Inspection on 07/10/05 for Manor View Nursing Home

This inspection was carried out on 7th October 2005.

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 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

Manor View Nursing Home 04/08/08

Manor View Nursing Home 21/08/07

Manor View Nursing Home 26/09/06

Manor View Nursing Home 06/04/06

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

CARE HOMES FOR OLDER PEOPLE Manor View Nursing Home 19 Manor Rd Hatfield Doncaster South Yorkshire DN7 6BH Lead Inspector Valerie Hoyle Unannounced Inspection 7th October 2005 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 Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 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 View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Manor View Nursing Home Address 19 Manor Rd Hatfield Doncaster South Yorkshire DN7 6BH 01302 350877 01302 843807 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) Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Post Vacant Care Home 54 Category(ies) of Dementia - over 65 years of age (54), Mental registration, with number disorder, excluding learning disability or of places dementia (40) Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. One specific service user under the age of 65, named on variation application dated 16th March 2004, may reside at the home. One specific service user under the age of 65, named on variation application dated 23rd June 2004, may reside at the home. The Manager complete accredited training in Dementia Care within the first 6 months of registration. Additional visit 15th September 2005 Unannounced Inspection 26th April 2005 Date of last inspection Brief Description of the Service: Manor View is situated in the village of Hatfield, nearby are shops and a public library. There is easy access to the bus service into the centre of Doncaster a few miles away. The home is divided into two separate units. The main unit provides nursing/residential care for older people with dementia and can accommodate 40 service users. Manor View is a two-storey building with bedrooms on both the ground and first floor. The second unit, formerly known, as Church View is a purpose built small care home providing accommodation for fourteen older people with dementia. Secure gardens are provided for both units with easy access for service users. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection of this inspection year. (2005/06) An additional visit was undertaken on 15th September to ensure the safety and protection of service users following a referral to the protection of vulnerable adults team. The outcome of this investigation is not yet available. Two further referrals have been made to Social Services Adult Protection department, awaiting strategy meetings to be arranged. Reference to a complaint investigated on 16th June by CSCI is included within this report. This unannounced inspection took place over three days (16.5 hours) where a full inspection of the buildings was undertaken. A second inspector spent 2 hours assisting with the examination of medication documents. The inspector examined six service users care plans and supporting documentation. Two service users and thirteen staff were spoken to during the visit. The inspector was able to speak one relative and the visiting hairdresser, to gain their views on how the home is run. The newly appointed manager was present throughout this inspection and assisted with the inspection process. What the service does well: What has improved since the last inspection? The registered providers have recently agreed a contract of residence for service users who purchase their care privately, and these have been sent to service users. Staff have received training on dementia care. Staff said the training has helped to understand the needs of service users better. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 6 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. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 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 View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users who purchase their care privately are provided with a statement of terms and conditions of residence. The contract gives information about what they can expect from the service. EVIDENCE: All service users who are placed by the Local Authority are issued with a contract of terms and conditions of residence, that describes the overall care package. The registered provider Four Seasons Heath Care have now agreed the content of the contract for service users who purchase their care privately, and the contract have now been issued. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 9 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, 9. The care planning system is not sufficient to enable staff to deliver the care to service users who have specific identified risks. Medication policies and procedures are not followed and this potentially puts service users at risk. EVIDENCE: Six service users care plans were examined, and staff assisted with providing information relating to care planning process. The care plans did not contain sufficient information, and some documents had not been completed. One service user who had lived at the home for three week did not have a completed care plan. This may result in inconsistencies when delivering the care. Not all care plans were signed on behalf of the service user. The system used to record the agreement must be reviewed to ensure service users or their relatives are fully aware of the content of the care plan. Risk assessments are not sufficiently robust to ensure service users are protected. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 10 The registered manager must review the care plan documentation to ensure a consistent approach to risk management. This remains an outstanding requirement from previous inspections and requires urgent attention. An audit of medication stocks and records was examined and were found to be correct ensuring the health and safety of service users. Qualified nurses have responsibility for administering medications and the local pharmacist is contracted to undertake periodic checks to ensure the stock levels are maintained and procedures are followed. Changes to the disposal of medication in nursing homes are currently being reviewed at the home. A company has been identified and contracts are to be agreed. The registered manager must ensure that medication waiting for disposal is securely stored and records maintained. The clinical room used for the storage of supplements and dressings was untidy. It is recommended that supplements are stored in a cool place but the inspector found the room to be above 25 degree centigrade that is too warm for safe storage. This must be reviewed and an alternative store found. Several tubs of cream were found in service users bedrooms. These were not appropriately stored and could potentially endanger service users. The registered manager must ensure that external prescriptions are appropriately labelled and stored. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 11 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): 15 The dining area is not always a congenial setting for service users to enjoy their meal. Meals are not always served with drinks, and staff are not always available to offer assistance. EVIDENCE: Mealtimes were observed and several service users appeared to be fed in the dining room by staff. The registered manager should review this practise and ensure it is reflected in the care plan for individuals. Service users, who remain in bed, are served their meal in their bedroom. The inspector has serious concerns with regard to the observed practise. It was noted that several meals were stacked on a tray and left while the carer assisted a resident to feed. They were then taken to other bedrooms on the tray, without any means of keeping the food hot and served to residents. There appeared no understanding from staff that meals must be served at the correct temperature and this seemed to be an accepted practise. One service user did not have any means of obtaining a drink with his/her meal and appeared to have a choking episode and staff was not available to assist with his/her needs. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 12 The registered manager must ensure that food is served at the correct temperature to service users, wherever they choose to have their meal. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 13 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, 18. Service users and their relatives are provided information to enable them the raise concerns about the home and their care. Adult protection Policies, procedures and training of staff ensure the protection of service users from abuse. EVIDENCE: There is a complaints procedure that is available to service users and visitors. The procedure is also referred to in the service users guide, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. One complaint was investigated by CSCI and upheld. The complaint raised issues regarding the care management arrangements including arrangements for assessing the needs of service users and the systems used to ensure relatives are included in agreeing the care plan. The registered providers have responded to the complainant, and timescales have been made by CSCI to address the issues. There is a comprehensive Adult Abuse and Whistle blowing and staff follow the procedures to those standards. The registered manager would investigate fully any allegations of abuse and would follow the necessary procedures if any Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 14 were substantiated. The registered manager holds discussions with staff to talk over issues and how to recognise different forms of abuse. Staff have received training in the protection of vulnerable adults. Three incidents have been referred to Social Services Adult Protection team for investigation since the previous inspection. Two are awaiting strategy meetings to take place. Social Services and CSCI staff are currently investigating the referral to the protection of vulnerable adults team dated 14th September. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 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, 20, 22, 24, 25, 26. The home requires considerable investment to ensure the environment is safe and suitable for service users to spend their time. EVIDENCE: A tour of both Manor View and Church View has raised serious concerns about the safety of service users. Although some investment has been made to the décor in the main lounge area, this is not reflected in the bedrooms of service users. Some bedroom furniture had been purchased but a large number of bedrooms contained unsafe wardrobes that were leaning forward and drawers that were in bad repair. Drawer fronts were seen to be broken and some drawers were placed so that they could not open fully. Unused equipment made movement around some bedrooms difficult and could be a trip hazard. A number of bedrooms did not have the correct furniture with regard to two chairs and a Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 16 table to sit at. Garden chairs were found in two bedrooms and bedside lights were found in an unsafe state; their plugs removed and bare wires exposed. Lighting in a number of rooms was poor. Some bedrooms have poor natural light due to overgrown trees. Many of the bedside lights did not work and