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Inspection on 10/07/07 for Merok Park Nursing Home

Also see our care home review for Merok Park Nursing Home for more information

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has endeavoured to comply with the requirements made on the last inspection. Observations of care staff interactions with service users indicated that service users were treated with dignity and respect. It was also observed that great care was taken in respect of the service users personal belongings and standards of cleanliness in bedrooms ensured service users lived in a safe, well-maintained environment. The home has a stable work force, which should benefit the service users.

What has improved since the last inspection?

The service users` care plans set out in detail the actions to be taken by care staff to ensure that all aspects of their health, personal and social care needs are met. The manager has ensured that both dining rooms are staffed during mealtimes, and risk assessments are carried out for those service users at risk. The door leading down to the staff room is now fitted with a combination lock, ensuring service users inability to open the door. The manager has submitted his application for registration to the central registration team of CSCI. There is documented evidence supported by discussion with care workers to show that care workers are being supervised at least six times per year.

What the care home could do better:

The manager must uphold the privacy and dignity of the service users by having locks installed on all service users` toilet doors The manager must ensure that English is spoken at all times by care staff whilst working in the care home.Merok Park Nursing HomeDS0000062507.V343086.R01.S.docVersion 5.2The manager and Chef to ensure that all care staff have the opportunity to taste pureed food. This will enable care workers to understand and appreciate when service users refuse their pureed diets. The manager must ensure all staff wear their name badges whilst working in the care home.

