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Inspection on 06/07/06 for Leopold Nursing Home

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

This inspection was carried out on 6th July 2006.

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

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

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

What the care home does well

The home provides a comfortable and homely environment for residents, many of whom have high levels of dependency. It is well equipped, and adequately staffed, with a team of carers who are appropriately trained, caring, patient, and sensitive to residents` needs. The service is well run, benefiting from the frequent personal attention of the owner. The standard of care provided is good, and both residents and relatives expressed a consistently high degree of satisfaction with the care provided. Care staff were appreciated by residents for their kindness and help provided, which was experienced as sensitive and supportive.

What has improved since the last inspection?

The most significant development is the appointment of a permanent manager to the home, after a long period of caretaker management. The new manager is experienced and knowledgeable, and is committed to further development of the service, and in gaining a relevant managerial qualification. At the time of the inspection, Mrs Montgomery had only been in post for 2 weeks, and so further time must be allowed for a formal application for registration to be made, and for her to establish herself effectively in her role, in terms of further development of the service.

What the care home could do better:

Further attention is needed to ensure good practice is promoted and maintained when considering issues of privacy and dignity, when assisting residents with meals, and in staff communication. There could be further developing of meaningful activities for residents. Care plans could be improved by further attention to social and emotional needs and personal histories. Some previous requirements have still not been met, relating to recruitment practices and medication records, and these must now be addressed as a matter of urgency. The general safety of service users will be increased by further improvements to the environment, such as the fitting of guards to all radiators, and permanent illumination of changes in floor levels.

