Inspection on 06/06/06 for Ingwood Nursing Home

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ingwood Nursing Home 04/06/07

Ingwood Nursing Home 21/02/06

Ingwood Nursing Home 27/10/05

Ingwood Nursing Home 04/03/05

Ingwood Nursing Home 03/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Ingwood Nursing Home Stainland Road Greetland Halifax West Yorkshire HX4 8BQ Lead Inspector Liz Cuddington Key Unannounced Inspection 6th June 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ingwood Nursing Home DS0000060152.V290010.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.V290010.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 Cathryn Iqbal Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: Ingwood 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 parking. 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 £450 and £500 per week. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group, for example ‘Choice of Home’, ‘Health and Personal Care’. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers these outcomes to the people who use the service. The judgement categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded in the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This unannounced visit was carried out by two inspectors. The methods we used included conversations with residents and staff, examining records, and touring the house. We also talked with residents’ relatives and visiting health care professionals. Before the inspection we sent out questionnaires for residents to complete. Those we received back gave us some useful information, which was used during the inspection. Before the inspection the manager completed a pre-inspection questionnaire. This provides valuable background information about the home. The purpose of this inspection was to assess a selection of the National Minimum Standards for Older People and to assess the home’s progress in meeting the requirements and recommendations from the last inspection. We looked at twenty-two of the thirty-eight standards. Two requirements, one brought forward from the last two inspections, and four good practice recommendations have been made following this inspection. While there have clearly been significant improvements since the last inspection, there are still some areas for improvement. The outcomes for residents in each of the seven outcome groups were judged to be “good”. I would like to thank everyone who lives and works at Ingwood for their welcome and hospitality during the inspection. What the service does well: There is evidence that appropriate health care treatment is provided for the residents and, when needed, the home seeks professional advice on various aspects of health care and acts upon it. Detailed records are kept in the individual plans of care, of all health care appointments and visits from health care professionals. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 6 Many residents said that they enjoy their meals and the portion sizes are suitable for their appetites. There is always a choice and alternatives can be provided if needed. Staff offered discreet assistance to those people who need help at mealtimes. Throughout the inspection the staff were seen to treat the residents respectfully and maintain their dignity. Visitors are welcomed to the home and relatives are kept updated. Evidence that social and cultural diversity is recognised and supported at Ingwood was seen throughout the inspection. Individual preferences are catered for and care services are quite clearly tailored to meet individual needs. The home has a suitable complaints procedure and any complaints the home receives are dealt with in a timely manner. The home also has suitable policies and procedures for the protection of vulnerable adults. The environment of the home, both inside and outside, is well maintained. There is a programme of renewals and refurbishment for Ingwood, designed to keep the home in good order. The home is hygienically maintained and is kept clean and tidy throughout. The private rooms are well furnished and attractive. What has improved since the last inspection? The plans of care all included a detailed social profile of the individual. The activities provided by the home, and organised by the activities coordinator, are diverse and aim to meet individual preferences. Detailed records are kept of what activity each person has taken part in and a note is made of whether the person enjoyed it or not. At the start of each shift, the nurse in charge delegates areas of responsibility to the care staff. They are informed of changes in residents’ conditions and any other relevant information, to enable them to provide effective levels of care to residents. With the exception of one new staff member, all the care staff have achieved a level 2 National Vocational Qualification in care. The new member of staff is about to start the course. Regular staff meeting are held. Staff said they found them useful to discuss work practices in the home. They had contributed to the agenda for the meeting held the previous week. When it is unoccupied the manager’s office is now kept locked at all times. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 7 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. Ingwood Nursing Home DS0000060152.V290010.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.V290010.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. The home’s pre-admission assessment information contains sufficient information for the home’s staff to be sure they can meet the prospective resident’s needs before they offer a place. EVIDENCE: I looked at a number of residents files and the pre-admission documents covered most of the information needed for the home to decide whether or not they could meet the individual’s needs. In the files that I saw there was some information about each person’s social interests. Ingwood Nursing Home DS0000060152.V290010.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 at least once during a 12 month period. 