Inspection on 02/09/08 for Kenilworth Nursing Home

This inspection was carried out on 2nd September 2008.

CSCI found this care home to be providing an Good service.

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

Kenilworth Nursing Home 18/06/07

Kenilworth Nursing Home 23/08/06

Kenilworth Nursing Home 19/12/05

Kenilworth Nursing Home 15/08/05

Kenilworth Nursing Home 31/01/05

Kenilworth Nursing Home 14/09/04

Kenilworth Nursing Home 23/09/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 23/11/2008.

CARE HOMES FOR OLDER PEOPLE Kenilworth Nursing Home 26/28 Kenilworth Road Ealing London W5 3UH Lead Inspector Bob Bond Key Unannounced Inspection 2nd September 2008 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 Kenilworth Nursing Home DS0000010949.V370569.R02.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. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kenilworth Nursing Home Address 26/28 Kenilworth Road Ealing London W5 3UH 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) 020 8567 1414 020 8567 1052 Mr and Mrs Gopaul Mr Coossialsing Gopaul Care Home 40 Category(ies) of Dementia (40), Mental disorder, excluding registration, with number learning disability or dementia (40), Old age, of places not falling within any other category (40) Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 40 18th June 2007 Date of last inspection Brief Description of the Service: Kenilworth Nursing Home is a 40 bedded Care Home with nursing providing care to older residents within the categories of Mental Health and Dementia. The home, which is situated in a quiet residential area in Ealing, is sited in two formerly separate houses, which have been joined into one building and extended at the rear. Rooms are sited on four levels with a lift connecting the floors. The home has 15 shared double rooms and 10 single rooms. There are three communal areas, varying in size and which are used as lounges and dining areas. There is a large secure garden to the rear of the premises that residents can access. The home is 10 minutes walk from Ealing Broadway where there is a shopping centre and access to bus, tube and rail transport facilities. The current range of accommodation fees at Kenilworth House is from £517 to £1,200 per week. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This unannounced inspection was a ‘key inspection’ that considered the home’s performance in achieving the key National Minimum Standards (NMS) for older people living in care homes, as published by The Department of Health. On this occasion, the CSCI inspector was accompanied by an inspector from Help the Aged who is an ‘Expert by Experience’. She spent three hours meeting staff, talking to residents, touring the home and observing the care provided and some of her findings are quoted within this report. The CSCI Inspector spent five hours at the home during which time he toured the premises, interviewed the proprietors, the nurse in charge, and the administrator, and examined a variety of records and files. The Registered Manager is referred to as the Manager throughout this report. The home submitted to us in advance a completed Annual Quality Assurance Assessment (AQAA), which is referred to in the report below. The home is fully staffed and there was one resident vacancy on the day of the inspection. Although the last key inspection was undertaken on 18th June 2007, when 3 recommendations were made, an additional ‘random’ inspection also took place on 24th October of that year. One requirement was made concerning the need for accurate recording of complaints within the AQAA. Diversity and equality issues are given prominence within the home as evidenced by the range of cultural and religious observance opportunities the home provides for the residents. Ethnic diets are also available. The home’s success in achieving anticipated outcomes was measured for 22 Standards, and the home was deemed to have exceeded the outcome for 2 standards, fully met the outcome for a further 14 standards, but failed to fully meet the standard in 6 cases. This led us to make 7 requirements and 2 recommendations. What the service does well: Good quality documentation describes the services available within the home to prospective users of the service. The operation of the home is focussed around the care needs of the residents, and staff have a detailed knowledge of those needs. Good assessments of residents’ needs are undertaken. Record Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 6 keeping throughout the home is very good. Staff and residents appear to have positive relationships with each other. The atmosphere in the home on the day of the inspection was relaxed and friendly. The home is fully staffed, and a good number of staff are rostered on duty. Thorough recruitment checks are undertaken and good training records are kept. The home is mostly clean, tidy and mostly adequately decorated, furnished and equipped. The home’s complaints procedure is well advertised, appropriate safety checks are undertaken, and internal quality assurance systems are in place. What has improved since the last inspection? What they could do better: A copy of the assessment undertaken by the care home to demonstrate that the assessed care needs of prospective residents can be met, must be kept for inspection purposes. In order to promote excellence within record keeping, it is recommended that only original forms are used as opposed to faint and poorly copied photocopies. In order to assist residents to identify individual members of staff by name, it is recommended that all staff wear name badges. The home should be proactive in promoting advocacy arrangements for residents who do not have relatives involved in their care. In places the home is in need of ‘care and repair’. All bedrooms should be well decorated and contain good quality furnishings. The leaking roof must be repaired. Corridors and stairs must have flooring that is clean and safe for the benefit of residents, visitors and staff working in the care home. The garden should not contain any trip hazards. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 7 Any event in the care home that adversely affects the well-being or safety of residents must be reported immediately to the CSCI. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kenilworth Nursing Home DS0000010949.V370569.R02.