CARE HOMES FOR OLDER PEOPLE Leopold Nursing Home 17 Leopold Road Felixstowe Suffolk IP11 7NP Lead Inspector Mike Usher Key Unannounced Inspection 6th July 2006 11:30 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 Leopold Nursing Home DS0000024433.V301872.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. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leopold Nursing Home Address 17 Leopold Road Felixstowe Suffolk IP11 7NP 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) 01394 670196 01473 711245 Mrs Rema Jayarajan Post Vacant Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to a maximum of 5 places may be used to provide respite care to persons aged between 55 and 65 years of age. 16th February 2006 Date of last inspection Brief Description of the Service: Leopold Nursing Home offers accommodation for a total of thirty-six older people. A condition of registration is that within the thirty-six residents the home can offer respite care to up to five people between the ages of fifty-five and sixty-five. The home is in the coastal town of Felixstowe, close to local shops, amenities and the beach. There are frequent bus and train links to nearby Ipswich. The house is large and has been adapted to offer the accommodation over three of the four floors. There are seventeen single rooms and nine double bedrooms each with a washbasin in the room. Each floor has toilets and assisted bathrooms. There is a passenger lift to all floors. There is a large communal lounge and dining area on the ground floor that has a conservatory at one end. Externally there is a small seating area and off road parking but no garden. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first Key Inspection of the service following the recent developments in the regulation of care services. It focused on the key National Minimum Standards identified by the Commission, previous requirements and recommendations, and the management of the home. The inspection used observation, discussion with the manager, staff, and service users. The inspection of records and other documentation was undertaken to evaluate the current standard of service provided. The assistance of the new manager, Mrs Montgomery, was much appreciated during the inspection, as was the help provided by the staff and residents. What the service does well: What has improved since the last inspection? What they could do better: Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 6 Further attention is needed to ensure good practice is promoted and maintained when considering issues of privacy and dignity, when assisting residents with meals, and in staff communication. There could be further developing of meaningful activities for residents. Care plans could be improved by further attention to social and emotional needs and personal histories. Some previous requirements have still not been met, relating to recruitment practices and medication records, and these must now be addressed as a matter of urgency. The general safety of service users will be increased by further improvements to the environment, such as the fitting of guards to all radiators, and permanent illumination of changes in floor levels. 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. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 7 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 Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 Quality in this outcome area is adequate. Service users are individually assessed prior to admission, although there is room for improvement. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an assessment process that is thorough and comprehensive. It covers individual abilities and needs, and essential areas such as moving and handling issues. There is a lack of background information for residents, particularly in relation to their personal history (see next section). Where referrals are made through Social Care Services, or the Health Service, a professional assessment is usually provided. Mrs Montgomery confirmed that she would always undertake a separate assessment to ensure that the home can meet the resident’s needs, and to confirm or update, the individual’s needs and abilities, and gather further information needed by the home. The home does not offer intermediate care, so NMS 6 does not apply. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. The home caters well for service users health needs, and standards of medication administration are good. Care plans address many aspects of essential care but could be improved further. Attention needs to be paid to ensuring high standards of privacy and dignity are promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care plans are in place. They include the initial assessment, medical condition, personal hygiene, mobility, safety, communication, nutrition, elimination, sleep, and a Handling Plan. Plans identify risks and how they will be addressed, using analytical scales to measure risk proportionately. Care plans are essentially needs based, and would benefit from more attention to social and emotional needs. Mrs Montgomery is already alert to this shortfall, and is planning to introduce personal profiles that will address these matters, as part of the initial assessment process. Plans are dated, signed, and reviewed at regular intervals, though there is no evidence that residents are involved in this process. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 10 Health care needs are well catered for, with simple and effective records recording essential needs such as weight, opticians, dental care and chiropody. Where there are issues of restraint, these are properly documented – such as the use of bed rails, where a consent form is completed detailing the reason for their use, the benefits, and the risks. These are signed by the next-of-kin and the assessing Registered General Nurse (RGN). Residents spoken with during the inspection confirmed that they felt that their health needs were adequately met, and that they can see their GP easily. They agreed that staff were supportive and helpful, and their privacy and dignity properly respected and upheld by the manner in which the staff carried out their duties. This was confirmed by observation during the inspection of mealtimes, and general care provided. Staff were polite and respectful, and took time to assist residents appropriately. There were examples where such care could be improved, for instance the carers assisting residents with their lunch should sit with the resident and engage them on a personal level, rather than standing next to them and being distracted by other activities. In addition, a