CARE HOMES FOR OLDER PEOPLE Merok Park Nursing Home Merok Park Nursing Home Park Road Banstead Surrey SM7 3EF Lead Inspector Mavis Clahar Unannounced Inspection 10th July 2007 09:50 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 Merok Park Nursing Home DS0000062507.V343086.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. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merok Park Nursing Home Address Merok Park Nursing Home Park Road Banstead Surrey SM7 3EF 01737 352858 0208 652 7702 cooppencare@yahoo.co.uk 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) Mr Soondressen Cooppen Mrs Maleenee Coopen To be confirmed Care Home 29 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (29) of places Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 2 beds may be used for respite care Of the 29 older persons accommodated, up to 20 may be in the category DE(E) (Older people suffering from dementia) 15th May 2006 Date of last inspection Brief Description of the Service: Merok Park is a large detached property located within a five-minute drive or fifteen minute walk of Banstead town centre and its amenities. The home currently provides accommodation and nursing care to twenty-seven service users who are elderly and some of whom suffer from dementia. The home has been extended and has twenty-five single and two double bedrooms. Fourteen of the single rooms have an en-suite toilet and washing facility and all other rooms have a hand wash basin. The rooms are arranged over two floors and the first floor can be reached by staircase or passenger lift. There are three toilets, a bath and a shower on the ground floor and three toilets, a bath and a shower on the first floor. The toilets and bathrooms are located in such a way that all bedrooms have a toilet and bathing facilities nearby. There are two lounges and two dining rooms on the ground floor and a large kitchen. The home stands in its own large well maintained gardens and has parking spaces to the front of the building. Fees at this home are in the region of £450 to £600 per week and do not cover hairdressing and chiropody costs. Merok Park Nursing Home DS0000062507.V343086.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 home’s first key inspection to be undertaken by the Commission for Social Care Inspection (CSCI) was undertaken by Mrs Mavis Clahar on the 10th July 2007 and lasted for six hours and fifty minutes; commencing at 09:50 hours and concluding at 16:30. A minority of the service users spoken to were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from observation by the inspector, speaking with one visitor to the home, speaking with a number of service users, and speaking with care staff. Further information was gathered from records kept at the home. The first part of the inspection was spent discussing the inspection process with the manager, followed by a tour of the home which included time spent in discussion with service users, care workers and the Chef. It was observed that the doors to service users toilets on the ground floor did not have locks fitted to preserve privacy and dignity of the service users. A requirement was issued on this standard. The manager and care staff are aware of the Laws regarding equality and diversity. All service users in this home are Caucasian. Service users spoke highly of the home, the staff and the care they receive. One service user said, “I am happy here. The staff are kind and the food is good.”. These comments were also supported by one relative who told us “I am happy with the care my relative receives; she always looks nice and clean whenever we visit. Our one criticism is that the staff do not wear a name badge and this makes it difficult to know whom you are speaking to”. A recommendation was issued, for all staff to wear their name badges. All records sampled were mostly up to date with care plans being signed by the service users or by relatives. The inspector would like to thank all the service users, care staff and the visitor to the home who made the visit so productive and pleasant on the day. The final part of the visit was spent giving feedback to the manager about the findings of the inspection. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The manager must uphold the privacy and dignity of the service users by having locks installed on all service users’ toilet doors The manager must ensure that English is spoken at all times by care staff whilst working in the care home. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 7 The manager and Chef to ensure that all care staff have the opportunity to taste pureed food. This will enable care workers to understand and appreciate when service users refuse their pureed diets. The manager must ensure all staff wear their name badges whilst working in the care home. 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. Merok Park Nursing Home DS0000062507.V343086.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 Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs and respite care service users are assured their independence will be maintained. EVIDENCE: The home has a policy and procedure on admission and discharge of service users. Within the admission policy all service users must have an assessment prior to being admitted into the home. The manager who is trained in the principles of assessment of service users’ needs based on what the care the home says it will provide, carries out all pre admission assessments. Review of a random sample of service user’s files demonstrated that pre admission assessments are being carried out. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 receive training to meet the assessed care needs of the service users ensuring that competent staff support service users and their health and care needs are met. The home’s medication policy on receiving, storing and administering of medication was in place and being adhered to thereby ensuring the safety and protection of the service users. However some improvement must be made to the return of medication practices to ensure the safety of service users. Care workers treated service users with respect and maintain their dignity and privacy when delivering personal care. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 11 EVIDENCE: The randomly selected care plans were clear and easy to read, identifying potential and actual risks to service users and detailing how these risks would be managed. The daily work sheet along with discussion with service users’ relatives demonstrated that service users care needs are fully met. One relative told us she was happy with the care her relative received at the home. All service users are registered with a local General Practitioner (GP) of their choice, and access specialist healthcare professionals through their GP practice. Service users have a six weekly access to chiropody service. Care staff identified as capable to administer medication are requested to leave a sample of their signature in the medication trolley. All service users have a recent photograph included in their medication record to reduce the risk of mistakes happening during medication administration. No service user was assessed as capable to self medicate, but the manager told us he is knowledgeable about what to do should the home admit such a service user. Controlled drugs were counted and this corresponds with the home’s total on their register. There was one visitor to the home who spoke with the inspector. This relative was happy with the care given to the relative. She said the staff are always polite to her and she was free to visit any part of the home her relative was using. The visitor said “I am satisfied with the care my relative receives at this home. My only problem is the care workers do not wear a name badge and so I am not sure to whom I am speaking”. Service users were observed being treated in a friendly but respectful manner by care workers. It was noted that care workers communicated amongst themselves and with the manager in their own language; and although it is acknowledged this was not done in the presence of the service user it was done on a number of occasions in the presence of the inspector. Full discussion with the manager regarding the etiquette of this action was undertaken. It was further noted that carers did not wear name badges. A recommendation of good practice was issued. