Inspection on 26/04/07 for Manor Park Care Home

This inspection was carried out on 26th April 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Manor Park Care Home 13/06/06

Manor Park Care Home 15/11/05

Manor Park Care Home 04/05/05

Manor Park Care Home 03/11/04

Manor Park Care Home 02/09/04

Manor Park Care Home 31/03/04

Manor Park Care Home 21/01/04

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

CARE HOMES FOR OLDER PEOPLE Manor Park Care Home 3 Ellenborough Park North Weston Super Mare North Somerset BS23 1XH Lead Inspector Juanita Glass Key Unannounced Inspection 09:30 26th April and 10th May 2007 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 Manor Park Care Home DS0000043913.V335681.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. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Park Care Home Address 3 Ellenborough Park North Weston Super Mare North Somerset BS23 1XH 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) 01934 635432 01934 641045 enquiries@manorparkcare.co.uk Manor Park Care Ltd To be appointed Care Home 38 Category(ies) of Dementia - over 65 years of age (38) registration, with number of places Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. For 38 service users, the minimum staff on duty will be 2 care staff in each unit and a 5th person covering both the units (the 5th person can include the home manager), three care staff on duty at night. May accommodate one person aged 59 years and over. This condition applies to a named individual and will no longer apply if this person leaves the home. May accommodate up to 5 service users, aged 60 years and over, who have dementia. That occupancy remains at 35 until notice of completion is received for the remainder of the building and the Inspector is satisfied with provision in place. That any day care provided does not impact on the National Minimum Standards for the service users resident in Manor Park. 13th June 2006 Date of last inspection Brief Description of the Service: Manor Park Care Home is registered with the Commission for Social Care Inspection to provide non-nursing care for 38 service users aged 65 and over with Dementia or associated conditions. It is approximately 500 yards from the sea and within close proximity of shops and local amenities. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Current Fees:£400.00 to £550.00 This inspection took place over two days and a total of 9 hours were spent in the home. Five relative surveys were returned. During this inspection supporting evidence was obtained through talking to 8 residents who were able to express an opinion and observing staff interactions with other residents in the home. The inspector also spoke to staff members, the manager and the responsible individual. Additional evidence was gathered through reviews of resident’s records and care plans, staff personnel training and supervision records. Other records reviewed included medication, nutrition, service records and fire prevention. Nutritional assessments were also reviewed at this inspection following a complaint received by the Commission for Social Care Inspection. All residents’ records contained an up to date nutritional assessment. Residents spoken to said they were happy and staff were kind and caring. Staff were observed to act in a caring and supportive manner without disempowering residents, whilst promoting choice and dignity. Surveys received supported the residents’ statements and relatives generally agreed that staff are polite and respectful and the care needs of their relative are met. During the first day of the inspection a relatives meeting was being held where they could express their views and any concerns and ideas they may have to the manager. The manager implemented these meetings and it has been agreed that they should take place twice a year. Minutes of a previous meeting were read, it was evident that the manager had acted on comments and suggestions made. Staff spoken to were aware of the importance of promoting dignity and choice. They were also very aware of the care needs of the residents in the home. Residents were observed to be relaxed, content and well groomed. The home was clean, tidy and there were no offensive odours. Of 20 care staff employed in the home 12 have an NVQ level 2 or above. This is 60 of the work force and exceeds the current guidelines. What the service does well: Manor Park continues to provide clean and spacious communal areas. Residents were observed to be using all areas of the home with the freedom to move about as and when they wished. The atmosphere in the home continues to be relaxed and friendly. Residents were observed to be relaxed and socialising between themselves as well as staff and visitors. The activities in the home are appropriate to the residents’ needs and capabilities. Both the manager and staff show that they are aware of the diverse and cultural needs of residents. This includes the specific needs of people with Dementia. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5, 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions are not made to the home until a full assessment of needs has been undertaken. All residents have a written contract or statement of terms and conditions. Prospective individuals are given the opportunity to spend time in the home prior to moving in. EVIDENCE: Care records reviewed showed that the manager carries out a full preadmission assessment. Specific personal needs of the prospective residents are also considered. This supports a person centred approach to care. The assessment also forms the basis of the initial care plan, which is reviewed once the resident is known better by staff in the home. Care records also contained NHS and Social Services care plans. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 9 All prospective residents are offered the choice of visiting the home before they move in. This is usually taken up by relatives on the residents’ behalf. Residents spoken to did not express an opinion on the admission process. Since the last inspection all residents have been given a written contract or statement of terms and conditions. This sets out clearly the terms and conditions of occupancy and what residents can expect to receive for the fee they pay. Most of these were signed. The manager was awaiting the return of some from residents’ next of kin. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident has a care plan; the practice of involving residents in the development and review of the plan is variable. Care plans showed evidence of regular review. Residents have access to healthcare services that meet their assessed needs both within the home and in the local community. The home has a medication policy which is accessible to staff, and medication records are up-to-date for each resident. The manager has implemented a PRN protocol. Staff are aware of the need to treat residents with respect and consider dignity when delivering personal care. EVIDENCE: Care plans reviewed showed very clear guidance for staff, they also showed an understanding of the need for individual person centred care. Staff spoken to said that they were able to access care plans and felt they gave adequate information. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 11 Residents spoken to were unable to express an opinion. Relative surveys stated that the home met their relatives’ needs. Since the last inspection it was evident that the manager has consistently reviewed care plans and all residents had up to date and relevant risk assessments. These included risk assessments for residents at risk of falling. Staff spoken to were aware of the importance of reviewing risk assessments and were also aware of the residents at risk. Nutritional assessments were also reviewed at this inspection following a complaint received by the Commission for Social Care Inspection. All residents’ records contained an up to date nutritional assessment. Those identified as at risk of progressive weight loss had care plans, which reflected the need to use supplementary drinks, and ways in which staff could encourage them to eat. The manager refers all residents at risk of progressive weight loss to the dietician at Weston General Hospital through the residents GP. It was evident that the manager had reviewed the menus in the home in October 2006 with a view to providing a more nutritious and well balanced diet. Residents care plans did state they needed to be weighed monthly. This had not been carried out as directed. A recommendation was made that all weights must be recorded if the need is identified in a care plan. The care records showed that residents were assisted in accessing healthcare services. Records showed that residents had attended outpatients’ appointments, GP, opticians and chiropodist’s; they also showed input from the mental health team and NHS Dietician. A random audit of the receipt, storage and administration of medication showed there were no errors. The manager has reviewed the policy and procedure since the last inspection. A PRN (as required) protocol has been introduced. This includes identified triggers for individual residents and suggests alternative methods of reducing anxiety or aggression before resorting to medication. It was noted on the second day of the inspection that the drug trolley had not been secured to the wall. The manager commented that this was not usual practice. A recommendation was made that staff must ensure that the trolley is secured to the wall after use. Staff were observed through out both days, they showed an awareness of residents need for respect and dignity. Residents spoken to said staff are always polite and respectful, one relative survey said they were impressed by the way staff could defuse a difficult situation. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines and activities in the home are resident focused and flexible enough to be reviewed to meet individual needs. The home actively encourages residents to maintain choice and control. Meals are well balanced and nutritious. Assistance at meal times is discrete and unhurried. EVIDENCE: The home provides a program of meaningful activities for residents and sufficient staff resources are in place to meet these needs. A record of activities carry on the home is maintained they show that residents were accompanied out on walks in the park or to the seafront, they also took part in activities including newspapers to keep up with current affairs, relaxation to music, and quizzes that include reminiscence, board games, musical singalong and trips out in the minibus. Making cakes and flower arranging continue to be popular activities. The manager reviewed the way in which activities are offered in the home. Residents now take part in a seasonal activity each month. This has resulted in card making for Christmas and Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 13 Easter, Easter bonnets and a Chinese New Year Celebration. The theme at the time of