Inspection on 15/05/07 for Littleover Nursing Home

This inspection was carried out on 15th May 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

Littleover Nursing Home 22/11/05

Littleover Nursing Home 23/05/05

Littleover Nursing Home 13/01/05

Littleover Nursing Home 20/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Littleover Nursing Home Littleover Nursing Home 149 Stenson Road Littleover Derby DE23 1JJ Lead Inspector Angela Kennedy Key Unannounced Inspection 15th May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Littleover Nursing Home Address Littleover Nursing Home 149 Stenson Road Littleover Derby DE23 1JJ 01332 760140 01332 771400 lnhome149@aol.com 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) Far Fillimore Care Homes Ltd Mr Chander Goel Mrs Mary Joanne Barker Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2006 Brief Description of the Service: Littleover Care Home is a large brick building set in its own landscaped gardens. The home provides accommodation for 40 older persons who have nursing care needs. There are both single and double bedrooms available. Only one room has ensuite facilities provided, however all the bedrooms have a television and telephone provided. Services provided include 24 hour staffed care, personal laundry, access to a wide range of health services and social and leisure activities. Information regarding the home, inspection reports and fees payable is available by contacting the home by telephone or email. The fees at the time of this inspection ranged from £385 to £405 nursing fee. Expenses such as hairdressing, chiropody and newspapers/magazines were not included in this fee. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. The commission had requested the service to complete a pre-inspection questionnaire and sent out resident surveys for completion prior to the inspection. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents and the information contained within the pre inspection questionnaires and residents surveys. The time spent looking at this information was approximately 7 and a half hours. The site visit is used to see how the service is performing in practice and to meet with residents and their representatives. Time spent at Littleover nursing home was approximately three and a half hours. The inspection was focused on assessing compliance with defined key National Minimum Standards. . The registered manager was present at the inspection. Staff were involved in supplying information during the inspection. On the day of the visit two residents were spoken with to gain their views on the service. No visitors were available to speak with during the site visit but comments from residents’ representatives had been obtained within the resident’s surveys. What the service does well: Comments from residents and their representatives were generally very positive and included: “ when my family raise concerns about my health they are always pursued”, “ overall my family and I are happy with the care I receive”, “ excellent care” “staff are prepared to listen at all times. Any problems/concerns are dealt with” and “ Littleover nursing home is a friendly happy environment for the residents. Mum has been very happy here ….” Staff spoken with confirmed that they enjoyed working at the home and felt the manager ran the home in an open and inclusive way. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 6 Evidence was in place, which demonstrated that the manager provided a clear sense of direction to the staff team. This was seen within the guidance that had been developed for the staff team and in the supervision records seen within the staff files examined and minutes of staff meetings. 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. Littleover Nursing Home DS0000059788.V337339.R02.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 Littleover Nursing Home DS0000059788.V337339.R02.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments were undertaken prior to resident’s moving into the home to ensure their needs could be met. EVIDENCE: Thirty-three people were living at Littleover nursing home on the day of the inspection. Three residents care files were looked and all had in place assessments that had been undertaken prior to admission which looked at all areas of need including; personal safety, communication, breathing, nutrition, elimination, personal hygiene, mobility and comfort, social interaction, personality and spirituality, sleeping and skin integrity. This demonstrates that detailed Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 9 assessments are in place on admission, which permit accurate care planning to be implemented from this information. Comments received within one of the surveys sent out to residents included, “My family made 3 unannounced visits. On each occasion they received a warm welcome, and they were reassured that the home would meet my needs. I was also assessed in hospital by the homes staff prior to moving in here.” Respite care was available at Littleover Nursing Home subject to the availability of a bed. Standard 6 is not applicable to this service. Littleover Nursing Home DS0000059788.V337339.R02.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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s care needs were met and their safety maintained by the practices in place. EVIDENCE: The 3 residents files seen demonstrated that the care plans in place had developed from the resident’s needs assessments (see standard 3). New systems were in being put into place to document all care information for residents electronically. These systems include care plans, risk assessments, daily logs, medication prescribed, resident’s life history and family details. As these systems were not fully up and running paper records were also being maintained, and at this inspection it was the paper records that were looked at. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 11 Detailed information regarding the assistance and support that each resident required was seen with the care files looked at. Assessments regarding tissue viability were in place to ensure that residents prone to pressure sores were identified and the appropriate treatment/action taken. Assessments were also seen regarding nutrition, moving and handling and risk of falls. Health profiles recorded residents weight, temperature, blood pressure and any other health care needs, such as blood sugars. Visits from doctors, chiropodists, dentists, opticians and district nurses were also recorded. All care plans seen had been reviewed on a monthly basis, to ensure any changing needs can be identified and the appropriate action taken to address those needs. The medication practices of the service were looked at. The medicines stored within the medication trolley and cabinets were seen and contained the appropriate pharmaceutical labels/instructions. Records regarding medication storage, stock and administration were checked and some medication stored was counted and corresponded with the records held. The medication administration records seen had been completed correctly. A list of the staff names and initials that administered the medication was on display, so that staff’s initials on the medication administration records could be identified if needed. . Observations of the staff team with residents demonstrated a caring and respectful approach, for example by taking the time to sit and talk with residents, assisting residents with drinks. Two residents were spoken with and both confirmed that the staff team were respectful towards them. Comments received within the surveys sent out to residents included,” the home seems to have good links with the G.P”, “ The carers by and large are excellent”, “ when my family raise concerns about my health they are always pursued”, “ overall my family and I are happy with the care I receive”, “excellent care”. Littleover Nursing Home DS0000059788.V337339.R02.