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 the available evidence, including a visit to the service. The care plans include the information and risk assessments needed to plan and deliver each individual’s care. Residents have access to the health care services they need and records are kept. Not all care plans show that, where possible, they have been developed and agreed with the resident or their family. There is evidence of appropriate health care treatment and detailed records are kept. The home seeks professional advice on various aspects of health care, and acts upon it. EVIDENCE: I looked at four care plans. They contained a lot of valuable information on all aspects of each resident’s care and showed that reviews are regularly carried out by the nursing staff. One plan showed that the resident’s family were involved in the review process. It is important that, wherever possible, the resident or their family are involved in developing and reviewing the care plan Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 11 and that they sign the plan to confirm their agreement. If there is nobody who can sign agreement to the plan then this needs to be made clear. The plans reflect the changing needs of the residents. They contain good social histories of the residents, and the staff I spoke to were aware of each individual’s preferences and interests. On the day of the inspection some residents were sitting outside in the sunshine. They all had hats or scarves and regular applications of sunscreen cream to protect them. There was plenty of information showing that residents’ health care needs are being met. The care plans showed how people’s individual needs are attended to and that health care professionals, such as the tissue viability nurse, are involved in planning any specialist care that is needed. The plans contain nutritional screening and skin integrity assessments, as well as detailed moving and handling plans and risk assessments. Where relevant, wound and pressure sore care is well documented and demonstrates the treatment and progression of the area. The nursing staff are continuing with the medication administration refresher training course at Park Lane College, Leeds and I understand this is proving valuable. The medicines administration record charts were accurately completed and administration practice was safe. The medicines and the record charts are securely stored when not in use. The two toilets leading from the lounge and one upstairs bathroom have not yet had locks fitted. The joiner was already booked to return to complete the bathroom lock and the manager was to arrange for locks to be fitted to the toilets. Throughout the inspection the staff were seen to treat the residents with respect and take all measures to promote and maintain residents’ privacy and dignity. Ingwood Nursing Home DS0000060152.V290010.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 at least once during a 12 month period. 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 the available evidence, including a visit to the service. Residents are given opportunities to choose how they spend their day. A range of social activities is available for residents. Residents are supported and enabled to maintain contact with family, friends and the local community. The food provided is good and meets the needs of the residents. EVIDENCE: In discussion with a number of residents and their visitors, positive comments were made about living at and visiting Ingwood. Comments included “It’s marvellous here. The food is good and staff are very kind.” Another said, “ In my opinion, this is as good as it gets in Calderdale.” The home employs a social activities co-ordinator. She has previously worked at the home as a care assistant, and has a good understanding of what activities individuals prefer. One to one activities were taking place during the inspection. These included a hand massage and manicure and reading the daily Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 13 newspaper. One resident was enjoying music from her own culture, brought in by the family. A number of residents were sitting outside enjoying the sunshine and warm weather. The activities co-ordinator also arranges outings for small groups of residents. Some of the residents said they were looking forward to the social events surrounding the world cup football competitions. One was hoping for displays of England flags and football memorabilia, in addition to the flags and other world cup items already decorating the home. The activities co-ordinator had worked hard to achieve this. Even the hats the gentlemen were wearing when sitting outside were ‘England’ caps. The manager said that residents and relatives meetings are not well attended. It was suggested that copies of the minutes of residents and relatives meetings could be sent out to relatives, to keep them in touch with events in the home. The home produces a monthly magazine, with contributions from staff and residents, which includes a review of social events. All residents have a social care assessment and information in the care plan to indicate what activities they have enjoyed in the past. A record is made on the day a service user participates in an activity, and if the activity was enjoyed. This provides staff with information for future suitable activities. A visitor to the home said, staff kept her up to date with changes in her father’s care, and she is made to feel welcome when visiting the home. Residents said they enjoyed the food served at the home. The catering manager was in charge of the kitchen and provided me with information and documentation to demonstrate that food hygiene standards are maintained. There was evidence of home baking and one resident said, “The cook had made some beautiful buns full of cream and jam. We so enjoyed them.” The menus showed a good variety of food across a 4-week cycle; the catering manager confirmed that if a service user did not like either of the two choices for lunch or tea an alternative was available. Food is served in two dining rooms or, if requested, in the resident’s own room. It was noted that staff took residents to the dining tables a long time before the meal was served. This resulted in two residents becoming unsettled, and had a negative impact on other residents waiting for their lunch. The manager should review lunchtime dining room arrangements, to ensure this does not happen on a regular basis. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 14 Good practice was observed when a care assistant provided assistance to a service user who needed help to eat lunch. She encouraged independence but provided discreet help when needed. As residents order their meals one day in advance, most could not remember what they had ordered, or what was available. It is recommended that a daily menu be displayed near the dining rooms. This may act as a reminder for residents. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. Systems are in place to protect residents from abuse, and encourage them or their relatives to make complaints and comments, if they wish. EVIDENCE: The home has a complaints procedure displayed in the entrance hall. There is a system for recording any complaints, although no complaints had been logged since August 2005. A concern raised by a relative to the Commission for Social Care Inspection was given to the manager on the day of the inspection to investigate. In discussion with residents and relatives they said they felt confident to make a complaint should it be necessary. One relative had raised a concern with the manager and immediate action had been taken. She said she was pleased with the prompt response. Staff confirmed they understood their responsibilities to report any allegations of abuse to the person in charge. Evidence of relevant training was seen in the staff training files. Ingwood Nursing Home DS0000060152.V290010.