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Inspection on 25/01/08 for Lickhill Manor Nursing Home

Also see our care home review for Lickhill Manor Nursing Home for more information

This inspection was carried out on 25th January 2008.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Lickhill Manor has a very stable and committed staff team, and this is evident from the number of years many staff have worked at the home. There is a pleasant atmosphere in the home and all staff were observed to be interacting well with the residents during the inspection. Lickhill Manor has a robust recruitment procedure and is committed to staff training. The grounds are well maintained providing pleasant views from the home. Given the amount of building work being carried out the home has managed this in such a way to cause minimal disruption for the residents. All residents and relatives who were spoken with praised the staff, for their helpfulness and for providing care in a respectful manner. The comments received about the food were complimentary, together with the home achieving the highest grade from the Environmental Health Officer (a five-star rating).

What has improved since the last inspection?

Following the last inspection the nurses have attended training to assist them with the recording of care plans. The deputy manager is overseeing the care plans and providing guidance for the nurses. With this the nurses have further developed the risk assessments for the service users and updated their nutritional risk assessment.

What the care home could do better:

To ensure that the service users and relatives are being listened to, they should formalise their quality assurance audit. The home need to further develop their Statement of Purpose to include all the required information and make the document easily accessible for service users and visitors to the home. A formalised staff supervision system should be further developed to give the staff the opportunity to give their opinions about the home.