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 Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not offer intermediate care. The care needs of prospective residents are fully assessed before the resident moves into the care home, but the record of those care needs has not been maintained for inspection in all cases, and in other instances the forms are difficult to read. EVIDENCE: We examined in detail the assessment information on record within the care file of a current resident who had moved into Kenilworth House within the last year. We found that the referring social worker had completed a comprehensive care needs assessment in advance, and that a member of staff from the home had undertaken their own assessment, recorded in note form, to make sure that the home could meet the prospective resident’s care needs. The home has a specially designed form to record the findings of their assessment but unfortunately a completed copy of this form was not on the care file examined. The Nurse in charge said the form had been completed but the only copy had inadvertently been handed to the social worker. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 10 Additional assessments on this particular care file were a risk assessment, a Waterlow skin assessment, a Prideaux nutritional assessment, and a dependency level assessment. The extent and content of these assessments is commendable but the forms used are faint and poorly executed photocopies of original forms. Kenilworth Nursing Home DS0000010949.V370569.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are well met. Residents are treated with great respect and their privacy is upheld. The home’s medication procedures protect residents. EVIDENCE: The assessment of needs undertaken prior to admission to the home leads to the creation of an individual care plan. The care file examined in detail contained a generalised care plan that covered all the required aspects, and was dated the same date as the resident moved in. Specific aspects of that care plan had been written up in more detail with instructions for staff as to how to meet the needs identified. These care plans had been reviewed on a monthly basis. We also noted that the resident had been under the Care Programme Approach (CPA), which had been subject to review, and that two placement reviews had also taken place. Each resident has an ‘activity, social and recreational care plan.’ The Manager reported that currently four residents are under CPAs, and that one General Practitioner cares for all except six residents, who have kept their former GP. RGN and RMN nurses are employed by the care home. A dentist, optician and chiropodist all visit the home regularly for the benefit of residents Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 12 who do not wish to or cannot access community services. An audiologist and a physiotherapist are available as necessary. Nutritional assessments and skin care assessments are undertaken upon admission. We examined a sample of the home’s medication storage and administration procedures, including the destruction of unwanted medication. No controlled drugs are kept at present. The home records the signatures of everyone entitled to administer medication. Staff are trained during their induction about the need to promote the privacy and dignity of residents. Staff were observed to knock on residents’ bedroom doors, and the double bedrooms contained a privacy screen. The Expert by Experience inspector reported that she observed staff showing great respect to residents. Although the names of staff on duty are listed on a white-board in the main lounge, name-tags are not worn as a means of identification to aid residents. Kenilworth Nursing Home DS0000010949.V370569.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social, cultural, religious and recreational interests of residents are generally being met. A wholesome and appealing diet is provided. Links with family are maintained where possible, but residents without family support are not being offered an advocacy service. EVIDENCE: The home has an overall activity programme, and each individual has their own activity programme. This is based upon their ‘activity, social and recreational’ care plan. The home employs two activity co-ordinators who have undertaken specialist training in providing activities for residents with dementia. Sing-a-longs, ball throwing, crayoning and reminiscence were mentioned. The AQAA also indicates doll therapy where appropriate. A Bar-beque has just been held in the garden, an outing to Brighton has recently taken place, and a holiday in Blackpool is being considered. A hairdresser visits the home weekly. The AQAA reports that church visits are popular and religious ministers of several denominations visit the home. The Expert by Experience wrote that she observed residents colouring in a book, reading a holiday brochure and playing Connect 4. We also observed a member of staff dancing with a resident who was thoroughly enjoying the experience. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 14 Those residents who are able, are encouraged to go out into the community. Some residents have relatives who visit, but others do not. We examined surveys that had been completed by those residents able to do so demonstrating that residents’ views are being sought. The AQAA records that MIND offers an advocacy scheme but the Manager said no resident had an advocate at present. Advocacy is not being promoted as a means to enhance residents’ choices, autonomy and independence. We examined the home’s very good four-week menu and observed a lunchtime meal being prepared and served. The Expert by Experience inspector commented that “lunch looked very appetising and was a choice of roast chicken and home cooked fresh vegetables or curry and rice.” Fresh fruit was also available. Staff were seen to ably assist residents who needed help with eating. Ethnic food is available but we found two examples where residents from particular ethnic groups were using their own money to purchase occasional take-away food of their choice, as opposed to the home paying for the meal. The Manager said this arrangement was by agreement with their social workers. This however is an example where advocacy might be appropriate. Kenilworth Nursing Home DS0000010949.V370569.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that complaints are properly recorded and investigated and that residents are suitably protected from abuse. EVIDENCE: In June 2008, a Procurement Officer from a London Borough who places residents in Kenilworth House visited the home and found that a complaint about the lift not working had not been logged within the home’s complaints system. This situation has now been corrected, however the failure of the lift at that time had not been notified to the CSCI (see NMS 37). In total, three complaints have been recorded and investigated by the home during the previous 12 month period. The home’s complaints procedure is very well advertised throughout the care home. However the Expert by Experience wrote that “it is uncertain how many of the residents would be able to avail themselves of the complaints procedure. It may be advantageous for an independent organisation e.g. Age Concern or a similar voluntary sector organisation to become involved (as advocates).” We checked the home’s training records and found that staff had attended appropriate training in the protection of vulnerable adults. During the last 12 months, the home has not made any safeguarding adults referrals to the local authority for investigation at strategy meetings. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some parts of the home are not sufficiently well maintained, decorated, clean or furnished. EVIDENCE: Both inspectors were shown around the home by the Manager. Some redecoration, new carpeting and new furnishing has taken place since the last key inspection however additional refurbishment is required. For example some bedroom furniture is very basic and shabby, and some bedrooms have decoration that has not been made good following the installation of a new call bell system in June 2007. The Expert by Experience described the contents of some of the rooms as ‘ a little sparse’ but did note that other bedrooms contained pictures, photographs and cuddly toys. The condition of some corridor carpets also caused us concern as that outside the office was ‘grubby’ with clean patches, and that outside the large lounge was rucked where it had stretched due to frequent wetting. A corridor carpet outside of a top floor bedroom was joined together by masking tape. Loose Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 17 treads on some stairs were also noted. A roof leak had caused the top corridor carpet to be soaked in one place. One bathroom was out of commission during our visit as a new vinyl floor was being laid. The lift was also out of order but that was corrected by an engineer’s site visit before we left. No malodours were noted but the top stairs of the home were not as clean as we would have preferred to see. The Expert by Experience noted that a couple of paving stones in the rear garden were raised thereby creating a trip hazard for residents. Although all bedroom doors had the names of their occupants on them in small print, none of the doors were personalised as a means to assist residents find their own rooms more easily. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are well met by the relatively high number of staff, the majority of whom are well trained and qualified. Residents are well protected by the home’s recruitment policies and procedures. EVIDENCE: We examined the home’s staffing rota and noted that staffing levels exceed the NMS, which is commended. We observed the staff caring for residents and the Expert by Experience wrote in her report, “All the staff seemed to be kind, caring, respectful and aware of each individual resident’s needs. The interaction between the staff was very relaxed and friendly and this was also reflected in the way in which the staff interacted with the residents.” This is also commended. The Manager reported that 75 of the care and nursing staff are qualified (NVQ or nursing awards), and a further 7 members of staff are undertaking NVQ awards. This too is commended. We examined the recruitment records for a member of staff who has recently joined the staff team, and found that all appropriate checks had been undertaken and recorded. We also noted that good staff training records are kept, and that in addition to the mandatory training, staff have been trained in dementia care, and the senior staff have undergone training in the Mental Capacity Act. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 19 Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a care home that is well managed and in their interests, but the home and grounds contain some trip hazards requiring attention. EVIDENCE: One of the joint proprietors is also the Registered Manager and he is very well qualified and experienced in this role. Requirements and recommendations from previous CSCI reports are complied with. Complaints about the home are few, and feedback from residents and their relatives is positive. Quality assurance questionnaires are completed by residents, relatives and staff members. We saw one from a relative that said “Very good atmosphere, nice and caring staff.” Those residents spoken to by the Expert by Experience said they were “quite happy”. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 21 We checked a sample of the records of money held by the home on behalf of residents and found the records to be well kept and the cash held tallied with the records. In terms of records kept and notifications made, the breakdown of the only lift in the home for a 5 week period earlier this year should have been referred to the CSCI as a Regulation 37 concern on the basis of it being ‘an event in the care home which adversely affects the well-being or safety of residents’. In relation to health and safety, we checked the hot water supply, call-bell system, fridge and freezer temperatures, hoist and lift maintenance records. It was noted that a certificate of safety for the lift was about to become due. The Manager showed us the Environmental Health report on the kitchen which scored the home as ‘excellent’. As reported above, however, occasional trip hazards were observed by us in the rear garden, on the stairs and in some corridors. These must be corrected. Kenilworth Nursing Home DS0000010949.V370569.R02.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 2 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 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 2 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 2 2 Kenilworth Nursing Home DS0000010949.V370569.R02.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. 1 Standard OP3 Regulation Requirement Timescale for action 01/10/08 2 OP14 3 4 5 6 OP19 OP19 OP26 OP37 7 OP38 14(1)Sch3 A copy of the assessment (1) undertaken by the care home to demonstrate that the assessed care needs of prospective residents can be met, must be kept for inspection purposes. 16(2)(m) The home must be proactive in promoting advocacy arrangements for residents who do not have relatives involved in their care. 16(2)© All bedrooms must be well decorated and contain good quality furnishings. 23(2)(b) The leaking roof must be repaired. 23(2)(d) Corridors and stairs must have flooring that is clean and safe. 37 Any event in the care home that adversely affects the well-being or safety of residents must be reported immediately to the CSCI. 13(4)(a) All trip hazards within the home and grounds must be eliminated. 01/11/08 01/01/09 01/01/09 01/01/09 02/09/08 01/11/08 Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 24 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 OP3 OP10 Good Practice Recommendations In order to promote excellence within record keeping, it is recommended that only original forms are used as opposed to faint and poorly copied photocopies. In order to assist residents to identify individual members of staff by name, it is recommended that all staff wear name badges. Kenilworth Nursing Home DS0000010949.V370569.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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