Inspection on 18/08/05 for Moorside Nursing Home

This inspection was carried out on 18th August 2005.

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

Moorside Nursing Home 15/03/07

Moorside Nursing Home 10/01/06

Moorside Nursing Home 04/11/04

Moorside Nursing Home 21/06/04

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

CARE HOMES FOR OLDER PEOPLE Moorside Nursing Home Durngate Winchester Hampshire SO23 8DU Lead Inspector Marilyn Lewis Unannounced 09:45 a.m. 18/08/05 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 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. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Moorside Nursing Home Address Durngate Winchester Hampshire SO23 8DU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01962 854548 01962 854811 St Johns Winchester Charity Mrs Victoria Davies CRH 26 Category(ies) of DE Dementia DE(E) Dementia - over 65 MD registration, with number Mental disorder MD(E) Mental disorder - over of places 65 Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4/11/2004 Brief Description of the Service: Moorside is a care home providing nursing care for 26 persons with dementia or mental health problems. The home was purpose built and has accommodation arranged in cluster formation, with bedrooms, lounge, dining room with small kitchen area and bathroom facilities provided in each unit. All residents are accommodated in single rooms with twenty four of the twenty six rooms fitted with en-suite facilities. The well maintained enclosed rear garden provides a pleasant sitting area for residents. A day centre situated on the ground floor of the home, operates on two days of the week. The home is owned and operated by a Christian organisation, The St Johns Winchester Charity, a provider of a range of integrated care for the people of Winchester. Moorside is situated within the centre of the city of Winchester, close to all amenities. Limited parking is available at the home. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours on the 18th August 2005. The inspector and Melanie Taylor, Regulation Manager, toured the home and met with residents, two visitors and three staff members. Care plans were sampled for four residents and records were seen for two staff members, medication, specialist equipment checks, fire safety and fire drills. The registered manager assisted in the inspection process. Service users at the home wish to be known as residents and this has been respected in the writing of this report. What the service does well: Residents are provided with a clear written contract of terms and conditions for living at the home and no one is admitted to Moorside without a full care needs assessment, ensuring the home can meet their care needs. Detailed individual care plans provide staff with the information required to full support the residents. Residents are protected by the good policies and procedures in place for dealing with medicines. Residents are able to choose to participate in a variety of activities provided, both in the home and the community, and are able to receive visits from relatives and friends as they wish. Residents are offered a choice of balanced, nutritious meals served in a friendly, relaxed atmosphere. The provision of a clean, well maintained home, with comfortable communal areas, attractive garden, personalised bedrooms and sufficient bathroom and toilet facilities gives a pleasant environment for all who live and visit there. Residents care needs are met by the sufficient number and skill mix of staff employed at the home. Residents are protected by the homes’ robust policies and procedures for the recruitment of staff. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 6 The registered manager has the qualifications and experience to manage the home. Residents and staff benefit from the open approach to management operated at the home. Residents’ financial interests are safeguarded by the homes’ clear financial procedures. Safe working practices promote and protect the health, safety and welfare of residents and staff. What has improved since the last inspection? 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. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 6 Each resident is provided with written terms and conditions for living at the home and no one is admitted without a full care needs assessment, ensuring the home can meet their care needs. EVIDENCE: On admission residents are provided with a written contract of terms and conditions for residency at the home. The contract gives details of what services are covered by the fees and those services that are available at an additional cost, such as hairdressing and toiletries. A full care needs assessment is undertaken for each prospective resident prior to placement being agreed. The assessment is carried out by the registered manager, at the home or place of residency of the person. A completed assessment record seen, indicated that all aspects of care needs including personal, emotional and social needs were assessed. Risk assessments were included in the assessment report. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 9 The registered manager said that relatives or carers are encouraged to participate in the assessment process and information from care managers is included in the completed report. The registered manager also said that prospective residents are not admitted unless the home is confident of being able to meet their assessed care needs. Although the home offers respite care, it does not provide intermediate care and therefore standard six is not applicable. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 Detailed care plans provide staff with the information required to support the residents and meet the assessed care needs. Residents are protected by the homes clear procedures for dealing with medicines. EVIDENCE: The full needs assessment forms the basis for the individual care plans. The registered manager said that changes were being made to the care plan format to provide more information in some areas including care required at night. Current care plans were seen for four residents. The care plans were very detailed and contained risk assessments including those for pressure areas, mobility and nutrition. The care plans seen indicated they were reviewed regularly and residents or their relatives were involved in the development and review of the documents. The home has clear procedures in place for dealing with medicines. Records are kept of all medicines received into the home and procedures are in place for the disposal of all unused medicines. Records for controlled medicines Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 11 matched the stock held. Up to date information for medicines used at the home was available to staff. GPs review the residents’ medication on request. At the time of the inspection there were no residents who self- administered their medication. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Residents are able to choose to participate in a range of activities, both in the home and in the community, to receive visits from relatives and friends as they wish and are offered a choice of balanced, nutritious meals served in a friendly relaxed atmosphere. EVIDENCE: The home employs two care staff members to provide an activities programme for residents. The staff members are based in the day centre that operates two days a week and they also spend time with the residents of the home from Monday to Friday. The senior carer involved in providing activities, said that the activities programme is currently under review to improve the range of activities offered, taking into account the level of dementia of the resident. The senior carer said that some of the residents enjoyed going into the city to shop for toiletries or clothes and others liked to visit the Cathedral and green. She spoke of one resident who had not shown interest in any of the activities offered until a visit to see the ducks nearby, when she showed obvious enjoyment. In house activities were also on offer for residents with one to one activities such as nail care and looking at photographs provided. During the inspection staff were observed spending time with the residents, chatting and escorting them on walks in the pleasant garden of the home. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 13 The Charity’s Chaplain visits the home regularly and a weekly service is held for those wishing to attend. The registered manager said that Catholic nuns also visit the home. The registered manager said that attempts had been made to communicate with one resident, whose first language was not English, in their native tongue, but following discussions with relatives it was decided that the better option for communicating with the resident was in English. The registered manager said that visitors were able to visit the home at any time. A relative visiting at the time of the inspection said that she was always made to feel welcome. At the time of the inspection it was evident that the home offered flexibility with meal times, with some residents having a late breakfast and others enjoying a mid morning cup of tea. Residents were sitting in one of the lounges or dining rooms, their own room or walking around the garden. During the tour of the home, the registered manager said that a refurbishment programme was underway to redecorate some of the residents’ rooms. The registered manager said that the rooms were being redecorated in colours found to be of benefit to residents with dementia such as white and yellow. Currently the residents are not involved with choosing the colour for their room. Following discussion, it was agreed with the registered manager, that the residents would be offered a choice of colours for the redecoration of their rooms. The registered manager said that since the last inspection, the menus have been developed to provide a more interesting and appropriate diet for the residents. Menus are now produced in picture format to assist residents to choose meals. The registered manager stated that permanent staff employed at the home had received training in the most appropriate methods to support residents who required help with eating. The main meal on offer for lunch on the day of the visit was beef and mushroom pie with creamed potatoes and cabbage followed by cream of puddings. Fresh fruit meringues were on the menu for teatime and leek and potato soup, fish cake and mashed potato with a white wine sauce, followed by trifle for supper. A variety of sandwiches were provided in the late evening. The cook said that alternative meals were always available for those residents who did not wish the main choice. The meals served for lunch were well presented and looked and smelt appetising. Staff were seen to help residents in a friendly, relaxed manner and the residents appeared to enjoy the meal. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 17 The home takes all complaints seriously and acts upon them and residents are able to participate, if they wish, in civic processes. EVIDENCE: The home has a complaints procedure in place that indicates who will investigate the complaint and timescales for the process. It was evident from the records seen that complaints are taken seriously. Complaints were recorded in a style that allowed more than one complaint to be written on the page and it was recommended that each complaint be documented on a separate page. A visitor at the home said that they knew how to make a complaint but had no need to do so. All residents were on the electoral roll and the registered manager said that some residents went with relatives to vote during the general election earlier in the year. At present advocates were not involved with any of the residents of the home but the registered manager said that advice would be sought if required. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. The provision of a clean, well maintained home with comfortable communal rooms, attractive garden, suitable, personalised bedrooms and sufficient bathroom and toilet facilities gives a pleasant environment for all who live and work there. Call alarms that are not accessible to those residents able to use them, may put some residents safety at risk. EVIDENCE: Moorside is situated in the centre of the city of Winchester, close to all amenities. The home was purpose built and is suitable for the residents. Entry to the home is by a keypad system that allows staff to know who is entering and leaving the property. The large rear garden is enclosed and provides a safe, pleasant area for residents. Accommodation is provided in a cluster formation, on two floors, with passenger lifts and stairs providing access to each floor. The organisation employ a maintenance team for routine repair and redecoration of the home and other properties owned by them in the locality. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 16 At the time of the inspection the home looked clean and welcoming and well maintained. Staff are provided with a separate area comprising of a sitting room, changing rooms and shower facilities. Lockers are available for some staff members and more are on order to allow all staff a private space for their belongings. Each of the three clusters in the home has bedrooms, a lounge, dining room with kitchen area, bathroom and toilet facilities. The lounges looked comfortable and homely, with suitable furniture, television and ornaments on display. Separate dining areas have adjoining small kitchens for staff to make hot drinks and snacks for the residents. New tables and chairs have recently been purchased for one of the dining areas. There is also a room used as a reminiscence room, with items of furniture, books and pictures of the fifties era. The registered manager said that this room was popular with some residents, who spent quite a lot of time there. A room on the first floor has been allocated for refurbishment into an activities room with bench type tables suitable for a number of hobbies/ interests. Lighting in the communal rooms is domestic in style and furniture and fittings looked to be in a good state of repair. The enclosed rear garden has pathways that meander through the lawn and flower area. The garden was specially designed as a sensory area, which benefits residents with dementia. A variety of seating is provided and the garden is secluded providing a pleasant, quiet area for residents and staff. Twenty four of the twenty six bedrooms are fitted with en-suite facilities and a bathroom and toilet is situated close to the two rooms without en-suite facilities. A separate bathroom with assisted bath and a shower is situated on each of the clusters. All bathroom and toilet facilities seen during the inspection, looked clean and in good order. Two passenger lifts allow residents access to each floor and ramps and grab rails are provided where required. Hoists are provided to assist residents with poor mobility. The home is in the process of providing sensory boards in the corridors of the home as areas of interest for residents. The registered manager is also in the process of arranging for trolleys with drawers to be filled with objects appropriate for residents such as soft textured items. The trolleys would be personal to the resident and might contain photographs or items of specific interest to them. A call alarm system is provided throughout the home. It was noted during the inspection, that not all call alarms were easily accessible to residents. It is a requirement of this inspection that risk assessments are undertaken for each resident and call alarms be made accessible for those residents assessed as able to use them. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 17 Residents’ individual rooms looked suitable and homely, with many personal items such as ornaments and pictures on display. Rooms are individually and naturally ventilated with windows restricted for safety. At the time of the inspection all areas of the home looked clean and there were no offensive odours. The laundry room has a keypad entry system to protect residents. The room looked in order and hand washing facilities were available. Disposable gloves and aprons were readily available to staff. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 Residents’ needs are met by the sufficient number and skill mix of staff employed at the home. Residents are protected by the homes’ robust recruitment policies and procedures. EVIDENCE: The home employs agency staff to cover for staff shortages, holidays and sickness. The number of hours covered by agency staff is high, however rotas seen indicated that agency staff familiar with the home are frequently employed. An agency carer spoken to during the inspection said that the nursing and care staff at the home were very supportive and the carer enjoyed working at Moorside. Rotas seen indicated a sufficient number and skill mix of staff were on duty to support and meet the needs of the residents. At the time of the inspection the staff on duty included the registered manager, a trained nurse, a nurse on induction, nine carers and two activity carers. Separate staff are employed for administration, catering and domestic duties. Records were seen for two staff members. One of the records contained all the information required including two written references and proof of identity. Records for the second member of staff did not contain proof of identity. This member of staff was a registered nurse and the registered manager said that she was aware there were no documents to support proof of identity and arrangements were in place for these to be obtained. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 19 The registered manager is currently auditing staff training records and developing a new training programme and therefore staff training will be assessed at the next inspection. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36, 37 and 38 The registered manager has the qualifications and experience to manage the home and the open approach to management operated is of benefit to the residents. The residents’ financial interests are safeguarded by the homes’ good financial procedures. Safe working practices promote and protect the health, safety and welfare of residents and staff. Residents’ care plans are not kept in a secure place, which could lead to a lack of confidentiality. EVIDENCE: Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 21 The registered manager has been in post since January 2005. Prior to taking up the position of manager she was the deputy manager for the home. Mrs Davies is a trained nurse with experience in providing care for the elderly and people with dementia and mental disorder. The registered manager reports directly to the director of the organisation and is supported by a deputy manager, who is a trained nurse holding the Registered Managers Award. The registered manager operates an open door approach to management. Staff spoken to during the inspection said that Mrs Davies was approachable and supportive. The registered manager said that staff meetings were held frequently during the last few months to discuss changes being implemented in the home. She said arrangements were in place to hold staff meetings on alternate weeks at times suitable for staff. Separate meetings were to be held for night and day duty staff. Weekly meetings are held for staff allocated to each cluster and the minutes of the meetings are forwarded to the registered manager. Support meetings are held for relatives on a monthly basis. The registered manager said that between twelve and fifteen relatives usually attend the meetings that are relaxed and informal. The home keeps small amounts of residents’ money in the home. The monies are kept individually in a secure place. Receipts are kept for all transactions and records seen for three residents matched the balance held. The procedure for payment for residents’ meals if taken when out of the home was discussed with the registered manager. It was agreed that the registered manager would investigate arrangements for the payment or part payment of a main meal, taken away from the home, when residents went on an outing with staff. All care staff receive formal supervision. The registered manager supervises the deputy manager and then supervision is cascaded down through the deputy and trained nurses to the care staff. The registered manager said that she receives supervision and support from an external mentor and the assistant director of the organisation. During the inspection it was noted that residents’ individual care plans were kept in the lounge or dining room on the clusters and not in a secure place, making them available to anyone visiting the home. It is a requirement of this inspection that care plans be kept in a secure place to ensure confidentiality. On the day of the inspection, the kitchen looked clean and in good order with food stored appropriately and the temperatures of the fridges and freezers monitored and recorded. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 22 Up to date certificates were seen for checks to the electrical system and portable appliances, the water system, specialist equipment such as the hoists and fire equipment. Records for fire safety training and staff attendance at fire drills indicated that all staff had received training and attended drills. However it was difficult to confirm this from the records and it was recommended that the method for recording the information be changed to an easier to check format. Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 23 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 3 3 x 3 3 2 3 Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP37.3 Regulation 17(1)(b) Requirement The registered person must ensure that residents individual care plans are kept in a secure place. The registered person must ensure that call alarms are accessible to all residents assessed as able to use them. Timescale for action 31/08/05 2. OP22.8 16(2)( c ) 30/09/05 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 Good Practice Recommendations Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 25 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Moorside Nursing Home H54 S12129 Moorside NH v227985 180805.doc Version 1.30 Page 26 - 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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