Inspection on 14/09/06 for Merlewood Nursing & Residential Home

This inspection was carried out on 14th September 2006.

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

Merlewood Nursing & Residential... 08/12/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Merlewood Nursing & Residential Home Merlewood Nursing And Residential Home Hollow Lane Callow Hill Virginia Water Surrey GU25 4LR Lead Inspector Mavis Clahar Key Unannounced Inspection 14th September 2006 09:00 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 Merlewood Nursing & Residential Home DS0000065967.V310283.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. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merlewood Nursing & Residential Home Address Merlewood Nursing And Residential Home Hollow Lane Callow Hill Virginia Water Surrey GU25 4LR 020 7396 6700 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) Elizabeth Finn Homes Ltd Mrs Mary Alice Toulmin Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (53) of places Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2005 Brief Description of the Service: Merlewood is a long established care home, owned and managed by Elizabeth Fin Trust, which is a registered charity. The original building is Victorian and is set in 23 acres of grounds. The home has been redeveloped to provide additional bedrooms and provides residential and nursing care for older people all on one floor. Accommodation is provided in single bedrooms, all of which benefit from en-suite facilities. There is ample car parking space available. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the homes first key inspection to be undertaken by the Commission for Social Care Inspection was undertaken by Mrs Mavis Clahar on the 14th September 2006 and lasted for seven and a half hours; commencing at 09:00 hours and concluding at 16:30 hours. On arrival at the home the inspector was made aware of the registered manager’s absence; she was on a training cource, but joined the inspection at 13:30 hours. The first part of the inspection was spent observing the drug round which was being conducted by the deputy manager. Time was also spent speaking with service users. This was followed by an update to the deputy manager about the improvements and changes to the inspection processes under inspecting for better lives. A tour of the home and gardens was conducted, where the inspector took time to speak with various members of staff, service users and visitor to the home. Time was spent with service users in both dining rooms during dinner time to observe service user and care worker interactions, how the meal was presented to service users and to receive feedback on the meal, its suitability, taste, texture and amount. Service users commented positively on the food. Only one service user said the curry is not hot enough; she said “I like it hot like it is served in India”. The second part of the inspection was spent reviewing service users files, speaking with selected service users’ key workers, sampling some policies, and records and sampling care workers files. The inspector would like to thank all the service users, relatives and visiting professionals who completed the questionnaire; service users, relative and staff who spent time speaking with the inspector. Thanks also to the Key care workers who interrupted their duties to speak with the inspector the member of staff on reception who greeted the inspector with such positive enthusiasm, which was reflected by all staff for the duration of the inspection. There was only one visitor to the home at the time of inspection and this visitor spoke very highly of the care received by her friend in the home. Service users spoken to on the day of the inspection rated the personal care they receive at the home as very good. Service users unanimously said “we are treated with respect”. They said the staff team are friendly and they attend all appointments by the home’s transport and is always accompanied by their carer. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The grounds have been improved due primarily to the employment of a full time gardener. The home has purchased three new drug trolleys. A new drug fridge and new MAR sheet folder. Six cot sides’ wedges have been purchased also 10 tabletop fans. The home now has a new summerhouse bought and furnished by donation of a relative of a late service user. A new gazebo and 2 garden umbrellas have also been purchased. Three new computers and printers have been purchased for the use of the care staff and all grades of staff have new uniforms. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 7 The home has invested in DVD and Video training packs for induction of all grades of staff. The administration office, the Clinical Care manager’s office and four service users bedrooms have all been redecorated. 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. Merlewood Nursing & Residential Home DS0000065967.V310283.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 Merlewood Nursing & Residential Home DS0000065967.V310283.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Good information about the home was available for prospective service users prior to their admission into the home. Where the assessments have been undertaken through care management arrangements the manager insists on receiving a copy of the care plan. This allowed for care workers and service users to make informed decisions regarding the planning and delivery of care. Skilled and competent staff at the home carries out all other pre admission assessments. Standard six does not apply to this home. EVIDENCE: Random sampling of service users files, care plans and daily work sheet, along with selected case tracking has demonstrated the homes ability to assess service users needs. This was supported by discussions with the manager, the key worker and the service user themselves. Discussions with care workers Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 10 have shown that they have the knowledge suitable to meet the care needs of the service users in their care. Merlewood Nursing & Residential Home DS0000065967.V310283.