Inspection on 03/10/06 for Jah-Jireh Nursing Home

This inspection was carried out on 3rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Jah-Jireh Nursing Home 24/02/06

Jah-Jireh Nursing Home 01/11/04

Jah-Jireh Nursing Home 26/05/04

Jah-Jireh Nursing Home 23/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Jah-Jireh Nursing Home Springfield Road Beech Hill Wigan Lancashire WN6 7RH Lead Inspector Judith Stanley Unannounced Inspection 3rd October 2006 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jah-Jireh Nursing Home DS0000005684.V307378.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. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jah-Jireh Nursing Home Address Springfield Road Beech Hill Wigan Lancashire WN6 7RH 01942 243533 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) Trustees of Jah-Jireh (Charity) Homes Mrs Kathleen Soar Care Home 45 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (45), of places Physical disability (5), Terminally ill over 65 years of age (4) Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum 45 service users to include:up to 45 service users in the category of OP (Older People) up to 5 service users in the category of PD (Physical Disabilities under 65 years of age) up to 4 service users in the category of TI(E) (Terminal Illness over 65 years of age) up to 5 service users in the category of DE(E) (Dementia over 65 years of age) The service should employ a suitably qualified and experienced Manager who is registered by the CSCI. 24th February 2006 2. Date of last inspection Brief Description of the Service: Jah Jireh Care Home is a faith home for brothers and sisters who are baptised members of the Jehovah’s Witness faith. The home offers accommodation, nursing and personal care and support for up to 45 individuals with varying needs. Jah Jireh is situated in the Springfield area of Wigan and is close to local amenities and is approximately 10 minutes drive from Wigan and Standish town centres. The home is a purpose built two-storey building with private accommodation on both floors. The home offers 39 single rooms and 3 shared rooms, all rooms have en suite facilities. The home offers comfortable lounges and a large separated dining room. The enclosed gardens are well presented and were accessible to all residents. Limited car parking is available at the front of the home. The home has some staff accommodation and a hospitality suite for visiting relatives. The current scale of fees ranges from £380.00 to £490.00. Additional charges are made for chiropody, hairdressing, massage and aromatherapy, telephone calls, magazines and holidays. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A site visit to Jah Jireh on 3 October 2006 took place over 7 hours on one day. The home had not been told before hand on what the Inspector would visit. The manager was available to assist with the inspection. The Inspector looked at some records the home keeps on residents (care plans) and other paperwork that the home has to keep to show the home is being run properly. To find out more about the home the Inspector spoke at length to the manager, four residents, three members of staff and the chef. Other residents and staff were spoken to during the course of the inspection. Comment cards were sent to residents, relatives, and professional visitors to the home asking them what they thought about the home and the care provided. Fifteen relatives competed and returned comment cards, four health care professionals and eighteen residents also completed and returned comment cards to the CSCI. One relative said, “ I am so happy and content that my dear mum is being cared for by such loving and dedicated people and the home and gardens are beautiful”. Another said, “The care and standard of the home and staff are excellent”. Other comments included, we are delighted with the care given to my mother, her physical and mental health has improved within one week of living at the home and the staff do a superb job. One card states, Jah Jireh is very well run and caters well for physical and spiritual things. There were no negative comments made by relatives. One GP said, “There is very good communication with GP and residents are well cared for”. The podiatrists who visits the home said,” I visit the home every ten weeks to treat the residents with diabetes and arrange dressing regimes when necessary. The staff at Jah Jireh are always extremely co-operative to patients needs and offer excellent assistance when I visit. This is usually having a designated member of staff assisting me during visits. It’s one if the best and nicest care homes I visit, it’s always a pleasure to work there”. A sample of comments made by residents includes: I suggest the Inspector makes spot checks and does not give warnings and see residents in private. In response to that comment, inspections carried out by the CSCI are all unannounced and the Inspector spent time talking to residents in the privacy of their own rooms and on a one-to-one basis in the small lounge upstairs. Other comments made were about how hard the staff worked and that they try to please you, another said, ‘very good, loving, kind care staff’ one stated, ‘I feel I have to demand sometimes for the care and support I need, however, it’s very good to have my religious beliefs respected’. Seven residents have referred to staff shortages, others are pleased with how clean the home is and one has written, ‘I could not be in anywhere better’. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jah-Jireh Nursing Home DS0000005684.V307378.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 Jah-Jireh Nursing Home DS0000005684.V307378.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): 1 and 3 were inspected. Standard 6 does not apply at this home. Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The Statement of Purpose and the Service User Guide provide prospective residents and their relatives with information of the services the home provides so that an informed decision about coming to live at the home can be made. The admission procedure is clear and well managed ensuring that all prospective residents receive a proper assessment prior to moving into the home in order to ensure that their needs have been fully identified and that the home is capable of meeting those individual needs. EVIDENCE: A Statement of Purpose and Service User Guide is available which clearly details the home’s function and the services provided. As enquires are made from different parts of the country, information is posted out to prospective Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 10 residents and their relatives to help them make a decision about moving into the home. Four care plans were chosen for inspection and were seen to contain pre admission assessments. Where possible the manager or deputy manager will visit prospective residents either at home or hospital to assess whether the home can meet the individual needs of the resident. If the prospective resident lives a considerable way the Wigan area, for example in the south of the country, assessments are carried out by a suitably experienced person from another home or by someone from head office. A full assessment covers areas of personal care, diet, sight and communication, mobility, past and present medical health care. The assessment is the initial base line for developing the care plan and provides staff with the details they need to assist them in providing the right care for each individual resident. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 were inspected. Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. There is a clear and consistent care planning system in place to provide staff with the information they need to meet resident’s health and personal care needs. EVIDENCE: Four care plans were chosen for inspection and on examination all aspects of resident’s health, personal and social care needs were planned for. All care plans had been updated monthly or more frequently if required. There was clear evidence of resident’s access to community health services such as residents GPs. The chiropodist visits the home on a regular basis, and access to aids and adaptations that maintain the quality of life for residents are available. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 12 A personal profile was seen in the care plan, this contains information about the resident’s family history, likes and dislikes, past employment and hobbies and interests. This information is useful and helps provide staff with an overall picture of the resident’s needs and expectations and helps provide topics to generate conversation. Risk assessments were seen on files with regard to falls, nutrition, pressure areas, and the use of bedrails. Systems were in place for the storage and administration of medication. Four residents medication was checked after the morning’s medication round and all medicines had been administered and information documented on the individuals drug sheet. Staff had a good awareness of how to maintain resident’s dignity, privacy and independence. It was noted that good relationships between staff and residents had been formed and one younger adult spoke fondly of the relationship she had built up with one of the older residents at the home. Staff were heard speaking with residents in a quiet and polite manner and were seen going about their daily duties in an efficient and calm way. Staff observed knocking on bedroom and bathrooms doors and waiting for a response before entering and assisting residents in a supportive manner, for example doing things with them and not for them. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14,and 15 were inspected. Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. Social activities and meals were both well managed, providing daily variation and interest for people living at the home. EVIDENCE: Activities and community contact is good. A range of activities is offered both in house and outside trips are arranged. It is the resident’s choice to join in any of the activities provided in the home. Recreational activities include painting, flower arranging, board games, gardening, film show, concerts and musical entertainers and reading with and to residents. Religious study groups and meetings are a major part of the week’s events and services from the Kingdom Hall are relayed by telephone link in to the home for residents who cannot attend the Kingdom Hall. Outside trips are planned to garden centres, wildlife parks, aquarium, zoo, shopping trips, Southport and Blackpool and visiting friends and family is encouraged. Some residents go out into the local community to carry out ministry work. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 14 Visitors are welcome to visit the home at any time, there are no restrictions imposed. For relatives who travel along way to visit, the home offers a hospitality suite. Residents spoken with confirmed they get up in a morning when they are ready and go to bed when they wish. As breakfast is served on a flexible basis there is no rush to get up. Residents were seen to be nicely dressed, and well groomed. On inspection of some resident’s bedrooms, they were found to be warm, comfortable, clean and tidy. One of the younger people living at the home told the Inspector that she had picked the colour and design and layout of her room, she said, “it reflects my style and personality”. Other rooms seen had been personalised with residents belongings brought with them from home and photographs and mementoes. The home has a new chef and residents spoken with were complementary about the food prepared, one resident said, “the food is very good, there is a good choice and it is nicely served”. The menus were available for inspection and were seen to offer a well-balanced and nutritious diet. The range of breakfast dishes needs to be varied to offer residents more choice from porridge, cereals, toast and preserves. Residents should be consulted to see if they would like more hot dishes for example, scrambled egg, poached eggs, bacon and tomatoes. Breakfast is served on a flexible basis to allow residents to get up when they are ready. A lighter lunch is served and on the day of the inspection the lunch served was corned beef hash, or cheese ravioli, with spicy potato wedges and dips followed by dessert. Dinner in the evening was fish, chips and peas and dessert or alternatives were available. Hot and cold drinks and snacks are served during the day and suppers are available before residents retire. Most residents dine in the main dining room, which is tastefully decorated and comfortable. The tables, for at both meals observed were nicely set with matching crockery and cutlery, tablecloths and napkins and condiments. Staff were seen to assist residents who needed help in a discreet and sensitive manner. Jah-Jireh Nursing Home DS0000005684.V307378.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 and 18 were inspected. Quality in this outcomes area is good. This judgement was made using available evidence including a visit to the service. Systems were in place with regard to the investigation of complaints. Adult protection training for all staff ensures that residents are safeguarded and protected from abuse in any of its forms. EVIDENCE: The home has a written complaints procedure for dealing with any complaints or concerns that may arise. No complaints have been made to the manager of the home since the last inspection and no complaints have been forwarded to the CSCI. A procedure for responding to allegations of abuse and whistle blowing is available. All staff had received training in the protection of vulnerable adults and regular updates are provided to ensure that the residents are protected from harm. Jah-Jireh Nursing Home DS0000005684.V307378.