Inspection on 06/06/06 for Jubilee 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 (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

Jubilee Nursing Home 19/06/07

Jubilee Nursing Home 31/08/05

Jubilee Nursing Home 30/03/05

Jubilee Nursing Home 29/11/04

Jubilee Nursing Home 18/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Jubilee Nursing Home Thornhill Crescent Sunderland SR2 7AD Lead Inspector Sheila Head Key Unannounced Inspection 6th June 2006 09:00 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 Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 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. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jubilee Nursing Home Address Thornhill Crescent Sunderland SR2 7AD 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) 0191 565 2727 0191 565 4737 Jubilee Home (Sunderland) Limited Mrs Carol Trueman Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (1), Physical disability of places over 65 years of age (4) Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The one specific service user under the age of 65 will relate to the current service user only. 8th February 2006 Date of last inspection Brief Description of the Service: Jubilee Care Home is a purpose built three-storey building, which can provide nursing and personal care for up to 40 older people. It is of traditional brick build design and has an ample size car park to the rear of the building. There are large lounges, a separate smoking lounge and a dining room on the ground floor with bedrooms on the first and second floors. On the ground floor there is a pleasant conservatory at the front of the building, which has level access into the garden area. The Home offers both single and double bedrooms, with the majority having en-suite facilities. The Home is very close to the city centre of Sunderland and benefits from being near the shopping centre, library and the transport network. There is a large park close to the Home as well as local tourist attractions. Fees charged by this home are between £359 and £513.50p Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and carried out by one inspector. The deputy manager was present throughout the inspection. Before the inspection a questionnaire had been completed by the manager which gave the inspector up to date information about the home. Relatives and residents had also been given the opportunity to complete a questionnaire about the service given by the home and the inspector received fourteen replies. The comments received are included in this report. The inspector toured the home and looked at bedrooms, communal facilities and service areas. Also during the day, the inspector spoke to eleven residents, three visitors and eight members of staff. Lunch was shared with the residents. A number of records were examined including three residents care plans and related documentation plus some staff files and training records. Four statutory requirements were made when the home was last inspected and all these have been dealt with satisfactorily. What the service does well: Good information is provided about the home and the services it provides. The home provides a good standard of care to the residents in a homely atmosphere and staff and residents are very respectful and friendly towards each other. The staff strive to improve the quality of the service given to the residents and work hard to meet their needs. Staff receive a good level of training to allow them to care for residents in an appropriate manner. Residents and relatives spoke well about the home. ‘The staff are very friendly’ and ‘The staff listen to what you say’ are two comments that the inspector received whilst in the home. The quality and choice of home cooked meals available is very good and alternative choices are always available. ‘The food is excellent’ said one relative who often stays to have a meal with a resident whilst visiting. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Health and safety awareness to protect staff and residents must be developed within the home. The re-furbishment programme is on going throughout the home and although exciting, staff need to be aware that health and safety policies and procedures still need to be observed. The key worker system needs further work by senior management so that each resident has an identified individual member of staff who is trained and can fulfil then role. The deputy manager discussed with the inspector how she hopes to examine working practice and maximise the use of the building. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 7 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. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 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 Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 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): 1,3,and 4 The statement of purpose and service user guide provides prospective residents with a good range of information about the home. The pre admission assessment process needs to be further improved to demonstrate how the home will meet the individual needs of the resident. The home does not provide intermediate care so that this standard was not assessed. Quality in this outcome area is adequate. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: The home offers detailed information for prospective residents through the homes brochure and specific information via the statement of purpose. Current residents are given a service users guide that tells them all about the home Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 10 and what services and care they can expect to receive. Copies are in leaflet form around the home. Information about the residents’ assessed needs is supplied to the home usually by a care manager from Social Services before the person comes to live in the home so that the staff have some information to start development of a plan of care. However it is very important that the home undertakes an in depth, comprehensive assessment of need so that they can guarantee that those needs can be met by the home. Three care files were examined. The first related to someone who had lived in the home for some considerable length of time and a pre admission assessment was not available. The second was a recent admission and although an assessment had been carried out there were gaps in the information and some boxes were ticked rather than containing a complete description of need. There was no indication where the assessment took place and it was not dated or signed. The third plan examined did contain more information however again there were gaps and no reference was made to where the assessment occurred. This means that the home does not gather and record enough information about prospective residents so that care plans cannot be fully developed and possibly needs will not be identified and met. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 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 There is a clear care planning system in place that provides staff with the information they need to effectively meet their needs. The home operates a medicines policy that is safe for residents. Residents are treated with respect and the staff ensure that their privacy is protected. Quality in this outcome area is good. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: Three care files were examined in detail by the inspector. Care plans have improved since the last inspection as they contain more detail and are easily read. It is easy for staff to navigate their way around the file so that they can find up to date information so that the care they give to the resident is correct. Evaluations are up to date and changes have been made where necessary. Risk assessments are in place that relate to care plans. These are placed in the file near the beginning, before the plans of care. One resident with complex care needs had nine individual care plans that were easily understood and staff will benefit from the clarity and be able to look after that resident holistically. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 12 In one of the files an up to date assessment of handling and assisting had been completed but there was no evidence of the criteria used or what the score meant so that it would be difficult for staff to understand what techniques had to be implemented to help that person safely. The senior staff in the home must develop an effective key worker system so that each resident has a known member of staff to help them. The key worker would have responsibility for extra care needs and would be responsible for documentation. The home has a safe and effective policy in place for administration of medicines. The recording and storage of medicines was satisfactory and audit trails showed no discrepancies. The storage area, which has recently been redecorated, was very clean and tidy. The nurses are responsible for ordering, administering and storage of medication within this home. The fridge was locked and all temperatures were recorded daily. The medicine trolley was also clean and tidy. The home does not carry excess stock with ordering being carried out on a monthly basis. There are concerns that the controlled drug cupboard may be too small to accommodate medicines prescribed to residents who have complex medical needs. This will have to be reviewed if Jubilee are moving toward giving care to more residents who will require controlled drugs as part of their planned care. Care is given in a discreet manner with staff knowledgeable about residents’ preferences and needs. Staff were observed being kind and polite. They spoke to residents always explaining what was about to happen or what they were about to do. All residents have individual rooms that they can use when there are private issues. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 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. There is a varied range of activities available to residents and visitors are made welcome in the home at any time. Residents’ are supported by staff to make choices about the way they live and the home provides a balanced, wholesome home cooked menu. Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: An activities organiser is in post and is supported by the care staff to provide activities for the residents in the home. Activities and the way they are recorded have improved within the home since the last inspection. One visitor comment card confirmed that this was the case. Visitors spoken to during the inspection said ‘Mam has the option to join in nor not but there is usually something going on.’ Evidence was seen in photographs from the St Georges celebration that was held. The home is organising relevant themed events throughout the year. On the notice board the next event for the residents was a get together to observe the start of the world cup. Photographic recording of events remind residents of time spent and encourages conversation. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 14 Records of individuals’ activity interests need to be developed along with daily participation in events. Visitors are welcomed into the home at any time and there are no restrictions when people can visit. Staff support residents in making their own choices by their friendly sensitive attitude towards them and by the manager encouraging an open culture within the home. Lunch was shared with the residents. ‘The food is excellent’ and ‘Everything’s always nice’ were comments from residents. The meal was tasty, well presented, appetising and nutritious. A choice of juice is offered to the residents to start their meal. There was a choice of menu, sausages, beans and chips or cheese and onion pastie. Some residents chose an alternative such as cold turkey or salad. Dessert choices were apple crumble with cream or pureed fruit fool. Staff interaction with residents was happy and relaxed and people that need help were given aid sympathetically and discreetly. The kitchen staff take pride in serving homemade food that is wholesome and will accommodate any request from any resident. Breakfast is served from seven thirty onwards until all residents are up and have eaten. Staff ask residents their preference for lunch around eleven o’clock in the morning. This is good practice, as residents do not have to make choices the day before as their tastes may change. There are homemade cakes available with mid afternoon tea and another choice of hot meal or high tea is served at around five o’clock. Drinks are available in the lounges throughout the day. The dining room remains untidy and cluttered with excess chairs and tables and the table shared by the inspector was very wobbly and had to have a wedge placed under a leg to achieve stability. The deputy manager told the inspector that the dining room area was on the list for refurbishment. However the poor management of the dining area possibly overshadows the high quality of the food. The menu board was completed in a way so that it was very hard to read. Cutlery is basic and although salt was available on the table there were no other condiments such as pepper, vinegar or sauce. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 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 Residents and families can be confident that their complaints are dealt with efficiently and resolved quickly. Residents are protected by robust policies that ensure they are safeguarded from abuse. Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: The complaints procedure is available to all residents and their visitors explaining to them how to make a complaint and who to. Residents are given a service user guide on admission that also contains information about what to do if they have any concerns about the service they receive. There have been no recorded complaints since the last inspection. Visitors and residents all knew whom the manager is and what to do if they have a concern when she is not on duty. In discussion with staff it is apparent that any concerns are dealt with immediately and talking with residents and relatives confirms this. However the home should record concerns and their outcomes so that any trends can be recognised and dealt with in a way to improve the quality of service offered. Policies and procedures in the home are available to guide staff as to what to do in the event of suspected or actual harm to a resident. All staff receive Protection of Vulnerable Adults training as part of their induction and on a Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 16 regular basis receive updates through the training programme. Residents and families can be confident that the staff group are well trained so that residents are safeguarded from abuse. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 17 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 The home is a clean and warm place to live and offers residents a homely and safe environment in which to live. Quality in this outcome is adequate. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: A tour of the premises was carried out and selections of bedrooms were viewed. Some have been redecorated since the last inspection, and all the bedrooms seen contained items personal to the residents who lived in them. The home appears to be tired and worn in some areas however changes are gradually being made. The hairdressing salon has been moved to a larger more accessible space at the front of the building and will create a good social focal point for the home when the final touches are complete. There has been an addition of a specific office dedicated to the administration of the home which will benefit staff, residents and families as now a confidential area to discuss Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 18 matters can be offered. The record archive will be located in what was the hairdressing salon when that room has been fitted with shelving. The home must make sure that during this redecoration programme and after that the statutory requirement for bathing and toilet facilities is met. During the inspection there was only one bath hoist that could be used, one bathroom and one walk in shower. Maintenance was carried out during the inspection to clear one toilet that was subsequently taken out of use so that the bath in that area could be used. Staff must indicate to staff and residents when facilities are not in use by appropriate clear signage. The deputy manager has been asked to submit to the Commission for Social Care Inspection a plan for the further refurbishment work and in that plan to show the impact on residents and their safety is maintained. The home also must identify items that are no longer functional or they no longer need and dispose of them in the correct manner so that the home is less cluttered and that safety for residents is maintained. The home strives hard to be odour free and in the main succeeds however some of the fabric chairs in the conservatory do have a pervasive odour that seems to be embedded. These type of chairs need to be included in the refurbishment plan and suitable replacements found. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 19 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. The numbers of staff employed are sufficient to ensure the needs of residents’ are met in a safe manner and staff are suitably trained to meet those needs. The home has a robust recruitment procedure that ensures the safety of residents. Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service EVIDENCE: Staffing rotas reflected the staff on duty on the day of inspection. The rotas also confirm that there is an adequate number of staff on each shift to give suitable care to the residents. Jubilee has a robust thorough training programme in place for each member of staff. All statutory training is given in a timely manner. Records show training needs and recording of each training session attended is clear and concise. The nurse who has responsibility for training within the home is well qualified and committed to achieving high attendance and compliance from staff. Residents and families can be confident that the staff group are suitably trained to care for them. Three staff files were examined during the inspection. All contained evidence such as application form, references and Criminal Records Bureau checks. The files would benefit from organisation so that it is simpler to check that all Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 20 necessary parts are completed. Interview records are not available for staff that were recruited some time ago but the practice has started for new employees. Registration records for qualified nurses are up to date. Residents’ benefit from a safe, robust recruitment procedure. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. The manager is appropriately qualified to competently manage the home and systems are in place to determine the quality of the service provided by the home and to ensure it is run in the best interests of the residents. Systems are in place to safeguard residents’ personal allowances. Staff must follow working practices that will promote and protect residents welfare and safety. Quality in this outcome is adequate. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 22 The Registered Manager has the appropriate nurse qualifications and experience to manage the home. The Deputy manager who is also a qualified nurse has just begun to study for her Registered managers Award. Regular staff meetings are held and a supervision programme for staff has been developed. The company’s’ quality assurance systems are in place throughout the home. Service user questionnaires are issued six monthly and families are also asked for their views. Systems are audited by the manager monthly and also by the Regional manager who also completes a Regulation 26 visit and sends the information gathered each month to the Commission. The majority of residents have their personal monies held by the home in minimal amounts, and are dealt with by the administrator. The system used is clear and easy to understand. Inspection of transaction records confirmed accuracy of recording. Descriptions of how money has been spent are recorded after each transaction. Residents’ monies are held in individual plastic bank moneybags and locked away. These bags are proving to be a problem, as they tend to split so the administrator is investigating stronger plastic pockets. The system will remain the same. The manager undertakes spot checks to ensure that residents’ monies are safeguarded. Staff receive training in health and safety issues such as moving and assisting, fire safety and food hygiene awareness. However attention must be paid to locking doors to areas that could be unsafe to residents and staff, especially with the home being in a state of refurbishment. An immediate requirement was issued for removal of two pairs of step- ladders from the laundry area. These were being used by laundry staff to place laundry up on two very high shelves. These would, when in use, block the fire exit for staff from the staff room area. The requirement stated that alternative storage be found for the laundry. The accident reporting system in the home is robust and all accidents are recorded and analysed for trends on a monthly basis by the manager. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X X 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 2 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 2 Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14(1) Requirement The home must ensure that evidence is available to confirm that appropriate assessments have been carried out prior to service users moving into the home to ensure their needs can be met. The number of assisted bathing facilities must not fall below the number stated in regulations Storage for laundry must be safe and easily accessible Timescale for action 31/07/06 2. 3. OP21 OP38 23(2) 23(2l) 31/07/06 30/06/06 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. Refer to Standard OP19 Good Practice Recommendations A programme of decoration, refurbishment and works to be carried out in the home to be forwarded to the Commission. Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Jubilee Nursing Home DS0000018198.V294392.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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