Inspection on 10/07/07 for Mansion House Nursing Home

This inspection was carried out on 10th July 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

Mansion House Nursing Home 11/07/06

Mansion House Nursing Home 08/11/05

Mansion House Nursing Home 10/02/05

Mansion House Nursing Home 14/09/04

Mansion House Nursing Home 26/03/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Mansion House Nursing Home 164 Main Road Drax Selby North Yorkshire YO8 8NJ Lead Inspector Denise Rouse Unannounced Inspection 10/07/07 10:20 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 Mansion House Nursing Home DS0000027941.V335847.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. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mansion House Nursing Home Address 164 Main Road Drax Selby North Yorkshire YO8 8NJ 01757 618659 F/P 01757 618659 mail@rochehealthcare.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Roche Healthcare Limited Jackie Houseman Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (24) of places Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 50 years plus with the exception of one service user aged 46 years 11 July 2006 Date of last inspection Brief Description of the Service: Mansion House is a care home registered to care for up to 29 service users over 65 years of age who require nursing care. The service is provided in a detached house built on two floors; the upper floor is serviced by a vertical lift. There are 23 single rooms and 3 two bedded rooms the majority of which are en-suite. The home is set in well-kept and accessible grounds located in the village of Drax. The home is close to local shops. Fees range from £354.50 for residential care to £ 610.00 for private nursing, local authority rates were negotiable. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • A review of the information held on the home’s file since the last inspection. • Information submitted by the registered provider in the pre inspection questionnaire • Surveys received from two service users and two relatives. • An unannounced visit to the home, which lasted seven hours, and included a full tour of the premises. Evidence gained by direct observation, talking with service users, staff and visitors. Inspection of records, including care profiles, medication administration records, staff files and some of the homes policies and procedures. What the service does well: What has improved since the last inspection? Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 6 Information provided about the home was up to date to ensure people could make an informed choice about the home. Care documentation was more detailed and was being reviewed and rewritten to ensure each person’s documentation was thorough and up to date. People’s preferred social activities were documented and there was a programme of activities available, which could meet people’s social needs. Menus were improved to provide choice for people on special diets. The design of the chairs in the lounge areas aided people to be able to stand up. The laundry had been spring cleaned and access restricted, to protect peoples health and safety. Environmental shortfalls in the home and gardens had been addressed, to ensure peoples health and safety was maintained. Training was provided to ensure staff were competent to carry out their work. Supervision of staff occurred. Pre employment checks were undertaken to ensure people were protected from staff that may not be suitable to work in the care industry. 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. Mansion House Nursing Home DS0000027941.V335847.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 Mansion House Nursing Home DS0000027941.V335847.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): Standard 3 (6 not applicable) People who use this service experience good outcomes in this area. People’s needs are fully assessed prior to being admitted, this ensures their needs are known and could be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Three service users were case tracked; evidence confirmed people were fully assessed, this included health, social and cognitive needs. People were invited to look round or live at the home for a trial period, to allow them to experience what the home had to offer before making their mind up about staying at the home on a permanent basis. This ensured people’s needs were known and could be met. The service user guide and statement of purpose were available; they contained all relevant information to ensure people could make an informed decision about the home and the services being provided. Intermediate care was not undertaken. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7 8 9 10 People who use this service experience good outcomes in this area. People have their health and personal care needs met, and are treated with respect. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Three people were case tracked. Care plans were inspected, some required a little more detail, however one persons care profile had been rewritten to a high standard using new documentation. The process of updating these care records was to be completed for all residents within the home. Moving and handling, nutritional and social needs assessments were in place. These were working documents and all were person centred, written in plain English and reviewed monthly. It was obvious that the permanent staff knew peoples needs and that there needs were being met. Risk assessments for bed rails were evident the risk of entrapment had been discussed with people who required this intervention, or their representative. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 10 This ensured that an informed decision was made about if this was an appropriate course of action to maintain peoples safety. Local general practitioners, dentists, opticians, chiropodists and district nurses attended the home as required; to ensure people’s health care needs were being met. Special equipment was available where this was required. Nutritional screening was evident; all appropriate action was taken to ensure people with special dietary needs had their needs met. The menus were revised to ensure that vegetarian choices were evident, and the evening puree meal on offer was also clearly stated, to ensure people knew what choices were available to them. A committee, to look at food services was being considered this was to be made up of the Chef and other staff as well as people who resided within the home. This would ensure that peoples views were being listened to and action upon. The medication systems were inspected these were correct and people were protected by the homes policies and procedures relating to medications. Staff addressed people by their preferred names and knocked on bedroom doors prior to entering. Doctors visited people in their own bedrooms to maintain people’s privacy and dignity. However one person stated, “ I do not like staff talking over me” this was discussed with the manager and the person’s relative, and was to be addressed. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 13 14 15 People who use this service experience good outcomes in this area. People’s social needs were known and were being met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Three people were case tracked; all had their social preferences documented, and activities undertaken by each person were recorded. Activities available included: manicures, board games, trips out to Eden Camp and the Railway Museum, visits to local garden centres and outings to Bridlington. The activities co-ordinator had some personal information relating to each person about their family history, past occupation and preferred social interests. People were seen socializing in the lounge areas and watching television, or choosing to spend time in their own bedroom. The activities schedule was advertised on the dining room tables to ensure people were aware of the activities on offer. There were also display boards throughout the building with photographs of the events held. Comments received included “ A new activities co-ordinator has been employed, which has been a breath of fresh air”. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 12 Entertainers were invited to the home for Sing Alongs. Reminiscence was also enjoyed, displays of items from domestic life such as washboards etc helped to jog peoples memories and talk about the past. A summer fayre was also being held. A computer was available for people to use; this had proved to be popular. Wedding anniversaries and birthdays were celebrated, and parties were held. Staff and residents took part in dressing up for these occasions, to help ensure that they were memorable. The local school was well involved with the home, children attended regularly to entertain or have Easter bonnet competitions judged. The children then judged the residents Easter Bonnets. A sports day had been held jointly and people could watch staff and children competing. Local clergy visited one person at the home once a fortnight for communion, and upon request for other people, ensuring peoples religious needs were met. The garden was accessible to ambulant and wheelchair users. Seats were available and people could take part in planting the raised flowerbed or plant garden pots, with tomatoes and herbs. Visiting was permitted at any time; people were seen going out with their families. Visitors were seen to be made welcome by staff. The dining room was spacious, light and airy, it was full at lunchtime. Tables were set with linen cloths and flowers. Sherry or wine was offered with lunch, which was a social event. One person requiring assistance with feeding was assisted with dignity and respect. People could choose where they wanted to dine, either in the lounges, their bedroom or the dining room. The kitchen was inspected, food being prepared looked appetizing. The chef knew who required special diets. There was a four-week rotational menu in operation, which was full and descriptive, reflecting the vegetarian meals on offer and a choice of meals at teatime that could be pureed. The kitchen was clean and cleaning chemicals were stored securely. Hot meat temperatures and fridge and freezer temperatures were recorded, ensuring food hygiene was maintained. Comments received were “ The service provides god food” and “ The standard and quality of food has changed, for the worse”. A concerns raised about the food was discussed with the inspector; the home manager was involved and was dealing with the issues raised. The outcome of this will be sent to the Commission for Social Care Inspection. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 18 People who use this service experience good outcomes in this area. Peoples concerns were listened to and would be acted upon by the manager. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The complaints procedure was contained in the service users guide, which was available within each person’s bedroom. The information contained in this document was inspected and found to be correct. Complaints and concerns would be investigated and the outcome of issues raised would be recorded. The manager was seen talking with people and they felt if they raised concerns the manager would do her best to address the issues. Staff were aware of what they should do if an allegation of abuse was to be made. Training for safeguarding adults was about to be undertaken for all staff. A whistle blowing policy was in place. These measures help to protect people. One resident asked to speak with the inspector and had a few concerns these were discussed with the home manager who wanted to deal with the issues raised. Pre employment checks were carried out to ensure that new staff were suitable to work within the care industry. This ensured that people were protected. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 14 People were not restrained and staff understood the importance of this. Individual assessments were in place for people who required bed rails, to ensure the risk of possible entrapment had been discussed and understood by the people who used this intervention and their representatives. A comment received was “Complaints are dealt with in a rapid manner”. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 26 People who use this service experience good outcomes in this area. People live in a home that is maintained, monitoring occurred to ensure peoples health and safety was being protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: All areas of the home were inspected, and were clean and tidy. Bedrooms were personalized. En-suite bathrooms were clean, and extractor fans were not dusty, ensuring health and safety was maintained. A handyman undertook general redecoration of empty bedrooms and general maintenance within the home. Corridors were spacious, the front reception was secure. However lounge patio doors were open and some people’s bedroom doors opened onto the garden. The homes policy regarding maintaining security was required reviewing to ensure that unauthorized entry could not be gained to the home, via these open doors. A risk assessment had Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 16 been discussed but not created to ensure security was maintained. This should be considered. Lounge areas were spacious; one lounge had a television with poor reception this was rectified. There were four nail heads visible where the plaster covering them had fallen away in one lounge, these areas must be repaired. The dining room was being redecorated and new furniture was about to be delivered. One dining area was being changed into an activities lounge. Four bedrooms had been affected by subsidence recently. The home had acted quickly to remove people from rooms that were affected. A full structural survey had been undertaken and based upon this corrective and monitoring action had occurred, to ensure peoples safety was protected. People were allowed to move back to their own bedrooms, once safety had been assured and monitoring was continuing. The laundry was inspected; all the environmental shortfalls found upon the last inspection had been addressed. The sluicing cycles were at the correct temperature to ensure adequate infection control was maintained. A comment received was “General hygiene of the home is impressive and laundering of residents garments”. The gardens were neat and tidy, seating was available. People were using the garden and sun bathing outside the lounge patio doors. Access to the grounds was provided by means of ramps, to allow wheelchair access. The garden pond had been created into a raised flowerbed. Some flag stones to the side of the building still required levelling, money had been gained and a date had been arranged for this work to be undertaken, to ensure that peoples were not placed at risk from trips or falls. Health and safety checks and maintenance was undertaken to ensure that people’s health and safety was protected. One service user stated her outer door leading to the garden was letting some water in, this must be looked at and repairs made. Corridor carpets looked worn and there was a plan to replace a large portion of carpet at the entrance, this will enhance the environment and should be undertaken to ensure the environment remains pleasant for people. Hand wash facilities were available throughout the building and at the entrance of the home hand sanitizing gel was available. This ensured that infection control was maintained. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27 28 29 30 People who use this service experience adequate outcomes in this area. People were looked after by staff that received training, however staffing levels must be reviewed, and any shortfalls addressed. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use the service were generally happy that they receive the care to meet their needs. There were times when they needed to wait a short time for care staff to be available. People stated that just recently staffing levels had decreased in the afternoons, and this had placed pressure on staff who wanted to deliver a full service but on occasion had felt under pressure due to the use of new agency staff or when unforeseen situations requiring staff to escort people away from the home had occurred. The use of unfamiliar agency staff had placed strain on the service, which had meant on a couple of occasions some peoples care had been reported as being rushed or inconsistent with their plan of care. The management team must address this issue. The home manager consulted with people in the home about the service people were receiving. This ensured that the service could evolve and individual’s needs and desires were considered. People who used the service stated they felt the manager had made improvements to the service and staff felt well supported by her. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 18 The home had not achieved a 50 ratio of care staff that held the National Vocational Qualification in Care at level 2 or 3. The manger was aware of this and this was being addressed. Three staff files were inspected all necessary pre employment checks had been undertaken to ensure people were being protected by the homes recruitment processes. Staff had received induction training and supervision was being undertaken. Mandatory training, in Fire, first aid, moving and handling and infection control was provided. This ensured that people’s health and safety was protected. Training was continually updated for all staff to ensure that they had the correct underpinning knowledge to undertake their role within the home and provide the right service. However the duty rota had revealed a new member of staff’s induction had been planned over a short period of time. Induction processes for new staff must not be hurried, but delivered appropriately, to ensure that they feel supported and capable of providing good care and receive the necessary moving and handling skills required to ensure health and safety. Comments received included “Staff are very busy and sometimes do not have time to see the patients as quickly and efficiently as we would like”. And “ We need more staff not agency who we don’t know”. And “On the whole staff are good”. Two comments were received stating that staff from overseas may benefit from improving their spoken English, this should be considered where necessary. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31 33 35 38 People who use this service experience good outcomes in this area. People benefit from a well managed home, which protects peoples health and safety. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The new manager had made good progress since the last inspection, addressing the issues found. The atmosphere within the home was friendly and inviting. The manager was seen to be competent and confident in her role and had commenced a management-training course. A business plan for the home was in operation. Quality assurance systems were in place. The people who used the service were asked for their views and these were seen to be listened to by Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 20 the manager. Regular audits were undertaken in a variety of service areas to ensure quality assurance was being maintained. People who use the service said that the home had a better atmosphere and that the new managers leadership had helped the staff make improvements. The manager had an open door policy for people living in the home, staff and visitors. This ensured that the service was constantly being monitored and issues could be identified and corrective action taken. Regular staff, residents relatives and residents meetings were held and minutes recorded. A yearly questionnaire was sent to all people who used the service and these results were made known to everyone, to ensure they were kept informed. Senior management attend the home and complete a report, which was sent to the Commission for Social Care Inspection to keep us informed of any issues. One person stated that Mr Roche did not visit the home and they would like to see him so they could have an opportunity to speak with the owner of the company. Health and safety checks and maintenance was recorded to ensure people’s safety was maintained. Personal allowance account balances for three people were inspected. Receipts for all transactions were kept and their balances were correct, monies were stored individually and not pooled, this ensured people were financially protected. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 13 (4) (a) Requirement Replace plaster over four nail heads on the main living room wall. Monitor and take all necessary corrective action in relation to the subsidence experienced in four bedrooms and the end of one corridor. Undertake levelling of the flagstone path to the side of the building. Replace the entrance and corridor carpet, which are worn. Ensure that a risk assessment is created, to ensure security of the building is maintained. Inspect and take action to correct water penetrating one service users outer door leading to the garden. Timescale for action 31/08/07 Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 23 2 OP27 18 (1) (a) (b) (C) (i) Staffing levels must be reassessed to ensure that people receive care in a timely manner. Agency staff utilized must be proficient and have adequate care skills, to ensure staff working at the home are not placed under pressure. English language skills for overseas staff should be improved where necessary. Induction training must be undertaken over an adequate period of time, to ensure health and safety is maintained. 31/08/07 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 Refer to Standard OP28 Good Practice Recommendations The home should strive to have 50 of staff that hold the National Vocational Qualification in Care qualification, at Level 2 or 3. Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Mansion House Nursing Home DS0000027941.V335847.R01.S.doc Version 5.2 Page 25 - 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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