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Contact with families and friends was maintained and residents independence promoted. Social, personal and religious preferences were generally well met. EVIDENCE: An activities co-ordinator was employed at the home, although she was not available to speak with at the time of inspection. The activities provided at the home included; bingo, quizzes, board games, craft work- such as card making, music and movement and sing-a-longs. Entertainment of different varieties was provided from external sources on a monthly basis. One resident spoken with felt there wasn’t enough community outings, i.e. shopping trips. This was discussed with manager who said that the activities co-ordinator was looking at how this could be achieved using community transport and on a one to one basis. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 13 Comments received within the surveys sent out to residents included: “Due to my illness it is difficult for me to take part in activities. However the activities co-ordinator does her best to involve me. Also other staff have tried to think of activities for me”, “…general activities such as parties, fireworks party/summer fair etc families are invited to”. Holy communion took place at Littleover nursing home every 4 weeks for any residents who wished to participate. A hair stylist visited the home twice a week for residents who wished to use this service and a separate hair salon room was provided in the home. Visiting hours at Littleover nursing home were open. Residents were able to receive their visitors within their private accommodation or within communal area of the home, whichever suited their needs and choice. The menus at Littleover nursing home were rotated over a four-weekly basis. Breakfast choices were varied and included fruit, porridge, a variety of cereals and toast with preserves. Daily specials were also available such as egg on toast, bacon sandwich and tomatoes on toast. Two options were provided at the main lunchtime meal. Salad and sandwich options were also available at lunchtime if preferred. One main sweet was available and offered with a choice of ice cream or yogurt as an alternative. A selection of sandwiches was provided at teatime, along with soup, salad and savoury pastries. Various cakes, pastries and trifle style dishes were available as the teatime sweet. The daily meal options were written on a board- however on the day of inspection no vegetarian option was written down. The manager stated that vegetarian options were always available for residents who were vegetarian or preferred vegetarian meals. Surveys were sent out to a sample of residents prior to this inspection. The questions in the surveys were about the care and support each resident received. Out of the 12 surveys returned the majority confirmed that on the whole they enjoyed the meals at Littleover Nursing Home. A comment from one resident was with regard to the vegetarian options available, this resident did not feel that individual preferences regarding vegetarian options provided enough variety. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 14 Advocacy services were advertised within the reception area of Littleover Nursing Home. It was confirmed that none of the residents used advocacy services at the present time. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives were confident that their concerns would be listened to, taken seriously acted upon. The policies and practices in place safeguarded residents from abuse. EVIDENCE: The complaints procedure was displayed in the entrance hall and included in the resident’s statement of purpose and information guide. This procedure was clear and included stages and timescales for responding and dealing with complaints as required. Littleover Nursing Home had received no complaints since the last inspection. The complaints format used contained a section for recording the actions taken following a complaint but did not contain a section for recording the outcome of complaints. This was discussed with the manager. Of the twelve surveys completed by residents and their representatives, eleven stated that they knew how to make a complaint and the other resident said their representative would do this on their behalf. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 16 When asked on the surveys if they knew who to speak to if they were not happy eleven of the twelve residents confirmed they would, one resident was a little unsure but stated that sometimes they would know who to discuss their concerns with. Adult protection was provided for the staff at the home and this was evidenced within the staff files seen. Procedures were in place at the home for responding to suspicion or evidence of abuse or harm. Staff spoken with confirmed their understanding of these procedures. Littleover Nursing Home DS0000059788.V337339.R02.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): 19,20,21,23,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements continue throughout the property to enhance the environment for residents and ensure their safety and comfort is maintained EVIDENCE: A tour of the building was undertaken. Considerable efforts had been made in the dining area. Dining tables were attractively presented with co-ordinating table linen and napkins. Space was available within communal areas for privacy if required. Two conservatory areas could be used by residents to entertain their visitors if they wished. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 18 Garden areas that were assessed as unsafe for residents due to steep steps have now been made inaccessible by providing suitable gates. Three communal sitting rooms were available for residents use. Sufficient equipment was in place to maintain hygiene standards, this included a sluicing machine within the sluice room and two washing machines in the laundry area that incorporated built in sluicing facilities. Bathrooms and shower rooms seen were of a good size and provided space for moving and handling equipment to be used as required. The refurbishment of rooms continues and some private accommodation was viewed and reflected each individual’s tastes and preferences. Residents were able to furnish their private accommodation with their own belongings, and this was clearly evidenced on the day of inspection when one residents personal belongings and furniture were transported to their private accommodation from their previous home. Lockable facilities were now available within each resident’s room, although the manager stated that few residents had chosen to or were able to use these facilities. Screening was provided within all double bedrooms to ensure privacy was maintained. Of the twelve surveys completed by residents and their representatives all felt that in general the standards of cleanliness at Littleover Nursing home were of a good standard. All areas of the home seen appeared clean and well maintained. Littleover Nursing Home DS0000059788.V337339.R02.