Inspection on 17/02/06 for Longmore Nursing Home

This inspection was carried out on 17th February 2006.

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

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

Other inspections for this house

Longmore Nursing Home 24/09/08

Longmore Nursing Home 16/10/06

Longmore Nursing Home 12/10/05

Longmore Nursing Home 17/02/05

Longmore Nursing Home 17/08/04

Longmore Nursing Home 03/12/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Longmore Nursing Home 118 Longmore Road Shirley Solihull West Midlands B90 3EE Lead Inspector Elizabeth Mackle Unannounced Inspection 17th February 2006 08:30 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 Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Longmore Nursing Home Address 118 Longmore Road Shirley Solihull West Midlands B90 3EE 0121 733 6595 0121 733 3159 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 & Mrs Grant Mrs Lynne Margaret Buckle Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May provide day care for up to 5 older people. May provide accommodation for up to 22 service users in 14 single bedrooms and 4 double bedrooms, (increased from 20) The existing staffing must be increased to provide the following minimum staffing levels over a 24-hour period: RGN 8am - 2pm 1 staff 2pm - 8pm 1 Staff 8pm-8am 1 Staff Care Assistant 7am - 2pm 4 staff 2pm - 8pm 3 Staff 8pm-8am 2 Staff Catering, laundry and other ancillary tasks are in addition to the care / nursing staff hours and must be reflected as such on the staffing rota. Staffing levels are continuously reviewed to reflect the changing needs of service users resident in the home. Students are not to be classed as part of the staffing establishment. The manager of the home is contracted to work a minimum of 35 hours per week and is super numerary to the staffing hours. May admit older people requiring personal and nursing care, on a respite care basis, within the overall total of 22 service users. 12th October 2005 4. 5. 6. 7. 8. Date of last inspection Brief Description of the Service: Longmore is a purpose built, two story, detached building, set in a residential area of Shirley. Located close to all local amenities and with a good public transport system, which services the area. There is a large garden to the rear of the property with patio areas and designated car parking spaces at the front of the building. The home provides accommodation and care for up to twenty-two elderly and elderly physically disabled people and may make provision for up to five-day care residents. At the entrance to the home there is a small foyer with a lounge directly opposite. The home has fourteen single bedrooms and two bedrooms providing en-suite facilities. The passenger lift is centrally located and travels to all floors. Accommodation for residents is located on the ground floor and first floor. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 5 There is a large lounge on the ground floor, which leads directly into a large conservatory, which is used as a sitting and dining room. Level access is provided for wheelchair users. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. One inspector conducted the inspection over the course of one day. Information for the report was gathered from a number of sources including: discussion with two residents, one relative, and three staff members in addition to the nurse in charge, a review of a range of documentation including care records, a tour of the building and direct and indirect observation. This was the second of the two statutory inspections for the year 2005/2006; this report is to be read in conjunction with the report of the inspection carried out on 12 October 2005. What the service does well: What has improved since the last inspection? What they could do better: Care planning needs to be more systematic and comprehensive to ensure that residents’ needs are met. Recruitment practices need to be strengthened in order to protect residents. A programme of routine maintenance including renewal of carpets and decoration needs to be put in place. Substances hazardous to health must be securely stored. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 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. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 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 Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Pre-admission assessment documentation does not demonstrate that all care needs have been identified in such a way as to ensure that all the needs of prospective residents needs can be met. EVIDENCE: Pre-admission assessment documentation was viewed. Although the preadmission assessment form had been revised it was noted that the procedure still does not include an assessment of oral health, foot care, history of falls, dietary preferences and personal safety and risk. There was evidence within care plans that some of these care issues were assessed following admission to the home. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Care planning documentation needs to be more comprehensive in order to ensure that staff have all the information required to meet the needs of residents. The systems for the administration of medicines are good with clear arrangements in place to ensure that residents’ medication needs are met. EVIDENCE: The care records of four residents were viewed. Each resident had a plan of care and there is evidence of the involvement of relatives in care planning. The care plan for each resident is kept discreetly in the bedroom of the resident and is readily available to staff and residents. Relatives are positively encouraged to discuss any matters relating to care with the responsible nurse. Care plans viewed demonstrated a description of care need, goal and nursing action required, but did not always reflect information from risk assessments carried out. Some risk assessments had been undertaken, but not always been signed and dated by the person completing them. One resident admitted to the home some weeks earlier had not had the risk assessments carried out that the home aims to do within 24 hours of admission, e.g. Nutritional risk assessment, falls risk assessment. In the case of three residents Pressure Area Risk assessment (Waterlow) scores indicating “high risk” had not been Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 11 reviewed for a number of months, and no plan of care had been developed for the prevention or treatment of pressure sores. There was no evidence of regular planned review of care plans having been carried out, and in one case the planned monthly review had not taken place since November 2005. Although residents are weighed monthly and records kept separately, the weight of residents was not recorded in their individual care records. In the case of one person attending the home for day care it was not clear from the care plan which elements of care were being provided at the home, and which were being provided at the client’s own home by community staff. Daily entries were found to be informative and included evidence of good communication with relatives, and their input recorded, together with a general statement about the condition and care of the resident. Daily entries were appropriately dated and signed. The records contained information about activities that residents had taken part in and confirm that residents have access to a range of other health professionals including General Practitioner, Tissue Viability Nurses, Dietician and community nurses as required. The home has a well-equipped and well-stocked treatment room/clinic. The systems for the management of medication were looked at and found to be satisfactory. The home deals mainly with one pharmacy. A sample of prescription charts was viewed and indicated good practice. Each chart contained a photograph of the resident, the name of the drug prescribed was clearly printed and signed by the prescribing doctor. There were clear instructions regarding the use of “as required” medication. There were systems for the regular review of medication, and for the safe disposal of unused medication, “sharps” and clinical waste. Times for the administration of medication were as flexible as possible and took account of the individual needs and preferences of residents. Robust systems are in place for the handling of controlled medication. Staff were observed to be interacting with residents and their families in a caring, supportive and appropriate manner. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents have access to a range of activities, which enable them to continue to enjoy hobbies/interests and to develop new ones. Residents receive a balanced and varied diet ensuring that their dietary needs are well catered for. EVIDENCE: An Activities Organiser is available in the home four days a week; she liaises effectively with residents regarding their choice of activities and demonstrated a good knowledge of the individual interests of residents. Activities available included: Making of greetings cards, word games, reading newspapers and discussion of current affairs, gardening, flower arranging and quizzes. Residents were encouraged to maintain links with family and friends and a number of residents go out with family for home visits, to restaurants or the theatre. A relative commented “there are always people coming and going here”. Residents make use of the local “Ring and Ride” facility to travel as they wish. Church ministers visit regularly and a Church of England service is held monthly. A hairdresser visits the home every two weeks. The kitchen was viewed. The menu operates on a three week rolling programme and provides residents with a nutritious and varied diet throughout the day. Breakfast is a substantial meal, and residents may chose from cereals, bacon, poached eggs, sausages, toast, tomatoes and bread and Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 13 butter. A choice of main meal is provided both at lunchtime and at the evening meal. Food supplies in the kitchen were found to be plentiful and varied. One resident said, “The food is excellent – there is plenty of it and we have variety.” Regular cleaning in the kitchen is undertaken by the Chef and cleaning schedules maintained. The inspector was informed that an outside company performs a deep clean in the kitchen every two to three months. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home had a satisfactory complaints system with evidence that residents feel that any concerns they may have will be listened to and acted upon. EVIDENCE: The home had good systems in place for the recording and tracking of any complaints received. No complaints had been received by the home since the last inspection. One relative said “staff will pick up on problems, often before relatives do”. Residents spoken with felt confident that any concerns they expressed would be dealt with appropriately by staff. The home’s complaints policy needs to be updated to reflect that complainants may involve the Commission for Social Care Inspection at any stage in the complaints process, and should state contact details for the Commission. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24, 26 Improvements are required in relation to routine maintenance, replacement of carpets, and cleaning within the home to ensure that residents can enjoy a comfortable, safe and pleasant environment. EVIDENCE: Throughout the home a number of carpets were found to be grubby or worn and in need of cleaning or replacement. In a first floor toilet tiles were cracked, and there was only one grab rail fitted over a toilet. The staircase area leading to the first floor was in need of cleaning and redecoration. The walls in a number of corridor areas were stained or damaged, and in need of redecoration. Mops in use for floor cleaning were observed to be in a dirty condition. A sample of bedrooms were viewed and found to be clean, comfortable and homely, although the walls in a number of bedrooms were in need of redecoration. Residents had been able to personalise their rooms to suit their own tastes, with evidence of family photographs and other momentos. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 16 The laundry area was viewed. There was good separation between clean and dirty laundry, with residents having their own named laundry baskets. However, the standard of cleanliness in the laundry was found to be poor. The floor, sink, mop-sluicing sink and floor were all in need of thorough cleaning. No soap or towels were available within the laundry for hand washing. Ventilation vents leading outside did not have a protective cover. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29, 30 Recruitment practices need to be strengthened to ensure that residents are fully protected. EVIDENCE: Documents relating to Nursing and Midwifery Registration were viewed and found to be in order. Staff files were sampled. The majority of files contained copies of contract of employment, a photograph of the staff member, training certificates, evidence of identification including photocopies of passport and birth certificates. However in the case of one staff member there was no documentary proof of identification in the file, and no photograph. In another case there were no references on file, and in the case of three staff it was not clear whether enhanced Criminal Records Bureau checks had been obtained. The home has a comprehensive induction programme for new staff. However, in the case of one of the files viewed there were no records to demonstrate that the induction had been carried out. Staff appraisals did not appear to be conducted at regular intervals. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35, 38 Systems in the home in relation to residents’ monies help ensure that their financial interests are safeguarded. The poor storage of hazardous substances may place residents at risk of injury or harm. EVIDENCE: The home had an experienced manager in post who is supported by two deputies who job-share share a full time position. There were clear lines of accountability within the home, and a culture where residents, relatives and staff felt their views would be listened to and acted upon. A small amount of cash, provided by the families of residents, was kept in the home for the day-to-day expenses of residents. This was securely stored in a locked cabinet, and access was limited to the nurse in charge. Two signatures were obtained when cash was withdrawn, one of which was the resident’s if possible. Two members of staff carried out internal audits once a month. The Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 19 written records were clear and showed details of all expenditure and the balance remaining. The sluice room was unlocked and found to be cluttered and untidy; it contained a number of hazardous substances that had not been locked away. A cupboard containing urine-testing equipment was unlocked. In one first floor bathroom cleaning spray had been left out. In various locations throughout the home a large number of bins did not have lids. An oxygen cylinder being stored in the clinic room was secured to the wall by means of a chain; there was no trolley available for the transporting of oxygen within the building. Records of visits by responsible provider were not available at the time of the inspection. Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 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 X 1 X X 2 X 3 X 1 STAFFING Standard No Score 27 X 28 X 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 X X 2 Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 (1) Requirement The Registered Manager is to review the assessment procedure to ensure all care needs are being identified. Guidance as stipulated in the care standard should be used in this review process. This is an outstanding requirement from the previous inspection – 12/10/05. Care plans must be kept up-todate consistently to ensure current care needs identified are relevant. Care plans for residents with poor nutritional intake must be specific in terms of actions required to address this. Where care instructions on care plans have not been carried out for a specific reason, a system is to be agreed as to how this is to be indicated. The actions identified on the Waterlow Assessments needs to be demonstrated in regard to completion of pressure relief Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 22 Timescale for action 30/04/06 2. OP7 12(1)(a) 15(1)(2) 30/04/06 3 OP7 15(1)(2) 4 OP7 15(1)(2) 5 OP7 15(1)(2) 6 OP7 12(1) 7 OP7 15(1) 8 OP11 12 15 9 OP16 22(7) care plans. These requirements are outstanding from the previous inspection – 12/10/05. The