Inspection on 25/01/06 for Lickhill Manor Nursing Home

This inspection was carried out on 25th January 2006.

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

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

Other inspections for this house

Lickhill Manor Nursing Home 14/06/10

Lickhill Manor Nursing Home 09/02/10

Lickhill Manor Nursing Home 07/04/09

Lickhill Manor Nursing Home 07/10/08

Lickhill Manor Nursing Home 25/01/08

Lickhill Manor Nursing Home 04/05/07

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Lickhill Manor Nursing Home Lower Lickhill Road Stourport on Severn Worcs DY13 8RL Lead Inspector Chris Potter Unannounced Inspection 25th January 2006 10:00 X10029.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 Lickhill Manor Nursing Home DS0000064419.V280007.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 and Care Homes for Adults 18 – 65*. 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. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lickhill Manor Nursing Home Address Lower Lickhill Road Stourport on Severn Worcs DY13 8RL 01299 827789 01299 827791 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) Gentle Care Services Limited Mrs Lynda Ann Mason Care Home 36 Category(ies) of Physical disability (8), Physical disability over 65 registration, with number years of age (36), Terminally ill (2), Terminally of places ill over 65 years of age (2) Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27th July 2005 Brief Description of the Service: Lickhill Manor Nursing Home is a converted three-storey manor house situated on the outskirts of Stourport on Severn. The home is currently registered to provide nursing care and accommodation to a maximum of 36 residents. As part of this registration the home can provide care for residents with a physical disability, both for older people and up to 16 younger adults. The home can also care for two residents with a terminal illness. The home has thirty-one bedrooms; twenty-six are single rooms, five of which have en-suite facilities and five shared rooms, two of which have en suite facilities. Accommodation is provided over three floors, with a passenger lift providing access to upper floors. A trained nurse is on duty 24 hours a day. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on the 25th of January 2005 over a period of five and half hours. At the time of the inspection the home was accommodating 29 residents. The main focus of this inspection was to assess progress made by the home to address the requirements from the last inspection. A partial tour of the home took place, care records and staff files were reviewed. Eight residents and relatives were spoken to and members of staff were conversed with during the visit. Since the last inspection the home has changed owners. The new owner was visiting the home at the time of inspection, and acknowledged that the environment is in need for upgrade. Plans are in hand to build an extension to provide more single en suite bedrooms, upgrade the kitchen and laundry. With the building work the rest of the home would be redecorated and refurbished this should address the outstanding issues with the environment. What the service does well: What has improved since the last inspection? The residents care documentation has improved since the last inspection. The home has further plans to improve the documentation and is in the process of purchasing a new documentation system. Recruitment of staff has improved since the last inspection. The menu is displayed for residents and visitors to see. The medication management had improved since the last inspection. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3 and 4 The home provides prospective residents and relatives with appropriate information and advice to assist them in making their choice about the home. The manager assesses all residents prior to admission to ensure the home can meet the assessed needs of the resident. EVIDENCE: Since the last inspection the home has updated their pre-admission assessment. All residents are assessed prior to entering the home by the manager. The recent pre-admission assessments provided more detailed information. One assessment showed insufficient information and the manager confirmed the reason for this had been that the person was admitted for respite. All admissions to the home should have appropriate and detailed Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 9 assessments completed even if they are considered low risk and for a short period of time. The home should include more details about the residents’ emotional needs when moving into a care home either permanently or for a short period. Staff was clearly aware of the residents needs and demonstrated a good knowledge and understanding of this. The pre-admission assessment then forms the basis of the residents care documentation. Residents and relatives stated that they were pleased with the care provided at the home and felt the staff were aware of their needs. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 and 9 Appropriate systems are in place for care planning and health care screening, but by failing to keep records up to date there is no assurance that the health and social care needs of residents will be appropriately met. EVIDENCE: Since the last inspection the home has further improved their care planning documentation. Four care plans were reviewed at the time of the visit. The inspector was informed that the home is in the process of converting the care plans onto a new care documentation system this should assist the staff with Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 11 maintaining the documentation. On reviewing the current records the home was failing to identify all of the residents’ problems appropriately, for one resident the documentation made no reference that the resident could be verbally aggressive. It gave no directions to the staff on how to deal with the resident when aggressive. Care plans should clearly reflect the resident’s needs and how staff should deliver the care. The home should complete monthly weights; one residents weight had not been updated for six months. Care plans should provide more information about the resident’s emotional needs. The issues relating to medication on the last inspection had been addressed. It was recommended that the home develop a protocol for administering as required analgesics and sedatives to residents. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the 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 and 15 The meals provided a varied selection of food. The home provides residents with limited opportunities to participate in social and recreational activities within the home or the local community. EVIDENCE: Since the last inspection the home has employed an activities co-ordinator to assist residents to participate in social and recreational activities. Given the wide age group and varying degrees of abilities of the residents this is mainly provided on a one to one basis. On the day of the visit some residents were playing dominoes, others were watching television, one resident was knitting, others were reading. Some residents attend local day centres. One resident Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 13 was maintaining independence by continuing with cross-stitch and playing the keyboard. A visitor commented that they would like to see more outings. The activities co –ordinator is enthusiastic and flexible to provide some weekend cover for the residents. Care plans record details of the resident’s family and friends and have free visiting to the home. Visitors confirmed this at the time of the visit. Residents’ stated that the food was good, and confirmed they were offered a choice of meals. The daily menu was displayed on the board by the dining room. Plans are in hand to upgrade the kitchen. and the owner confirmed that the improvement would cause minimal disruption to the residents and the daily routine. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 The home has a thorough complaints procedure in place. Systems are policies are in place for the protection of vulnerable adults. EVIDENCE: No complaints have been received by the CSCI or directly to the home since the last inspection. The old complaints records were available for inspection. The home has an adult protection policy and staff was aware of this and its contents. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25 and 26 Further refurbishment and improvements are now necessary to ensure residents have a clean and safe place to live in. EVIDENCE: The home changed ownership in November 2005, and the owner is in discussion with architects to commence the refurbishment and improvements to the home. The owner recognises the environment requires improvements Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 16 and plans to commence the work on a phased in program to minimise disruption for the residents. Given the pending building work this should address issues requiring attention. Areas requiring attention: • Carpets in many areas are well worn and in need of replacement. • Decoration was poor in many areas. • Bathrooms were in need of review. • No locks were fitted to bedroom doors. Several bedrooms were pleasantly decorated and furnished. However, several bedrooms located within the original building presented as fatigued and in need of redecoration and upgrade. The Laundry is situated away from the home. The home should provide another commercial washing machine with a sluicing facility. Only one tumble dryer was working and given the number of residents this is not sufficient. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29 and 30 Staffing levels per shift appeared appropriate for the number of residents in the home. However, the numbers of staff employed within the home were not sufficient to safely meet the needs of residents. Procedures for the recruitment of staff are sufficiently robust to ensure the protection of residents. EVIDENCE: The duty rota showed that the home was providing one trained nurse throughout the 24-hour period, with seven care staff on the early, four care staff on the late and two on nights. The home is currently down registered nurses’ and care staff hours and is using agency staff to maintain the levels. The nurses’ are also working additional hours and the manager is not having any supernumerary time to develop and check care records and supervision of staff. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 18 A random selection of staff records were reviewed at the time of the inspection. It was noted that the home has further improved their recruitment procedure and CRB’s and POVA checks were being completed. Two written references had been obtained however the home must ensure that one is from the current or most recent employer, where not a record should be evident as to why this had not been done. Training records showed that new staff are receiving induction training and mandatory training had been provided for staff. The need to arrange some specific training for staff on learning disability remains outstanding from the last inspection. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,36 and 38 The manager is appropriately qualified to manage the home. The home must ensure that the residents receive consistent quality of care and promote their health and safety. EVIDENCE: Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 20 The manager has almost completed the NVQ in management award and should have completed by March 2006. The manager is committed to the home and demonstrates a good knowledge and understanding of the residents needs. A formal staff supervision program is in place; given the staff shortages these have not been undertaken as regularly as required. Fire records were available and up to date at the time of the visit. Portable heaters were in use at the time of the inspection, the home must complete risk assessments to reduce the potential risk of accidents. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 21 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 X 2 3 3 2 4 2 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 2 20 2 21 2 22 X 23 3 24 2 25 3 26 2 STAFFING Standard No Score 27 2 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 X 34 X 35 X 36 2 37 X 38 2 Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 2 (YA) 3 (OP) Regulation 12 (1) Requirement A full assessment of needs must be conducted prior to residents being admitted to the home either permanently or temporary. Assessments must take into consideration all aspects detailed in standards 2.3 and 3.3. All care plans must be reviewed and updated when the needs of the resident change. Not fully met from last inspection. Timescale for action 25/01/06 2 6 (YA) 7 (OP) 6, 14 (YA) 7, 12 (OP) 6 (YA) 7 (OP) 15 (1) 25/01/06 3 4 15 (1) 15 (1) Further develop systems in order 25/01/06 to facilitate resident involvement in care planning. Care plans must be in place for 25/01/06 all residents, which identify any social and recreational needs and details action to be taken by staff to support/care for the individual resident. Not fully met from last inspection. 5 6 (YA) 7 (OP) 15 (1) Care plans must accurately reflect the current care needs of each resident. Not fully met from last inspection. 25/01/06 6 6(YA) 7 (OP) 12 (1) 15 (1) Care plans should take into consideration the specialist DS0000064419.V280007.R01.S.doc 25/01/06 Lickhill Manor Nursing Home Version 5.1 Page 23 needs of the residents and include detail of how living skills are to be enhanced and how recreational and social activities are to be facilitated. Not fully met from last inspection. 7 18, 27 (YA) 10,21 (OP) 12 (4) 8 28, 42 (YA) 13 (4) 19, 38 (OP) 23 (2) 28 (YA) 26 (OP) 28 (YA) 26 (OP) 28 (YA) 19(OP) 23 23 As part of the refurbishment a suitable method of door lock should be fitted to the bedroom doors. Remedial work must take place to the uneven paving as identified during the inspection. To be completed with the Kitchen Upgrade 31/05/06 28/02/06 9 10 All areas of the laundry floor must be appropriately covered Awaiting upgrade of the laundry 31/03/06 28/02/06 11 23 A second commercial washing machine with a sluicing facility must be provided and second tumble dryer. All carpets in the home should be reviewed and action taken to replace any worn/tired Remains outstanding from the last inspection. 31/03/06 12 34 (YA) 29 (OP) 35 (YA) 30 (OP) 35 (YA) 30(OP) 36 (OP) 19 13 18 The home must apply for 25/01/06 references for new staff from their current or most recent employer. All staff must receive appropriate 28/02/06 training for caring for residents with learning disabilities. Not fully met from last inspection. 14 18 All care staff must receive up to date training on infection control measures. Not fully met from last inspection. 28/02/06 15 18 All care staff must receive formal supervision at least six times a year. Not fully met from last inspection. 25/01/06 16 42 (YA) 38 (OP) 23 All portable heaters in use must have a risk assessment completed for their use. 25/01/06 Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 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 Refer to Standard 20 (YA) 9 (OP) Good Practice Recommendations It is recommended that the home develop a policy for as required analgesics and sedatives. Lickhill Manor Nursing Home DS0000064419.V280007.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. Lickhill Manor Nursing Home DS0000064419.V280007.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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