need repairing. Four emergency lights are required at Church View to ensure the safe movement of service users. Action is immediately required. A number of bedrooms are in need of redecorating with damage to walls from furniture. The main entrance at Church View is in need of decoration, wallpaper has been torn off and there is considerable damage from wheelchairs to the plaster. This remains outstanding from previous inspections. Some beds had been placed away from the call system making it impossible for service users to call for assistance. There were offensive odours in a number of bedroom and four carpets at Church View were badly stained and need replacing. The bathroom floor at Church View is in bad repair and must be replaced. The ramp has been fitted to enable service users to exit Church View into the gardens, but fire officers have raised serious concerns that the ramp leads service users away from the nearest fire exit. The alternative exit is overgrown and inaccessible. The registered provider must immediately action work to rectify this problem. Two bathrooms and the shower facility at Manor View are unsuitable for the service users who use the facilities. Both bathrooms are used to store equipment and the flooring needs replacing. The registered provider must submit an action plan to address the lack of bathing facilities, and must consider the future usage of the shower facility, as the flooring is unsafe. Several extractors in toilets and en-suite facilities are out of order and require repair. Three bedroom window frames are in poor repair and consideration must be made to replace or repair them. There are also a number of sealed windows that have condensation due to the seal being broken/damaged and these prevent natural light coming into the bedroom. Several windows frames at Church View are in bad repair and must be replaced. The laundry facilities at Church View are out of order and washing is being brought to the main unit to be washed. The laundry at Manor View is not equipped to deal with the additional washing and arrangements must be made to replace the facilities at Church View with some urgency. Sluicing facilities at Manor View is adequate but locks must be fixed to the two rooms for the safety of service users, as the water temperature is not controlled and may cause scalding if service users access the room. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 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): 27, 28, 29, 30 Sufficient staff are employed at the home to meet the needs of service users. Staff have the skills and knowledge to fulfil their roles within the home. There are robust recruitment policies to ensure the safety and protection of service users, although there are some discrepancies with regard to two references. Supervision of staff requires some attention to bring them up to date. EVIDENCE: Staff rotas examined demonstrated there is sufficient staff to meet the needs of service users, although the registered manager should examine the routines to ensure staff are deployed to manage service users emotional needs. Staff were observed collecting in the dining area with little intervention with service users. Staff have adequate skills to meet the needs of service users, although they do not meet the requirement of 50 NVQ qualified staff. A number of staff are working towards the award. A number of staff recruitment files were examined, and there is evidence that some staff had been employed with only one reference, a second reference must be gained to ensure the safety and protection of service users. There is an induction programme for all new staff. The inspector spoke to two new staff and they said that they felt supported by their colleagues and Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 18 supervisors. A completed induction programme was examined and was signed to indicate areas of competencies, although these must be dated. The registered manager should also consider the allocation of staff that provides mentorship to ensure they have the required skills and knowledge to undertake this task. Examination of nurses PIN and qualifications confirmed that a mix of Registered General Nurse (RGN) and Registered Mental Health Nurse (RMN) are employed at the home. This ensures that they have the required skills to meet the nursing and mental health needs of the service users. Staff morale is very low following recent investigations by the protection of vulnerable adults team. Changes to the management of the home and lack of leadership have also had a detrimental affect on staff. A newly appointed manager is aware of staffing issues and has begun to address some of the concerns. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 19 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, 35, 36, 38. The registered providers have appointed a new manager, and she has been given timescales to submit an application for registration to CSCI. Procedures are in place to ensure the financial interests of service users are safeguarded. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. Supervision of staff has not taken place in the required frequency, although this has not been detrimental to the care of service users. EVIDENCE: A new manager has been in post for less than two weeks, although she has begun to address some of the issues stated in this report. She is required to submit an application for registration with CSCI and undertake a relevant Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 20 management qualification. She has previously worked as a deputy manager and holds a nursing qualification (RMN) Examination of supervision and appraisal records show that supervision takes place infrequently. Staff must be given the opportunity to discuss the philosophy of the home and their own development to promote the quality of car expected. Service users are able to manage their own finances, although most prefer the manager to assist with dealing with their personal allowances. A number of service users pocket money records were checked and these were accurate. Accident reports are analysed by the manager to ensure risk assessments are developed where required. Maintenance and service records examined were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures are in place and service records were examined and were current, ensuring the safety of service users. Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 21 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X 1 1 X 2 1 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 2 X 3 Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(2)(b) (c) Requirement The registered manager must ensure care plans reflect up to date needs of service users and reviewed as stated in the homes policies and procedures. Risk assessments must demonstrate how risks will be managed. The registered manager must ensure wherever possible that the service user or their representative agrees and signs the plan of care (previous timescale of 1 December 2004 and 1 July 2005 not met) The registered manager must ensure that supplements are correctly stored. The registered manager must ensure that medication waiting for disposal is securely stored and records maintained. The registered manager must ensure that external prescriptions are appropriately labelled and stored. The registered manager must ensure that food is served at the correct temperature to service users, wherever they choose to DS0000065195.V252823.R01.S.doc Timescale for action 10/10/05 2 OP7 13(4)(b) (c) 10/10/05 3 OP9 13(2) 10/10/05 4 OP15 16(2)(i) 10/10/05 Manor View Nursing Home Version 5.0 Page 23 5 OP19 23(2)(c) 6 OP19 23(4)(b) have their meal. The registered manager must ensure bedroom furniture is made safe and secured to the wall where required. The registered manager must ensure that equipment is removed from the bedroom if not required. The registered manager must ensure service users can exit the building safely (Church View) as required by the fire officer. The ramp that has been fitted outside the patio doors must direct service users to the nearest exit. Redecoration to the entrance area at Church View must be undertaken (timescale 1 July 2005 not met) A number of bedrooms at both units require redecoration. Several bedroom window at Manor View and Church View are in bad repair and must be replaced 10/10/05 01/12/05 7 OP19 23(2)(d) 01/12/05 8 OP19 23(2)(b) 01/07/06 9 OP21 23(2)(j) The registered provider must 01/02/06 provide sufficient bathing facilities that are in good working order. Two bathrooms are currently used to store equipment and the shower facility is not working. The bathroom floor at Church View is in bad repair and must be replaced The registered manager must ensure that the extractor fans in en-suite facilities and toilets are working The registered manager must ensure that locks are fitted to the two sluicing facilities at the home DS0000065195.V252823.R01.S.doc 10 OP21 23(2)(p) 01/12/05 11 OP21 23(2)(k) (l) 01/12/05 Manor View Nursing Home Version 5.0 Page 24 12 OP22 23(1)(a) (2)(a) The registered manager must ensure service users have access to the call system in their bedroom; two bedrooms call systems were behind wardrobes. In other bedrooms the beds were situated away from where the call system is sited. Risk assessments must indicate if service users are not able to access call systems due to capacity. Four carpets at Church View are badly stained and in bad repair. These must be replaced The registered manager must ensure that bedside lights Manor View are repaired or replaced The registered manager must repair or replace four emergency lights at Church View to ensure the safe movement of service users. The registered manager must ensure that Church View has its laundry facilities repaired or replaced, as Manor View equipment is not adequate to deal with the two units laundry. Offensive odours were found in several service users bedrooms in both units. The registered manager must examine The registered manager must ensure staff are not employed without two references The registered provider must submit an application for the registration of manager Arrangements must be made to ensure staff receive six formal recorded supervision sessions per year (timescale 1 August 2005 not met) 01/12/05 13 14 15 OP24 OP25 OP25 23(2)(d) 23 (2)(p) 23 (2)(p) 01/02/06 01/02/06 10/10/05 16 OP26 23(2)(a) 01/02/06 17 OP26 23(2)(d) 01/12/05 18 19 20 OP29 OP31 OP36 19(1)(c) 9 19 01/12/05 01/11/05 01/02/06 Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 25 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 Refer to Standard OP15 OP27 OP28 OP30 Good Practice Recommendations The registered manager should review the practise of service users being fed in the lounges The registered manager should review the routines of staff, to ensure they are deployed to meet the needs of service users. The responsible individual must work towards providing a minimum of 50 of staff who are NVQ level 2 qualified in 2005 The registered manager should consider the allocation of staff that provides mentorship to ensure they have the required skills and knowledge to undertake this task. Induction programmes should be signed and dated. The manager must gain the management and care qualification in 2005. NVQ Level 4 5 OP31 Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Manor View Nursing Home DS0000065195.V252823.R01.S.doc Version 5.0 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. 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