the inspection was ‘New Life’ linked to Spring. Residents are all taking part in producing a New Life Collage to display in the home. Visitors spoken to said they were always made welcome in the home and did not feel they were restricted regarding visiting. Throughout the inspection residents were observed maintaining choice and autonomy. They chose where they spent the day and whether they took part in an activity or not. Residents able to express an opinion said they had a choice. In October 2006 the manager reviewed the menus provided by the home. Residents’ likes and dislikes and cultural preferences were taken into consideration. The menus provide a choice of meals all prepared with fresh vegetables. Lunchtime was observed and the meal was well presented in a relaxed and comfortable setting. Staff were aware of individual needs and whether a resident would be happy in a busy dining room or a quieter setting. Residents were observed deciding where they preferred to eat and staff supported their decision. The meal provided was well balanced and nutritional. Residents who required help during the mealtime were assisted discreetly. Residents spoken to said they had enjoyed lunch, while some could not remember lunch they had been observed receiving appropriate assistance in a relaxed and dignified manner. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an open culture that allows residents and relatives to express their views. The complaints procedure is clearly written and available for all to view. The policies and procedure for safeguarding adults are available and give clear specific guidance to those using them. Staff have received training in safeguarding adults and show and awareness of the issues. EVIDENCE: The home has a clear complaints policy and procedure which residents who could express an opinion appeared to be aware of. Three residents spoken to agreed that they could approach the manager with any concerns. The manager has introduced relative meetings, which are held twice a year. Relatives felt this was progressive and helped them raise any issues but also to say thank you when they needed to. One visitor stated that he felt at ease with raising concerns with staff if a problem arose. A record is maintained of complaints raised at the home these showed that appropriate action was taken and a feedback from the complainant was sought. A complaint received by the Commission for Social Care Inspection had been forwarded to the home. The manager had dealt it with appropriately. The home has a robust policy and procedure for the protection of vulnerable adults. Staff spoken to said they knew what action to take, they were aware that there was a local authority procedure and where to access the information Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 15 if they needed to. Since the last inspection the manager has introduced a robust recruitment policy which protects residents from possible abuse. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment in the home is appropriate to the needs and lifestyle of the residents. It is homely, clean, comfortable and well maintained. The failure of five identified fire doors to close properly reduced the rating from excellent to good. EVIDENCE: Manor Park provides a very homely atmosphere for residents to live in. Residents were observed to be relaxed and happy those who could express an opinion said they liked their rooms and could choose where they sat. One resident said that they liked the TV lounge whilst another said they preferred the front lounge where they could watch people walking past. Residents have three lounges and a small area by the office to sit in, and were observed Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 17 through the day settling in one room or another. The dining room is bright and airy and next to the kitchen so food does not have to travel far. A tour of the premises was carried out the home was bright, airy and very clean. Residents’ rooms were personalised with their own property. The manager was informed that five bedroom doors did not close properly providing an inadequate seal against smoke if a fire occurred. This was due to paint or raised carpets. The manager stated that she would inform the maintenance person immediately. Since the last inspection the manager has developed a sensory garden with raised flowerbeds. This is a no smoking area. The manager stated that she would be developing another area of the garden for those residents who wished to smoke when in the garden. Since the last inspection the home has been using cleaning products with a urine neutraliser for identified rooms with an odour problem. This has been successful and no unpleasant odours were noted thorough out the inspection. The manager has a good infection control policy and will seek advise from external specialists if the need arose. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Rotas show that the home is staffed efficiently with particular emphasis on busy times, specific needs and the activities program. Staff members are supported in undertaking external qualifications and training specific to the needs of the resident group. The home has a robust recruitment procedure, which is followed. EVIDENCE: Staffing levels in the home are appropriate for the assessed needs of the individual residents. The duty rota is flexible and extra staff can be drafted in if the need arises. For occasions such as activities or a resident requiring extra one to one care. Residents, visitors and staff all stated that there were generally enough staff on duty at all times. Staff were not observed to be rushing to get jobs completed and residents were taken out for a walk in the park, whilst others chatted with staff over books or newspapers. Staff spoken to said that they had received training specific to dementia care. This was confirmed by a training matrix, which showed staff completing training relevant to the care needs of the residents group, as well as all mandatory training. Staff personnel records were reviewed, they showed that the recruitment procedures in the home have been reviewed. The manager has adopted a very robust procedure, which means all new staff only commence work after a POVA Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 19 1st and CRB have been received. The responsible individual said this could be very restrictive at times as the system did not always work and they had to wait a long time for a POVA 1st to arrive. He did state that the manager was very insistent on following the procedure to the letter. Staff records showed that mandatory training had been carried out. First Aid training is now all up to date following the last inspection. All new staff have also completed a full and comprehensive induction. One member of staff said they felt they had received a lot of support with their training needs. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified, experienced and competent. She works to improve services to increase the quality of life for residents in the home. She has a very clear understanding of the need for person centred care. Efficient systems are in place to ensure staff are following the policies and procedures in the home. Residents’ financial interests are safeguarded by the homes policies and procedures. The home works to a clear health and safety policy, all staff are trained to put theory into practice. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 21 EVIDENCE: The acting manager has been in post for almost a year. The need to complete registration with the Commission for Social Care Inspection was discussed. The manager has completed the CRB application and was awaiting its return. The application will then be forwarded to Central Registration. During the inspection the manager showed a keen awareness of the needs of the current resident group and the need for staff development and training. The manager and registered providers seek the opinions of residents and their relatives, friends or advocates, responses received were largely complementary and evidence could be seen of the home acting on suggestions. The manager also as previously discussed encourages relatives to attend meetings and care plan reviews where they are asked to include their opinions and concerns. The home does not handle residents’ finances. The homes records and policies and procedures are well maintained and showed evidence of review. Staff spoken to were aware they could access the files containing the homes policies and procedures at any time. The manager has forwarded regulation 37 notifications to the CSCI as required. However the Responsible Individual is not consistent in carrying out the monthly visit and forwarding the report to CSCI required under regulation 26. Health and safety in the home was generally satisfactory, since the last inspection the manager has completed and reviewed the generic risk assessments. The manager also attended the Fire Marshall Training. Following this she up dated the fire procedure in the home and provided additional training for staff to bring them up to date. The manager has implemented an Evacuation File, which contains information regarding the residents, their social workers, other Dementia Care Homes, the numbers for Taxis’ and GP’s. This is so that staff will only need to pick up one file when leaving the building, but be able to arrange emergency accommodation and transport. This is commendable practice. A review of the Fire Log showed that all the relevant checks were being carried and that staff had received appropriate training. All day staff have taken part in a fire drill and a night time drill is planned. As previously mentioned there were five fire doors that did not close properly, the manager reported this to maintenance. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 2 3 Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 23 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 OP37 Regulation 26 Requirement 26 (2) Where the registered provider is an organisation or partnership, the care home in accordance with this regulation…. (4) The person carrying out the visit shall (c) Prepare a written report on the conduct of the care home. (5) The registered provider shall supply a copy of the report …to (a) The commission. The registered provider must forward a monthly report to the CSCI Previous dates of 16/11/05 and 21/06/06 were not met Timescale for action 05/07/07 Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 Refer to Standard OP7 OP9 OP19 Good Practice Recommendations A record of resident weights needs to be maintained when identified in the care plan as a specific need. Staff need to ensure they attach the drug trolley to the wall after each use. Identified fire doors need to be maintained to ensure they close fully. Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Manor Park Care Home DS0000043913.V335681.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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