Inspection on 27/06/07 for Little Court Nursing Home

This inspection was carried out on 27th June 2007.

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

Other inspections for this house

Little Court Nursing Home 10/01/06

Little Court Nursing Home 06/04/05

Little Court Nursing Home 02/09/04

Little Court Nursing Home 11/05/04

Little Court Nursing Home 26/11/02

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Little Court Nursing Home Roopers Speldhurst Tunbridge Wells Kent TN3 0NY Lead Inspector Sandra Crosby Key Unannounced Inspection 27th June 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Little Court Nursing Home DS0000026188.V344476.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. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Little Court Nursing Home Address Roopers Speldhurst Tunbridge Wells Kent TN3 0NY 01892 863414 01892 863454 manager@thelittlecourt.co.uk 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) Mr Peter Francis Gregory Neatbell Limited Mr Peter John Hart Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care is given to one service use with a d.o.b. 22 October 1939 Up to two service users with a terminal illness can be admitted to rooms 11 and 13. 10th January 2006 Date of last inspection Brief Description of the Service: Little Court Nursing Home is a care home with nursing. It is a large old house standing in its own grounds with new buildings attached. The home is arranged on two floors, there is a passenger lift. Twenty rooms are for single occupancy and there are four double rooms. Ten rooms have en suite. Car parking on site is available albeit limited. There are ample car parking spaces on surrounding roads. Little Court provides accommodation for twenty-eight older persons. The home utilises a staff roster that gives 24-hour care cover, with a Qualified Registered Nurse on duty at all times and waking night staff. The home also employs staff for catering, domestic and maintenance purposes. The public transport bus service stop is within 800 yards and High Brooms railway station is approximately five miles away. Tunbridge Wells is the nearest large town and it has all the usual facilities. The home is a nonsmoking establishment. The Registered Manager confirmed that the current range of fees were from £550 to £740 per week. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection visit was unannounced and carried out on Wednesday 27 June 2007 between 14.00 and 21.00. The Inspector spoke with the Registered Manager, the Registered Provider, one of the nurses, and two of the care staff. She looked at records and undertook an accompanied tour of some areas of the premises. The atmosphere of the home was welcoming, calm and relaxed, and the home was clean and orderly at the time of the inspection visit. About one hour and a half was spent meeting Service Users collectively and individually. It was found that the AQAA documentation had not been sent out to the home at the correct time, and the Registered Manager said that he had only received the documentation on the day of the inspection visit. Therefore this documentation does not form part of this report, and the Registered manager agreed to complete the documentation and return same to the Commission in due course. Several Service User Surveys were returned providing positive comments about the home, together with a letter from a specialist nurse for the West Kent Trust stating ‘it is always a pleasure to visit Little Court, I am always confident that my clients needs will be fully met. That families and clients will be confident with both current and ongoing care. Little Court continues to offer an excellent service with a very high standard of all round care.’ What the service does well: Service Users continue to receive a high standard of care based upon individual needs, choice and preferences. Service Users commented to the inspector “Staff so nice and so caring”, “we all get that lovely feeling of security and safe”, “nothing bad, wouldn’t change anything”. Service Users health and well-being is monitored and maintained by a welltrained, motivated and dedicated staff team. The home works very well with other health colleagues and professionals in assuring the health care needs are met and the quality of care provided is based upon best practice. The owners are committed to providing a high quality service, which is Service User led and focused. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 6 The owners, registered manager and staff have worked hard in improving the overall service including meeting most items identified during the last inspection and recommendations from other professionals. The Registered Manager is very competent and skilled, which enables the home to run smoothly and meet its stated aims and purposes. What has improved since the last inspection? What they could do better: Staff to record all appropriate information in the service user plans documentation, including wound care and catheter care, together with regular meaningful reviews to be recorded. All administered medications to be appropriately recorded. Daily food records to be maintained. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3 and 6 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users have comprehensive information on which to base the decision to move into the home. They can feel confident that their needs will be fully assessed and met. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Statement of Purpose/Service User Guide was seen. The document was found to be very informative and contained most of the information required by regulation. Following discussion with the Registered Manage he agreed to review the documentation to ensure that it complied fully with the requirements of regulation. A copy of home’s Terms and Conditions of Residence was seen, dated and signed by both parties concerned. Service Users spoken with were clear about what their needs were and detailed how these are met. Good practice is adhered to in supporting service users to maintain their independence and choice in being supported with their own health care. Good documentation was seen in relation to completed preassessment documentation completed prior to admission to the home, together with assessment documentation provided by the local Social Services. The home does not provide intermediate care. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear and consistent, although staff are not always recording necessary information needed to meet Service Users’ needs and Service Users’ health care needs are not always indicated as well met. The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure Service Users’ medication needs are met. Personal care is offered in a way to protect Service Users’ privacy and dignity. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 12 EVIDENCE: Four Service User plans were seen, and indicated overall that the components of the system in use meet the requirements of regulation. It was however found that necessary recorded records in relation to catheter care, and pressure area care were not in evidence. It was indicated from discussion with the Registered Manager, Service Users and staff that good care was provided but not always recorded. A letter received from a Specialist Nurse of the West Kent Trust states ‘ at the time of my last visit to the home I was informed that a resident had been admitted from hospital with a pressure sore to their heel which the home has now fully healed’. It was seen that the reviews of the Service Users Plans seen mainly recorded as ‘no change’, but on looking through the records it was evident that changes had taken place. These issues were discussed with the Registered Manager and he agreed to immediately address these issues. A letter received from a Specialist Nurse of the West Kent Primary Care Trust confirms that the home is about to introduce the Liverpool Care Pathway, and states that the Registered Manager strongly supports End of Life Care and Service Users choice as to where they spend their final days. The home has overall good systems in place for medication. The front information sheet was seen to be detailed i.e. preferred name, service users preferences or allergies. Pain assessment forms were also seen as part of the Service User Plan documentation. The medication records were seen, and overall indicated that they were up to date and appropriately recorded. The Registered Manager agreed to address the issue of a number of gaps seen in the recording of these records. There are risk assessments in place in support of Service Users able to administer their own medication. The storage of medication was not inspected at this visit, although it was noted that several needles had been re-sheathed in the Sharps boxes. The Registered Manager was made aware of this and agreed to address this issue. The Service Users dignity is maintained through good practice being adhered to by staff. The addition of a conservatory that can also be used as a room to meet visitors in private has made a big difference. Service users felt generally that their dignity was respected. It was previously reported that the office area needs to be enclosed or re- sited and the Registered Manager confirmed that action is being taken to address this issue, and it was said that the work will be carried out and completed by the end of the year. The standard of health care and working in partnership with other agencies to support this remains good. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users spoken with confirmed they were happy with the lifestyle they had living at the home. Daily routines respect service users rights, responsibilities and individuality. Service Users are able to maintain contact with family and friends. The meals in the home are good offering both choice and variety and cater for special diets. EVIDENCE: Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 14 As reported in the last inspection report there is an activity co-ordinator who provides structured activities for 12 hours a week. Service Users spoken with on leisure and recreation felt that there was enough to do should they wish to join in. Particular favourites included bingo and quizzes and one Service User commented that ‘they liked to join in a sing-a-long’. Service users who chose to remain in their room are visited by the activity coordinator and received one to one attention. One service user said, “I must admit the entertainment is good here”. Another service user expressed that they enjoyed the bingo. A relatives comment suggests ‘more stimulating activities for residents’ so extra support would always be welcome. The menu was seen to contain a good selection and variety of meals. Comments received from Service Users included ‘a variety is always available’ and ‘there is plenty to eat’, another commented that the ‘quality of the food was good’ Following the last inspection the home now ensures that food is available at suppertime. It was found that the records of the food provided daily has not been maintained, and the Register Manager agreed to address this issue. The conservatory has provided a room for Service Users to meet visitors in private. Service users spoke of what an improvement the conservatory was, stating “Its lovely”. The de-cluttering of the lounge and rearrangement of the furniture has created more space for Service Users to enjoy the company of their visitors. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system that indicates that Service Users feel that their views are listened to and acted on. Staff indicated a knowledge and understanding of Adult Protection issues and policies and procedures are in place to safeguard Service Users from abuse. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 16 EVIDENCE: The complaints record was seen, and indicated that complaints are taken seriously, and records are also maintained of the action taken and the outcome. The Registered Manager agreed to change the format for maintaining these records to ensure that the records would be individually kept. Recently received written compliments seen included ‘sincere thanks and deep appreciation for all that you and all of the staff did for my mother’, ‘thank you and your wonderful dedicated team for the help and support you gave to my mother’ and ‘big thank you to all for good care given to Dad’ Service Users were happy and relaxed and confident with staff. Service Users expressed that they feel safe, and they have no concerns about their private personal possessions or the need to keep anything locked. Information provided by the Specialist Nurse of the West Kent Primary Care Trust states ‘that all staff attend Adult Abuse Awareness training on a regular basis as reflected in the Kent and Medway Policies, Protocols and Procedures, and update sessions are now being delivered’. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,20,21,22,23,24,25 and 26 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a home where the routine maintenance, decoration, and renewal of the fabric of the premises are mainly good. The garden areas are attractive and well maintained. The home was clean and pleasant at the time of the inspection visit. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 18 EVIDENCE: The previous report commented that a comprehensive occupational therapist report on the environment has been undertaken with recommendations made and addressed. A comment in this report stated ‘Little Court Nursing Home is an institution with good standards throughout, it is apparent that each resident’s needs are considered’. An accompanied tour of some areas of the home was undertaken, and it was seen that since the last inspection visit a new call bell system has been installed and Service Users reported in the main positively about the system. The Registered Manager stated that re-decoration and refurbishment is ongoing. It was also previously reported that the shared room that is small has been rearranged to provide more space with smaller more compact furniture. There is one tap in a bathroom that cannot have restrictors fitted as the manager explained that the lead pipes would not make this possible. There is a hot water warning sign up. The laundry room was not entered at this inspection visit, as the tumble dryers were in the process of being repaired. The previous report stated that the laundry room walls are painted and in need being refurbished i.e. tiled so that it is easily cleaned. The room is limited in space and the refurbishment may assist in this area. The Registered Manager confirmed that this work was now included in the development plan for the home and would be undertaken as soon as possible. An external laundry is now used for the laundering of sheets etc. Good practices for the prevention of infection control are put in place as is the facilities such as hand alcohol gel. An issue in relation to the use and storage of Category ‘A’ clinical waste bags was discussed and the Registered Manager agreed to address this issue. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent trained staff team cares for Service Users. Service Users are protected by the home’s thorough recruitment procedures, and staff training is ongoing. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 20 EVIDENCE: The home employs designated staff for housekeeping; entertainment and care, which ensures that care staff are able to dedicate their time in meeting the direct care needs. There is 24 hour qualified nursing staff provided. The staffing levels are 2 RGNs and 4 care assistants in the morning; 1 RGN and 4 care assistants pm and 1 RGN and 2 care assistants at night. This enables the same quality of service at night as there is during the day. The extra hours provided in cleaning has improved the overall standard of cleanliness. There is a low turn over of staff and a continued commitment for care staff to be trained at NVQ level 2. Staff receive regular training and planned future training needs are identified, the training for staff has increased. Staff files were viewed and it was seen that the home operates a sound recruitment policy and procedure, and a checklist has now been implemented at the front of the file as recommended in the last report. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,36,37 and 38 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from a well run home, and the health, safety and welfare of service users and staff are promoted and protected. Service Users are safeguarded, by the accounting and financial procedures of the home and systems are in place in relation to the safe storage of records. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Registered Manager confirmed that he has nearly completed the Registered Managers Award NVQ level 4 in management. Without exception all Service Users and staff expressed how competent and effective the Registered Manager was. The home has been awarded the Investors In People Award. The Registered Manager is pro active in working with outside agencies to raise concerns and issues to better the care of the Service Users. The home is open and transparent in its running and management. There are regular meetings held with the shareholders to discuss the aims and objectives of the home and plan for current and future needs. The home had a relaxed atmosphere where all staff and Service Users appeared to enjoy each other’s company and interacted in a positive way with genuine concern for each other. Service Users spoke highly of the staff, and one completed relatives survey stated ‘comfortable accommodation, happy and friendly environment and staff’. There are systems in place to seek the views of the Service Users and other stakeholders. The monitoring from the Registered Manager forms part of the overall quality assurance and includes the Blue Cross Mark for Excellence Registered Nursing Homes Association Assessment Tools. Regulation 26 visits are conducted and reports received. The Registered Manager is supported through regular clinical supervision by the Specialist Nurse from the West Kent Trust and states that she also provides clinical supervision for the nursing staff at the home. At the last inspection visit the Service Users spoken with confirmed that the home does not manage their money either relatives take on this role or the financial affairs officer at social services. Invoices are sent for money paid by the home i.e. hairdresser. The Registered Manager that this remains the systems used remain the same and that the home does not handle Service Users’ monies. Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(2) 17(1)(a) 3(n) Timescale for action A service user plan of care 30/06/07 generated from a comprehensive assessment (see Standard 3) is drawn up with each service user and provides the basis for the care to be delivered Keep the service user plan under review – ensure all appropriate information is recorded in the service user plan in relation to wound care and catheter care The registered person ensures 30/06/07 that there is a policy and staff adhere to the procedures for the receipt, recording, storage, handling administration and disposal of medicines, and service users are able to take responsibility for their own medication if they wish, within a risk management framework Ensure all administered medications are recorded appropriately Used syringes not to be resheathed Records of the food provided for 30/06/07 DS0000026188.V344476.R01.S.doc Version 5.2 Page 25 Requirement 2. OP9 13(2) 3. OP15 17(2)13 Little Court Nursing Home service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users 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 Review and make small amendments to the Statement of Purpose and Service User Guide to fully meet the requirements of Regulation 4 Schedule 1 and Regulation 5 As discussed complete the work to provide an enclosed office area by the end of 2007 Complaints to be individually recorded It is very strongly recommended that the laundry room be refurbished so that it is easily cleaned and the limited space is maximised Correct storage of clinical waste Category A as discussed 5. OP31 Registered Manager to complete NVQ 4 2. 3. 4. OP10 OP16 OP26 Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Little Court Nursing Home DS0000026188.V344476.R01.S.doc Version 5.2 Page 27 - 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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