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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The number and skill mix of the staff team enables resident’s needs to be met, and residents are protected by the homes recruitment practices. The training needs of all staff must be maintained to ensure safe practices are in place. EVIDENCE: A total of eleven registered nurses were employed at Littleover Nursing Home, this included three bank staff. Twenty-four care staff were employed and fifteen of these had achieved a National Vocational Qualification in care at Level 2 or above. Eight care staff were in the process of achieving this qualification. These figures demonstrate that Littleover Nursing Home has exceeded the national targets of 50 of care staff achieving an NVQ level 2 or equivalent. Staff rotas showed that five to six care staff were on duty in the mornings, four care staff were on duty in the afternoon and early evening and three care staff were on duty at night. A registered nurse was on duty on each shift. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 20 Discussions took place with the manager regarding the staffing levels in place, as these had been reduced since the last inspection. The manager confirmed that staffing levels had been reduced due to the reduction of people living at Littleover nursing home; she did however state that staffing levels would be increased when required, i.e. if needs and or numbers of resident’s increased. The manager, staff and residents spoken with felt that the staffing levels in place were sufficient to meet resident’s needs. Evidence was in place to demonstrate that staff meetings were held approximately every three months The recruitment files of three staff were examined and there was evidence of an appropriate recruitment system in place to safeguard residents. These three staff were spoken with to ascertain their views on the service and the training provided. All three staff felt that the care provided to residents was of a high standard and confirmed that training needs were well met. Some records and certificates relating to staff training were seen and demonstrated that generally staff were up dated as required to ensure their knowledge and skills were updated on an ongoing basis. It was noted that one member of the kitchen staff team had not undertaken Food hygiene training. This was discussed with the manager and it was confirmed that this training would be organised. Littleover Nursing Home DS0000059788.V337339.R02.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): 31,33,35, 36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Littleover nursing home was well managed with the safety, welfare and best interests of residents foremost. EVIDENCE: The manager has many years experience in nurse management and has been the manager of the home for the last 3 ½ years. The manager is a registered nurse and has achieved the registered managers award. Staff spoken with confirmed that they enjoyed working at the home and felt the manager ran the home in an open and inclusive way. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 22 Two of the staff spoken with discussed how their rostered hours had been changed to fit in with family commitments and stated that the manager had been supportive regarding this. Evidence was in place, which demonstrated that the manager provided a clear sense of direction to the staff team. This was seen within the guidance that had been developed for the staff team and in the supervision records seen within the staff files examined, and minutes of staff meetings. A nurse’s station for the staff team was now in place, which housed a computer system in order for staff to update resident’s records on an ongoing basis as required. Residents and/or their relatives kept their own monies. The home did not hold monies for any resident. A professional recognised system was in place at Littleover Nursing Home regarding quality assurance. Quality audits were undertaken on a regular basis that assessed areas of practice and maintenance of the service. A recently undertaken audit was relating to the infection control systems in place. Evidence was in place that demonstrated that residents and their representatives were informed of any changes and their opinions sought. Residents meetings were held every three months and satisfaction questionnaires were sent out to residents and their relatives every year to ascertain their views on the service provided. Newsletters were sent out every three months that informed residents of events and activities due and the results and actions of any surveys, questionnaires and meetings held. The homes maintenance person undertook weekly fire alarms tests and general maintenance. The manager confirmed that staff training relating to health and safety was undertaken as required.i.e. When staff needed updating and on induction. This included fire training twice a year, manual handling training, first aid training and Safeguarding Adults (adult protection). As stated in standards 27-30 it was noted that one member of the kitchen staff team had not undertaken Food hygiene training. This was discussed with the manager and it was confirmed that this training would be organised. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 23 Information from the pre inspection questionnaire completed by the manager confirmed that service and maintenance work had been carried out to maintain the safety of residents, staff and visitors. This included the servicing of: Firefighting equipment, the central heating system, the electrical wiring of the building and gas appliances. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 25 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 OP30 Regulation 16 (2) (j) 18 (1) (a) (c ) Requirement All staff working in food preparation areas and or with food must undertaken food hygiene training and be updated as required. Timescale for action 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP15 OP16 Good Practice Recommendations Vegetarian options should be written on the menu board to ensure all residents are aware of this option. The outcome of complaints received should be recorded. Littleover Nursing Home DS0000059788.V337339.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Littleover Nursing Home DS0000059788.V337339.R02.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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