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 and 26 were inspected. Quality in this outcome area is good. This judgement was made using available including a visit to the service. The standard of décor within this home is of a high standard, making this a clean, comfortable, homely and pleasant environment for residents living at the home. EVIDENCE: From a tour of the premises it was evident that the home is decorated and maintained to a high standard. The communal areas are tastefully decorated with colour coordinated fittings and furnishings. Several bedrooms were inspected and were found to be warm, clean and tidy with a good standard of furnishing and fittings. Two of the younger residents had selected their own styles and colours; bedrooms seen were decorated with vibrant colours and Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 17 were well equipped with TVs, video/DVD player and music systems. Both residents confirmed how much they liked their rooms. Bathrooms were inspected and were clean and homely, which helps make bathing more relaxing and enjoyable for residents. The kitchen area is clean and well equipped. The chef demands a high standard of cleanliness and hygiene procedure were adhered to. Staff entering the kitchen are required to put on white coats or aprons and wash their hands. The outside areas of the home are well presented. The gardens are very attractive and private with easy access for residents, suitable seating in shaded areas is provided. One resident spoken with said how lovely it had been to sit out in summer surrounded by colourful flowers and bushes listening to and watching the water feature. Infection control procedures within the home are good. Staff were seen to wear protective clothing and gloves for different tasks. The laundry is sited away from food preparation and food storage areas and does not intrude on residents. All laundry equipment was in good working order and resident’s clothes were nicely washed and iron and promptly returned to residents rooms. The domestic staff were spoken to and confirmed they had the necessary equipment to carry out their jobs. The home was clean to a good standard throughout and no odours were detected. Jah-Jireh Nursing Home DS0000005684.V307378.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 and 30 were inspected. Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The staff levels and skill mix and of the staff is good and appropriate to the needs of the residents. EVIDENCE: On the day of the inspection staffing levels were good. One manger, one nurse and seven carers were on duty. There is a breakfast cook and a dining room assistant, 2 housekeepers, maintenance man, and two members of staff are extra to assist residents to bathe, this is so that there is not a reduction of carers assisting other residents. However, seven residents commented on returned comment cards that they feel more staff is required. This was discussed with the manager, who confirmed that good staffing levels were always maintained with one nurse and seven carers in the morning, plus the bathing team, in the afternoon one nurse and six carers are on duty, evening one nurse and four carers and on nights, one nurse and three carers are always on duty. Staff rotas were available for inspection and could confirm this. As this is a large home and on two floors the staff on duty may not always be visible to residents, therefore it could appear that not enough staff are on duty. This is an issue that perhaps could be clarified at the next residents meeting. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 19 Staff training is ongoing with 50 of staff having completed NVQ level 2 in care. Information obtained prior to the inspection indicated that staff had completed training in Abuse and Coping with Abusive Situations, Health and Safety, Fire Training, Moving and Handling, Food Hygiene, First Aid at Work. Yesterday, Today and Tomorrow (from the Alzheimer’s Society), Moving More Often, Continence, Medicine Administration and Crisis, Prevention and Intervention. Two staff files were looked at. Both files contained a written application form, two written references, Criminal Records Bureau Checks, job descriptions, other forms of identification were available for example passports, birth certificates, and driving licence. Staff training certificates were also on file. Throughout the inspection it was evident that staff were trained and competent to do their jobs. Jah-Jireh Nursing Home DS0000005684.V307378.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 and 38 were inspected. Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The home is well managed resulting in a consistent and reliable service for people living at the home. A satisfactory accounting system was in place, which protects resident’s interests. Health and safety procedure within the home safeguard and protect residents living at the home. EVIDENCE: The manager is suitably qualified and has the necessary skills and knowledge to manager the home. It was evident from observations and from listening to the manager speaking with residents that she knew the residents well and there was a respectful and friendly rapport between the manager and the residents. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 21 Systems were in place for auditing and monitoring the quality of the service. This is done through residents meetings and staff meetings. During discussion with one resident, it was suggested that residents may be more open and discuss more things more easily if the manager did not attend the residents meetings. Consideration should be given to this suggestion and residents should be consulted about how they would like their meetings to be conducted. Regular audits are carried out, satisfaction questionnaires are completed and a member of the management team visits the home monthly and spends time with residents and staff, carries out a tour of the premises and completes a written report on his findings. The home holds personal allowances for some residents. These are securely stored. Checks on finances were not looked at during this inspection. Information obtained prior to the inspection indicated that maintenance checks had been carried out for the gas, electric, lift, fire equipment and alarms. The manager could produce certificates to verity this information as correct. Accidents, injuries and illness were suitably reported and recorded and the CSCI informed as required. During the course of the inspection safe working practices were observed within the home. Jah-Jireh Nursing Home DS0000005684.V307378.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 3 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 4 x x 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 3 x x 3 Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP15 OP33 Good Practice Recommendations The registered person should discuss with residents if they would like a range of hot dishes included on the breakfast menu. The registered person should discuss with residents how they would their residents meeting conducted. Jah-Jireh Nursing Home DS0000005684.V307378.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Jah-Jireh Nursing Home DS0000005684.V307378.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. 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. 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