CARE HOMES FOR OLDER PEOPLE Lickhill Manor Nursing Home Lower Lickhill Road Stourport on Severn Worcs DY13 8RL Lead Inspector Chris Potter Key Unannounced Inspection 25th January 2008 09:45 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 Lickhill Manor Nursing Home DS0000064419.V355258.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. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lickhill Manor Nursing Home Address Lower Lickhill Road Stourport on Severn Worcs DY13 8RL 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) 01299 827789 01299 878065 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.V355258.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2007 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 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 registered nurse is on duty 24 hours a day. The home charges between £472.00 and £500.00 per week depending on the room and the care needs of the resident. The fees do not include hairdressing, daily newspapers, escorts and private chiropody. These fees were correct at the time of the inspection for more up to date information please contact the home directly. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s key unannounced inspection – this is where we look at a wide range of areas. The inspection was carried out over a full day on the 25th of January 2008. The inspector spent a total of 7 hours in the home. To help us plan for the inspection we looked at pre – inspection information requested earlier in the year, this included the Annual Quality Assurance Assessment (AQAA). A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service, discussions with the staff team, discussion with the manager, tour of the premises, previous inspection reports, quality assurance process, and observation of care experienced by people using the service. The registered manager was available to help throughout the day, the registered provider was also present for part of the inspection, and are thanked for their time and assistance. What the service does well: Lickhill Manor has a very stable and committed staff team, and this is evident from the number of years many staff have worked at the home. There is a pleasant atmosphere in the home and all staff were observed to be interacting well with the residents during the inspection. Lickhill Manor has a robust recruitment procedure and is committed to staff training. The grounds are well maintained providing pleasant views from the home. Given the amount of building work being carried out the home has managed this in such a way to cause minimal disruption for the residents. All residents and relatives who were spoken with praised the staff, for their helpfulness and for providing care in a respectful manner. The comments received about the food were complimentary, together with the home achieving the highest grade from the Environmental Health Officer (a five-star rating). Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 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. Lickhill Manor Nursing Home DS0000064419.V355258.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 Lickhill Manor Nursing Home DS0000064419.V355258.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3 and standard 6 is not applicable. Quality in this outcome area is adequate. The home provides relevant information for prospective residents in their Service User’s guide. The Statement of Purpose does not contain all the relevant information. All the residents are assessed prior to being admitted to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Service User Guide is available for potential residents and their relatives to assist them with their choice. The home should include their charges in the Service User’s Guide to assist them further with their choice. Since the last inspection the home has developed a Statement of Purpose, this needs to be further developed to fully comply with the requirements. The Statement of Purpose should contain all the information detailed in Schedule 1 of “The Care Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 9 Homes Regulations 2001”. Residents and relatives spoken to during the inspection confirmed that they were provided with sufficient information to assist them with their choice. Relatives tend to choose the home on behalf of their relative, and this includes a visit the home. Positive comments were received from relatives about their choice and how all the staff make them feel so welcome when they visit. Comments included “ They are all wonderful”, “They look after ****** well”, “Staff are friendly and approachable”. Prior to admission into the home, potential residents are assessed by a registered nurse - which is normally the manager. This is to ensure that the home can fully meet their health and personal care needs. A pre–admission assessment is then completed, and this then forms the basis of the resident’s care plans. Three residents’ pre–admission assessments were reviewed during the inspection. These showed that the assessments had been completed appropriately. Residents who are admitted into the home are provided with a statement of terms and conditions. This provides information on what they can expect to receive for the fee they pay, and sets out terms and conditions of occupancy. This contract had been signed by the relatives on behalf of the resident where the resident was unable to do so. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8, 9 and 10. Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs and this is reflected in their care plans. The home has an efficient medication procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Following the previous inspection, the nurses have worked hard to improve the information recorded in the residents’ care plan. This has been achieved through training and the deputy manager providing guidance for the nurses. Three of the residents’ care files were examined during the inspection. The care plans had been developed from the pre-admission assessment. The care plans reflected the health and personal care needs of the resident, and provided directives for the nurses and carers to follow to meet the individual resident’s needs. The nurses have also completed a life history about the Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 11 resident, which assists in getting to know the resident, and details about their likes and dislikes. Appropriate risk assessments had been completed, and the nurses were now including a clear assessment of the residents’ nutritional needs including their body mass index (BMI), which is considered good practise. A daily record of dietary intake is being completed, and it was recorded that a referral to the dietician had been requested for a resident who had lost weight. Residents assessed at being at risk of tissue damage were cared for on pressure-relieving mattresses, and these were included in the care plan. Residents have access to health care services that meet their assessed needs both within the home and in the local community. Residents have access to dentists, opticians and other community services as and when required. There is written evidence in the residents’ care plans of health care treatment and intervention by other specialists for example the doctor, dietician and the diabetic nurse. The home has a good range of pressure-relieving equipment and lifting equipment in place, which is included within their care record. An aid to assist the residents to stand has been provided since the last inspection. The home has a well-organised system in place for medication management. The medication administration records for the residents were up to date. A bottle of controlled drugs was awaiting disposal. It was requested that the home contact their supplier for the kit to safely dispose of this. The records for the controlled drugs were correct and checked by two staff. Staff were seen to be aware of the need to treat residents with respect and to consider dignity when delivering personal care. Comments received from relatives and residents about the care was complimentary and included: “I can only praise the staff in their kindness to ******, and support to me over this time. I would have no hesitation in recommending Lickhill to anyone who needed to put their relative into care.” Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14 and 15 Quality in this outcome area is good. The independence of the residents is encouraged for those who are able. Activities are provided and based on the individual’s needs and capabilities. These are limited for some of the residents with more complex needs. People living in the home are able to maintain open contact with family and friends. The dietary needs of the residents are well catered for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The activities organiser works at the home for 16 hours over the week. The manager confirmed that this will be reviewed when the building work has finished and additional residents are being accommodated. The home currently Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 13 only has 23 residents due to the extension and refurbishment work. The activities organiser works with the individual resident and provides one-to-one support. One resident is going on holiday and is looking forward to this. Digital programs have also been set up for this resident who enjoys sport. Another resident enjoys playing the keyboard and doing cross-stitch, and this has been facilitated. Some group sessions are still provided for those residents wishing to participate - mainly “sing-a-long” sessions. Since the last inspection the home has developed a quiet lounge on the first floor, this is mainly being used by four residents and their visitors. The owner has also purchased large flat screen televisions for the lounges to assist the residents who wish to watch the television. Relatives and residents spoken with during the inspection felt that the level of activities was about right. They also confirmed that they are able to visit at any time and are always made to feel welcome. One relative informed the inspector how the home had arranged a party to celebrate their 50th wedding anniversary, and how successful this event had been. Comments received from residents, relatives and staff about the choice and quality of the food was positive. Comments included “the food always looks nice”, “Really enjoy the food” and “The food is good”. The head chef has been in post for many years and was pleased to advise the inspector that they has just received a level 5 rating from the environmental health officer which equates to “excellent”. The chef knows all the residents, and caters for their individual needs - including specialised diets. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 14 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): Standard 16 and 18 Quality in this outcome area is good. The service has a complaints procedure, which is accessible used according to the procedures in the home. Residents are assured that their concerns will be appropriately dealt with. Training is provided so that residents are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home receives few complaints in comparison to the number of compliments they receive. Relatives and residents spoken with during the visit confirmed that they were aware of the complaints policy and who to report their concerns to. It was pleasing to see the owner interacting well with the residents and they were conversing with him by his first name. One complaint was reported to the CSCI since the last inspection, this was anonymous. The home investigated this using their complaints procedure and the outcome identified that the home was down on staffing levels at the weekend because staff had phoned in sick late and they were unable to cover the shortfall at such short notice. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 15 All staff have attended protection of vulnerable adult training since the last inspection. Staff spoke with confirmed that they would have no hesitation in reporting any concerns, which they might have. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. The physical design and layout of the home is in the process of being improved to enable residents to live in a safer, better-maintained and more comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in the process of going through major building work to provide additional bedrooms and improved facilities for the residents. To accommodate this and cause minimal disruption for the residents, the home are operating with a high number of vacancies. Two residents have been moved to assist with the building work and advised the inspector that they were quite happy with how this had been carried out. The external work is being completed first and a resident whose room was next to the building work stated that is was Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 17 not being disturbed by the builders. Following completion of the external work, the plans are to upgrade the main house - including furniture and furnishings. In the meantime some minor upgrade work continues. This includes: • New tables and chairs in the dining room. • Development of a quiet lounge on the first floor • All the radiators have been replaced by low surface temperature ones. The majority of bedrooms seen were personalised and had beautiful views for the residents to enjoy. Residents spoken with stated that they were pleased with their bedrooms. All areas of the home were clean and tidy, with no odours evident. One resident commented that the toilet at times was dirty. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 Quality in this outcome area is good. There is sufficient staff on duty at all times to ensure that the health and personal care needs of the residents are met. The home follows a rigorous recruitment procedure to further protect the residents. Training is encouraged to ensure that staff are competent in meeting the residents needs fully. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty records showed that the home aims to provide staffing levels to meet the health and personal needs of the residents. The home has a committed staff team with little change. This was highlighted with the home being on flood alert this week. The number of staff who stayed over including the chef to ensure that the residents’ health and safety needs were met. Residents and relatives confirmed that they are pleased with that the care they receive and they feel confident that the staff are able to meet their needs. Since the last inspection, the home has increased their domestic hours, and are in the Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 19 process of recruiting for this position. The home also employs an administrator, maintenance, activities and catering staff. The home has met the standard of providing 50 of staff with an NVQ Level 2 qualification. This is commended. Staff receive regular mandatory training updates and the nurses attend clinical updates to assist them in meeting the care needs of the residents fully. Three staff files were reviewed during the inspection and these showed that the home had followed their recruitment procedure, and completed all the appropriate safety checks. It was recommended that even if the applicant had previously worked at the home, they must still complete a new application form to update their employment history. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36 and 38 Quality in this outcome area is adequate. The home is managed by a suitably qualified manager who is also a first level nurse. The service needs to formalise their quality assurance process. All equipment and systems are serviced and maintained to ensure the safety and the welfare of the residents, staff and visitors. This judgement has been made using available evidence including a visit to this service. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 21 EVIDENCE: Following the last inspection the manager has completed the registered manager’s award. This is commended. All staff, residents and relatives confirmed that the manager is approachable and always willing to support them. All staff were observed interacting well, and this provides a friendly atmosphere, which the residents and relatives appreciated. The home has yet to formalise their quality audit of their service provision. To assist with this, the home has placed a suggestion box in the reception area of the home. The manager is confident that relatives and residents would discuss any issues with her. A relative contacted the Commission to praise the care provided for their relative at the home and confirmed that they would have no hesitation in recommending the home. The relatives tend to manage the finances for the residents. The administrator sends the bills out to the relatives, and then gives the cheques to the provider to bank. A system is in place for the residents to have a small amount of money for hairdressing, newspapers etc. A maintenance person is employed by the home to assist in ensuring that appropriate servicing and maintenance of the systems and equipment is completed. This ensures that the health and safety of the residents, staff and visitors is promoted and protected. The fire records were examined and were up-to-date. Accident forms were reviewed during the inspection. These were being appropriately completed and audited by the manager for those residents who are prone to falls. All appropriate servicing and maintenance of the systems and equipment was being completed, and the home employs a maintenance operative to assist with this process. The fire records were available and up-to-date at the time of the inspection. Some supervision had been completed. This needs to be further developed and formalised for staff. The home has a small, committed staff team and, informally, the manager and deputy supervise and monitor staff performance. The home completed their Annual Quality Assurance Assessment and provided appropriate information in the relevant sections, which provided an accurate assessment of the home’s current situation. Some policies and procedures are in need of review and update, and a system to review annually is recommended. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5 (1) (b) Requirement To further assist service users and relatives with their choice of home, the Service User’s Guide should include the homes fees. Timescale for action 31/03/08 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 OP1 Good Practice Recommendations To ensure that service users and visitors are kept up to date, it is recommended that the home consolidate all the relevant information into the Statement of Purpose. This should be accessible for service users and visitors. The document should include all the information as in Schedule 1. To assist the service in meeting the needs of the service users, it is recommended that the home develop an effective quality assurance audit based on the views of the residents and other professionals. To ensure that the home can fully meet the needs of the service users, it is recommended that as part of the upgrade of the home, a variety of chairs and beds are provided that are suitable for the needs of individual DS0000064419.V355258.R01.S.doc Version 5.2 Page 24 2. OP33 3. OP22 Lickhill Manor Nursing Home 4 OP36 residents. To assist in monitoring staff performance and ensuring that they have the opportunity to voice their opinions, it is recommended that the service formalise their supervision program for the staff. Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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. Extracts may not be used or reproduced without the express permission of CSCI Lickhill Manor Nursing Home DS0000064419.V355258.R01.S.doc Version 5.2 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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