Inspection on 22/01/07 for Minshull Court Nursing Home

This inspection was carried out on 22nd January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Minshull Court Nursing Home 25/07/07

Minshull Court Nursing Home 20/11/05

Minshull Court Nursing Home 08/08/05

Minshull Court Nursing Home 15/11/04

Minshull Court Nursing Home 12/05/04

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

CARE HOMES FOR OLDER PEOPLE Minshull Court Nursing Home Minshull New Road Crewe Cheshire CW1 3PP Lead Inspector Anthony Cliffe 22 nd Unannounced Inspection and 23rd January 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 Minshull Court Nursing Home DS0000018755.V323291.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. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Minshull Court Nursing Home Address Minshull New Road Crewe Cheshire CW1 3PP 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) 01270 257917 01270 500614 Mr Christopher Chawner *** Post Vacant *** Care Home 34 Category(ies) of Dementia (34) registration, with number of places Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 34 service users to include: * Up to 34 service users in the category of DE(E) (dementia over the age of 65) 31st August 2006 Date of last inspection Brief Description of the Service: Minshull Court care home is a converted detached two-storey property situated in its own grounds approximately two miles from the centre of Crewe. The home provides care with nursing for adults aged over 65 years of age diagnosed with dementia. There is a passenger lift and internal staircases and wheelchair access throughout the home. The home has two lounges and two dining rooms. Bedroom accommodation comprises of 34 single rooms all with hand-wash basins. There are no en-suite facilities. There is an enclosed garden and patio area to the rear and with ample car parking at the front. The home is on a bus route and the main railway at Crewe town centre. Fees range from £350 t0 £550. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 22nd and 23rd January 2007 and lasted 15 hours. A Regulatory Inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services provided. Questionnaires were provided for residents, families, and health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents and staff were also spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? Record keeping had improved and good practice recommendations advised by the Department of Health had been included in residents’ personal records. Residents’ health conditions were monitored and action taken to make sure they were seen if their physical and mental health deteriorated. Information about residents who wanted to move into Minshull Court was gathered so staff knew how to care for them. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 6 Sufficient quantities of medicines were ordered so residents received their prescribed medicines so their mental health remained well. The monitoring of medicines being received from the chemist and given out to residents had improved so mistakes in ordering and administration were reduced. The social life of residents had improved as a staff member had been employed to provide activities for residents. Complaints were listened to and looked into so residents and their relatives could see their complains and concerns were treated seriously and acted upon. The CSCI, local council and NHS trust were informed of serious incidents and serious injuries so residents were protected. An experienced manager had been employed to manage Minshull Court. The manager had improved staff practice and the quality of life for residents so residents’ quality of life had improved and they were protected. 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. Minshull Court Nursing Home DS0000018755.V323291.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 Minshull Court Nursing Home DS0000018755.V323291.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to moving in. EVIDENCE: Minshull Court accommodates mainly people from the Crewe area and is welcoming to anyone from outside the area or with a disability, different ethnic or cultural needs or sexual orientation. Records were examined of the last two residents who moved into Minshull Court. The deputy manager and senior nurse had gathered information about the residents. Care plans and risk assessments were in place for both residents. Additional information had been obtained from the local council social services department and Partnership Care Trust (PCT), which placed the resident at Minshull Court. The two residents had pre admission assessments and copies of the local council and PCT assessments of need. Minshull Court Nursing Home DS0000018755.V323291.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): 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. Detailed records of care, liaison with health and social care professionals and good medicine management ensures residents’ health and welfare needs are met. EVIDENCE: The care files of three residents were examined. Each care plan had information from the social worker or from the NHS hospital from where the resident moved. From looking at care plans, watching staff working practices and talking with residents, staff and a visitor the health of residents was cared for. There were good examples of records in place that monitored residents’ health. Care plans showed further improvement with a number written to tell staff how to support and care for residents. Records recorded residents` physical and mental health needs. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 10 Records were regularly reviewed. A resident had been discharged from hospital a few days prior to the visit to Minshull Court following treatment. Her care records about her physical health needs had been updated, as her care needs had changed. There were good examples of records that monitored residents’ health. Records were in place to monitor the side effects of medicines, eating and drinking, blood pressure, risk of developing pressure ulcers and assistance with personal care. Additional records had been introduced about end of life care. Guidance on how staff should manage the care of residents who were uncooperative with personal care had been introduced for care staff. A resident’s records noted that extra staff was needed to assist with personal care due to changes in health. Care records noted contact with the residents’ General Practitioners (GP) and health care professionals and regular discussion with these services. A GP returned a comment card prior to the site visit and recorded that staff at Minshull Court were knowledgeable about the care needs of residents and there was always a registered nurse on duty that they could talk to. Medicines management and administration was examined. No errors were seen on medicine administration records. A monitored dosage system is used throughout the care home. The manager had commenced checks on medicine management as part of the quality assurance system. During the checks the manager had found errors in the previous months medicine administration records, which were attributed to a staff member. The manager provided information that disciplinary action had been taken against the staff member. Residents were dressed comfortably for the time of year and building they were living in. A visitor said that when she visited her father he looked neatly dressed and cleanly shaven. A resident talked about her needs and said “I worry a lot about the noise and some of the men that walk around that they will hurt me. I feel safe when I’m sat with my friends or when staff are around. The staff are kind and they sit with me when I’m frightened. The staff member over there sat with me while I ate my cornflakes and said that no one will hurt me and they will not let anyone hurt me”. Minshull Court Nursing Home DS0000018755.V323291.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): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents need more support in making choices in their lifestyle and the coordination and recording of activities could improve so residents have regular activities based on their choice and preferences. EVIDENCE: Three residents’ care records were looked at about their social life being provided for. The recording of residents’ preferences on their social life had improved with the introduction of an activity care plan. This had been written with the aim of preventing residents becoming withdrawn through loneliness and memory problems. The records advised care staff to offer and include residents in activities they were able to join in and that they could choose. Staff had recorded information on the social and recreational choices of residents. Two of the records contained information on the residents’ life histories. Activity profiles continued to record limited information about residents’ choices of social recreational/activities. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 12 The manager had revised the role and responsibilities of the key worker and provided guidance to care staff on their role. This identified that care staff were responsible for providing personal and social care, talking with families to gather personal information on residents and be responsible for recording the personal support and social care they were involved in with residents. An activities coordinator had been recruited from the existing staff team and had only recently taken up the post. The activities coordinator’s main hours were identified as a Thursday to plan and organise activities for residents. The manager said that carers were given the responsibility for taking daily social and recreational activities from the activities programme. Two hours in the morning and afternoon were identified for activities. The activities coordinator had produced an activities programme based on information in residents’ activities profiles. The activities coordinator said, “ I’ve lots of ideas but have recently taken up the role. I’ve developed an activities programme on the information we have. In supervision with the manager we have discussed my development including training. She has given me books to read on reminiscence and understanding dementia. Good practice is that activities take place in the afternoon when people will be less agitated so activities will be mainly in the afternoon. I’m unsure what I can and cannot do at the moment but I want to get more information on residents. We are now using key worker diaries and recording the activities residents are involved in. When I have read what we have written I feel we need to improve what we’re writing as it doesn’t say what happened. For example I wrote involved in a one to one with a resident. What actually happened was that we had a great conversation about his work life”. Staff were involved in a game of bingo and encouraged residents to call the numbers. Staff also did exercise based activities encouraging residents to participate in floor basketball. Staff were also involved in reading with residents and beauty treatments. Residents received their own daily newspapers and were seen reading books and doing crosswords and puzzle books. Visitors were seen throughout the visit and were welcomed by staff. Visitors were at ease in approaching staff for information. The menu had been produced in a large print format in bright colours. This had been laminated and was displayed in the foyer. The chef had reintroduced residents’ ordering their meals from the menu and keeping a record of this with details of alternative choices not on the menu. Residents were seen having breakfast and lunch. Pureed meals were appropriately presented in individual portions. Minshull Court Nursing Home DS0000018755.V323291.