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Inspection on 04/06/07 for Ingwood Nursing Home

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

This inspection was carried out on 4th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What the care home does well

The care plans are sufficiently detailed to guide staff in how to assist each person and they are reviewed every three months. The plans reflect the current assessed needs of the individual and are developed and reviewed in consultation with the person and/or their relatives as well as with the staff. One person said in the survey that their relative `....seems to get the care she needs` another commented that `On the whole the care is good`. During my visit, I observed staff assisting people and noted that they spoke to people respectfully and maintained their dignity. The home supports people to keep in touch with their families and friends and keeps relatives up to date with significant occurrences. One relative commented that the home keeps in touch `...when needed`. Everyone I spoke with confirmed that the meals are good with a choice of main course and there are special diets for people who need them. There is a range of activities available for the people who live at Ingwood. One relative commented that `The home is very clean....also the food is excellent`. My observations confirmed that the house is clean, comfortable and well maintained. The staff follow good hygiene and infection control practices. The staff recruitment procedures are thorough and safe. Both nursing and care staff are well qualified and the training programme makes sure staff are offered the opportunity to keep their skills and knowledge levels kept up to date. One relative wrote in the survey `I think it is a wonderful nursing home and staff are very caring`.

What has improved since the last inspection?

Almost all of the care plans have been signed by the person living at the home or their relatives to show that they have been involved in developing and reviewing their plan. The toilet doors now have locks fitted to ensure privacy. A new bath and hoist has been fitted in one bathroom and a separate level shower room has been created. The layout of the large lounge has been improved to make it more comfortable and side tables have been put next to most of the armchairs. People are now being assisted to the dining room just before the meal is to be served. The home`s fire records are kept up to date.

What the care home could do better:

The daily charts, which staff use to record the assistance offered to people with high care needs, need to be completed accurately and staff should make sure that they are following the person`s care plan. At present, there are no dental care arrangements for the people who live at the home. This needs to be remedied. Better facilities for staff when serving meals need to be put in place. A wash hand basin for staff, separate from the toilets, would assist the home`s good hygiene practices. The organisation should give thought to reconsidering its decision to reduce the number of hours available for the activities co-ordinator. The area of the lounge by the bay window could be better arranged to be less formal and to allow side tables to be placed between the armchairs.The staff who use chemical cleaning agents need to take the COSHH safety training without further delay. The home should pursue its recruitment programme in order to reduce the number of agency staff it employs.