Registered Manager must ensure that care plans are developed in respect of care needs identified through the process of carrying out risk assessments. The Registered Manager must ensure that appropriate risk assessments are carried out and that they are signed and dated by the person undertaking the assessment. The Registered Manager must ensure that care plans are reviewed at least monthly and that this is documented. The Registered Manager must ensure that residents’ weight is recorded in their individual care records. The Registered Manager must ensure that care records of day attendees clearly show which elements of care are being met by staff in the home. The Registered Manager is to make arrangements to develop a policy on dying and death with reflects family involvement and staff support that will be given to the resident/family when dealing with a residents increasing infirmity, terminal illness and death. This requirement was not inspected for compliance on this occasion. The Registered Manager is to ensure that the Complaints Policy is revised to inform complainants that they may involve the Commission for Social Care Inspection at any stage in the process, and to DS0000004559.V283569.R01.S.doc 01/04/06 01/04/06 01/04/06 01/04/06 01/04/06 31/12/06 01/04/06 Longmore Nursing Home Version 5.1 Page 23 10 OP19 16(2) 11 12 OP19 OP19 13 (3)(4) 16(2) 13 14 OP22 OP26 23 (2)(n) 23(2) 13(3) 15 OP27 18 17 Sch 4(7) include contact details for the Commission. The Registered Manager must ensure that stained or worn carpets are cleaned or replaced as necessary, and that redecoration is carried out as necessary. The Registered Manager must ensure that cracked tiles in first floor toilet are replaced. A programme of routine maintenance and renewal of the fabric and decoration of the premises must be implemented The Registered Manager must ensure that two grab rails are fitted in first floor toilet. The Registered Manager must ensure improvements within the laundry area to include: that the area is thoroughly cleaned and a regular programme of cleaning put in place; that soap and disposable towels are provided for hand washing; that protective covers are fitted to ventilation vents within the laundry. The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. To demonstrate the above, the manager is to ensure: The duty rota for the home includes hours and shifts of all staff working in the home. The 01/06/06 01/05/06 01/06/06 01/05/06 01/03/06 30/04/06 Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 24 designations of staff and details of any staff completing laundry duties. The manager must fully comply with the Conditions of Registration as detailed on the Registration Certificate for the home. This includes catering, laundry and other ancillary tasks being in addition to the care/nursing staff hours. This requirement was not inspected for compliance on this occasion. Recruitment records must be closely scrutinised to ensure reference information has been sought from last employers and referees have given clear information on how they knew the applicant. Clear identification information is to be maintained on files (issue from last inspection) including clear and recent photo identification. These requirements are outstanding from the previous inspection – 12/10/2005. The Registered Manager must ensure that enhanced Criminal Records Bureau checks have been carried out on all prospective employees. The Registered Manager must ensure that all staff receive induction training within six weeks of appointment to their posts, and that this is documented. The hot water outlet in the bathroom near room 11 is to be monitored to ensure this is not operating above safe guidelines DS0000004559.V283569.R01.S.doc 16 OP29 19(1)(c) Sch 2 30/04/06 17 OP29 19(1)(b) Sch 2&7 (a) 18(1)(a,c) 01/03/06 18 OP30 01/05/06 19 OP38 13(4) 30/04/06 Longmore Nursing Home Version 5.1 Page 25 20 OP38 13(4) 21 OP38 13(4) 22 OP38 16(2)(j) 23 OP38 16(2)(j) 24 OP38 13(4) 25 OP38 26 i.e. 43(C. This requirement was not assessed for compliance on this occasion. The Registered Manager must ensure that the sluice room is tidied, cleared of unnecessary items, and that the cupboard containing Urine Testing equipment is kept locked at all times. The Registered Manager must ensure that all substances that may be hazardous to health are kept securely locked. The Registered Manager must ensure that mops in use are appropriately cleaned, and colour coded in relation to their use. The Registered Manager must ensure that bins used in the home are fitted with suitable lids. The Registered Manager must ensure that a trolley is provided for the safe transporting of oxygen within the home. The Registered Provider must ensure that records in respect of his visits to the home are maintained and available. 17/02/06 01/03/06 01/04/06 01/03/06 01/04/06 01/03/06 Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 26 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 OP29 Good Practice Recommendations The manager should ensure the homes own policies and procedures are followed in terms of issuing Terms and Conditions to staff and ensuring commencement dates are indicated on files. It is advised that the manager develop an ‘at a glance’ training schedule for staff so that it is clear what training has been completed and which staff are still required to complete training within the timescales required. 2. OP30 Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Longmore Nursing Home DS0000004559.V283569.R01.S.doc Version 5.1 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!