notice had been posted in a resident’s bedroom describing the process for assisting them with using the toilet. This is not dignified, and staff should be aware of this person’s needs without the use of such aids. Mrs Montgomery was made aware of these issues during the inspection and agreed that both of these examples needed remedial action on her part to reinforce good practice. The arrangements for the recording and administration of medication were examined and found to be satisfactory. All medicines are stored in a locked, walk-in cupboard, which has a professional medicines trolley secured to the wall. The home uses a Monitored Dosage System (MDS) and an inspection of a sample of individual records against the MDS stock confirmed that this is operating safely and effectively. Records were well kept and accurate, though there were examples where a variable dose is administered, but the exact dose given is not recorded. This issue has been identified in previous inspections. Controlled drugs are properly secured and administered, with accurate records conforming with current regulatory requirements. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Daily routines are flexible and responsive. There are strong community links although social activities could be improved. The standard of catering is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with felt that the home’s routines were relaxed and allowed them to suit their own preferences (though one resident felt that staff discouraged them from rising early – before 6am – as was their habit). Visitors are made welcome and there was a steady flow of them throughout the day. A carer is employed with specific responsibilities as an Activities Co-ordinator. They focused on organising events, outings and activities. Mrs Montgomery indicated that this is an area that she wishes to see further improved, and this was confirmed by residents, several of whom commented on the relative lack of meaningful activities provided. Whilst many residents choose to remain in their rooms, where they have their own TV’s and music for instance, those in the communal areas on the ground floor share a TV (though some cannot view this from their chairs) and which on Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 12 the day of the inspection had the sound turned down. The residents spoken with who were watching the picture did not know how the set was controlled. Mealtimes were observed to be a relaxed affair, if somewhat cramped due to the large number of residents using their wheelchairs. A number of residents prefer to take their meals in their own rooms, which helps to prevent the situation from becoming overcrowded. There was a good choice of courses, with food looking appetizing and with good-sized portions, as confirmed by residents spoken with later. Meals are home-baked in the kitchen, and the afternoon cook was able to describe the different diets that are catered for (diabetic). The Cook speaks to all the residents during the day to find out their choices from the menu, and nutritional needs are included in the care planning process. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. The home has satisfactory procedures in place to safeguard service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an appropriate complaints procedure that is displayed on the notice board in the main corridor. A record is kept of complaints and this showed only one complaint received since the previous inspection. Records indicated that this had been appropriately dealt with. Residents and relatives spoken with during the inspection knew who to complain to if they had concerns, and were confident that these would be listened to and acted upon. They felt safe and secure living in the home, and well looked after. Mrs Montgomery is new in post but has already created a favourable impression among the residents. The home’s Protection Of Vulnerable Adults (POVA) procedure has now been updated to reflect the local procedures in place to be followed. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 14 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): 19,20,21,22,23,24,25,26 Quality in this outcome area is adequate. The home is comfortable and well maintained, and suitable adaptations have been made to assist service users. Further improvements are needed to enhance the environment and improve safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of this unannounced inspection, the home was found to be clean, tidy and in good order, with no odour. The building is comfortably furnished, and well maintained. A maintenance book is kept detailing work needed, which the Handyman works through and signs off when completed. Bedrooms are comfortable and have been personalised by residents who can bring their own belongings and small pieces of furniture with them when they move in. There are no en suit facilities, but all rooms have commodes. There is a sluice room on each floor, with a disinfecting machine on the second floor. Shared rooms have privacy screens. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 15 The home is reasonably equipped to assist residents and staff, with 2 shaft lifts, wheelchair accessible bathrooms with assisted baths or walk-in shower rooms. Many beds are fitted with bedrails and Mrs Montgomery is in the processing of reviewing their use, including the need to fit more padding to ensure the comfort and safety of residents. Many radiators have been fitted with guards, but this should be extended to include all radiators accessible to residents, including corridors. Bathrooms and WC’s are fitted with privacy locks, and many doors have been fitted with restraining devices to allow them to be kept open, but close automatically if the fire alarm is activated. There are a number of small changes in floor level throughout the home, with one slope at the end of the first floor corridor. A warning sign is displayed in the corridor above the slope but this is poorly cited, and since the corridor has no natural light, this area should be permanently lit. The home has a number of storage cupboards and areas, including a room on the ground floor for wheelchairs. The laundry is well equipped, with industrial washers (with sluice cycles) and dryers. Personal laundry is dealt with inhouse, with bedding and towels going out to an external laundry service. Bathrooms and WC’s have suitable staff hand-washing facilities, though it is recommended that the hand towel in the staff WC is removed and the other means of hand drying used. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. The home is adequately staffed, by a well-trained team of carers. Training and recruitment procedures are satisfactory, though records relating to CRB checks are not always kept properly. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection there were 7 carers on duty in the morning, with 1 RGN, and the manager (who is supernumerary and also an RGN). In addition, there were cleaners, a Cook, Kitchen Assistant and Handyman. In the afternoon and evening there were 6 carers and an RGN, with 3 care staff and one RGN on waking night duty. Mrs Montgomery stated that this is the normal level of staffing, and an examination of the staff rota (which is a required record) confirmed this. Staff turnover is low and there is no need for agency staff to be employed to provide emergency cover. This provides a good level of consistency for residents. Recruitment procedures are satisfactory, though documentary evidence of CRB and POVA first checks are not always in place. In one instance, there was evidence suggesting that the POVA first check was carried out after the carer had started their employment, which is a breach of regulation. This area has been subject to requirements in previous inspections and must be addressed. As Mrs Montgomery is new in post, further allowance will be made to allow her to address this issue. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 17 All new staff receive an adequate induction, with regular appraisals being conducted by the manager. Training is provided both in-house, and by external trainers. Recent training has covered Nutrition; Stoma Care; Parkinson’s Disease; MRSA; Infection Control; Fire Safety; Constipation; and Peg Feeds. During the afternoon of the inspection, a trainer visited to deliver a training session on Continence Care. Residents spoken with during the inspection said that they felt staff were competent, and careful to provide care in a sensitive and helpful manner. They felt safe and secure with the care provided, and well looked after. These views were confirmed by observation during the inspection, with staff seen to approach residents in a polite and respectful way. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 18 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): 31,32,33,36,37,38 Quality in this outcome area is good. The home is well managed and run in the best interest of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is new in post, and is yet to go through the registration process to confirm her fitness. Mrs Montgomery has worked previously as a Matron in a nursing home, and has experience of caring for people with dementia. A useful discussion was had regarding the future direction of the home in terms of caring for people who have dementia. Mrs Montgomery also stated that she is a qualified Manual Handling Trainer and will focus on this aspect in her staff training. She is planning to commence the NVQ Level 4 Managers’ Award in the near future. The overall impression from this inspection was that the home is being well managed in most respects, and that Mrs Montgomery is an experienced and Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 19 capable manager who is able to prioritise her work and promote good practice. Consequently, this standard will be assessed in more depth at future inspections. Feedback from residents showed a consistently high degree of satisfaction with the standard of care provided, and the ethos is supportive of residents’ independence and autonomy. Mrs Montgomery described the home’s quality assurance process as including residents’ and relatives’ annual survey, regular reviews, clinical governance and various external audits. In addition, the owner, Mrs Jayarajan, is in daily contact with the manager, and visits several times a week, one of those visits taking place during the inspection. There are regular staff meetings, both of care staff, and nurses, and staff receive individual supervision, in the form of appraisals, with appropriate records being kept. The previous issue of staff speaking in other languages amongst themselves when residents were present has been addressed through team meetings. Essential records inspected were found to be in good order, and various policies and procedures were displayed throughout the home, including health and safety literature, complaints procedure, fire safety, insurance certificate etc. The Certificate of Registration was properly displayed and correct, and copies of previous inspection reports were also available in the main entrance hall. Mrs Montgomery was able to confirm that an external fire safety consultant would be visiting the home the day after the inspection, to advise on fire safety precautions within the home. Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X 3 3 3 Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (2) Requirement Medication that has a choice of dose i.e. one tablet or two must have the number given each time recorded. This is a repeat requirement from the previous inspection. Evidence of proper CRB and POVA first checks must be kept with staff records and available for inspection. This is a repeat requirement from the previous inspection. Radiators in all areas accessible to service users must be safeguarded. The provider must indicate what timescale is required for this to be completed. The sloping part of the first floor corridor must be permanently illuminated, with a more effectively cited notice. The manager must review the way in which staff offer assistance to service users at meal times to ensure that it follows principles of best practice. Timescale for action 06/07/06 2. OP29 18(1)(a) Sch.4,(6) 06/07/06 3. OP19 OP25 13(4) 06/08/06 4. OP19 13(4) 06/07/06 5. OP10 12(4) 06/07/06 Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 22 6. OP10 12(4) 7. OP31 8, 9 Details relating to the personal 06/07/06 care of service users must not be displayed where third parties can read them. The manager must make a 06/08/06 suitable application for registration without delay. 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 OP7 OP12 Good Practice Recommendations Care plans and assessments would benefit from more attention to social and emotional needs, and personal histories. Further attention should be paid to ensuring that service users have the opportunity to take part in meaningful activities, and exercise control over communal activities (i.e. TV and music). Staff should not use cloth hand towels in the home. 3. OP26 Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Leopold Nursing Home DS0000024433.V301872.R01.S.doc Version 5.2 Page 24 - 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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