CARE HOMES FOR OLDER PEOPLE Ingwood Nursing Home Stainland Road Greetland Halifax West Yorkshire HX4 8BQ Lead Inspector Liz Cuddington Key Unannounced Inspection 4th June 2007 12:00 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 Ingwood Nursing Home DS0000060152.V337707.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. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ingwood Nursing Home Address Stainland Road Greetland Halifax West Yorkshire HX4 8BQ 01422 374410 01422 375671 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) Philip Bennett (NewCo) Ltd Mrs Linda Frankland Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP 2. The maximum number of service users who can be accommodated is: 34 6th June 2006 2. Date of last inspection Brief Description of the Service: Ingwood Nursing Home combines the conversion of a period building with a substantial new accommodation block. The accommodation is over two floors. The home provides both personal care and nursing care to men and women aged sixty-five and over. There is a choice of single or shared bedrooms. Ingwood is situated in West Vale, about ten minutes drive from Halifax and twenty minutes drive from Huddersfield. There is ample car parking and the home is on a bus route. The main entrance to the home is approached by a steep driveway and a flight of steps; however there is a level entrance to the rear of the building. The current fees are between £460 and £520 per week. Personal items, hairdressing and chiropody are not included. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection of the home took place on 6 June 2006. I have not made any visits to the home since then. The purpose of the inspection was to assess the quality of the care and support received by the people who live at Ingwood. The methods I used to gather information included a visit to the home, conversations with the people who live there and the staff, case tracking, examining records and looking around the home. I sent questionnaires for the people who live at the home to complete and received two back. I also received the home’s pre-inspection questionnaire. These questionnaires provide valuable information to help me form a judgement about the quality of service offered at Ingwood. Although there are still some areas for development, the home continues to make significant improvements. I would like to thank the people who live at Ingwood, and the staff, for their welcome and hospitality and for taking the time to talk to me during my visit. What the service does well: The care plans are sufficiently detailed to guide staff in how to assist each person and they are reviewed every three months. The plans reflect the current assessed needs of the individual and are developed and reviewed in consultation with the person and/or their relatives as well as with the staff. One person said in the survey that their relative ‘….seems to get the care she needs’ another commented that ‘On the whole the care is good’. During my visit, I observed staff assisting people and noted that they spoke to people respectfully and maintained their dignity. The home supports people to keep in touch with their families and friends and keeps relatives up to date with significant occurrences. One relative commented that the home keeps in touch ‘…when needed’. Everyone I spoke with confirmed that the meals are good with a choice of main course and there are special diets for people who need them. There is a range of activities available for the people who live at Ingwood. One relative commented that ‘The home is very clean….also the food is excellent’. My observations confirmed that the house is clean, comfortable and well maintained. The staff follow good hygiene and infection control practices. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 6 The staff recruitment procedures are thorough and safe. Both nursing and care staff are well qualified and the training programme makes sure staff are offered the opportunity to keep their skills and knowledge levels kept up to date. One relative wrote in the survey ‘I think it is a wonderful nursing home and staff are very caring’. What has improved since the last inspection? What they could do better: The daily charts, which staff use to record the assistance offered to people with high care needs, need to be completed accurately and staff should make sure that they are following the person’s care plan. At present, there are no dental care arrangements for the people who live at the home. This needs to be remedied. Better facilities for staff when serving meals need to be put in place. A wash hand basin for staff, separate from the toilets, would assist the home’s good hygiene practices. The organisation should give thought to reconsidering its decision to reduce the number of hours available for the activities co-ordinator. The area of the lounge by the bay window could be better arranged to be less formal and to allow side tables to be placed between the armchairs. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 7 The staff who use chemical cleaning agents need to take the COSHH safety training without further delay. The home should pursue its recruitment programme in order to reduce the number of agency staff it employs. 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. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 does not apply. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comprehensive pre-admission assessment and introduction is carried out before offering someone a place at the home, to make sure that the home can meet their needs. EVIDENCE: The home’s manager carries out the pre-admission assessments. She visits people in their own home or in hospital to introduce herself and tell the person about Ingwood, and to assess whether the home can meet the person’s needs. People are invited to visit the home and spend time there before reaching a decision. The Social Services’ assessment of need is also used to provide the manager with information about the person’s care and support needs. Intermediate care is not provided. Ingwood Nursing Home DS0000060152.V337707.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare needs and preferences are being met in the way they prefer. People are protected by the medication systems, which ensure that medications are stored and administered safely. To maintain their dignity, the staff treat people with respect and consideration at all times. EVIDENCE: The people who live at Ingwood are offered the level of support and care they need, in accordance with their wishes. Professional and specialist healthcare advice is sought whenever it is needed, and any changes are recorded and acted upon. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 11 At present, there are no dental care arrangements for the people who live at the home. This is a long-standing problem which needs to be remedied. The care plans include risk assessments covering all areas where there is a potential risk. The plans are reviewed every three months, or sooner if the person’s needs change, with the individual, their family and key staff. The individual and/or their relatives have, in most cases, signed the plan to indicate their agreement to it. The plans and reviews reflect the current needs of the person. Daily records are kept for each person. People who have high support needs also have a daily chart where staff are expected to record each occasion when care and support has been offered. The one that I looked at had not been completed properly and was not up to date. It was not clear that the person’s care plan had been followed correctly. Everyone has a key worker, who takes an extra interest in the person’s needs and wellbeing. The home has good support from the Tissue Viability Nurse who advises on care and treatment for people whose skin condition is poor or at risk. The records I saw showed that the home’s staff follows the nurse’s advice. During my visit, I observed staff assisting people and noted that they spoke to people respectfully and maintained their dignity. When assisting people to transfer from, for example, their chair to a wheelchair, the staff explained to the person what they wanted to do and why. For the safety of the people who live at Ingwood, all medicines are securely stored and accurately administered. A ‘brought forward’ system, clearly showing the quantities in stock of each item of medication for each person, should be put in place to allow an accurate audit of all medicines in the home to be done. There is a safe system for storing and administering any controlled drugs. The staff have received training in the safe administration of medicines. Ingwood Nursing Home DS0000060152.V337707.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in leisure activities and to maintain contact with family and friends. This makes sure each person’s needs and expectations are met. The meals are of a high standard, providing both the nutrition essential for health and a pleasant social occasion. EVIDENCE: The organisation’s recent reduction of the activities co-ordinator’s working hours has compromised the range and frequency of activities that can now be provided. Last year I was impressed by the activities available to the people who live at Ingwood and the way the co-ordinator worked hard to involve everyone. This year there seemed to be much less going on, although the manager said the co-ordinator does as much as she can in the time available. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 13 The activities listed in the pre-inspection questionnaire include a variety of outings to places of interest, including garden centres, pubs and the theatre. Within the home the activities planned include card making, flower arranging, quizzes and inviting entertainers to come to the home. However, fewer hours may well affect this plan, including the time available for those people who are only able to take part in one to one activities such as having the newspaper read to them or enjoying a gentle hand massage. Visitors are welcomed into the home. During my visit someone from a local church came to bring Communion to one of the people who lives at Ingwood. The people who commented said they enjoy their food and the menus show a good choice at each meal, with two main courses offered at lunch and tea times. Special diets are catered for and assistance is offered to people who are not able to manage independently. One person who needs some help said that staff are sometimes a bit rushed. People are assisted into the dining room just before mealtimes. This is an improvement as, during my last visit, people were left sitting at the dining table for quite a long time before the meal was served. Ingwood Nursing Home DS0000060152.V337707.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home, and their relatives, are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people living at the home are safe. EVIDENCE: The surveys and the people who live at the home confirmed that people are aware of how to raise a concern or make a complaint, should they need to do so. The complaints procedure is clear and can be produced in a large print version if this is needed. There is a complaints log to record any complaints or concerns which are raised. There are five staff left to take the adult protection training then all the staff, including anciliary, care and nursing staff, will be trained and fully aware of what to do if they suspect that an incident of abuse or poor practice has occurred. There have recently been some allegations and the home’s management have dealt with them swiftly and effectively. These allegations, and the action the home was taking, were reported to me when they occurred. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 15 The home’s policies and procedures are up to date and the staff are aware of the guidance they contain. Ingwood Nursing Home DS0000060152.V337707.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, 20, 21 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The house and grounds are well maintained, attractive and accessible. The bedrooms are well furnished and doors can be locked for privacy. The whole house is clean and fresh and hygienically maintained. These factors combine to provide a safe, comfortable and homely environment. EVIDENCE: During my visit, I walked around the house and observed the changes that have been made recently. The downstairs bathroom has been fitted with a new bath and bath seat. Next door to this a ‘wet room’ has been made to make Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 17 showering easier; this is especially valuable for people with poor mobility as the whole floor area is level. Some bedrooms have been re-decorated as part of the home’s maintenance programme. The large lounge has been re-arranged to form two seating areas. Most of the armchairs have side tables next to them. The lounge by the bay window is rather crowded, leaving little room for side tables. The recommendation in the last report that a hand wash basin for staff to use, especially before and during mealtimes, has not been followed up. The manager said this is in the plans for the future. There are two dining areas. When the meals are being served, the staff were struggling to find places to put trays and plates of food prior to taking them to people in the dining rooms or in their own bedrooms. There needs to be improved facilities to help staff with the smooth running of mealtimes. The whole house is well maintained and attractively decorated and furnished. The house is clean and there are good hygiene and infection control measures in place. Disinfectant hand rub is available and used by staff, as well as protective gloves and aprons. Ingwood Nursing Home DS0000060152.V337707.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet the care needs of people living at the home. The people who live at the home are protected by thorough recruitment procedures. Any new staff are thoroughly checked to ensure that they are suitable to work with older people. Suitable staff training is provided to make sure staff have the skills and knowledge they require to meet people’s needs. EVIDENCE: There are sufficient staff on duty to assist people with their daily living tasks and support them to take part in the activities the home offers. One relative commented that they felt ‘…..staff could sit and talk to the residents a little bit more but this is not always possible as they seem short staffed’. The home currently uses agency staff when there are not enough permanent staff available. The home needs to pursue its recruitment of permanent staff in order to maintain staff continuity. There are enough anciliary staff employed to ensure the home is kept clean and the kitchen and laundry function effectively. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 19 I looked at some staff files and noted that all the necessary pre-employment checks have been carried out before someone starts work. These include two suitable references, satisfactory Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) list checks, as well as completing the usual application and interview procedure. All new staff undertake induction and foundation training and are not allowed to start work until a satisfactory CRB check has been received. The staff have attended a range of training courses including moving and handling, fire safety and adult protection. Eight staff are enrolled on a dementia care training course and one nurse is to take the course to become a moving and handling facilitator. The majority of care staff have achieved a National Vocational Qualification (NVQ) in care. The ancillary staff who handle cleaning chemicals have not yet taken the Control of Substances Hazardous to Health (COSHH) training. This was a recommendation from the last key inspection in June 2006. Ingwood Nursing Home DS0000060152.V337707.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, 36 & 38 Standard 35 does not apply. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed and people who live and work at the home can contribute to the decision-making processes. The quality assurance systems provide additional information to help improve the service. The policies and procedures are up to date and are available to guide staff in all aspects of their work. Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home’s manager is a qualified nurse and has achieved the Registered Managers’ Award. The manager has sufficient experience to manage the home effectively. Regular quality assurance questionnaires are sent to the relatives of the people who live at Ingwood. The home’s administrator collates the results, which are analysed, and the information helps the manager to plan further improvements to the home. The manager plans to include health and social care professionals in future surveys. Currently, all the staff have regular one to one supervision with the home’s manager. This responsibility is soon to be delegated to the nursing staff. The home does not handle any finances for the people who live at Ingwood. The home’s policies and procedures and regular health and safety checks are all up to date. Staff are encouraged to familiarise themselves with the policies and procedures so that they understand how different situations are to be managed. Regular fire safety testing is carried out. The Environmental Health Officer visited the home in October 2006. The recommendations made then have been carried out. Ingwood Nursing Home DS0000060152.V337707.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 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 3 3 3 3 X X X X 3 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 N/A 3 X 3 Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 18(1)(c) (i) Requirement For their own and other people’s safety, all domestic staff must undertake the mandatory ‘health & safety’ ‘COSHH’ and ‘moving & handling’ training. This is brought forward from 30/09/06. Timescale for action 30/09/07 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 To ensure that an accurate audit of all medicines in stock can be taken, a ‘brought forward’ system, showing quantities of medicines carried forward from one month to the next, should be implemented. The home needs to improve the food serving facilities, to help with the smooth running of mealtimes. A convenient hand wash basin, separate from the toilets, for staff to use when serving meals would help maintain hygiene standards. 2. 3. OP20 OP26 Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Ingwood Nursing Home DS0000060152.V337707.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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