and a small, concreted, patio area with chairs and tables on an upper level of grass but it also is not very easily accessed. There are some areas of lawn at the top of the slope, but they also have a slight slope that could be hazardous to the residents. The garden is separated from the home by a car parking area, so the garden is not enclosed and not secure for the residents to wander in. It was suggested that consideration be given to the provision of a small garden area next to the home that was level and secure, enabling the people living in the home to be outside if they wished. There is a staff room at the rear of the home that is also a training room and it was noted that the carpet on the steps there was badly worn and presents a serious trip hazard; this was pointed out to the manager who said it would be replaced. Policies and procedure are in place regarding infection control and suitable protective equipment is made available to staff, such as aprons and gloves, and staff were seen to be using them. A team of cleaning staff are responsible for maintaining the cleanliness of the home, which was clean and free from offensive odours on the day of the visit. Home Park Nursing Home DS0000011428.V350052.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further attention to recruitment practices and an increase in staff training will offer greater protection to residents. EVIDENCE: The home has a registered manager, a deputy manager and twenty-one full time and eight part time nursing and care staff who are supported by twelve ancillary staff. The registered person informed us that there are usually two registered nurses on each morning shift with seven and one nurse with six carers in the afternoon and one nurse and three carers on night duty. Staff commented that they sometimes have to do the laundry and kitchen duties as well as their care duties, but also commented that they thought the level of care is very high. The staff training record that we were shown was apparently not up-to-date, and indicated that not all of the staff had received the training needed to equip them with the skills to care for and support the residents living at the home. The record indicated that not many of the staff had completed manual handling training, but most have done some fire safety training. The records indicated that most staff had completed induction training and the manager told us that the new staff would also be doing the Skills for Care induction training. There was no evidence that staff had completed any adult protection training. Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 19 Seven of the day staff and one of the night staff, from a total of twenty-two carers, have completed a National Vocational Qualification [NVQ] in care, which is a 28 of the care staff. It is expected that at least 50 of all care staff in a care home will have completed an NVQ in care at level 2. Three of the twenty-two carers are nurses in their own countries, but working at Home Park as carers and will also be undertaking an NVQ in care. We were told that some of the staff are keen to start the training course and are waiting for a visit from assessors at the local college before they can begin. The manager also told us that ten of the staff would be undertaking a twelve-week modular course at the local college for a certificate in Dementia Care, but the start date was not confirmed. Staff told us that they were a happy team that worked well together. They felt that they had sufficient training as it was needed or when it needed updating. Some of the staff have been at the home for more that ten years and told us that there was little turnover of staff, with agency staff only used occasionally to cover holidays and sickness. The home has recruitment polices and procedures in place, but they are not always followed. Four staff files were looked at and we found that only three contained completed application forms, whilst only two contained references. A recently employed nurse had been recruited from overseas and work permits had been obtained and a check had been made with the Nurses and Midwives Council [NMC] regarding their professional qualifications, but professional or character references had not been obtained. Three of the files contained Criminal Records Bureau [CRB] disclosures, but it was noted on one form that a Protection of Vulnerable Adults [POVA] check had not been requested. The fourth file contained only a birth certificate and banking details. This person has worked at the home for many years and it was previously agreed that the lack of application form and references was acceptable, but good management practices should have applied and a satisfactory Criminal Records Bureau and Protection of Vulnerable Adults [CRB and POVA] disclosure obtained. An immediate requirement was made, requiring the manager to ensure that this staff member did not work in the home until character references were obtained and a satisfactory CRB disclosure and POVA first check had been obtained. The registered provider has subsequently informed us that this has been completed. A staff member commented in their survey form that training is available on varying subjects such as diabetes, dementia and challenging behaviours, but the mandatory training such as manual handling and fire safety is not well attended by the staff. Relatives commented: Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 20 when you visit you see the staff, over time, developing in terms of skills and experience some residents need help with feeding and whilst the staff have the skills it sometimes seems they are stretched and do not have the time to be able to undertake the task with the level of input or time that is really required our relatives individual needs are generally met they always telephone us if there is anything wrong with my relative Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 31,33,35, 36,38 Management systems are in place to ensure that the residents needs are met but this would be enhanced by increased supervision, more evidence of training and ensuring that employment checks are always in place. EVIDENCE: The registered manager has worked in the home for many years, as a nurse and then as the manager. He is a trained nurse with many years experience in providing nursing care for people with dementia. He was undertaking the registered managers award but discontinued the course earlier in the year, he told us that he expects to complete the course this winter. Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 22 The home has a large number of comprehensive policies and procedures, which are available and accessible to the staff. The manager has developed a quality assurance system and sends out questionnaires to relatives, residents and other healthcare professionals. Thirty-two forms were sent out and eighteen returned. The results of these questionnaires indicated that the residents relatives made some very positive comments about the staff and their approach to their work. Comments were made about the language skills of the staff, as several do not speak English very well and the manager asked that they be given time to settle into using the language and gain more confidence in using it. Other comments were about residents clothing, care planning and toiletries and the manager responded to all comments in a letter that was sent out to the residents relatives. We were told that nominated registered nurses carry out the supervision of the care staff, but none of the nurses are currently receiving supervision. We talked to the manager about the need for the nurses to be able to discuss their training needs, undertake clinical reviews and be updated on any changes in clinical practices. A staff member commented that they do have yearly appraisals and sometimes have staff meetings, which they would like to have on a more regular basis. Friends and relatives, who were visiting the home on the day of the visit, spoke to us and were very positive about the staff, saying ‘it’s a lovely place, lovely staff’ Records indicated that not all only some of the staff have attended compulsory fire and other health and safety training, the home’s fire alarm system was checked regularly and emergency plans were in place. There was a fire risk assessment for the premises. The AQAA informs us that there were also in-date certificates for the home’s fixed electrical wiring, portable appliance testing and for gas safety. No outstanding health and safety issues were observed during the inspection visit. Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 19 Schedule 2 Requirement Immediate requirement The registered person must obtain character references and a satisfactory Criminal Records Bureau and Protection of Vulnerable Adults disclosure for one particular member of staff. An up to date record of the staff training, and a development training programme must be in place, which will ensure that staff fulfil the aims of the home and meet the changing needs of the people living there. The registered person must ensure that supervision arrangements for the registered nurses are developed and put into practice. 10/02/08 Timescale for action 24/11/07 2 OP30 18 3 OP36 18 10/02/08 Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Home Park Nursing Home DS0000011428.V350052.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!