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a good and clear care plan in place for service users, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that health and personal care needs were met. Care staff receives training to meet the assessed care needs of the service users ensuring that competent staff supports service users and their health and care needs are met. The home’s medication policy on receiving, storing and administering and return of medication was in place and being adhered to thereby ensuring the safety and protection of the service users. Care workers are aware of the need to treat service users with respect and to maintain their dignity and privacy when delivering personal care Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 12 EVIDENCE: The randomly selected care plans which were reviewed regularly were clear and easy to read, identifying risks to service users. The daily work sheet along with discussion with service users and one visitor demonstrated that service users care needs are met according to the agreed plan of care. The inspector observed the administration of medicines to service users in accordance to the homes policy on administration of medicines, the Medicines Act 1968 and the Nursing and Midwifery Council (NMC) Standards for administration of medicines. No service user at the time of inspection was responsible for their medication. Good clear records are kept of medication received, stored and returned. A list of care workers trained and considered competent to administer medication was available for review. There was only one visitor to the home at the time of inspection and this visitor spoke very highly of the care received by her friend in the home. Service users spoken to on the day of the inspection rated the personal care they receive at the home as very good. Service users unanimously said “we are treated with respect”. They said the staff team are friendly and they attend all appointments by the home’s transport and is always accompanied by their carer. Merlewood Nursing & Residential Home DS0000065967.V310283.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: Service users spoken to were complimentary about their home, the care they receive and their lifestyles within the community, and the choices and variety of meals. One service user informed the inspector that the home has two hair dressers who covers the home five days per week so one can always keep one’s hair in a reasonable condition. She further stated she was on her way out today and she was visiting Windsor. Another service user said, “We went out yesterday. It was a wonderful trip we went to Ascot, Eaton and Windsor and then on to Windsor great Park. This is the best trip we have ever had since I have been here.” Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 14 The home has its own chapel in which services are held on a weekly basis. Holy communion is available to all service users who request this. Two service users told the inspector they were very active in their church prior to living at the home and still maintain contact with their Vicar and others from their church group even though it’s a long way away from the home. The inspector did not observe many visitors to the home, but on checking the visitors book there were a number of visitors during the time of the inspection. The inspector was only able to speak with one visitor who was very complimentary about the care her friend received at the home. She said “my friend is not too keen on the ladies shaving him so the manager has arranged for male cares to shave him on a daily basis and he likes this.” A number of questionnaires were returned both from service users and relatives and it was noted that they revealed a unanimous decision that care at the home was excellent. The inspector observed that service users were dressed very nicely, the men appeared well groomed and the ladies had their hair nicely done, their nails painted or buffed to a high shine. In discussion with service users the inspector complimented one service user on how well presented she appeared and was informed “I choose my own clothing for the day with a little help from my friend”. The service user also informed the inspector “the chiropodist visits once weekly and all treatment is carried out in the privacy of my bedroom”. When asked who was the friend, the service user replied “my key worker”. In discussion with the key worker about her role and responsibilities She informed the inspector that assisting service users to maintain their wellbeing, sexuality and lifestyles is her main reason for being a carer. Catering facilities is outsourced to a private company; but the registered manager and the Hotel services manager work closely to ensure the dietary needs of the service users are met. In discussion with the Chef, it was evident he had a good working knowledge of the service users he could tell the inspector the number and names of service users on different special diets. There are three Chefs to cover the twenty-four hour period. On the day of inspection there were two main menus with alternatives of various omelettes grilled/poached fish/salmon, fish cakes jacket potato and various cold meats. Service users are enabled to choose their meals on a daily basis. There is a comments book for the use of the service users and they do comment on the food in terms of taste, presentation, consistency and amount. In reviewing the comments from 30/07/to 13/09/06 only too complaints were lodged, and the Hotel services manager informed the inspector these were investigated in accordance with their policy. The home has two separate dining rooms and both were very well prepared for the lunchtime meal with a huge amount of fresh fruits for the service users. The inspector chatted to service users during the meal and observed care workers sitting beside service users whilst encouraging and enabling them to Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 15 eat their meal. The inspector observed from the used breakfast trays in service users bedrooms that breakfast was served in the service users’ bedrooms. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a satisfactory complaints policy and procedure and training in place that evidenced that service users and relatives concerns are listened to and acted upon. Robust Safeguarding adults policies are in place to protect the service users from abuse. EVIDENCE: CSCI Eashing office has not received any complaints about this home since the last inspection. Complaints received at the home are logged with their outcomes. This demonstrated that service users and relatives complaints are taken seriously and are dealt with within the company/s time frame. Service users spoken to said they knew how to complain if there was a need to do so. Random sample of staff training files and discussion with staff evidenced that staff are being trained to recognise and report any act or suspicion of abuse to service users. The manager supported this by the production of the staff training matrix which evidenced that staff receive yearly training in the safeguarding of adults (protection of vulnerable adults) to remind them of their duty of care to the service users living at the home. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 17 Since the last inspection the home received five letters of thanks from grateful relatives for the care extended to service users whilst they were resident at the home. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 18 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 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a well-maintained environment, which provides aids and equipment to meet the care needs of the service users. It is a very pleasant, safe place to live with rooms that meet the National Minimum Standards (NMS) or are larger and all have en-suite facilities. EVIDENCE: The home operates within its planned programme of refurbishment and maintenance. Bedrooms are redecorated as soon as they become vacant. Four bedrooms, the admin office and the clinical care manager’s office have been redecorated. The home presents as comfortable with attractive gardens, which are well maintained. There is good access to the gardens from various parts of the Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 19 home. Some service users told the inspectors that they try to go out daily weather permitting to enjoy the gardens. The inspector noted that adverse weather would not stop service users enjoying the garden, as the windows are low enough to allow service users to view the gardens from their armchairs. It was pleasing to note that service users were able to personalise their bedrooms with small items of furniture, paintings on the wall and many family photographs. It was noted on testing one call bell that it was not working. The deputy manager pushed the box down so that it fitted into its anchor and then the bell worked. Discussion was held with both the manager and deputy about the necessisity for care workers to ensure the bells are replaced correctly when they are returned to their anchor. Water temperature was tested in a number of bedrooms and was found to be satisfactory. It was noted that waste was stored in suitable locked containers in the open air in a locked compound. Generally, the home presents as clean, safe, pleasant, hygienic and free from offensive odours. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Skilled competent staff met Service users needs The number of staff on duty was sufficient to meet the service users needs. The service recruitment policy is adequate and generally meets the regulations and national minimum standards. Care workers are trained and competent to do their jobs. EVIDENCE: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four period was adequate to meet the assessed care needs of the service users. 65 of care workers have attained the National Vocational Qualification (NVQ) Level 2 qualification with two care workers achieving NVQ Level 3 and one is in the process of completing NVQ Level4 in care. The registered manager is currently undertaking the Registered Managers Award (RMA) qualification, hoping to complete in October/November2006. Review of care workers files demonstrated that care workers had regular and up to date training to enable them to fulfil their roles. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 21 Random review of care workers files found that in the main the home complied with the regulation regarding employment of staff to work in care homes. However in two cases it was noted that no references were on file for two care workers who have been working at the home for over twenty-eight years. Thorough review of their supervision records demonstrated that these care workers were hard working, attended all training offered and were competent at their jobs. Full discussions ensued with the manager and the inspector promised to make enquiries regarding this matter. Recruitment to the home is through a process of equal opportunity, and in accordance with the code of conduct and practice set by the GSCC. All staff are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms and conditions of employment as evidenced in their randomly selected files. There was evidence in the care workers files that they are supervised on a regular basis. All newly appointed staff undertakes an induction programme. The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers. It was evidenced from notification of incidents sent to CSCI that a number of service users suffered falls, which are suitably managed. In discussion with the manager and deputy manager it was recommended that they consider sending one member of staff to the falls clinic to learn more about the management of falls, who would then share the information with the team. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 22 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 33 35 8. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home. The views of service users and their relatives are actively sought in the running of the home Service users financial interests are safeguarded. The service provides training on health and safety issues for all staff and service users are involved in the running of the home. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager has demonstrated that she has kept herself updated on issues relating to care of service users and staff in her charge. She is currently undertaking the Registered Managers Award (NVQ L4). In discussion with the manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet the identified care needs of the service users. There are clear lines of accountability within the home, each member of staff spoken to on the dayof the inspection was clear about their role and responsibilities. The majority of the service users are able to be involved in the running of the home. One service user told the inspector “I make an effort to attend all the meetings so that I am aware of what is happening in the home. The manager listens to what we have to say and then she speaks with the big boss. We usually get what we ask for”. Minutes of the residents meetings are kept on file for review. Management of service user’s personal account was found to be in order. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, water temperature fridge and freezer recordings were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect service users’ health, welfare and safety. In discussion with care workers it was good to hear they had an understanding and implementation of appropriate procedures to safeguard service users. Further more they spoke about their understanding of promoting safe working practices based on their health and safety training. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 24 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 X 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 3 X X X X X X 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 X 3 X X 3 Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 OP30 Good Practice Recommendations The registered person should train care workers in the management of falls. Merlewood Nursing & Residential Home DS0000065967.V310283.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Merlewood Nursing & Residential Home DS0000065967.V310283.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. 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