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints or concerns are consistently acted upon to safeguard residents from abuse. EVIDENCE: Prior to the site visit the manager informed the CSCI about concerns and allegations about the care of residents at Minshull Court. The manager was able to provide information that two complaints had been dealt with. The owner had agreed one, as staff did not tell a relative a family member had fallen. The other complaint was passed to the local council under local adult protection procedures. The manager was asked to investigate this and as a result identified improvements to be made in the areas of personal care. Residents’ care records were revised to include guidance to staff on managing residents who did not cooperate when being assisted with personal care. At the time of the site visit a resident returned from an NHS hospital. Staff noticed bruising which could not be explained. The manager immediately informed the local council of her concerns. Training had been taken place with the local council adult protection coordinator for all staff on its adult protection procedures. Staff files contained the information leaflets and training certificates for this. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 14 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe environment but unguarded radiators should be covered to protect them from harm. EVIDENCE: A programme of maintenance was in place. The handyman had two and a half days a week on site for routine maintenance and repairs. The décor is good. Externally the paintwork of the building needs to be improved. The proprietor confirmed arrangements for the external decoration of the building would be agreed with the handyman. The radiators were on during the site visit and hot to touch. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 15 A fixed bath hoist was not in use following a recent visit from the service engineer. The bathroom had a shower in that residents could use. The owner agreed to consult a plumber and fit temperature control valves to the radiators if possible or fit radiator guards. The owner also agreed to replace the fixed bath hoist, as the parts could not be obtained for the broken one. The building was clean and hygienic. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 16 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 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Recruitment and training needs to improve so residents’ welfare is promoted and they are protected from harm. EVIDENCE: A new manager was appointed in November 2006 and two new registered nurses in mental health had been recruited along with care assistants. There were sufficient numbers of staff on duty to meet the needs of residents and residents were supervised at all times. The manager provided information that fifteen care staff were employed. Out of these four had to complete an NVQ 2 qualification. An NVQ provider had been identified as a number of staff had completed NVQ level 3 with a previous provider but the work not verified. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 17 Four staff recruitment files were looked at. All contained appropriate identification documentation and completed POVA checks and Criminal Record Bureau disclosures. All files had two written references. There were copies of a new induction programme being used and two recently appointed staff had commenced this. Staff files contained a draft contract of employment, job description, training certificates and confirmation of identity. In looking at staff files and discussing training with care staff it was discovered that a staff member had resigned and then reemployed after a week. No recruitment procedures had been followed and no POVA First check had been obtained prior to her employment. On realising the error in judgement the owner agreed the staff member should go home on full pay until a POVA First check had been obtained. Another staff member said she had been employed for a number of years but hadn’t had a Criminal Records Bureau check done as she was of sick at the time existing staff had to have these done. The owner agreed to have these done as a matter of urgency. Details of staff training were provided prior to the site visit. Staff had undertaken training in care planning, managing challenging behaviour, protection of vulnerable adults, infection control, continence management and moving and handling. The care coordinator had audited staff files and identified training deficits such as first aid, fire safety, dementia care and food hygiene. She had completed a training needs analysis of the staff team and arranged a programme of training for staff. During discussion with staff and examination of staff files it was noted that fire drill training had not taken place since April 2006. Three staff were interviewed and all verified they had not had the required training on fire prevention. One staff member said she had attended fire drills and another said she had not despite her name being recorded in the fire records as doing so. None of these staff were aware of what they had to do in case a fire was discovered. One staff member said, “We should evacuate the residents that can walk”. Another said “we leave the building by the nearest exit, come round to the front and re enter the building. I’m not sure what we do about residents”. Two of the staff were recorded by the previous managers as having attended fire drills/training in the fire records kept at Minshull Court. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 18 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 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An experienced manager has improved quality assurance, training and supervision of the staff team but an application to register as manager needs to be made so residents’ quality of life is enhanced and they are protected. EVIDENCE: Before to the site visit the owner wrote to the CSCI to say an experienced manager had been employed and an application to register her as manager would be made following her probation period of employment. Positive comments were received during the site visit from a relative and staff. Staff described the manager as “approachable someone I can talk to. She has the care staff more organised. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 19 There are always staff in the lounge areas”. Another staff member said, “I have learned a lot under the guidance of the manager. She is very experienced, it has been positive and I have developed my managerial skills. I feel the practice of the staff is safe and the care is of a good standard. The care staff are knowledgeable about their practice but need more training and supervision”. The manager said she had identified a number of areas for development following her appointment. She said “ It’s been a difficult time since I started here. I spent the first four weeks looking at staff practice and routines. Staff lacked discipline and we recently had to take disciplinary action against staff. The manager had introduced more quality monitoring of the standard of care and monitoring of staff practice. There was a draft quality assurance audit at Minshull Court but this had not been started. The manager had introduced guidance on the key worker system and carer diaries for the care staff to record the personal and social care provided for residents. A record of all staff training had been completed with training planned for 2007. The manager had commenced an audit of the ordering, receipt, storage, administration and return of medicines. This identified some concerns, which were dealt with. A staff meeting was held in December 2006 to address a number of concerns about staff practice. The minutes of this were available. On the 3rd January 2007 the manager wrote to all residents’ relatives to request their help in writing end of life care plans for residents to record residents’ wishes about their health or death should their health decline. Satisfaction surveys were sent out to relatives in January 2007. Some of these had been returned and identified improvements to be made in the laundry service and provision of social activities for residents. Two of the questionnaires said the care of residents was good. The manager said she would be responding to individual comments received. The owner had purchased the ‘Mulberry House’ training package, which consisted of training videos, and work based information booklets. The training programme was due to commence using these materials. Staff would watch the videos and complete a training manual. The manuals would be sent to ‘Mulberry House’ to confirm if staff had completed the training and a certificate issued if they had. The manager said staff that had not understood the training would have to re take it. Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 20 No monies are held on behalf of residents. Two residents are appointees of the owner’s limited company. The accountant said this was a long standing arrangement, as the residents did not have relatives. The accountant agreed to write to the local council that placed the residents at Minshull Court and request they take over the responsibility for the residents’ monies. Records were kept of monies held on behalf of these two residents and recorded balances for debits and credits made on their behalf. Other wise residents or their relatives deal with their finances. Information provided by the provider in a pre inspection questionnaire and records held on site were examined. The fire systems were tested as required. Staff had attended training or fire drills in 2006. At the last site visit records regarding fire training were missing and the provider aware of this matter. The records had been found and confirmed staff had not attended fire training as required. Fire training was arranged to take place as soon as training materials form ‘Mulberry House’ were printed. Minshull Court Nursing Home DS0000018755.V323291.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 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP29 Regulation 19(1)(a)( b)(c) Requirement The registered person must not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2. The registered person must ensure that an application for a suitably qualified and experienced manager is submitted to the Commission for Social Care Inspection. Timescale for action 22/01/07 2. OP31 8(1) 01/11/07 3. OP38 23(4)(d) The registered person shall make 22/01/07 arrangements for staff working at Minshull court to receive suitable training in fire prevention. (Timescale 01/11/06 not met) Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 23 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 OP12 Good Practice Recommendations Residents’ key worker diaries should contain more details on residents’ social preferences and what they enjoyed doing and the social interactions that took place. This information should be used to further develop the activities offered to residents. Radiators in the lounges and corridors should be fitted with guards. Staff should have more opportunities to undertake an NVQ level 2 qualification. 2. 3. OP19 OP28 Minshull Court Nursing Home DS0000018755.V323291.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Minshull Court Nursing Home DS0000018755.V323291.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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