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. The home has a well-maintained environment and provides any adaptations and equipment that are needed to meet the care needs of the residents. It is a pleasant and safe home with rooms that meet the National Minimum Standards. The home was clean, tidy and free from odour. A number of bathrooms and toilets had doors that could not be locked. Systems are in place to ensure the environment is kept safe, but is also welcoming and comfortable. Residents own rooms are furnished to a high a standard and contain items from their own home. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home is decorated to high standards. Furnishings are domestic in type, with easy chairs suitable for use by older people. At the invitation of residents and their families I visited a number of residents’ bedrooms. A resident who remains in his room by choice was very happy with his room, and he said he was able to lead a similar lifestyle to the one he had had at home. His room was homely, yet had all the appropriate aids and adaptations he required. Another bedroom I visited was arranged to meet the individual requirements of the resident. The home was clean and tidy and free from odour throughout. A number of bathrooms and communal toilets were without locks, or had locks that did not work. This compromises the dignity of people using these facilities. Ingwood Nursing Home DS0000060152.V290010.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 at least once during a 12 month period. 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 the available evidence, including a visit to the service. Sufficient staff are on duty to meet the assessed needs of the residents. The home has achieved the goal of a fully qualified staff team. Staff are offered appropriate training in caring for older people. Not all staff had attended mandatory health and safety and moving and handling training. The recruitment and selection procedure includes all the necessary preemployment checks. EVIDENCE: The staff rotas were examined. On the day of the inspection the home was not fully occupied. The staffing levels were sufficient to meet the needs of the people currently living at Ingwood. A number of staff files were examined and all contained two satisfactory references and other evidence of robust recruitment practices, to ensure staff are suitable to work with vulnerable adults. There was written evidence of induction training for care staff. This was confirmed in my discussion with a staff member who had been in post for nine months. It had been agreed that she would commence NVQ level 2 in the near Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 19 future. The manager stated all other care staff had achieved NVQ level two in care practice. The staff said they enjoyed working at the home. There appeared to be an issue for a small number of staff about changes to shift patterns that had not been resolved. Regular staff meeting are held. Staff said they found them useful to discuss work practices in the home. They had contributed to the agenda for the meeting held the previous week. At the start of each shift, the nurse in charge delegates areas of responsibility to the care staff. They are informed of changes in residents’ conditions and any other relevant information, to enable them to provide effective levels of care to residents. There were three domestic staff on duty during the inspection visit. They all said they were clear about their responsibilities. Two of them said they had not attended moving and handling training, or had training in the safe handling of chemicals. The manager said the courses had been offered to the staff but they had failed to attend. The manager must ensure all staff receive mandatory health and safety training, for the safety of both residents and staff. Ingwood Nursing Home DS0000060152.V290010.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 & 38 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. The manager has the necessary qualifications and experience to manage the home effectively. There is a range of quality assurance systems in place. Any residents’ valuables kept at the home are securely stored and accurate records are kept. Health and safety checks are carried out and, with the exception of the fire drills, were up to date. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager is sufficiently experienced and qualified to manage the home. This was confirmed by the calm atmosphere and the fact that all the nursing, care and domiciliary staff are aware of their roles. There is a range of quality assurance systems in place. The manager has had a good response from the questionnaires sent to external professionals involved in the work of the home. The questionnaires sent to relatives have not had a very good response. The manager has carried out personal interviews with residents and relatives when they leave Ingwood, as well as asking their views on the admissions procedure. This has provided useful information for improving services. The door to the manager’s office is always kept locked when the room is unoccupied. As a result confidential information kept there is secure. The valuables cupboard is also kept locked. The kitchen is well maintained and all the temperature records and cleaning rotas are up to date. The maintenance engineer is responsible for health and safety checks in the building. Evidence of these recorded checks was seen and, with the exception of the fire drills, were up to date. Ingwood Nursing Home DS0000060152.V290010.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 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 2 Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 14 & 15 Requirement The care plans must, wherever possible, show evidence that they have been agreed with the service user or their representative. Carried forward from the last 2 inspections. Original timescales: 31/12/05 & 30/06/06 All domestic staff must undertake the mandatory ‘health & safety’, ‘COSHH’ and ‘moving & handling’ training. Timescale for action 30/09/06 2 OP30 18(1)(c) (i) 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP10 OP15 Good Practice Recommendations To ensure privacy, all toilets and bathrooms used by residents should have suitable locks fitted. Mealtimes should be arranged to make sure that people are not sitting in the dining room for long periods before the meal is served. DS0000060152.V290010.R01.S.doc Version 5.2 Page 24 Ingwood Nursing Home 3. 4. OP26 OP38 A convenient wash hand basin, separate from the toilets, for staff to use when serving meals would help maintain hygiene standards. The fire drill records should be kept up to date. Ingwood Nursing Home DS0000060152.V290010.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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