Inspection on 18/04/07 for Manor Park Nursing Home

This inspection was carried out on 18th 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 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

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Snydale Care Home

Hawkhills

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

CARE HOMES FOR OLDER PEOPLE Manor Park Nursing Home Leeds Road Cutsyke Castleford West Yorkshire WF10 5HA Lead Inspector Stephen French Key Unannounced Inspection 09:00 18th April 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 Nursing Home DS0000068595.V326533.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 Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Park Nursing Home Address Leeds Road Cutsyke Castleford West Yorkshire WF10 5HA 01325 351100 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) CC Care Ltd Vacant Care Home 75 Category(ies) of Dementia - over 65 years of age (75), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (75), Old age, not falling within any other category (75), Physical disability over 65 years of age (75) Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service Brief Description of the Service: Manor Park is a two-storey purpose built care home that provides accommodation for 75 older people requiring either residential care, general nursing care and/or dementia care. Qualified nurses are employed at the home and a good number of care staff are trained to National Vocational Qualification standards (NVQ Level 2 or above). The home employs an activities organiser. The home, which is situated off the main road in Cutsyke Castleford has pleasant gardens and is situated close to local shops. There are local public transport links to the town of Castleford and access by private transport to the motorway network. The home has three distinct units each with lounges and dining areas. Quiet rooms provide space for service users and visitors to sit and relax away from main lounges or as a change of environment from their own bedrooms. The provider informed the Commission for Social Care Inspection on 18/04/07 that fees range from £359.00 to £540.00 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the last inspection record and the services provided are available from the home in the statement of purpose and service user’s guide. These can be obtained by contacting the home. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first unannounced visit since it was registered to a new provider in January 2007 and took place on the on the 18th April 2007. The inspector arrived at the home at 9:05 am and left 4:00pm. During this visit the inspector spoke to some of the people who live in the home, some of the staff and the home’s management team. The inspector read care records, audited a sample of medication, reviewed staff recruitment and training records and carried out a brief tour of the building. Prior to the inspection 20 questionnaires were sent to the home to obtain peoples views about living at the home. Five completed questionnaires were returned and included comments such as “Could do with more trips out”,”meal times are too close together”, “ I am happy and content living here”. Some service users in the home are very frail and would not be able to complete a questionnaire. There were Sixty six service users resident in the home on the day of this visit. Relative surveys were also sent out and seven were returned, comments included, ”There could be more choice in food offered”, ”Not always enough staff around”, ”Patients are always very clean and made as comfortable as possible, access by relatives is very good”, “ Very happy with the way my mother is cared for”. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider and a pre inspection questionnaire completed by the manager. Service users spoken to on the day of the visit were generally happy with the care that they receive and spoke highly of the staff saying, “nothing is to much for them, all the staff are marvellous including the night staff. What the service does well: Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 6 Manor Park provides a safe homely environment in which the people can live. Peoples needs are assessed prior to them moving into the home to ensure that the staff can meet those needs. The home is well managed and systems are in place to protect the health and safety of the people who live there and the staff. A dedicated and competent team of staff supports the people living there. The people spoken to spoke highly of the staff saying they are kind, caring, pleasant and committed. All the people spoken to said that they knew who to speak to if they were unhappy about anything. Positive interaction was observed between staff and people living in the home. The home has good quality assurance monitoring tools in place to ensure the expectations of the people living in the home are met. What has improved since the last inspection? What they could do better: To ensure people who wish to move into the home have information to enable them to make a choice the registered provider needs to keep the homes statement of purpose and service users guide up to date. Staff should record in the daily notes an accurate reflection of how the people who live in the home spend their day and the support they have received including their psychological and social well being. Discussion with the manager found that whilst some supervision of staff is occurring, this should be planned so staff receive at least six supervisory sessions per year in which they can discuss their role and training needs and the care they provide to people. There was discussion with the manager, who has now been in post since March 2007, of the need for the person managing the home to submit an application to become the registered manager of the home. This will ensure that a full assessment is carried out to ensure that the person managing the home has the skills to meet the needs of people living in the home. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6 People’s needs are assessed prior to them moving into the home, but information supplied to people needs to be updated to ensure it is accurate. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: Each home produces an information booklet. The Statement of purpose and Service users guide seen, detailed the aims and objectives, philosophy of care, services and facilities. It provided people who wish to use the service information to help them decide if they wish to move into the home, however it needs to be updated to include the name of the new provider and manager and the number and qualifications of the staff, however the manager said that this would be done as soon as possible. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 10 The manager said that before any person moves into the home she receive a community care assessment, which has been completed by the person’s social worker. This assessment determines the level of care the person requires. Following receipt of the assessment the manager said she either visits the person in hospital or in their own home, or invites them to spend a day at the home, where she completes a pre admission assessment. This pre-admission assessment helps the manager to decide if the home is suitable for the person and that the staff can meet their needs. Completed pre admission assessments were seen for three people who live in the home confirming that the home is following their admission procedure. One person who lives at the home told the inspector that the previous manager had visited her in hospital prior to her moving into the home. The manager said that each person who comes to live at the home receives a written terms and conditions of admission document which outlines the services offered, the cost of living at the home and what the cost does and does not cover. These documents are signed by the person living in the home or their relative. Three completed terms and condition of admission documents were seen by the inspector and these had been signed by the person entering the home. The manager said that the home does not offer intermediate care. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People’s health & personal care needs are met by the home. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: As part of this visit, five peoples care files were examined and found to contain information needed to meet peoples assessed needs. These contained information gathered from the pre admission assessment and community care assessment. Care plans were in place for issues identified in these assessments and informed the staff of the actions they were to take in order to maintain the service users health and social well-being. Risk assessments were in place to meet people’s needs for such things as nutrition, oral health, moving and handling and skin integrity. One care files examined identified the person as having a pressure sores and there was a detailed wound assessment in place this included information on the type of wound and it’s size to ensure people got the care that they need. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 12 On the whole care files seen had been reviewed monthly, however one person spoken to said that she had never seen her care file. The manager said that she had been made aware of this and this was something she was going to address to ensure the persons proper involvement. Evidence was seen in the documentation examined that the staff have accessed other members of the multidisciplinary team such as tissue viability nurse, GP’s, opticians and members of the mental health team to meet peoples health care needs. The manager said that qualified nursing staff and senior care staff are responsible for the administration of medication. Should a person wish to continue to self medicate, then a risk assessment would be completed. The staff would then support the person in maintaining their medication. The stock balances of eight peoples medication was examined and they all balanced with the medication administration records held by the home. Medication seen on the day of the visit was stored correctly however it was noted that in the treatment room, which was previously a sluice room, and were the medication is stored, the sluice is still there consideration should be given to remove this as the room contains medication and sterile dressings and could pose a infection control hazard. People who live in the home spoken to on the day of visit said that the staff were very nice and were always around to help. One person said that most of the care staff were good but at times they were very busy so didn’t have much time to sit and chat. Staff were seen attending to people in a caring and professional manner, one carer was seen assisting a person to the bathroom and another carer was getting a person ready for a bath, both carers were interacting with the people in a friendly appropriate manner. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People living in the home have choice in how they spend their day. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: The home employs a full time activities organiser who arranges and supervises social activities within the home. The manager said that she had identified that previously the social activities on offer for people with enduring mental health problems had not been appropriate but this has now been addressed. Social activities are planned for the week and these are displayed in the reception area as well as on each unit. There is an activities room were service users are able to join in with making crafts and artwork. Larger activities such as movement to music take place in one of the communal lounges and people from other units are able to join in. Overall it was found the home is providing a range of activities, although there was discussion with the manager about the need for the activities advisor to record which people have joined in the day’s activities to ensure peoples choices of activity are recorded. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 14 The manager said that family and friends of the people who live in the home are welcome to visit at any time. This was confirmed by a questionnaire received by the Commission for Social Care Inspection from a relative and also evidenced on the day of the visit when relatives were seen entering the home throughout the day and said they were made welcome The manager said that the home operates a four-week menu cycle and there are two choices of main meal on offer, the menu seen confirmed this. People can take their meals in the dining room or in their own room if they wish. On the day of the visit the lunch consisted of Corned beef hash or Pork with seasonal vegetables and mashed potato this was followed by chocolate sponge and custard. People said that the food was nice and that there was plenty of choice. Three of the relatives questionnaires received by the commission said that the meal times were to close together, however people who live in the home did not raise this as a concern, although this was discussed with the manager who will monitor this. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Systems are in place to protect people who live in the home from abuse but this could be compromised if staff do not receive periodic training in this subject. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: The home has a detailed complaints policy, which is displayed in the homes reception area. A copy is also contained in the service users guide and statement of purpose as well as included in the contract of admission. People spoken to said if they had any complaints they would see the manager and she would sort them out. The manager is responsible for investigating all complaints and would inform the complainant of the outcome of any investigation. The complaints log was examined and the last complaint received by the home was in March 2007 and evidence was seen that this was investigated in an appropriate manner. To ensure people are protected from abuse, the manager said that all staff receives safeguarding training as part of their induction, and this is updated periodically. Training records examined confirmed that new staff members have attended training in this area however only eight out of forty four care staff have Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 16 received an update in this training in the last year. The manager said that she would arrange for all staff to receive an annual update. Three staff questioned on this subject gave good responses to questions asked by the inspector confirming that they were aware of their responsibilities in reporting any suspicions they had. There has been one occasion since registration in Dec 2006 where a member of staff had been referred to Wakefield District Councils safeguarding team following an allegation of abuse towards a person living at the home but the investigation concluded that no evidence of abuse had taken place. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,23,24,25,26 People live in a safe well-maintained environment to which only minor improvement are required. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: As part of the visit a tour of the building was conducted, this included a number of people’s bedrooms, communal lounges and dining room. Generally the home is well maintained. Most of the people’s bedrooms are decorated to a satisfactory standard, although a number are in need of minor redecoration. Bedrooms have been personalised with pictures ornaments and small pieces of furniture. Two people spoken to said that they liked their room and had brought small items from home. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 18 The unit in which people with enduring mental health problems live is currently being redecorated and new corridor and lounge carpets were due to be fitted the day after the visit. This will improve the environment in which the people live. To provide extra stimulation the manager said she hopes shortly to have tactile pictures, which service users can touch and enjoy, placed around the unit. The lounge/ dining areas are very spacious but lack a personal feel to them. The manager was aware of this and is currently looking into ways in which she can improve this to provide a better environment for people living in the home. There are a number of communal bathrooms fitted with specialist hoists and baths to enable people who have mobility problems to bath safely. It was noted during the tour that two shower rooms on the residential unit were being used as store rooms, the manager was informed that the items should be removed to enable people to have a shower if they wished. On the day of the visit there were no unpleasant odours detected in any part of the home. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People’s needs are being met by a skilled staff group. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. EVIDENCE: The staff duty rota was checked for the months of March/April and was found adequate to meet people’s current needs. Staffing consists of: Residential Unit: AM/PM 1 senior carer and 3 care staff Night time, 1 senior carer and 1 carer. Nursing unit: AM; 2 qualified nurses and 5 carers PM; 1 qualified nurse and 4 carers Night time, 1 qualified nurse and 2 or 3 carers. Enduring mental health unit AM; 1 qualified nurse and 3 carers PM: 1qualified nurse and 2 carers Night time, 1 qualified nurse and 1 or 2 carers Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 20 Four staff files were examined, one being a recently employed member of the domestic staff. Evidence was seen that checks with the criminal records bureau had been made prior to new staff commencing employment and references had been obtained. This ensures that people who appear on the adult protection register are not employed by the home. The manager said that new staff employed by the home complete an induction course within six weeks of the joining the home, this is followed by foundation training within the first six months. This training ensures that a new member of staff has the information and competence to be enable them to meet the needs of the people living in the home. Evidence was seen in training records checked that some staff have received training in such things as moving and handling, medication, infection control, fire safety and adult safeguarding, although the need to review safeguarding training is detailed in the complaints and protection section 68 of the care staff have an N.V.Q level 2 qualification and the home should be commended on this. People spoken to said that there was plenty of staff around to give them a hand if they needed although at times they were very busy. Three relative questionnaires and 2 questionnaires received from people living at the home said that they felt there was not enough staff on duty. Overall the interaction and care observed on the day of the visit found that staffing levels were adequate to meet the observed needs of service users. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,36,38 The home is well managed and the views of the people who live there are taken into account and any shortfalls are addressed. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: The manager is new in post and has worked at the home since March 2007 but is working to the aims and objectives of the home. She has not yet commenced the registration process with the Commission for Social care Inspection to become the registered manager, although an application should be lodged soon. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 22 People spoken to on the day of the visit said that the manager was very approachable and that she kept them informed about issues within the home. Staff said that the manager was very supportive to them and that she was always available to discuss any problems they had. Since commencing employment the manager has held meetings with relatives and people living at the home to discuss their expectations and how the home can improve. Minutes of these meetings were seen for meetings held on 6/3/07 and 12/4/07 and the manager had produced an action plan on how some issue brought up at the meeting can be addressed. The manager said that people who live in the home are able to keep small amounts of personal monies within the homes safe. This enables them to be able to purchase small items such as sweets, newspapers and pay for hairdressing. Receipts are issues for each transaction and people can check their balance whenever they wish. The manager completes a detailed quality-monitoring tool, which is completed on a monthly basis. Each area is audited against the National Minimum Standards. Completed audits were seen for such things as care planning medication and environment. Following an audit an action plan is drawn up and any short falls are addressed to ensure people get the care that they need. It is expected that staff will receive at least six supervisory sessions per year with a senior member of staff. During these sessions they are able to discuss, amongst other things, training issues and the aims and objectives of the home. Supervision records examined during the visit confirmed that these have not been taking place at regular intervals. The manager said that she was aware that this had not taken place in the past but had started to address this to ensure staff are supported to provide people with the care they need The fire alarm system is checked weekly and certification in relation to gas, electricity and water is in place and up to date. Electrical equipment such as hoists is serviced regularly to ensure it is safe for people living in the home. Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 x 2 x 3 Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4(1) c Requirement The registered provider must keep the statement of purpose updated to include the name and qualifications of the manager and staff to ensure people receive accurate information Timescale for action 30/06/07 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. 3. 4. 4 Refer to Standard OP7 OP12 OP18 OP19 OP31 Good Practice Recommendations Daily entries in the care files should comprehensively evidence the care provided, and include the psychological and social well being of people who live in the home The activities advisor should record the names of the people who have joined in with social activities and what they have done. The registered provider should ensure that staff receive regular training in the safeguarding of vulnerable adults. Consideration should be given in removing the sluice from the treatment room to prevent the possibility of cross infection. The manager should complete and submit her application DS0000068595.V326533.R01.S.doc Version 5.2 Page 25 Manor Park Nursing Home 5 OP36 to be registered with the Commission for Social Care Inspection to confirm she is a fit person to manage the home Staff should receive at least six supervisory sessions with a senior member of staff per year to ensure staff are supported to provide people with the care they need Manor Park Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Nursing Home DS0000068595.V326533.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!