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this 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 a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The Manager told us that the home employs an occupational therapist as activities co-ordinator, who provides a range of activities based on the needs of the service users. This activity can be one to one or in a group. Regular religious services are held at the home and contained in the home’s Statement of Purpose are guidelines on how the home meets the religious needs of the service users. The one visitor to the home told us they were pleased with the amount of activities their relative was encouraged and enabled to participate in at the home. They have many trips out; many of which their relative positively enjoys. The relative told us that visiting is open, and service users can Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 13 entertain their guests in their bedrooms in private or in the communal areas of the home. The manager substantiated this. In discussion with the Chef, it was apparent he was knowledgeable about the dietary needs of the service users and prepared their food to their tastes. On the day of the visit, it was observed that a number of the service users were served puree diets. In discussion with the Chef he told us he ensures that the pureed food is tasty by adding cream or wine or sherry or sugar to enhance the taste. He told us sugar was never added to the diets of diabetic service users. In discussion with care workers we recommended that they taste the pureed diet prior to the chef adding taste enhancers, so that they can appreciate why sometimes service users might not want to eat their meal. A recommendation was made on this standard. It was observed that one care worker was present in both dining rooms during the mealtime and the dining room roster kept in the office further supported this. The Chef operates from a four-week menu with the summer menu being discussed with service users now. There is always a choice of two hot meals per day at mid-day, or salad at mid-day or the service user can choose their own food e.g. omelette etc. The evening meal is always soup followed by hot meal or sandwiches filled with service users choice. There was ample amount of fresh fruit, dry food and frozen food available in the home. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has 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 received no complaints about the home. Five substantiated complaints were logged at the home, and were all dealt with satisfactorily according to the home’s records; and within the home’s timescale for dealing with complaints. The manager told us that he is in touch with service users on a daily basis and issues raised are dealt with immediately; this reduces the incidents of formal complaints. Service users and relative spoken to said they have no need to complain, as they are able to discuss everything with the manager. The home has a complaints procedure and policy, which is fully adhered to. The care workers were aware of the home’s policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure the manager and the Owners of the company would support them. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 15 A random sample of care workers training records demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a mostly safe, well- maintained and comfortable environment, which encourages independence, but does not protect their privacy and dignity. EVIDENCE: The manager told us that the management and staff encourage service users to see the home as their own home. It presents as a comfortable, attractive home, which has all the specialist adaptations, needed to meet the service users needs. It was noted that two service users toilets on the ground floor had no locks fitted to the doors to maintain users privacy and dignity. A requirement was issued on this standard. The door leading to the basement is now fitted with a combination lock, to ensure the safety of the service users. The home has attractive gardens, which are well maintained and there is good access to the gardens from various parts of the home. Some service users told the inspectors that they try to go out daily weather permitting to enjoy the Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 17 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 noted that service users were able to personalise their bedrooms with small items of furniture, paintings on the wall and many family photographs. Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training records demonstrated they have had training in infection control and this was evident in the storage of waste. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the service users. 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 hour period was adequate to meet the assessed care needs of the service users. The home has a programme of planned training in place and all members of staff have an individual training record. Over 50 of care workers have attained the National Vocation Qualification at Level 2 (NVQ L2). Care workers are encouraged and enabled to undertake developmental training as well as the mandatory training. All newly appointed staff undertake an induction programme. The home ensures that staff undertake 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 and from review of care workers training records. It was noted that staff turnover at the home is relatively low. All care workers 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. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 19 We were told that supervision records were up to date and this was verified during random sampling of care workers files. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this 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. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 21 EVIDENCE: In discussion with the manager he has demonstrated that he has kept himself updated on issues relating to care of the service users and staff in his charge. He is a Registered nurse with experience of caring for the elderly, and will be starting the Registered Managers Award course as soon as there is a vacancy. He has submitted his application to become the registered manager of the home to the South East Central Registration Team and is now waiting interview date. During discussion with the manager it was evident he was knowledgeable about the care needs of the service users and the training needs of the care workers to meet these identified needs. There are clear lines of accountability within the home, each member of staff spoken to on the day of inspection aware of their role and responsibilities. Some of the service users in this home are unable to participate in the running of the home. However, the manager told us that relatives’ involvement is encouraged. The one visitor who spoke with the inspector supported this. In discussion with service users they confirmed their involvement and that of relatives in the running of the home The home does not become involved in service user’s finance. The relatives/court manages all their finance. 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 they discussed their understanding and implementation of appropriate procedures to safeguard service users. Furthermore they spoke about their understanding of promoting safe working practices based on their health and safety training. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the individual service users. Care workers are confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Although the care workers are knowledgeable about issues relating to race and equality and diversity, they are not able at the moment to put this knowledge into practice, as the current service users are all Caucasians. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 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 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 Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 23 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) (c) Requirement Locks must be fitted to the doors of all toilets used by service users. Timescale for action 20/08/07 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. 2 3 Refer to Standard OP12 OP14 OP15 Good Practice Recommendations Care staff should speak English whilst on duty in the care home. All staff should wear a name badge whilst on duty in the care home. Care staff should be given the opportunity to taste the pureed diets to enable them to understand when service users refuse their pureed diets. Merok Park Nursing Home DS0000062507.V343086.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 - 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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